Frank Agullo, MDBoard Certified Plastic Surgeon

What Are the Risks and Considerations for Breast Augmentation?

What Are the Risks and Considerations for Breast Augmentation?

Benefits and Cost of Breast AugmentationDo the benefits outweigh the risks associated with breast augmentation surgery? Most patients will wholeheartedly say, “YES!” With that in mind, it’s important to take all of these factors into consideration.

Breast augmentation is a routine surgical procedure with few complications. Some patients may be unhappy with their breast size, often desiring a larger size, which makes the initial consultation of utmost importance.

Another consideration is your age and future plans. Going through pregnancy, menopause or any dramatic weight loss (or gain) may also affect the appearance of breast implants.

Other breast augmentation risks include:

  • Undesirable scars
  • Capsular contracture
  • Implant rupture or leakage
  • Infection or improper healing of incisions
  • Temporary or permanent changes in breast sensation (specifically nipples)
  • Stretch marks
  • Hemorrhages or blood clots
  • Persistent pain
  • Vein or pulmonary complications
  • Having to redo the breast augmentation surgery

Cost of Breast Implants

The cost of breast implants and breast augmentation greatly varies around the U.S. depending on where you live. Breast augmentation cost can vary between $3,500 and $5, 500 depending on the implant type, incision site, and modality of anesthesia.

It is of utmost importance to choose a board-certified plastic surgeon member of the American Society of Plastic Surgery. Your surgery must be performed in an accredited surgical facility. Non-adherence to these standards will be less expensive but may produce subpar results and endanger your health. You should choose a surgeon that is skilled, knowledgeable and who has proven referrals and before/after pictures of their work.

If you’re interested in enhancing your appearance with breast augmentation, contact Southwest Plastic Surgery to schedule your consultation. Dr. Frank Agullo is ABPS Board Certified in Plastic Surgery and a member of the American Society of Plastic Surgery. Call our office today at (915) 590-7900, or fill out our online contact form for more information.

Does Plastic Surgery Change Your Personality?

Nowadays, you can change virtually anything about your appearance, from your face, stomach, breasts, butt, hips, thighs, and many other modifications to your heart’s desire. These alterations may make you feel better about yourself, but can they change your personality?

Plastic Surgery Changes Your PersonalityStudies show that yes, plastic surgery can change your personality because it can help you feel better about you
self. Changing your appearance transcends to greater confidence, thereby making you feel sexier, younger, and more sociable, desirable, and even likeable. It is not necessarily because of the difference in your looks, but rather the difference in how you feel about your looks.

People who feel self-conscious about their looks may be more introverted, shy, or keep to themselves, whereas people with a higher self-esteem (even if looks are less desirable) are often more likeable. These findings were expressed by researchers at the University of California in Santa Barbara, who found that people who believed they were attractive were also more socially accepted than those who picked apart their own faults and flaws.

Board-certified plastic surgeon Dr. Frank Agullo has seen these results first hand. Patients who have undergone breast augmentations, liposuction, Mommy Makeovers, or facelifts return to his office feeling so much better about themselves, which helps them get more dates or more friends. Instead of sticking out like a sore thumb, patients report feeling energized, more dynamic, and yes, likeable.

Anxiety is another reason that people often seek plastic surgery to improve their appearance. It makes perfect sense that if you feel dissatisfied about an aspect of your body, such as your stomach or breasts, you might try to hide those features. Hence, plastic surgery can not only correct the way those body parts look to you, they can also correct the anxiety you “feel” about those flaws in yourself.

So the answer as to whether plastic surgery changes your personality or not is an astounding YES! Improving your confidence and self-esteem is just one of the positive side effects that are unexpectedly welcome after undergoing plastic surgery. And this boost in confidence and self-esteem can positively permeate all areas of your life.

If you are considering plastic surgery, we encourage you to schedule a consultation with board-certified plastic surgeon Dr. Frank Agullo. Call our El Paso office at 915-590-7900 or our Las Cruces office at 575-520-5041 today. For your convenience, you may also fill out our online contact form for more information.

Recovery From Breast Augmentation Surgery

Breast Augmentation RecoveryMany factors will affect the time necessary for recovery and return to normal activities. Placement of the implants above the muscle and IV conscious sedation are often associated with shorter recovery times. On the other hand, placement of the implants underneath the muscle and general anesthesia often result in longer recovery times.

Following your breast augmentation, the area near your breasts may feel tender and sore for days or even weeks. A special bra will be necessary to keep your breasts safe and to help them heal properly. This garment should be worn day and night! You should NOT wear any bras with underwire or push-up padding for at least two months after surgery. If your implants are placed under the muscle, you will use an upper bra elastic strap for two and six weeks to help the implants descend into position.

For the first few days following surgery, be mindful of how you feel. Any change in your heart rate, dizziness, chest pain or shortness of breath should be acknowledged. Don’t take any aspirin. Adhere to the prescribed medications by Dr. Agullo.

Even if you’re feeling better after a week or two, make sure you follow the doctor’s orders. You should avoid doing any heavy lifting during the first four weeks. Breast augmentation surgery requires adequate healing and to ensure the implants remain in place. Dr. Agullo will be following you closely, often on a weekly basis, to monitor your healing for optimal results.

After a couple of months, you’ll be ready to start shopping for a new bikini! And why not? It’s time to feel good about your breasts and having breast augmentation will give you that boost in confidence and self-esteem that you’ve been longing for.

To schedule your appointment with Dr. Frank Agullo, please call our office at (915) 590-7900 or fill out our online contact form.

Are Ear Gauges Ruining Your Career?

Come Get Your Earlobes Fixed!

Ear Gauge Repair in Las Cruces, NMWhat might have seemed “cool” to do as a teen or young person often has heavy consequences, and getting a good paying job if you have ear gauges are one of those mistakes. Bands and Hollywood trendsetters often set the stage for what the latest styles and punk rockers are doing. However, young people don’t often think about how this might affect their ability to get into the workforce after high school or college.

Another thing that young people don’t think about is that things like ear gauges are more or less a fad. Would it still seem cool to have giant holes in your ears at the age of forty, fifty, sixty, or retirement age? Most likely not, if your earlobes even make it that long without tearing.

Your earlobes are just soft skin and tissue with no cartilage, which is why they can stretch so far. Ear gauges come in various sizes and degrees, from a few millimeters to inches, which makes your earlobes vulnerable and easy to tear. The size of ear gauge you can get greatly depends on your earlobe tissue and whether you have enough to accommodate such large holes.

However, studies show that employers frown upon ear gauges and may even require them to be removed if they offer you a job. This is especially true in military and field work occupations and related more to safety.

Can Ear Gauges Be Repaired?

The solution is ear gauge repair, which is surprisingly simple. Dr. Agullo is a board-certified plastic surgeon who performs many ear gauge repairs. Earlobe gauge repair is often a very simple outpatient procedure that can cost anywhere between $1,000 to $2,000, depending on the size of the holes and the patient’s body type and structure.

If you are considering ear gauge repair in the Southwest, Dr. Agullo cautions that you should quit smoking at least a couple of weeks prior to the repair. Dr. Agullo performs ear gauge repair surgery using local anesthesia, and you can return to your normal activities within one to two weeks after the procedure.

Instead of being denied employment or military enrollment, talk to board-certified plastic surgeon Dr. Frank Agullo of Southwest Plastic Surgery. He can discuss the technique, cost, and recommendations before you make a decision as to whether ear gauge repair is right for you.

To schedule your consultation with Dr. Frank Agullo, contact Southwest Plastic Surgery by calling our El Paso office at 915-590-7900 or our Las Cruces office at 575-520-5041. For your convenience, you may also fill out our online contact form for more information. Dr. Agullo and his friendly staff look forward to meeting you.

What to Do if You Tear Your Earlobe?

Surgery to Repair Torn or Stretched EarlobesMost often, torn earlobes occur due to either too-heavy jewelry worn in the earlobe or through accidental tearing caused by an incident. It can happen suddenly and unexpectedly. One minute you may be playing with your children and the next, your earring gets ripped out right through the earlobe tissue. A split that occurs in your earlobe may seem unattractive and unsightly. It can make you feel self-conscious.

Sometimes, the earlobes are not completely torn, but the earring holes are stretched and seem to be close to impending doom.

Your earlobes are comprised of fatty tissue and soft skin, which makes them a good place for piercing. Some people have small earlobes while others have medium to large sizes; this is why men and women choose varying degrees of size when it comes to earrings they prefer wearing. The dangly or heavy earrings are more dangerous to your earlobe, although millions of people love to wear them. Your earlobes’ soft tissues may not be strong enough for some larger earrings, and especially if you wear them over a long period of time, the earlobe can become more vulnerable to tears or stretching.

What Can Be Done to Fix Split Earlobes?

You may think that your earlobe can repair itself, but this is not generally the case. Transparent tape might be your best attempt at a creative solution, but your skin could experience an adverse reaction.

Dr. Frank Agullo is a board-certified plastic surgeon who helps patients with torn earlobes by performing earlobe repair surgery. Using a gentle, safe technique and modern tools, Dr. Agullo’s delicate earlobe repair technique has helped hundreds of patients to restore their earlobes with minimal to no evidence of there ever being a tear.

During your consultation, Dr. Agullo will assess your earlobe and discuss the technique he will use to repair your earlobe. The technique he uses to repair your earlobe will depend on the type and severity of your tear.

The good news is that earlobe tear repair can be done with just local anesthesia right in Dr. Agullo’s office, without having to endure any pain or hospitalization. Dr. Agullo makes a small mark on the patient’s earlobe and applies numbing lidocaine to the area, so you will not feel anything during the earlobe repair procedure.

During the procedure, Dr. Agullo starts by removing the damaged scar tissue and then begins to work on rebuilding the damage. To repair the earlobe, Dr. Agullo uses either a zigzag or straight repair, similar to “stitching” up a hem on a piece of clothing. Some tears occur in a straight line down while others may rip a good portion of the earlobe, requiring extra care and stitching. He uses very fine threads to repair the earlobe that, after they heal, will eventually disappear if you continue to apply the scar therapy cream after the earlobe repair procedure has been completed.

Can I Ever Wear Earrings Again?

You should wait at least a couple of months after earlobe repair surgery before considering getting your earlobe re-pierced. We recommend that you stick to the smaller “stud” earrings, rather than attempting any heavy or dangly earrings again, especially if you have small children. They love shiny things and sometimes have a tendency to pull on earrings, which accounts for a large majority of earlobe tears. Dr. Agullo can re-pierce your ears once they are healed.

Other reasons for earlobe repair might be due to earlobe abnormalities, traumas or accidents, hereditary defects, or intentional changes when a patient gets large earrings due to body art.

If you have any questions about earlobe repair surgery in the Southwest, schedule your consultation with board-certified plastic surgeon Dr. Frank Agullo today by calling our El Paso office at 915-590-7900 or our Las Cruces office at 575-520-5041. For your convenience, you may also fill out our online contact form for more information.

Preparing for Breast Augmentation Surgery

Preparing for Breast AugmentationBreast augmentation is a change in personal appearance that can improve your self-image. With proper planning and preparation, you can have those fuller, rounder breasts you have wanted in just a few short weeks! Here are some things you should do to prepare for surgery before and on the day you are scheduled to have a breast augmentation performed:

  • Make the “readiness” preparations, such as lining up a friend or relative to bring you to and from the procedure. You cannot drive after anesthesia or for a few days after the procedure. Plan to have someone there to help you with kids, errands, etc.
  • Since you’re not spending the night, you don’t need a big bag. Just a satchel for your paperwork and your ID is all you need.
  • Don’t eat or drink after midnight on the day prior to your scheduled procedure.
  • Don’t use lotions, creams or makeup on your skin, especially in the area where the procedure will take place.
  • Wear a loose fitting shirt that buttons up instead of slipping on and off over your head.
  • Stop smoking at least two weeks prior to your surgery and for two weeks after your surgery, as this increases chances of blood clots or slower healing times.

Breast augmentation surgery is a procedure that should be done at a certified surgical facility or hospital. Dr. Frank Agullo offers both general and IV conscious sedation anesthesia options to his patients. IV conscious sedation, or twilight anesthesia, is a good option for those who prefer not to undergo general anesthesia

Conscious Sedation vs. General Anesthesia

The difference may sound obvious, but conscious sedation generally implies some awareness, versus general anesthesia having no awareness of your surgery while it is taking place. Most patients have no recollection of the procedure with either method. IV conscious sedation has many benefits; including a quicker recovery, less nausea and vomiting, fewer headaches, and lesser cost that may be associated with general anesthesia.

The type of anesthesia used is often a personal preference; some patients do not desire to undergo general anesthesia, and others prefer to be completely under. We have a top notch board-certified anesthesiologist on our team to administer general anesthesia when needed. Discuss the pros and cons with Dr. Frank Agullo during your consultation.

To schedule your consultation with board-certified plastic surgeon Dr. Frank Agullo, call Southwest Plastic Surgery at (915) 590-7900, or fill out our online contact form.

Types of Breast Implants

Types of Breast ImplantsPrior to your breast augmentation, the type and size of breast implants that you choose is a careful decision that you and your surgeon will make. Dr. Agullo will guide you through this process, taking into account your current and desired breast size. During a consultation, you will try on different “sizer”’ to help you visualize the augmentation. He will also use the Vectra 3D system, so that so that you can see your results with different sizes of implants prior to undergoing the procedure.

Dr. Agullo will help you choose the type of breast implant during your consultation. Some patients would have made their decision prior to consultation based on their research, friends’ recommendations, or preconceived ideas. Dr. Agullo will listen to your needs, requests, and concerns and will address each of these things to help you determine the size and type of breast implants that will be the best fit for you.

The two main types of implants are silicone and saline.

  • Silicone Implants: Silicone implants feel and move just like natural breasts because of the elastic gel of the silicone. They are lighter than the same sized saline implants, often resulting in a more natural silhouette. Silicone implants have a lesser risk of rupture and rippling. They are the only type of implants that can be placed over the muscle. Dr. Agullo offers implants from all three of the main manufacturers: Mentor Memory Gel, Allergan Natrelle, and Sientra.
  • Saline Implants: Saline implants are filled with a sterile saltwater solution. The volume can be adjusted to the desired size during surgery; this is an advantage in case of breast asymmetry. One of the benefits of saline is that in case they leak, the water will be naturally absorbed by the body. Another obvious benefit is that they are much less costly, and the incisions are slightly smaller. Saline implants must be placed under the muscle. Breast augmentation with saline implants often results in a markedly round and firm appearance. A substantial disadvantage is that they often result in palpable or visual rippling and require replacement about every ten years due to leakage.

If you’re interested in breast augmentation, contact Southwest Plastic Surgery to schedule your consultation with board-certified plastic surgeon Dr. Frank Agullo. Call Southwest Plastic Surgery at (915) 590-7900 or fill out our online contact form.

Breast Augmentation Techniques

Breast Augmentation TechniquesDuring breast augmentation surgery, you will be under general anesthesia or IV conscious sedation. Breast augmentation is an outpatient procedure that takes approximately one hour to complete. Dr. Agullo will explain the specific techniques he will use for your breasts, but you can expect an incision just above the base crease of your breast, around the areolas, or under the armpit region.

The incisions will vary in length depending on the size of implants you choose (C, D, DD, E cups+), but Dr. Agullo will do everything possible to ensure the least amount of scarring possible. Dr. Agullo offers the use of the Keller Funnel to minimize incision size and decrease the risks of implant contamination, which can lead to infections or capsular contracture. Hence, he will place the incisions in a way that once they heal; it will be very difficult to tell you ever had breast implants except for the new fullness of your breasts and surge in confidence!

You can expect a combination of one or more of these three incisions during breast augmentation:

  • Axillary: This incision is located in the deepest point of the armpit and is the least noticeable incision mark. Dr. Agullo performs this procedure with the aid of an endoscope, and he can use either silicone or saline implants with placement above or below the muscle using this approach.
  • Periareolar: This incision is placed at the junction of the lower portion of the areola with the normal breast skin.
  • Inframammary: This incision is placed directly below the breast, at the location of the inferior breast fold.

Once inside, Dr. Agullo will insert and position the breast implant directly behind the breast tissue (over the muscle) or below the pectoral muscle, depending on the person’s body, type of implant, and amount of breast tissue present before augmentation. Dr. Agullo will discuss implant pocket placement at length during your consultation.

Dr. Agullo will then close the incisions with layered sutures in the breast tissue and on the skin. With proper care, the scars will heal into very fine lines and become imperceptible.

If you’re interested in enhancing your appearance and want to know which breast augmentation technique is best for you, contact Southwest Plastic Surgery to schedule your consultation. Dr. Frank Agullo is ABPS Board Certified in Plastic Surgery and has extensive experience performing breast augmentation. Call our office today at (915) 590-7900, or fill out our online contact form for more information.

See Your Breast Augmentation Results BEFORE Surgery!

Vectra 3D ImagingTechnology has become more advanced with breast augmentation equipment that now gives patients a glimpse of what their breasts will look like after surgery. The Vectra 3D imaging system allows patients to visualize the results of using different implants. In other words, now you can see what you will look like beforehand to further solidify your decision

Southwest Plastic Surgery offers the Vectra 3D Imaging system, which will allow you to see your breast augmentation results before surgery.

To schedule your appointment with Dr. Frank Agullo, please call our office at
(915) 590-7900 or fill out our online contact form.

Vectra 3D Imaging


Candidates for Breast Augmentation

Breast Augmentation in El Paso, TXFor some women, having a smaller breast size than what is considered “ideal” can lead to a lack of confidence or dissatisfaction in appearance. If you wish your breasts were bigger, fuller and rounder, then you may wish to consider having a breast augmentation.

Before weighing the pros and cons, it is important to ask yourself why you feel the need to have bigger breasts. Breast augmentation is a very personalized procedure and should not be done to fulfill someone else’s requests (such as a lover or spouse). Rather, getting breast augmentation should be done after some self-reflection and not just to fit into any “ideal image” placed upon you by another person or by society.

Who is right for breast augmentation?

Breast Augmentation surgery is designed to help women increase the fullness, roundness and projection of their breasts. It is a great way to bring more balance and voluptuousness to your figure, which also improves self-confidence. For some women, hiding behind small breasts is associated with a poor self-esteem, the brunt of ridicule or simply not enjoying wearing certain wardrobe essentials that women with fuller breasts can. Evening gowns, bathing suits, low cut or revealing shirts, or even tight-fitting tops and sweaters can look better with augmented breasts.

You will be a good candidate for breast augmentation if you:

  • Have fully developed breasts
  • Are physically and mentally healthy
  • Feel like your breasts are too small
  • No longer like the shape of your breasts after aging, pregnancy or weight loss
  • Have breasts that are not the same shape or size
  • Have one or both breasts underdeveloped
  • Have realistic expectations

What breast procedures are commonly combined?

If you are looking for a gravity-defying experience, breast augmentation is not designed to improve severely sagging or drooping breasts. Instead, a breast lift may be needed in conjunction with a breast augmentation if you want to go for a lift and fullness at the same time. Depending on your surgeon, it may be so that you can have a breast lift performed on the same day as your breast augmentation procedure; this is something to discuss with your doctor.

Breast augmentation is sometimes combined with other procedures often termed a “Mommy Makeover.” This surgery includes a combination of breast augmentation and/or breast lift with a tummy tuck and/or liposuction. By combining both procedures during the same surgery, the patient benefits from a single recovery, whole body contour improvement, and a reduced cost compared to performing the procedures separately.

If you’re interested in enhancing your appearance and improving your confidence with breast augmentation, contact Southwest Plastic Surgery to schedule your consultation. Dr. Frank Agullo is ABPS Board Certified in Plastic Surgery and has extensive experience in breast, face, and body procedures. Call our office today at (915) 590-7900, or fill out our online contact form for more information.

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