Enlarge your breasts two cup sizes in 90 days with our new, amazing breast growth tablets. There is no pain. No greasy lotions to stain your clothes. You don’t have to suffer the embarrassment of getting caught while rubbing some cream on your breasts that must be applied six times a day. No dangerous chemicals to mix. And best of all – there are absolutely no side effects.

Just larger, fuller, firm, voluptuous, and sexy breasts. Like you always dreamed about.

Your friends in Scottsdale, Phoenix, Glendale, Mesa and even Chandler and Gilbert will be astonished at the new, improved shapely You but no one will know your secret but You! And it’s permanent (provided you continue with my inexpensive maintenance pack).

There is no need for risky breast enlargement surgery. Say “no thanks” to those dangerous breast implants.

No! No! No! No! You don’t want those fake, manufactured things in YOUR body!

Plastic surgeons will be outraged … but you can laugh, look great and not have to pay those exorbitant surgical fees. And best of all: avoid surgery!

How is this possible?

It can’t be true, can it?

I, myself, never thought it possible that some rare and exotic herb could have such beneficial effects. Being highly skeptical, I hiked deep into a remote region of the Amazon to visit a primitive tribe I heard about where all the women were at least a “D” cup. Even more amazing, as I subsequently learned, was that their breasts remained firm and youthful well into their 50’s – even after several pregnancies and breast feeding.

What is their “secret”?

The answer is a diet rich in a leafy plant that only the women eat. It’s an herb that is found nowhere else on the planet.

Until now.

So if you want your breasts to grow bigger the natural way, without the risks and pain of breast augmentation surgery, you don’t have to go to the Amazon rainforest to obtain this amazing herb. I’ve brought it back for you in my safe, all natural proprietary formulation.

So hurry now and take advantage of this introductory, discounted limited time offer! You can get 100 of these amazing, patented breast pills for the easy low price of $89.99 plus S & H. And for the first 1000 callers, I will throw in a second bottle at no charge.  You just pay the additional S & H.

To place your order now, just call 800-TIT-PILLS (or 800-848-7455). Operators are standing by 24 hours a day.

If you call in the next 60 minutes, we will include for free in your order, 25 tablets for your man that contain another tropical herb that will help to further extend his interest in you …

Do you really believe advertisements like this touting incredible pills, tablet, or lotions guaranteed to enlarge your breasts or your man’s manhood?

Hopefully not, as they don’t exist!

These scams only serve to enlarge the bank accounts of the con artists promoting their quack medications and formulations. As the old adage goes: “If it sounds too good to be true, it probably is.”

If you would like some information on the real thing, breast augmentation surgery, or for any other plastic surgery procedure that I perform or to schedule a consultation with me, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

“Natural” looking breasts.

Over the years, many thousands of women have seen me in consultation for their breast augmentation. When sharing their goals to me, a majority of them invariably requested that they wanted their breasts to look “natural”. Then they proceeded to describe these desired outcomes that were in reality not so very “natural”. What might be “natural” to one woman would not be very satisfactory to another who was also looking for that “natural” result. Furthermore, many women just use the term but haven’t really thought about what it means to them except that it doesn’t include obscenely big.

What are natural looking breasts?

Are they a so called “C” cup or a “D” cup? Or even a “B” cup for the very petite? And which company’s bra will be the standard to make that determination?

Are they somewhat round, broad and with moderate projection? Or are they more projecting and less wide?

Is a tear drop shaped breast more natural or more desirable than a smooth and round one?

I could go on but you get the gist. Though it may give some people the warm and fuzzies, the use of “natural” together with breast implants and breast augmentation is not a very useful, descriptive or precise term. The one thing that it does convey is that the woman does not want to be grotesquely large (whatever size that may be!).

“Natural”, like beauty, is in the eyes of the beholder. When you are seeking to have a breast augmentation, know exactly what it is that you want and if you still insist on using the term “natural”, explain to your plastic surgeon exactly what that means to you. This includes such considerations as relative cup size, proportionality, cleavage, roundness, fullness, etc. Providing some photos showing women both in more revealing clothes and naked can be helpful to convey your thoughts.

If you don’t express exactly what it is that you want from your breast augmentation, there is a greater chance that you might not be entirely satisfied with the outcome.

For more information on breast augmentation surgery, breast implants or for any plastic surgery procedure that I perform, or to schedule a consultation with me, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

A French manufacturer of breast implants, Poly Implant Prosthese (PIP), has been in the news worldwide and for all the wrong reasons.

Inferior quality breast implants that break easily.
Usage of unauthorized, non-medical grade silicone in their silicone implants.
Poor quality control and manufacturing techniques.
Concern that their implants may be associated with an increased incidence of cancer.
And now there are allegations that a fuel additive, untested in any human trials, was used in these implants.

These issues show an egregious violation of standards, ethics and integrity. On top of this, European medical regulatory agencies and other government agencies failed to protect the consumer.

Women in numerous countries around the world who had these implants used for their breast enlargement are quite understandably in a panic. There may be hundreds of thousands of them.

What about American women? Do they have anything to worry about here? How many of these implants were used in the United States?

Fortunately, the answers to these questions are both easy and positive.

PIP sold only saline implants in the United States for a short period of time – between the end of 1996 and 2000. In their investigation of the company and its saline implants, the FDA (Federal Drug Administration) in 2000 cited numerous issues and concerns including quality control problems and the unacceptably high deflation rate. This led to PIP immediately withdrawing these implants from the United States market.

And now for even better news: No PIP silicone implants were ever legally sold or used in the United States. Therefore, despite the worldwide uproar and concerns about these disastrous PIP silicone breast implants, American women don’t have to worry about this issue because they were never available for implantation here.

If you would like to obtain information on silicone breast implants, breast augmentation surgery or for any other plastic surgery procedure that I perform, or to schedule a consultation with me, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

These reports garnished quite a lot of attention and also provoked some anxiety, concern and questions particularly in some women who already have breast implants. They want to know: “Is there a risk that the body can really “swallow” a breast implant?”

This case report involved a 59 year old woman who had previously undergone a bilateral mastectomy for breast cancer and had reconstruction with breast implants. During a Pilates stretching exercise, her right breast implant … disappeared. Gone in a flash! No external trace. She experienced no symptoms such as pain or shortness of breath.

A medical evaluation was performed including obtaining an ultrasound, chest X-ray and CT scan. What was discovered was that her intact breast implant was in her right chest cavity. It had been sucked into it during her stretching exercise.

She was taken to surgery during which the implant was extracted from the chest cavity and repositioned on the chest wall again where it belonged. A defect between the ribs which had allowed the implant to be displaced, was repaired. And she lived happily ever after. (Well, I don’t exactly know about that!)

So how did this bizarre situation occur?

This was the result of a confluence of issues and factors that together created the “perfect storm” for this rarity. The patient already had weak, flexible ribs. Her implants were not very large. And most importantly and what wasn’t clearly disclosed: she recently had undergone a mitral valve (a heart valve) replacement for a leaky heart valve and the approach used to access the heart was between the same two ribs that the implant slid between. The normal anatomy was disrupted by the surgery and a significant defect remained between these two ribs. Now, add to all of this a stretching maneuver that separated the ribs and created a negative force and, voilà, her breast implant was sucked into the chest cavity.

As you can see, the odds of this happening are less than being struck by lightning or winning the lottery. It is about on par with the probability of Obama suddenly becoming an adherent of conservative policies and slightly higher that the likelihood of taking a snapshot of the Loch Ness monster frolicking with its family or eating lunch with the Abominable snowman.

There are more important things to worry about in life.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

The incision that I have always preferred for a breast augmentation is the inframammary one (with rare exceptions). The reasons have been many including the relatively inconspicuous location and healing of the incision, better surgical exposure that facilitates precise technique and control, a reduced risk of developing capsular contracture (tight scar formation around the implant causing the breasts to feel hard), and what intuitively seemed to have a lower risk of affecting the sensation of the nipple-areola complex (NAC). No large scale study had been conducted to prove or refute my sentiment on the effect of the incision location on sensation until now.

A large scientific study was conducted in Italy that evaluated the possible effect of the incision location for breast augmentation surgery on the postoperative sensation of the nipple-areola complex. This assessed data from over 1200 women who had the same plastic surgeon perform their surgery over a slightly greater than six year period. Among the variables investigated were patient age, the breast implant size and whether the implants were placed above or below the muscle.

What the study found was that the implant size had no significant impact on the sensation of the nipple-areola complex postoperatively, an outcome that may surprise many. In addition, neither the patient’s age nor whether the implant was in a submuscular or submammary pocket, had any influence on sensation. The only variable that had a statistically significant association with reduced NAC sensation after surgery was the incision location, with the periareolar affecting 9.5% of women compared to 3.5% with the inframammary one which translates into a 2.7 times greater risk of sensory loss. It also had a 3.5 times greater risk of causing areolar pain.

Now there is even more convincing evidence supporting the superiority of the inframammary incision over the periareolar one for breast augmentation surgery.

If you would like to obtain more information on breast augmentation surgery or for any other plastic surgery procedure that I perform, or to schedule a consultation with me, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

A question that many women have who are either considering a breast reduction or have already undergone one is “When can I start wearing an underwire bra?” Some are under the impression that they are not suppose to wear one any more following surgery; others have heard recommendations that involve widely differing periods of time. This can be decidedly confusing.

What is the right answer?

Well, there really is not one absolute, definitive answer. (Even this sounds vague!) One of the reasons for this is that there are no evidence based studies in the medical literature which identify one specific period of time following breast reduction surgery that is better than any other to start wearing an underwire bra again. Consequently, each plastic surgeon determines his or her own protocol based on a variety of factors including experiences with their patients. Some may recommend waiting at least 3 or 4 weeks whereas others may suggest 2 to 3 months or more.

What is my protocol for wearing an underwire bra following a breast reduction?

Upon removal of their operative dressing a few days after surgery, my patients are placed in a sports bra which they will wear for a couple of weeks. After this, they can wear any comfortable but supportive bra which they like and which includes an underwire bra. The purpose is to help to maintain the improved shape of their breasts for a longer period of time by counteracting, to some extent, the relentless forces of gravity.

With normal postoperative healing, the incision along the crease at the bottom of the breast will be inflamed and even tender for several months. During this period of time, an underwire bra may be somewhat uncomfortable to wear. As a result, most patients will wait at least 2 to 3 months before being wearing one on a regular basis.

For more information on breast reduction surgery or for any other plastic surgery procedure that I perform or to schedule your free consultation with me, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

Plastic Surgeon in Arizona Discusses Choosing the Right Practice for Breast Augmentation Procedure

Breast augmentation is the most popular form of surgical cosmetic enhancement according to the latest study from the American Society for Aesthetic Plastic Surgery (ASAPS). At his Arizona plastic surgery practice, Dr. Steven Turkeltaub discusses the essential traits of a plastic surgeon, and the need for an individualized treatment plan for each patient.

More than 9.3 million cosmetic procedures, including 318,123 breast augmentation procedures, were performed in 2010 according to the latest data from the American Society for Aesthetic Plastic Surgery (ASAPS). As the popularity of cosmetic enhancement continues to grow, Dr. Steven Turkeltaub states that patients must address several important elements when considering plastic surgery in Arizona and around the U. S., including a surgeon’s experience, an individualized surgical treatment plan, and their own level of comfort with the surgeon and his team.

When patients are considering breast augmentation in Arizona, Dr. Turkeltaub says he emphatically recommends that they seek consultations with experienced and reputable plastic surgeons who are certified by the American Board of Plastic Surgery. “Unfortunately, there are thousands of physicians across the country who are not plastic surgeons yet are performing breast augmentation surgery despite significant deficiencies in their qualifications, skills and training. Often using slick marketing including the non-specific term “board certified”, they directly and indirectly portray themselves as equivalents or actual plastic surgeons when they are not. Patients can pay a heavy price monetarily and health wise if they do not do adequate research.”

In addition to board certification, Dr. Turkeltaub states that identifying and exploring individual aesthetic enhancement goals and reviewing expectations are extremely important. He recommends a full discussion of the surgical treatment plan including all the relevant options. He adds that photographs of the surgeon’s before-and-after gallery can be helpful to better ensure that the patient and surgeon are on the same page. Dr. Turkeltaub says doing so is especially important when patients are considering breast augmentation because of the impact such a procedure can have on a woman’s overall sense of femininity and self-confidence.

Dr. Turkeltaub also had this to say: “It should go without saying that patients should have a good feeling about the plastic surgeon that they are considering to perform their surgery. A good bedside manner and a warm, caring office staff go a long way in making the overall experience more comfortable, more pleasant and less stressful.”

About Steven Turkeltaub, MD, PC

Dr. Steven Turkeltaub earned his medical degree from the Boston University School of Medicine. He then completed his general surgery training at the University of Miami Jackson Memorial Hospital, and the Northwestern Medical Center in Chicago, followed by a plastic surgery residency at the University of Massachusetts Medical Center. Dr. Turkeltaub is certified by the American Board of Plastic Surgery, and is a member of the American Society of Plastic Surgeons and the Arizona Society of Plastic and Reconstructive Surgeons, among others.

The Arizona Center for Breast Surgery has two locations: 10290 N. 92nd St. Suite 207 Scottsdale, AZ 85258, and 18275 N. 59th Ave. Bldg. E Suite 126 Glendale, AZ. Both locations can be reached at (480) 451-3000, or found online at arizonabreast.com, turkeltaub.com, or facebook.com/drturkeltaub.

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Arizona Plastic Surgery Practice Reflects ASAPS Statistics

Of the more than 9.3 million cosmetic enhancement procedures performed in 2010, breast augmentation was the most common form of surgical enhancement according to the latest study from the American Society for Aesthetic Plastic Surgery (ASAPS). As a board-certified plastic surgeon in Phoenix, AZ, Dr. Steven Turkeltaub says the same is true at the Arizona Center for Breast Surgery.

According to the latest study from the American Society for Aesthetic Plastic Surgery (ASAPS), breast augmentation was the most common cosmetic plastic surgery procedure in 2010, followed by liposuction, eyelid surgery, abdominoplasty, and breast reduction. Dr. Steven Turkeltaub says that this is consistent with the breast surgery procedures that he performed for his patients in 2010 as well as the first half of 2011 at his Arizona plastic surgery practice.

Nearly 580,000 breast surgery procedures were performed in 2010. This total represents a 9% increase over the 2009 totals, which were adversely affected by the recession. However, Dr. Turkeltaub says this increase is due to more than the improved financial conditions: “As highlighted by the latest ASAPS study, an ever greater percentage of Americans approve of cosmetic enhancements, which are increasingly considered as mainstream procedures. In addition to wanting to look better—and feel better about themselves—as they have in the past, for some patients seeking employment or trying to hold on to their jobs, they believe a more youthful, attractive, and even alluring appearance may just provide them with a noticeable and competitive advantage.”

Regardless of the slight decrease in 2009, a 14-year comparison of breast augmentation reveals the number of procedures performed more than tripled from 101,176 in 1997, to 318,123 in 2010. Dr. Turkeltaub says the constant drive for innovation in the field of aesthetic enhancement is likely the cause of such a increase. “During this same period, there have been technological advancements as well as refinements in technique that should provide patients with more predictable and durable results along with even greater safety and comfort.”

About Steven H. Turkeltaub, MD, PC

Dr. Steven Turkeltaub earned his medical degree from Boston University School of Medicine. He completed his general and plastic surgery residencies at the University of Massachusetts Medical Center, where he also held an appointment as a Clinical Instructor. Dr. Turkeltaub has authored several papers and chapters for plastic surgery textbooks, as well as several magazines and newspapers. He is a member of the American Society of Plastic Surgeons, the Arizona Society of Plastic and Reconstructive Surgeons, and the Arizona Medical Society.

The Arizona Center for Breast Surgery has two locations: the Scottsdale office is located at 10290 N. 92nd St. Ste. 207 in Scottsdale, AZ 85258; and the Glendale office located at 18275 N. 59th Ave. Bldg. E Ste. 126 in Glendale, AZ 85308. Both locations can be reached at (480) 451-3000, or found online at arizonabreast.com or the Plastic Surgery Arizona Facebook page.

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It doesn’t take a rocket scientist to realize the detrimental effects that large, heavy breasts (macromastia) have on a multitude of levels. When it comes to sports, particularly competitive ones, the impact can be enormous (coincidentally metaphorical). For example, when was the last time that you saw an elite female runner competing in the 100 yard dash?

What about the high jump?

Thought so!

Most of these superior athletes from the neck down are seemingly androgynous. It is very rare to see the likes of an Anna Kournikova (tennis) particularly in certain sports.

There is a somewhat publicized case (at least by her “adoring” male fans) of an elite female athlete who underwent a breast reduction in order to improve her ability to compete as well as to alleviate severe neck and back pains. This involves the Romanian tennis star Simona Halep who also was the junior champion at the 2009 French Open at the age of 18. Though her 34DD breasts significantly enlarged her appeal and following, they were fatiguing, painful and physically limiting.

Tennis star Simona Halep before breast reduction surgery

Halep underwent a breast reduction in 2009, reducing her breast size from a 34DD cup down to a 34C. It is no coincidence that following surgery, her world ranking has improved by 450 spots – now at 57th in the world. She states that she is faster and much more agile than she was prior to her breast reduction and no longer experiences any neck or back pains.

After breast reduction surgery

Simona Halpe runs faster, has greater agility and is a more competitive tennis player following her breast reduction surgery

On the down side, with her reduced breast size she cost her some of her male fan base …!

If you have any questions regarding breast reduction surgery or on any other plastic surgery procedure that I perform or to schedule a consultation with me, please feel free to call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

In 2006, the FDA issued recommendations (not a mandate) that women who have silicone breast implants as a results of breast augmentation or breast reconstruction should have an MRI starting three years after their surgery and then every other year subsequently. However, there was no scientific data to support this approach. Given the considerable expenses (and inconvenience) incurred by having these MRI’s which may not even be covered by insurance, we need to consider whether the FDA’s recommendations are really a prudent and necessary.

Research conducted at the University of Michigan and published in the March 2011 issue of the Plastic and Reconstructive Surgery® journal provides some compelling answers to this issue. This research combined and analyzed 21 previous studies that assessed the ability of MRI’s to detect silicone breast implant rupture in order to arrive at their conclusions.

What they discovered was that the MRI’s overall were fairly accurate in detecting ruptured silicone breast implants. However, in certain situations their accuracy rate was extremely high. In fact, they discovered that in women who presented with symptoms related to their breast implants, the MRI’s were 14 times more likely to discern a rupture than in those women who had no symptoms. Thus, in women who were asymptomatic, they were far less helpful.

How can we use this information to formulate reasonable recommendations?

Given that silicone gel breast implants will last on average well in excess of 10 years, MRI’s are not a cost effective tool to screen for ruptured breast implants in otherwise asymptomatic women during this first decade. Instead, mammograms and/or ultrasounds should be performed. If evidence arises or there is a significant index of suspicion for rupture, an MRI can then be considered.

If you would like more information on silicone gel breast implants, breast augmentation, breast reconstruction or for any other plastic surgery procedure that I perform or to schedule a complimentary consultation, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona