Did your mom get what she really wanted?

For Mother’s Day this year, we’d like to highlight an article from the American Society of Plastic Surgeons (ASPS) about the “Mommy Makeover”. The ASPS has a great, short video featuring one woman who opted for a Mommy Makeover–watch it here. Happy Mother’s Day to all of you hardworking moms!

New Survey Shows Mom’s Unconventional Mother’s Day Wish List

For Release: 05/02/2011

ARLINGTON HEIGHTS, Ill., May 2, 2011 – What would mom get herself for Mother’s Day if she had the chance? A new survey shows that it might be a tummy tuck or breast lift.

A survey released today from the American Society of Plastic Surgeons (ASPS) shows that if cost were not an issue, 62 percent of mothers said that they would consider a “mommy makeover” that includes procedures such as a tummy tuck, breast augmentation and/or breast lift.*

According to ASPS statistics, the number of women getting “mommy makeover” procedures is on the rise. Women had nearly 112,000 tummy tucks in 2010, up 85 percent since 2000; 90,000 breast lifts, up 70 percent since 2000; and 296,000 breast augmentations, up 39 percent since 2000.

“In the last decade we’ve seen women’s attitudes about cosmetic surgery change. Today women are not afraid to admit that they love their children, but they wish their bodies looked the way they did before their first pregnancies. And they’re not afraid to acknowledge that they may need a little help beyond a healthy diet and exercise,” said ASPS President Phillip Haeck, MD.

Another trend that ASPS Member Surgeons are noticing is that the type of patient seeking “mommy makeover” plastic surgery is younger than a decade ago.

“In the past we saw a lot of women in their 50s getting these types of procedures. But today we are seeing young mothers in their 30s coming in for procedures such as tummy tucks and breast lifts. They don’t want to wait years to reestablish how they used to look. They want their pre-baby bodies back now,” said Dr. Haeck.

The promise of getting her body back is what led 38-year-old Dana Van Gray to undergo surgery for a tummy tuck and breast augmentation just one year after having her last child.

“I didn’t like my stomach. I started noticing a muffin top and I thought – why wait? I’m young, I’m healthy and I want to look good now,” Van Gray said.

“More and more patients like Dana are coming in today asking for mommy makeovers, because women now openly talk about having these procedures. It’s more accepted than it was ten years ago,” said Van Gray’s plastic surgeon, Allen Rosen, MD, an ASPS Member Surgeon in Montclair, New Jersey.

“The techniques and the technologies are to the point where we can do these procedures in an outpatient setting in a very safe and effective fashion, minimizing the amount of downtime and pain. This appeals to our patients,” said Dr. Rosen.

Van Gray says that her new and improved body not only enhanced her looks, but also her attitude.

“I feel good so I can be a better mom to my kids,” Van Gray said.

If you are considering a “mommy makeover” the ASPS has these tips:

  • Wait at least six months to one year after having your last child to undergo “mommy makeover” procedures
  • Be specific about your post-baby body goals so that your surgeon can recommend the most appropriate procedures 
  • To optimize the final outcome, if you are trying to lose weight, do so before undergoing “mommy makeover” procedures
  • Find a surgeon who is board certified in plastic surgery
  • Ask to see before and after photos of your plastic surgeon’s recent work

*For more statistics on trends in plastic surgery, visit the ASPS Report of the 2010 Plastic Surgery Statistics.

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Dr. McKee has been a member of the American Society of Plastic Surgeons for 30 years. If you are considering a tummy tuck, breast lift, breast augmentation, or liposuction, please call us at 615-868-4091 or send us a confidential email to schedule your consultation.


Paying for cosmetic surgery- plus a limited time offer

If you’re like many people, you’ve been considering having a cosmetic procedure done: maybe you’ve imagined what it would be like if you had a facelift, or a tummy tuck, or maybe a breast augmentation. You’ve done some online research, perhaps you’ve even gone as far as calling a few area surgeons to ask about pricing. But that’s where it stops. How would you pay for your surgery? It would take years for you to save up the money for the surgery, but you feel ready NOW. Did you know there may be an option for you to have the surgery you want now and pay for it later, interest-free?

Dr. McKee offers a financing plan for cosmetic surgeries called Care Credit. And for a limited time, Dr. McKee is adding 18-month no-interest to his financing options!

Care Credit is a medical credit card which you can use for any number of medical procedures, not just cosmetic surgery. Once you’re approved for Care Credit, you can use it over and over, any time you need help financing a medical procedure, or for medical emergencies you may not be prepared for.

Dr. McKee’s office typically offers 6- and 12-month no interest financing for cosmetic procedures through Care Credit, but just for a limited time is offering 18-month financing- that’s 18 months to pay for your cosmetic surgery, with no interest! This deal only lasts until March 31, 2012.

Visit carecredit.com to find out more about Care Credit’s services and options- you can estimate your monthly payments and even apply online. Then give our office a call at 615-868-4091 to schedule your consultation with Dr. McKee.

What online before and after photos don’t show you

Why doesn’t Dr. McKee post before and after photos of his patients?

I was recently on vacation and was talking with a family friend who told me that she had thought about getting her eyelids lifted. She was interested in coming to see Dr. McKee, but since she lives about 1000 miles away, that would be a difficult prospect. So I encouraged her to seek a surgeon in her area and take a look at his before & after photos. She told me “Why would I do that? Anybody can just pick out their best work and only show that.”

And she’s right. Anybody CAN do that. How do you know if you’re seeing photos that will really help you make a decision?

Dr. McKee feels similarly about having before & after photos posted online. He does take pictures of his patients before and after their procedures, but will not post them to this blog or his website. Dr. McKee’s office manager, Jeanie, says this: “He feels very strongly that the value of pre- and post-operation photos is only when they can be discussed in person (any doctor can post some good pictures… but that is not your face!)”

Dr. McKee himself says, “Without sitting down with a doctor, before and after photos don’t mean much. I do show patients pre- and post-operative photos to show the techniques that I use and that will show them a range of results.”

When you are considering cosmetic surgery, make sure that you are getting the best information possible and don’t let online photos give you a false impression of a surgeon’s skill or your potential results. Make sure your consultation is thorough and that the doctor answers all of your questions to your satisfaction.

If you are interested in having a consultation with Dr. McKee (and seeing his before and after photos), please call us at 615-868-4091.

What you may not know about your doctor’s qualifications

On Dr. McKee’s Facebook page, we recently posted a link to an article about the dangers of choosing an underqualified surgeon for cosmetic surgery. So it got me thinking: what do patients know about their surgeons’ qualifications before having surgery?

Who is looking out for you?

Who is looking out for your health and safety as a patient? Unfortunately, that answer may include fewer organizations than you think.

In my personal background, I used to work for an insurance company before coming to work for Dr. McKee. I worked in the Credentialing department, which means that I had to investigate each physician’s education and training before we would allow the doctor to participate in our network. If a doctor had insufficient training, he would not be approved and wouldn’t receive patient referrals from our insurance network.

So does that mean that if you have health insurance, any doctor you see in your network has been verified to have the right training?

Not necessarily.

Different insurance companies have different standards, so just because my former employer had fairly rigorous standards, that doesn’t mean that they all do.

And what about elective cosmetic surgery? Since your insurance company won’t be involved in helping choose the doctor, you may be starting your search from scratch.

When a doctor is licensed to practice medicine in the U.S., they’re not limited as to what procedures they can perform in their own office. If a doctor claims to be able to give you amazing results with a liposuction procedure in his office, the fact that he has a nice office, a medical license, and fancy equipment doesn’t necessarily mean he’s had adequate training in that procedure.

What does that mean for you? It means that, as a patient (or a potential patient), you need to do a little bit of homework on your doctor before agreeing to go under the knife.

Hospital Privileges: a tool patients can use

One reason some doctors may choose to perform cosmetic surgery in their offices is because they may not have the qualifications to obtain hospital privileges for those operations. What are hospital privileges? Like insurance companies, hospitals verify a doctor’s training and education to determine what procedures they will allow the doctor to perform in their hospital. However, according to Dr. McKee, “many non-American Board of Plastic Surgery cosmetic surgeons are doing procedures in their offices that they could not get privileges to do in the hospital because they are not qualified and wouldn’t be granted hospital privileges.”

In other words, if a surgeon is performing a certain procedure in his or her office, you may not know whether that surgeon would be qualified to perform that same procedure in the hospital operating room. If you’d like to know what operations your surgeon has privileges for, you can start by asking them directly. But bear in mind that while there are ways of confirming whether or not your doctor has hospital privileges (by calling the hospital or going to their website, for instance), none of them can verify the specific surgeries a doctor has privileges for.

However, hospital privileges are just one method of testing your doctors qualifications. You also need to examine the fine print when it comes to board certification.

Board Certification: all boards are not created equal

Is your doctor board-certified? By what board? The American Board of Medical Specialties (or ABMS) is the gold standard of physician training. In order to be certified by the ABMS, a doctor must undergo a specific amount of training (different for each specialty) by an accredited school, pass rigorous testing, and maintain a certain number of continuing education credits each year.

Click here to see more about Dr. McKee’s training.

Under the ABMS are 24 “member boards”- these are the boards that represent a range of different medical specialties that the ABMS has determined meet their exacting standards. When it comes to cosmetic surgery specifically, the Palo Alto Medical Foundation puts it this way, “None of the 24 ABMS approved boards includes ‘cosmetic surgery’ in their name… While some of the 24 ABMS approved boards may cover a very limited number of cosmetic surgery procedures, only the American Board of Plastic Surgery covers all cosmetic surgery procedures.”

There are dozens (if not more) organizations that are collections of doctors all practicing the same specialty that are trying to be recognized by the ABMS, but simply don’t meet their standards. Some of these organizations accept any doctor who pays their dues, without doing much in the way of verifying their training. These organizations might have a name that sounds prestigious, but be careful: the only way to really be sure a plastic surgeon has top-tier training is to choose one certified by the American Board of Plastic Surgery.

How do I know if my doctor is board certified?

Depending on your doctor’s office, you may not get much time to examine all the certificates on the wall. Luckily, the ABMS allows you to search their website for board-certified surgeons in your area.

When it comes to plastic surgeons, you can also check for membership in the American Society of Plastic Surgeons (ASPS). All of their members are certified by either the ABMS or the Royal College of Physicians and Surgeons (for doctors in Canada).

From the ASPS:

Choosing an ASPS Member Surgeon ensures that you have selected a physician who:

  • Has completed at least five years of surgical training with a minimum of two years in plastic surgery.
  • Is trained and experienced in all plastic surgery procedures, including breast, body, face and reconstruction.
  • Operates only in accredited medical facilities.
  • Adheres to a strict code of ethics.
  • Fulfills continuing medical education requirements, including standards and innovations in patient safety.
  • Is board certified by The American Board of Plastic Surgery or in Canada by the Royal College of Physicians and Surgeons of Canada®.

Your best results

Even in these enlightened times, there are still an unfortunate number of snake oil salesmen out there. Certainly, not everyone you come across is trying to take advantage of you, but for your safety, it is vital that you remain an advocate for your own health. The good news? Finding your surgeon’s qualifications can be done with just a couple of clicks.

Dr. McKee is certified by the American Board of Plastic Surgery and a member of the American Society of Plastic Surgeons. He has 30 years’ experience in cosmetic and reconstructive surgery of all kinds. If you would like to meet with Dr. McKee for a cosmetic surgery consultation, call us a 615-868-4091 or send us a confidential email using the form below.

The Big (and Small) Picture – Part 3

If you’re unhappy with your breast size, breast augmentation could be the answer to achieving the shape you want. In the final segment of our Breast Augmentation interview, Dr. McKee talks in-depth about the potential complications associated with the surgery. Plus, what you’ll need to do after your surgery to help protect your investment.

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What else can you tell me about complications associated with the surgery?

David E. McKee: Yes. First of all, you have to have an anesthetic. There are people who do this operation under local anesthesia, but the truth is, there is no anesthetic that’s 100% safe. And the amount of sedation that’s required to do this operation under local anesthesia probably makes it more unsafe to do it that way than just to put somebody to sleep. General anesthetic is incredibly safe today, but there’s always some risk. No matter what kind of anesthesia it is, you can get a medicine that can cause you some reaction that you could even die from, but that is incredibly rare. So that’s the first complication I always tell people about.
You could have a pulmonary embolism from a blood clot that forms in your leg- again incredibly rare, especially in an operation, like breast augmentation, that is so short (I do it in about an hour and fifteen minutes) that the chances of you having any blood clot problems is almost zero, but nothing is zero in medicine.
Then you get to the operation itself: you could get a wound infection. Wound infections in breast implants are very, very rare because we’re careful in every operation to keep things sterile, but we’re incredibly careful about any time we’re putting foreign bodies in because it doesn’t take many bacteria to cause an infection in the face of a foreign body. So if you get an infected implant, it’s very possible and even probable that we’re going to need to remove the implant to get the infection clear. So we are very careful about infection, but infected implants occur in the United States with some frequency. Not as high in breast augmentation as in breast reconstruction, but still.
Malposition: we work very hard to make the pockets exactly the same, perfectly smooth, how big they are on the sides, how tall they are at the top, but sometimes after you’ve fixed the pockets and they’re perfect, implants can move.
Implant failure is not a complication: it’s guaranteed, if you live long enough, because all implants fail. All implant manufacturers guarantee their implants for life and will provide you with a replacement implant, no matter when it occurs, whether it’s 20, 30, or 40 years later, they will supply you with a free implant to replace the one. But, they only give you money to help pay for the replacement of your implant in the first 10 years. Beyond 10 years you can buy an extended warranty from the company and, if you do that, they will provide you with money to help replace the implant no matter when the implant has to be replaced.
The single biggest complication in terms of frequency is capsular contraction. Every implant gets a scar around it because your body recognizes the implant as a foreign body. That is not a complication, but in some patients, that scar thickens and tightens down around the implant and it can make look and feel different and it can be uncomfortable. Probably the frequency of capsular contraction, either in one or both breasts, is as high across the board in the U.S. currently as about 35%. Most of those patients do not require surgery because it’s not severe enough that it bothers them that much. It doesn’t change the way the breasts look or feel and it’s not painful, but if you check the breasts for symmetry by feel, you’ll find that one is encapsulated and the other is not. That patient doesn’t have to have anything done, but she has a complication called capsular contraction. They are graded from 1-4, many of the complications of capsular contraction are mild and do not require surgery, but about 5% of patients who have breast implants will require treatment, surgery, for capsular contractions.

After Your Operation

DEM:  Let me talk about post-operative care a minute. There’s a thousand ways to take care of breast enlargement patients after surgery. Anything that’s been proven beneficial, everybody does, but the rest is magic, and every doctor has their own magic. Some doctors wrap patients up in Ace bandages, some use special surgical bras, some doctors make patients buy this or that special device. All of that is “magic”. My personal approach is, I use gauze dressings on the incisions only, let the patients take those off a day after surgery. I let patients shower after 24 hours, put a little vaseline on the incision and wear a t-shirt as a dressing. I do not wrap and I do not want patients in a bra at all, at least until they come back for their first visit. That’s my personal magic, and I’ve had good results with it.
Whether your implant is above or beneath the muscle, there are certainly activities you want to avoid: stooping, bending, straining, lots of things with vigorous arm motion, certainly lifting heavy weight, running, jumping, jogging. All of those things should be avoided for 3 weeks in my practice and with some doctors, even longer.

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If you think Breast Augmentation might be for you, schedule a consultation with Dr. McKee.  E-mail us using the form below or call us at 615-868-4091. All information is kept confidential.

This is provided for informational purposes only and is not intended to take the place of a personal consultation. Every patient has different needs.  As always, Dr. McKee would prefer to speak with you in person to discuss your specific situation.

The Big (and Small) Picture – Part 2

Welcome back! If you’ve got a lot of questions about breast augmentation, you’re not alone. In part 2 of our series, Dr. McKee addresses the “Before and After” of Breast Augmentation surgery- what makes a good or bad candidate? What about recovery? Then we’ll meet office manager Jeanie McKee to discuss pricing and payment options.

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Who is a good candidate for breast augmentation surgery? Or maybe conversely, who is NOT a good candidate?

David E. McKee: I would say that a patient who is at high risk for breast cancer is not a good patient. Breast implants don’t cause breast cancer, but they do make it more difficult to image the breast. and if you are at high risk, if you have several relatives (like your mother, your grandmother on your mother’s side, your sister) who have had breast cancer, I think it’s an unwise operation for that patient. Otherwise, I don’t know that there is a person that shoudn’t have an augmentation. I do believe that there are patients who are much more likely to get good results and have fewer problems. That would be older patients who have finished having their children, who have a little extra breast skin, and who don’t insist on pushing very big. The bigger you go, the higher the complication rate, particularly the smaller you are to start with. And 18-20 year old women who have never been pregnant, who have AA breasts and no extra skin and who come in and want to be Ds, that a very bad set-up for a high complication rate. That’s a lot of implant to put in a patient at one time and expect everything to come out nice without a revision.

Is  there anything I can do before surgery to help ensure a good result?

DEM: Yes- don’t smoke. All complications go up in smokers. Obesity increases the risk of complications of ALL surgeries. It increases the risk of wound infections, and other complications. So maintain a healthy weight and don’t smoke. And then, I would say, there are specific things that your doctor will ask you to do in the few days before surgery related to sterility- showering with special soaps and those sorts of things, so make sure to do those things exactly as instructed by your doctor.

Let’s say a woman does have a baby after having breast implants. Could she still breast feed?

DEM: Since I don’t know if a woman would have been able to breast feed before she got breast implants, I would never guarantee her ability to breast feed, but there’s no reason that a woman who has breast implants should not be able to breastfeed if she gets pregnant and has a baby. There’s nothing about the implants that would be worrisome for breast feeding, nor is there any change in the breast. I don’t cut any ducts, I don’t even cut through breast tissue, that’s why I like the incision under the breast. Unless you put such a large implant in that it pushed so hard against their remaining breast tissue that it caused it to atrophy, which is possible, I think most people with breast implants can breastfeed.

How long will it take me to recover after surgery?

DEM: If you have the implant placed under the breast but above the muscle, if you have a sedentary job, work at a desk, keyed in an computer, if you had your surgery on Friday, you could probably go back to work on Monday. If you had surgery with the implant placed under the muscle, you’re probably going to miss 3 to 4 days, maybe even a week of work. It just takes that much longer to get over the surgery under the muscle in terms of soreness.

Will there be activities I can’t do again after breast surgery?

DEM: No. There is nothing that a patient with implants can’t do that any other patient can do once they are healed. There are all sorts of rumors out there, things about skydiving and implants blowing up in scuba diving and patients getting into sunbeds and having explosions. All of those are old wives’ tales and urban legends. There’s nothing that a patient with implants cannot do that anybody else can do.

Will insurance pay for my augmentation?

DEM: No. I don’t know of any insurance that will pay for breast enlargement surgery. It’s even difficult in patients with a severe deformity, like asymmetry, a difference in the size of the breasts, and I’m talking several cup sizes. It is very difficult to get them to let me fix that by putting an implant in the smaller breast. Although insurance does often pay for breast implants in the opposite breast in patients who have mastectomies for breast cancer if it’s necessary to get a symmetrical appearance.

As you’ll find when you visit our office, you’ll meet with Dr. McKee for your initial consultation, then you will also have an opportunity to speak with Jeanie McKee, Dr. McKee’s office manager. With Jeanie, you will learn all about the cost and payment operations for the procedures you’re considering.

How much should I expect to pay for a breast augmentation?

Jeanie McKee: The total cost is $5647 or $6547. That variation depends on whether you choose saline or gel implants, which cost different amounts. The cost includes the surgeon’s fee, the hospital fee, anesthesia, and the cost of the implants, so that includes everything required for the surgery.

What payment options do I have?

JM: All cosmetic surgery has to be paid in full before the date of surgery. In addition to cash and check, we accept Visa, Mastercard and American Express. We do offer Care Credit, which is a nationally recognized company who handles financing for health issues, and is used a lot for cosmetic surgery. Our office can help you apply, if necessary.

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Please come back for part 3 of our discussion- Dr. McKee will talk about potential complications with the surgery and how to help take care of your investment after surgery.

This is provided for informational purposes only and is not intended to take the place of a personal consultation. Every patient has different needs.  As always, Dr. McKee would prefer to speak with you in person to discuss your specific situation.
To schedule a consultation with Dr. McKee, e-mail us using the form below or call us at 615-868-4091. All information is kept confidential.

The Big (and Small) Picture – Part 1 of 3

An Interview with Dr. McKee about Breast Augmentation Surgery

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If you are one of the increasing number of women who are considering getting breast implants, then you probably have many questions about the procedure. Am I a good candidate for the procedure? Will it look natural? What are the risks of complications? In Part 1 of this 3-part series, Dr. McKee speaks openly about implants, incisions, the problem of “going too big”.

David E. McKee:The first decision you have to make about breast augmentation is where are you going to put the incision? Where am I going to have permanent scars? It’s not a question of whether or not you’re going to have scars, it’s a question of where you’re going to have scars. There’s the belly button, very few people in the country are doing that operation. Nobody in Nashville as far as I’m aware is doing a belly button. So, if you eliminate the belly button, then you’re left with 3 basic places for a scar: the crease under the breast, around the areola on the front of the breast, or scars in the armpits. The armpit scar is a very nice scar, it’s off the breast, so it’s not very noticeable, but it requires you to do the operation as a blind surgeon, you can’t really see what you’re doing. So I reject that approach. I either use the incision under the breast or the incision around the areola, but the incision around the areola, to me, is just in a more noticeable place than the incision in the crease under the breast.

Will there always be a scar?

DEM: There’s always a scar. You cannot do any surgical procedure without a scar.

What kind of scar could I expect to have?

DEM: My standard approach, I use a 4-5 cm-long incision in the crease under the breast, which ends up about a centimeter or a centimeter and a half up on the bottom of the breast after the implants have settled just a little. 5 centimeters is 2 inches, so it’s just under 2 inches long. It heals as a thin white line scar. It can heal as a wider scar- if it does, we can always do a little revision in the office and see if we can’t get a thinner scar. I’ve never had a keloid scar on the breast, but I have had a few scars that I’ve revised in the office under local anesthesia.

After deciding where to make the incision, the next decision is where’s the implant going to be? Is it going to be under the breast or under the muscle and there are specific indications in my mind and advantages and disadvantages to each of those locations.

The third decision is what kind of implant are we going to use? Not only do we have to decide between gel and saline, but we also have to decide between textured and smooth, round and shaped, or tear-drop implant, so it’s a very complex choice. I will use pretty much any implant that a patient wants, but I have my own prejudices based on 30 years of doing augmentations.  My standard implant is a gel, round, smooth implant. That’s the implant I think will give the most consistently good result. But there are complications associated with all the implants.

What’s the difference between silicone and saline implants?

DEM: A saline implant is empty when you get it and you just fill it up with IV saline, which is just salt water. You have some flexibilty in terms of adjusting the volume on the operating table. The gel comes pre-filled, you cannot adjust the volume, but there are plenty of sizes of gel to accommodate different needs. The biggest difference for me, and the reason I prefer gel, is because it’s more natural to the hand. The gel is made with a consistency that is very much like natural breast. The saline is much firmer.

How long do implants last?

DEM: The average lifespan on the new generation of gel implants, I think, is going to be greater than 15 years. It’s probably going to be closer to 20 years. Probably on the latest generation of saline implants, it’s going to remain about 15 years. But there are no guarantees. I certainly have patients with 30-year old implants in, but I also have patients where I’ve put implants in who have had implant failure within the first year. So these numbers are averages of length of survival of implant, so for an individual all bets are off. But the average lifespan, I think, is going to be over 15 years for both types.

How do I decide what size is best for me?

DEM: There is no right or wrong answer about size, but I always tell people, ‘The harder you push, the bigger you go, particularly the smaller you are to start with, the higher the complication rate. Of all complications: implant displacement, getting the implants uneven in terms of their position on the chest, capsular contraction, infection, bleeding, nerve injury- injury to the nerve that goes to the nipple and gives you permanent feeling in your nipple. All of those complications go up the harder you push,the bigger the implant you try to put in. So I try to encourage pts to be realistic about their size, particularly the young women who have never been pregnant, who have A or AA breasts. We can certainly go to a C, C+ a little bit, but beyond that I think you are risking complications and I try to discourage that. Ultimately, it’s up to the patient, but if a patient asked for me to do something I wasn’t comfortable doing, I’d just suggest that they probably ought to go see somebody else.

We size patients in the office with a bra and different implants that are placed in the bra just to give an idea, a starting place. The office manager helps them work through that process. It’s not perfect, but it gives us a range, it gives them some idea.

(Click here to see what Dr. McKee has to say about the visibility of breast implants)

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In part 2 of our interview, Dr. McKee will discuss payment options, recovery times, and what you can do NOW to become a better candidate for the procedure. Stay tuned!

This is provided for informational purposes only and is not intended to take the place of a personal consultation. Every patient has different needs.  As always, Dr. McKee would prefer to speak with you in person to discuss your specific situation.

To schedule a consultation with Dr. McKee, e-mail us using the form below or call us at 615-868-4091. All information is kept confidential.