We’re happy to announce a great new promotion from our partners at Allergan – the makers of Botox and Natrelle silicone breast implants.

Complete a breast augmentation procedure using Allergan Natrelle silicone implants with Dr. Scott Sattler, and you will be eligible for up to 50 units of Botox at no additional charge.

That’s a $500 dollar value !!

Botox treatment will be done at the first post-operative visit.

Call 425-450-0880 to schedule a breast augmentation consultation with Dr. Sattler and learn more about this exciting promotion from Allergan.

Dr. Scott Sattler is a double board certified plastic surgeon offering breast augmentation procedures in Seattle and Bellevue WA.

Liposuction is a great way to contour the stubborn regions of your figure that are resistant to diet and exercise. Good liposuction results depend on an experienced surgeon. A patient’s skin quality is important for good liposuction results. Check out this recent example from our clinic. Call the clinic today and schedule a liposuction consultation with Dr. Scott Sattler, a double board certified plastic surgeon and liposuction specialist.

Patients come to our clinic seeking improvement of their breasts. I frequently recommend the use of a silicone breast implant for cosmetic breast augmentation. Breast augmentation using silicone implants can help patients achieve the attractive breast appearance that they desire. This patient is a 27-year-old woman who desired more breast volume and increased roundness of her breast shape. She was treated with a 371 cc Allergan midrange profile silicone implant via an infra-mammary incision. The scar is well concealed in the fold beneath each breast. She is delighted with the cosmetic result, and feels her new breast shape and volume is exactly what she hoped for.

Before and After breast augmentation surgery

We can achieve a similar result for you ! Call the clinic 425-450-0880 to schedule a cosmetic breast augmentation consultation with Dr. Sattler today !

When its time for Mommy’s makeover, consider Dr. Sattler’s practice experience with breast and body contouring. The Mommy Makeover usually combines an abdominal and flank contouring procedure (liposuction, abdominoplasty), breast surgery and other adjunctive procedures.

This very fit 45-year-old woman disliked her loose abdominal tissues and sagging, empty breasts. She desired a full body rejuvenation. Dr. Sattler performed a full abdominoplasty, breast augmentation and breast lift procedures. This surgery was done on an outpatient basis. The patient recovered quickly and was back to her athletic activities with a new figure !

Dr. Sattler can deliver a similar result for you ! Give our clinic a call 425-450-0880 and schedule a consultation with Dr. Sattler

After Mommy Makeover Surgery

Before Mommy Makeover

A tummy tuck (abdominoplasty) is a procedure that removes excess fold of abdominal skin and fat and tightens the abdominal muscles. the net effect of the procedure is a complete restoration of a youthful abdominal contour. This patient had a heavy abdominal contour with sagging of the abdominal and pelvic tissues. Her abdominal wall was lax and rounded. She was treated with a full abdominoplasty and liposuction of the flanks. The scar is kept very low on the pelvis, and is well concealed with the smallest string bikini, as depicted in the post-operative photo. This post operative photo was taken just 6 weeks after surgery. This patient had a swift and comfortable recovery.

I deliver a similar result for you ! Give our clinic a call 425-450-0880 and schedule a consultation with me and my RN Julie.

After abdominoplasty

Before Abdominoplasty

An academic paper was published recently in the medical journal Annals of Oncology documenting an important safety factor for the fat grafting procedure. The full journal article can be read here…

[1] “Locoregional recurrence risk after lipofilling in breast cancer patients”.
Annals of Oncology doi:10.1093/annonc/mdr158

One criticism of fat grafting (referred to as ‘lipofilling’ in the paper) to the breast for both reconstructive and cosmetic purposes has been the behavior of the transplanted fat derived stem cells. There has been concern that stem cells transplanted into the breast might ‘turn on’ cellular signals that make otherwise normal breast tissue turn into cancer. This concern was raised many years ago, and is part of the basis for the American Society of Plastic Surgery’s hesitancy to support the procedure (until very recently). However, clinical papers published within the past two years that have looked at large numbers of patients that have had fat grafting to the breast have not supported these, and other concerns about fat grafting to the breast.

This recent paper, out of the European Institute of Oncology, fails to show an increase in breast cancer recurrence amongst women that have had breast cancer procedures such as lumpectomy, quadrentectomy and mastectomy and also had breast reconstruction using fat grafting techniques.  This case-control clinical study compared the fat grafting group to a large cohort of breast cancer patients that received breast cancer surgery without a fat grafting reconstructive procedure.

The natural history of invasive breast cancer treated with all type of breast cancer surgery is a local recurrence rate of about 5%. This study fails to show an increase in local recurrence rates of invasive breast cancer amongst women who, on average, were 56 months (4.6 years) post-op from cancer surgery and 26 months (2.1 years) post-op from fat grafting. This is encouraging news !!

Of course, longer term follow-up studies are needed (5 years, 10 years, 15 years). At least for the short and medium terms, fat grafting to the breast does not appear to result in increased local recurrence rates for invasive breast cancer who undergo fat grafting as part of their breast reconstruction procedure.

We offer fat grafting to the breast for cosmetic and reconstructive purposes, and will continue to do so, based on encouraging clinical results such as this one.

I read with interest the searing clinical article on fat grafting to the breast in the April 2011 edition of the Journal of The American Society of  Plastic and Reconstructive Surgery (PRS, for short…) authored by a group of Chinese plastic surgeons.

The abstract can be read here

The Chinese fat grafting article slams the practice of fat grafting to the breast. Wang, et al conclude that radiologists in their practice could not discern between calcifications on a ‘digitized’ mammogram that are a result of fat grafting to the breast, and calcifications that might represent breast cancer. The group recommended breast biopsy (a surgical procedure)  in a number of these patients, with the result of  ’fat necrosis’ (no surprise !), which is not breast cancer.  At the end of their paper, they make the illogical conclusion that

‘ The mammographic confusion constitutes the problem rather than the success of the procedure itself, and the method should continue to be prohibited.’

This paper echoes the concerns raised several years ago regarding the managment of calcifications noted on mammography of patients that have had fat grafting to the breast. However, in recent years, digital mammography and contrast MRI have become much more accurate in descerning the difference between calcified bits of  fat necrosis and malignant micro-calicifcations. In fact, numerous papers in the radiology literature have confirmed that calcified fat necrosis and malignant microcalcifications can be easily distinguished with modern digital mamographic equipment and experienced radiologist reviewing the images. Other clinical studies that have followed fat grafting patients long term note no increase incidence in breast malignancy in this patient population.

In my own practice of fat grafting to the breast, we obtain digital mammography on all patients pre and 6 months post fat grafting, and have encountered no concerning calcifications.

In summary, this recent retrospective review documents nothing more than a Chinese plastic surgical group’s aggressive management of what appear to be benign micro-calcifications. In contrast, fat grafting surgeons world-wide have been buyoed by the numerous recent publications in PRS and other journals that support the safety and efficacy of fat grafting to the breast. Every other surgical procedure done to the breast induces some fat necrosis and calcification that can show up on mammogram. Yet no one is calling for the ban on breast reduction, mastopexy or augmentation !

Fat grafting to the breast is yet another tool that plastic surgeons can begin to use to improve form and restore volume to the breast.

Spring Breast Augmentation Special in Seattle and Bellevue

The seasons are changing. Spring is in the air. If you’ve been considering a cosmetic breast enhancing procedure, now is the time!

Dr. Scott Sattler, our cosmetic breast surgery specialist, performs several Breast Augmentation surgeries per week in our private certified OR facility under IV sedation anesthesia. Dr. Sattler will design a breast augmentation procedure that complements your figure and lifestyle.

Augmentation with Allergan silicone implants $6175

Augmentation with Allergan saline implants $5575

This special price includes all fees, including the breast implants. Our private ambulatory surgery center is Medicare and Washington State certified. Dr. Scott Sattler is a board certified plastic surgeon in Bellevue Washington. Contact our clinic at 425-450-0880 to schedule a consultation or to obtain for further information.

Dr. Sattler is an experienced board-certified plastic surgeon in the Seattle and Bellevue area.

Before breast augmentation

2 months after breast augmentation by Dr. Scott Sattler

Laser Liposuction by SmartLipo melts away unwanted fat, contours the body, and tightens loose skin. You get fast beautiful results with little or no downtime, and general anesthesia is NOT required. Areas commonly treated are the abdomen, waistline, back, upper arms, neck and thighs.

Call 425-450-0880 to schedule a consultation with Dr. Sattler
Dr. Sattler is a board certified plastic surgeon

www.scottsattlermd.com

Our March seminar was the biggest turn-out ever- over 25 people. Lots of great questions and plenty of photographs of recent patients reviewed with the attendees. Come to our next seminar on Wednesday April 27th, 6 PM in our Bellevue WA clinic. Call 425-450-0880 to sign up. Free parking and lot of  hors d’oeuvres and drinks.

We’ll be discussing cosmetic surgery, Botox, fillers, Zeltiq and any other plastic surgery topics you wish to discuss.

Topics discussed at our last seminar included SmartLipo body contouring, liposuction, tummy tuck surgery, breast lift surgery, breast reduction surgery, fat grafting to the breast and breast augmentation with implants.

Naficy Rejuvenation Center

Bellevue WA

www.seattleface.com

www.breastlift-seattle.com

www.breastaugmentation-seattle.com