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DR. PATRICK W. HSU M.D., F.A.C.S.
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  • Dr. Hsu is amazing! I felt very comfortable during the entire process. My results are wonderful and I love all the follow-up visits to check the healing process. I would highly recommend Dr. Hsu to family and friends.

    Cammie, Houston, TX
  • He did an amazing job.

    Mina, Houston, TX
  • Breast cancer is a journey! The most important component in fighting this disease is surrounding yourself with doctors that you trust and believe in and know will always put your needs/care first! Dr. Hsu’s personal connection is priceless.

    Linda, Houston, TX
  • I am a 23 year old. I have lost 40lbs included with those lbs I lost my breast. I was very self conscious about wearing low cut shirts, I had to buy specific bathing suit with push ups, after seeing Dr. Hsu and he did the procedure I was a normal 23 year old proud…

    Luz, Houston, TX
  • After my original procedure didn’t go as planned. Dr. Hsu was kind enough to give me a second one free of charge. He also payed for all of the hospital costs. My experience with him has been more than pleasant and I would recommend him to any of my friends and family.

    David, Houston, TX
  • Very happy with results.

    Carrie, Houston, TX
  • The work performed by Dr. Hsu was amazing. No one will ever know (with the exception of my family and myself) what a wonderful job Dr. Hsu did and how much it aided in my recovery. I am deeply grateful to Dr. Hsu for his excellent work and him and his staff for their excellent,…

    Marie, Houston, TX
  • After my procedure, I have noticed that my breasts are much more even than before. I am very pleased with the results and I feel more confident with the way I look.

    Colleen, Houston, TX
  • Dr. Hsu is a very caring and outstanding doctor. If I ever have anything else done, he’s the person I’ll call.

    Tonya, Houston, TX
  • This has been a most difficult experience physically and emotionally. Dr. Hsu’s expertise, care, & treatment has been professional and excellent.

    Faye, Houston, TX
  • Wonderful experience from beginning to end. Very happy with the results and the professionalism of Dr. Hsu and his staff. I wish I hadn’t put it off this long.

    Nellie, Houston, TX
  • I’m highly satisfied with my choice of surgeon, Dr. Hsu, and procedures performed. Dr. Hsu completed my surgery with proper technique that achieved the aesthetic I asked for.

    Diane, Houston, TX
  • The outcome of my surgery was successful and my breasts are better than my expectation. I recovered quickly and everyone at the doctor’s offece provided excellent service.

    Susan, Houston, TX
  • I would recommend Dr. Hsu to anyone in need of plastic surgery. Dr. Hsu did a great job and everyone treated me with respect.

    Betty, Houston, TX
  • Dr. Hsu is a wonderfully talented doctor! My whole experience beginning to end was so much better than what I could have ever hoped for. I love my results and would refer anyone considering having this procedure done, to go with Dr. Hsu. “He’s simply the best, better than all the rest!”

    Lyn, Houston, TX
  • Dr. Hsu is attentive and I am happy with my results. Dr. Hsu takes the time to explain the procedure in detail and makes sure you are comfortable post-operatively.

    Ellen, Houston, TX
  • Dr. Hsu is a very professional doctor. He made me feel very comfortable, relaxed and not nervous about the procedure. I would definitely recommend him to anyone.

    Laura, Houston, TX
  • All around 100% satisfied

    Margaret, Houston, TX
  • Fabulous! Love the staff and office. Dr. Hsu is very professional and makes you feel extremely comfortable.

    Kristi, Houston, TX
  • Very Happy with final results, Dr. Hsu was very attentive with every detail of surgery and post-surgery care, staff was the best always making sure patient is satisfied and well taken care of. Highly recommended Dr. Hsu

    Beth, Houston, TX
 

Breast Implants

By Dr. Patrick Hsu

Types of Breast Implants

modelThere are two main types of breast implants used by Dr. Hsu – silicone vs. saline. Silicone implants are prefilled implants consisting of a silicone shell that is filled with silicone. The second type is a saline implant, which is filled at the time of surgery with saline (salt water). Easiest way to remember is that a silicone implant is filled with silicone and a saline implant is filled with saline. Both of these implants come in a variety of shapes, sizes and profiles. Shape can be either anatomic (teardrop shaped) or round. The different sizes will be determined by how much saline or silicone is filled into each implant, which is referred to as cc or ml (milliliters). You may hear a friend say they have 400 cc implants. That means that they are filled with 400 milliliters. As the volume goes up, the implant gets bigger. Lastly, there are generally four different profiles that mostly translate into how much projection you get. Each implant company has a different name for each profile. Dr. Hsu refers to them as low, medium, high and ultra-high profile for his patients, which is easier to remember. In general, silicone implants are softer associated with less rippling. They feel more like breast tissue and tend to have a more natural look when compared to saline implants. Saline implants are filled with salt water, the same salt water composition that our bodies are made of. Because they are filled with saline, they are stiffer and can have more rippling. Silicone implants will usually require a longer incision when compared to saline implants and will also have a higher capsular contracture rate. Discuss all these differences with Dr. Hsu on your consultation.

Breast Augmentation Surgery breast-implants-under-the-muscle

Because of the nature of the breast augmentation procedure, you will be under general anesthesia to minimize discomfort. Your desired results, the configuration of your breasts, and varying other factors will determine the method of insertion and placement of your implants.

 

The placement of your incision will be determined by what type of implant you receive, though Dr. Hsu will make every effort to ensure the resulting scar is easily concealed and as small as possible. Many surgeons will just use one incision for every single patient that they see. Dr. Hsu is trained to insert an implant in all three incisions to tailor the surgery for each patient. Dr. Hsu will usually recommend one incision which he feels is best for you, but ultimately, the decision is yours.

There are three common incision sites:

 

  • Axillary (under the arm): This type of incision is used for both saline and silicone implants and allows for the most remote and hidden scar possible. Scars often appear to blend into the natural creases of the armpit and fade at 6 months to a year. The advantage to this incision is that there are no scars on the breast itself. Surgery will usually take an hour longer because of the increased expertise needed to perform this surgery.
  •  

  • Periareolar (around the nipple): One of the most common incision sites, this method creates a circular cut around the natural edge of the areola. Scars are concealed by the natural lines and ridges of the nipple, so are far less noticeable. Breast feeding can be hindered by this type of incision so be sure to ask Dr. Hsu about this incision.
  •  

  • Inframammary (in the fold under the breast): The inframmary fold incision is a small incision along the base of the breast. It is perhaps the easiest to perform however scars in this area can be particularly good or particularly bad depending on the shape and size of the breast. Breastfeeding is generally unaffected and the scar is well concealed if the patient has enough breast tissue to drop over the incision. The surgery usually takes one hour to complete with Dr. Hsu.

 

Stitches are used to close all incisions and additionally taped for greater support. A gauze bandage may be applied over your breasts to help with healing and then you will be placed in a surgical bra. Dr. Hsu uses only dissolvable sutures and there will be no drains placed to make the whole experience less anxiety provoking.


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