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

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

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.

###

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

You might have wondered: “Exactly what are these breast implants and why are they named after a candy?”

You may even be thinking: “Can I have them for my surgery?”

“Gummy bear” implants are a new generation of silicone breast implants that have some of the characteristics of the candy that they were nicknamed after – though they are not also edible! These implants differ from all earlier versions in that they are composed of a very highly cohesive and form-stable (maintains their shape) gel that resembles the candy though softer.

These 5th generation breast implants have been used elsewhere around the world for breast augmentations and reconstructions since the early 1990’s. They have been extensively researched for years including in large clinical trials but have not yet been cleared by the FDA (Federal Drug Administration) for usage here in the United States although approval may be imminent. (Note: Plastic surgeons here in the United States have been hearing this for several years now – and we are still waiting!)

These new silicone breast implants do offer at least a few advantages over the current cohesive silicone gel ones (as well as some disadvantages). They have been noted to be more durable and last longer and the potential of the silicone gel migrating elsewhere is close to zero. The risk of developing hardness around the implants known as capsular contracture has been found to be lower, around an incidence of 3% as compared to 5 – 10% or more with previous generations of silicone implants.

A definite disadvantage of these “gummy bear” implants is the cost which is expected to be significantly more expensive than those that are used now. Whether this difference is an additional several hundred dollars or much more is not known as of yet. Their increased cost will definitely have some effect on their popularity and selection. Ultimately, however, several factors will play a role in influencing each woman’s decision regarding which type of silicone breast implant is right for her.

For more information on silicone gel 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

There is no one correct answer for activity limitations and resumption but I will tell you what I have found over the years that works and does minimize your risks for significant problems such as bleeding that can result in the formation of a hematoma (collection of blood around the implant). The rare individual who develops this usually precipitated it by engaging in prohibited vigorous activities or consuming blood thinning agents such as aspirin or anti-inflammatory medication like ibuprofen, naprosyn, Motrin® or Aleve® within 10 days of surgery or immediately afterwards.

It is important that you avoid any heavy lifting, straining, aerobics and sports for three weeks after your breast augmentation. This also pertains to any activity that would substantially increase your heart rate and/or blood pressure such as jogging or swimming. If as part of your work-out you do pectoralis muscle (chest wall muscle) strengthening, this should be avoided for at least 8 weeks after surgery.

You may initially find that you experience increased swelling, tightness or tenderness in one or both breasts following certain activities. Don’t worry. This is normal and will ultimately not be an issue after several months.

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

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

Now this isn’t just any video. It is a “musical” video featuring an assemblage of seven scantily clad voluptuous models each wearing a different sized cup ranging from an “A” to a “G”. Called “The Cup Size Choir”, these models are filmed provocatively lying in beds singing the Christmas song “Deck the Halls” with each one singing a musical note based on her bra cup size. Simply put, the model wearing the “A” cup sings all the “A” notes, the “B” cup one sings all the “B” notes, etc.

Not surprisingly, this video has become an internet sensation (for good reasons). You may want to watch it again and again together  with your significant other. They probably won’t mind!

If after viewing this video (and with some previous consideration) you could just imagine yourself filling up and alluringly wearing one of these attractive bras but don’t have what it takes yet – feel free to give us a call. We would be happy to provide you with information on breast enlargement surgery, breast lifts or on any other plastic surgery that you may be considering. You can also schedule a complimentary consultation with me.

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

What have I found is the overwhelming majority of my patients select the silicone implants for both cosmetic and reconstructive procedures and they definitely don’t regret the choice. The aesthetic results and much higher level of satisfaction irrefutably support the substantially greater superiority of silicone implants as compared to the saline ones. This is true for both cosmetic and reconstructive procedures. In my practice it is quite rare now for a woman to opt for saline implants and when they do it is virtually always because they cost $1,000 less a pair which then makes the cosmetic surgery affordable.

This finding is consistent with the medical literature including research just published in the November issue of “Cancer”. This multicenter study examined and analyzed the responses obtained from 672 women who had post-mastectomy (for breast cancer) breast reconstruction utilizing either silicone or saline implants. The results revealed a statistically significant greater level of satisfaction in women who chose the silicone breast implants for their reconstruction as opposed to the saline ones.

So, if you are interesting in pursuing either a cosmetic or reconstructive breast procedure that involves the usage of breast implants and were initially leaning toward saline implants you may want to strongly reconsider.

For additional information on silicone or saline breast implants, breast augmentation, breast reconstruction or for any other plastic surgery procedure that I perform or to schedule a consultation, please call my office at 480-451-3000.

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