February 17th, 2012
Ronald M. Friedman, M.D., has been providing cosmetic and reconstructive plastic surgery to the Celina, Texas community since 1996. Dr. Friedman serves as the Director of the West Plano Plastic Surgery Center, located on the campus of Texas Health Presbyterian Hospital of Plano. Only a 30 minute drive from Celina, Dr. Friedman specializes in breast augmentation, breast lift, liposuction, tummy tuck, mommy makeovers, and Botox and Restylane injections.
Dr. Friedman has been named a Best Doctor in Dallas by D Magazine for four consecutive years. He was also named a Texas SuperDoctor by Texas Monthly magazine for four consecutive years. Dr. Friedman served as the Chief of Plastic Surgery at Parkland Memorial Hospital in Dallas in the mid 1990’s while a member of the full-time plastic surgery faculty at UT Southwestern Medical Center.
Of interest, Dr. Friedman has been a wood and marble sculptor for over 25 years. He believes that his artistic background have helped him to become a better plastic surgeon.
For more information about Dr. Friedman, including before and after photos, please visit www.plasticsurgerydallas.com.
Posted in Breast Implants, Face, Home, Plastic Surgery | No Comments »
February 3rd, 2012
Last week Jean-Claude Mas, the founder of now-defunct breast implant manufacturer PIP, was arrested by French authorities. His company, Poly Implant Prothese (PIP), was closed in March 2010 amid controversy. He is accused of manslaughter and involuntary injuries caused by ruptured silicone PIP implants, which were made from industrial-grade silicone (designed for use in mattresses), rather than medical grade silicone.
PIP silicone gel implants have been used in over 300,000 breast augmentations worldwide since 1999, and there are currently investigations pending in France, England, Venezuela, and Brazil. French authorities are recommending and paying for removal of PIP silicone gel implants in French women due to the very high rate of rupture and unknown risks of exposure to industrial-grade silicone.
How is this relevant to us in America? I was listening to a report about PIP implants on National Public Radio last week, and the commentator assured the radio audience that no PIP implants were ever placed in the United States. This is simply FALSE. The reality is that although PIP silicone gel implants were never used, lots of PIP saline implants have been used in the U.S.–over 35,000 by some estimates.
PIP began selling saline implants in the US in 1996. In 2000, the Food and Drug Administration (FDA) rejected the devices due to high deflation rates, manufacturing process violations, and a failure to demonstrate device safety. Despite the FDA ban, PIP continued to sell their saline implants through its distributors, MediCor/Heritage Worldwide, until late 2002 or early 2003. The FDA has received over 1,800 reports of problems with the PIP saline implants. Most of the complaints concern an abnormally high product failure (deflation) rate.
While the PIP saline implants are not nearly as worrisome as the PIP silicone gel implants, this should serve as a cautionary tale for plastic surgeons, patients, and U.S. regulators. How did PIP “slip through the cracks” for years after it was banned?
The only saline and silicone gel breast implants approved by the FDA for use in the US are manufactured by Allergan and Mentor. In the nearly 2500 breast augmentations that I have performed in the past 16 years, I have ALWAYS used implants made by Allergan or Mentor. And yes, there are still unapproved manufacturers marketing breast implants in the United States. Before you undergo breast augmentation, always know exactly what you are putting in your body.
With offices in Plano and Flower Mound, our cosmetic surgery and plastic surgery services are also convenient to Frisco, Allen, and McKinney.
For more information about procedures performed, please visit www.plasticsurgerydallas.com
Ronald M. Friedman, M.D.
Director, West Plano Plastic Surgery Center
Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas
www.plasticsurgerydallas.com
Posted in Breast Augmentation, Breast Implants, Home, Plastic Surgery | No Comments »
January 30th, 2012
Ronald M. Friedman, M.D., has been voted the Best Cosmetic Surgeon in Denton County for 2011. This distinction was based on a poll of 30,000 readers in Flower Mound, Highland Village, Lantana, and Castle Hills conducted by Allen Publishing Company.
Dr. Friedman is a board-certified plastic surgeon who specializes in breast enlargement, breast lift, liposuction, tummy tuck, mommy makeovers, and facial rejuvenation. With offices in Flower Mound (across from Presbyterian Hospital of Flower Mound) and Plano (at Presbyterian Hospital of Plano), he has served the residents of Lewisville, Highland Village, Irving, and Las Colinas since 1996.
Dr. Friedman, who is widely recognized for his attention to detail and natural-appearing results, has also been honored by his peer physicians as a D Magazine Best Doctor in Dallas (2008, 2009, 2010, 2011) and as a Texas Monthly SuperDoctor (four consecutive years).
For more information about Dr. Friedman, including before-and-after photos, please visit www.plasticsurgerydallas.com.
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January 23rd, 2012
There are three possible reasons for the abdomen to protrude:
1. Excessive abdominal wall fat
This is best addressed by dieting, exercise, and weight loss and/ or abdominal liposuction.
2. Excessive laxity of the abdominal wall
Pregnancy, significant weight loss, and aging loosen the abdominal wall. Full tummy tuck entails permanent sutures used to tighten the weak, protruding abdominal wall in the midline from the rib cage to the pubic region. If a hernia (hole in the abdominal wall) is present, it may also be repaired.
3. Excessive intra-abdominal fat
This is best addressed by dieting, exercise, and weight loss. Plastic surgery will not help.
How can I tell which one is causing my protrusion?
It is best to be evaluated by a board-certified plastic surgeon, although you can certainly get an idea of what is causing your protrusion by answering a few questions and looking carefully at your abdomen.
- Have you lost a significant amount of weight? If so, you probably have excessive laxity of the abdominal wall and may benefit from tummy tuck.
- How many children (if any) do you have? In general, women with more children have more laxity of the abdominal wall. In the absence of children and weight loss, you probably do not have major abdominal wall laxity.
- Can you “pinch more than an inch?” If you can pinch more than an inch of abdominal fat, you may have excessive abdominal wall fat. If you are unable to get rid of this with diet and exercise, then liposuction may be helpful.
- Do you have a hard, round abdomen (“beer gut”)? If so, you probably have excessive intra-abdominal fat. Since the fat is inside the abdominal cavity, plastic surgery will not help.
There are many surgical options for excessive abdominal protrusion. These include liposuction, mini-tummy tuck, extended mini-tummy tuck, and full tummy tuck. Remember that you should be within 5 to 10 pounds of your desired weight before considering cosmetic surgery of the abdomen. If diet and exercise aren’t helping, liposuction or tummy tuck may be worthwhile considerations.
Side view of abdominal wall layers(fat inside tummy, abdominal wall muscle and fat)
Lipo:
Liposuction of abdomen, hips and flanks. Breast augmentation.
Before After
Full tummy:
Full tummy-tuck and breast augmentation
Before After
Full tummy-tuck and breast augmentation
Before After
For more information, including before / after photos, please click here.
To schedule an appointment, please call us at 469-467-0100 or email us at drfriedman@plasticsurgerydallas.com
Ronald M. Friedman, M.D.
Certified, American Board of Plastic Surgery
Director, West Plano Plastic Surgery Center
Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas, Texas
www.plasticsurgerydallas.com
Posted in Breast Augmentation, Breast Implants, Home, Plastic Surgery | No Comments »
January 13th, 2012
Tummy tuck (abdominoplasty) is an excellent option for many women who have experienced stretched-out, hanging skin, excessive fat, and laxity of the abdominal wall following pregnancy and/or major weight loss. One major downside of the procedure: it hurts. Specifically, cinching in the abdominal wall by 4 or 5 inches can be very uncomfortable.
How do we best control the pain and ease your recovery? Unlike many surgeons in the Plano/Frisco area, I provide a pain pump for all full tummy tuck patients. This looks essentially like two very thin ( a few millimeters) epidural catheters that enter the upper abdomen . Marcaine, a long-acting local anesthetic, is dripped through the catheters onto your abdominal wall for about 72 hours after surgery. Although you will still require oral pain medication, the pain pump significantly reduces the discomfort associated with tummy tuck. In most cases, this means that you can go home a few hours after surgery. In addition, the manufacturer we use, Accufuser, allows a bolus feature; this means that , if you need it, you can push a button to give yourself an extra dose of local anesthetic at home.
Recovering from a tummy tuck is no fun; but a pain pump makes it much more tolerable.
Accufuser pain pump
Tummy tuck and breast augmentation
Before After
Posted in Home, Plastic Surgery | No Comments »
September 27th, 2011
Plastic surgeons and cosmetic surgeons routinely advertise that they can “sculpt” your features: your nose, your tummy, even your breasts. Patients routinely request a “chiseled” jawline. Who would want to have liposuction when you can have liposculpture?
The sad truth, however, is that most surgeons are not actually sculptors. There are no art classes offered in medical school. And if your surgeon, by chance, has a background in drawing or painting, these are 2-D activities which poorly translate into the 3-D world of surgery.
Before After
By contrast, I am fortunate to have extensive experience in wood and marble sculpture. I took shop class in 7th grade when I couldn’t figure out what else to take for an elective—and I fell in love. Soon I was spending 60-hour weeks in my workshop during high school summers. It got really exciting when people started buying my sculptures: first neighbors and eventually strangers. Then I started displaying in shows and galleries.
At some point toward the end of high school, I had to make a decision: pursue art and music (my other major endeavor) or pursue academics. I decided to pursue medicine, in general, and plastic surgery, in particular. Plastic surgery was and continues to be the closest that I can come to doing sculpture for a living—and still be able to make a living. (You’ve heard of starving artists, but you probably haven’t heard of starving plastic surgeons.)
Does this mean that I can sculpt your body? Not really. Surgery is not sculpture because the human form is far less predictable than a block of wood or marble. Unlike any other medium, human tissues are fragile; can become scarred, infected, or bleed; and change contour as they heal.
Does this make my background in sculpture useless? Of course not. Every day I have to make decisions during surgery. While some of these simply require a good tape measure or caliper, others require something more elusive: an artistic eye.
I sincerely believe that my background as a wood and marble sculpture has helped me become a better plastic surgeon.
For more information about breast augmentation–including more photos, please visit www.plasticsurgerydallas.com
Ronald M. Friedman, M.D.
Director, West Plano Plastic Surgery Center
Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas
www.plasticsurgerydallas.com
Posted in Home, Plastic Surgery | No Comments »
July 7th, 2011
The average plastic surgeon performs about 30 to 35 breast augmentations annually. I performed 70 breast enlargements—in the first 6 months of 2011. The best way to evaluate a surgeon is to look at his surgical results. As a specialist in breast and body contouring, I strive to achieve natural and proportionate breast enlargement results.
Remember that the single greatest factor determining the appearance of your breasts after augmentation is the appearance of your breasts before augmentation. As you view the photos below, notice that a woman’s breast shape changes very little with augmentation. The primary changes are increased breast size and increased fullness of the upper breasts.
1. Breast Augmentation with Saline Implants:
Implant size: 330 cc implants; Incision: Inframammary fold
Estimated size change: 34B to 34C; Height and Weight: 5’7″, 119 lbs
Before (Front view) After (Front view) Before (Side view) After (Side view)
2. Breast Augmentation with Saline Implants:
Implants: 420 cc implants ; Incision: Inframammary fold
Estimated size change: 36B to 36D Height and Weight: 5’9″, 140 lbs
Before (Front view) After (Front view) Before (Side view) After (Side view)
3. Breast Augmentation with Saline Implants:
Implant size: 330 cc implants; Incision: Inframammary fold
Estimated size change: 34c to 34D; Height and Weight: 5’4″, 122 lbs
Before (Front view) After (Front view) Before (Side view) After (Side view)
4. Breast Augmentation with Saline Implants
Implant size: 360 cc implants; Incision: Inframammary fold
Estimated size change: 34 small B to Full C; Height and Weight: 5’4″, 130 lbs
Before (Front view) After (Front view) Before (Side view) After (Side view)
5. Breast Augmentation with Saline Implants
Implant size: 360 cc implants; Incision: Inframammary fold
Estimated size change: 34B to 34 Full C; Height and Weight: 5’0″, 95 lbs
Before (Front view) After (Front view) Before (Side view) After (Side view)
6. Breast Augmentation with Silicone gel implants
Implant size: 421 cc implants; Incision: Inframammary fold
Estimated size change: 32B to 32C; Height and Weight: 5’5″, 120 lbs
Before (Front view) After (Front view) Before (Side view) After (Side view)
Our breast augmentation patients come from all over Texas (Dallas, Fort Worth, Lubbock, Denton, Wichita Falls, Austin), Oklahoma, Arkansas, and Louisiana.
For blogs that I have written on specific breast enlargement topics, please see:
- Determining breast implant size
- Saline vs. silicone gel
- Safety of silicone gel
- Low, moderate, and high profile implants
- Smooth vs. textured implants
- Implant placement above vs. below muscle
- Capsular contracture
For articles that I have written on specific breast enlargement topics, please see:
- Cost of breast augmentation
- Breast augmentation with vs. without breast lift
For more information about breast augmentation–including more photos, please visit www.plasticsurgerydallas.com
Ronald M. Friedman, M.D.
Director, West Plano Plastic Surgery Center
Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas
www.plasticsurgerydallas.com
Posted in Breast Augmentation, Breast Implants, Home, Plastic Surgery | No Comments »
June 8th, 2011
Although television shows such as The Swan and Extreme Makeovers make cosmetic plastic surgery look exciting and glamorous, this so-called “reality” couldn’t be farther from the truth.
Cosmetic surgery remains popular because it makes people look and feel better. But make no mistake: it is real surgery with real risks and downsides. In my 15 years operating on patients from Dallas, Plano, Frisco, Richardson, McKinney, Carrollton, Irving, Southlake, and Lewisville, I have learned the realities of cosmetic surgery firsthand.
Virtually every surgical procedure is associated with the following negative factors:
1. Scars: Like it or not, any time you cut the skin, your body generates a scar. Part of my job is to make the scar look as inconspicuous as possible—but there’s still a scar. This is a necessary trade-off for the desired improvement in contour.
2. Pain: Surgery hurts. There is no such thing as a painless surgical procedure. You will require pain medicine (from anywhere from a couple days to a couple weeks), and you may wonder what you were thinking the first couple days after surgery. Fortunately, pain is temporary and generally well-controlled by medication. But it is unavoidable.
3. Time off work: You may be tough, but the combination of surgery, anesthesia, and pain medication will result in some time lost from work. If you have a desk job, you will likely be back to work very soon. If your job requires significant lifting, you may have to modify your work activities for several weeks.
4. Time off athletic activities: For most breast and body contouring procedures, you will require 4 to 6 weeks off heavy lifting, pushing, and pulling. (This includes strenuous workouts and lifting your children.) It’s inconvenient but very necessary.
5. Risks: Infection, bleeding, need for further surgery, unsatisfactory cosmetic results (to name a few). The good news: 90 to 95% of patients are happy with their surgical results. The bad news: 5 to 10% are not.
I feel privileged to be able to make a living doing something I really enjoy. But cosmetic surgery is more fun for me than it is for you. Make sure that your plastic surgeon takes the time to thoroughly educate you before you undergo any procedure.
Our cosmetic surgery and plastic surgery patients come from Dallas, Fort Worth, Plano, Frisco, McKinney, Allen, Richardson, Garland, Sherman, Denison, Prosper, Celina, Wichita Falls, Parker, Highland Village, Denton, Arlington, Irving, Southlake, Carrollton, Lewisville, Colleyville, and Trophy Club. For cosmetic surgery before and after photos, please visit www.plasticsurgerydallas.com .
Ronald M. Friedman, M.D.
Director, West Plano Plastic Surgery Center
Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas
www.plasticsurgerydallas.com
Posted in Breast Augmentation, Breast Implants, Earlobe, Face, Home, Nipple Procedures, Plastic Surgery | No Comments »
October 12th, 2010
Ronald M. Friedman, M.D. is an experienced, board-certified plastic surgeon who has served the Allen, Texas area since 1996. He specializes in cosmetic surgery and reconstructive surgery of the breasts (breast enlargement, breast lift, breast reduction), body (tummy tuck, liposuction, arm lift, labiaplasty), and face (facelift, browlift, surgery of the eyelids, nose, ears, and lips). Dr. Friedman also personally performs all Botox, Dysport, Restylane, Juvederm, and Perlane injections.
Selected multiple times as a Best Plastic Surgeon by D Magazine, Texas Monthly, and the American Consumers’ Research Council, Dr. Friedman is the Former Chief of Plastic Surgery at Parkland Memorial Hospital. He is also the Founder and Director of the West Plano Plastic Surgery Center on the campus of Presbyterian Hospital of Plano (just minutes from Allen). Dr. Friedman is also an artist and sculptor. Click here to view photos of his sculptures.
If you are interested in more information about plastic surgery, including a review of surgical options, what to expect after surgery, and hundreds of before and after photos, please visit www.plasticsurgerydallas.com.
Please contact our office at 469-467-0100 or email us at doctorfriedman@plasticsurgerydallas.com for any questions or to schedule your personal consultation.
Posted in Plastic Surgery | No Comments »
September 22nd, 2010
Ronald M. Friedman, M.D. is an experienced, board-certified plastic surgeon who has served the McKinney, Texas area since 1996. He specializes in cosmetic surgery and reconstructive surgery of the breasts (breast enlargement, breast lift, breast reduction), body (tummy tuck, liposuction, arm lift, labiaplasty), and face (facelift, browlift, surgery of the eyelids, nose, ears, and lips). Dr. Friedman also personally performs all Botox, Dysport, Restylane, Juvederm, and Perlane injections.
Selected multiple times as a Best Plastic Surgeon by D Magazine, Texas Monthly, and the American Consumers’ Research Council, Dr. Friedman is the Former Chief of Plastic Surgery at Parkland Memorial Hospital. He is also the Founder and Director of the West Plano Plastic Surgery Center on the campus of Presbyterian Hospital of Plano (just minutes from McKinney). Dr. Friedman is also an artist and sculptor. Click here to view photos of his sculptures.
If you are interested in more information about plastic surgery, including a review of surgical options, what to expect after surgery, and hundreds of before and after photos, please visit www.plasticsurgerydallas.com.
Please contact our office at 469-467-0100 or email us at doctorfriedman@plasticsurgerydallas.com for any questions or to schedule your personal consultation.
Posted in Plastic Surgery | No Comments »
Ronald M. Friedman, M.D., has been providing cosmetic and reconstructive plastic surgery to the Celina, Texas community since 1996. Dr. Friedman serves as the Director of the West Plano Plastic Surgery Center, located on the campus of Texas Health Presbyterian Hospital of Plano. Only a 30 minute drive from Celina, Dr. Friedman specializes in breast augmentation, breast lift, liposuction, tummy tuck, mommy makeovers, and Botox and Restylane injections.
