I am deeply grateful and ever so appreciative of your truly welcome and much needed help! Your surgery results are nothing short of awesome! Thoughtfulness like yours indeed takes a special caring. Again, ‘Thanks a Million’ for everything!!
- P.B.S., Revision Rhinoplasty
I wonder how you create a living thing with your hands. How do you build something out of nothing? The thought of the task baffles me, but to my father, it is mundane.
- Katharine Searcy Menick click here for the rest of her perspective
I wanted to take a minute of your precious time to thank you and to let you know the true meaning of what you have restored in her. Yours is a truly special gift and the confidence in which you handled her case allowed her to focus on healing, not worrying!
- V.B., patient’s daughter Nasal Reconstruction
I feel great every time I look into the mirror. Thank you for that gift.
- C.G., Nasal Reconstruction
Needless to say, I am overjoyed at the acquisition of my new nose - something I never imagined I would need - turned out so splendidly. It is a wonderful gift that you bring the world with your expertise, your care, and your artistry. It replaces despair with hope and, indeed verges on the miraculous. My deepest thanks.
- D.L., Nasal Reconstruction - click here for case details
I think of you every time I look in the mirror and know how blessed I am to have you as my doctor – the genius….. Everyone tells me how beautiful I look and they are amazed at your ability. Thank you for making a nightmare experience quite pleasant and even fun at times…. We have so much to thank you for. You were beyond considerate and we are beyond grateful… I get compliments almost every day on my beautiful nose.
-J.D. Nasal Reconstruction - click here for case details
You are really a miracle worker! My nose is healing rapidly and I feel normal again - a delicious feeling.
- P.F., Nasal Reconstruction - click here for case details
I am so happy for getting the surgery. The surgery has changed the outlook I have about myself and my self-confidence. So thanks again because how can I repay someone who has changed my life.
- T.P., Revision Rhinoplasty after Congenital Nasal Hemangioma
You truly gave me a new lease on life, as the saying goes. My nose is absolutely beautiful; I still get compliments on it!
- D.W., Nasal Reconstruction/Revision
Thank you so much for taking such great care of our son. We couldn’t have made it through all this without your kindness and compassion.
- B. and G. S., Nasal Reconstruction for their child
Words will never be enough to express our gratitude for the work you have done with our daughter. You have made her a whole person again. From the first day we met you, we had unending hope for her. You plainly said you could fix her when everyone else warned us not to expect much.
- Mother of K.B. Facial Reconstruction - click here for case details
I would like to take this opportunity to tell you what a magnificent doctor and artist you are! My two surgeries a few months ago - nose repair and facelift - changed my life. Everyone remarks how beautiful the work is. I feel I have lived on both sides of appearance; that is, going from droopy and haggard to looking vibrant and pleasing.
- J.T., Facelift and Rhinoplasty - click here for case details
There is rarely a day that goes by that I don't Thank God for sending me your way. My nose is beautiful.
Magician performs excision: arm scar disappears!
- 6 word memoir dedicated to Dr. Menick by M.F. - click here for case details
We are back home...The result is fantastic and completely in line with the vision I had in mind. Thank you for understanding and making that vision a reality. The vastly significant improvement to my breathing will certainly enhance my overall health and quality of life as well. I have the best of both worlds in aesthetics and function. I am beyond happy and satisfied. Your staff is attentive, warm and caring.
- A.C., Revision Rhinoplasty
You restored my nose and therefore my face. You gave me back my identity, and allowed me for the first time in 26 years, to feel physically whole again. I could only begin to imagine how rewarding it must be to change and restore peoples' lives, getting back confidence, changing their outlook on life and making them ready to embrace life again as it was. Because of your surgical skills and the changes you made externally, I am feeling stronger internally...
- A.C., Revision Rhinoplasty
Thank you for giving me my identity back. While I could have lived with the scars from the dogbite, my psyche feels better knowing that I present the best face I can- with your help. Thanks for sharing the benefits of your skills with me. I am honored.
- M.T., Facial and Nasal Trauma after previous failed repair
I am thankful every day for what the Doctor was able to do for my daughter.
- D.L., Father of Nasal Trauma patient after previous failed repair
I hope you know deep in your heart how thankful I am for your skills. Let's call it a higher power that we met. I have no clue why things happen. However, I do know that our meeting each other and your willingness to come to my rescue was evident from the start. I just wanted you to know I was treated with great respect and care (kindness) which has continued to this day. I truly am a better man for having known you mentally and physically. From the bottom of my heart, thank you so very much...
- D.G., Facial and Nasal burn
I don't get on your side of town during working hours very often. I think in another month or so I will be over there and would just like to stop in real quick to shake your hand and thank you for my beautiful nose! Everything is going great. It gets better all the time.
- A.C., Nasal Reconstruction
Thank you very much for being brilliant, talented, and fun to be with. It was an amazing journey and the confidence Harper and I have in your skills made it easy to keep the Faith. We will never believe that we have said "Thank You" enough. God richly blessed our package of three, and it is important to include the hundreds of people that joined us in the long process. The kindness and helpfulness of Rachel and Tina your office staff.
- J.D., Nasal Reconstruction
I have been thinking of you and wondering how you are. My son will turn 18 soon and he is doing very well. His surgery all started with you and now he is almost grown! He wears a BAHA, a bone conducting hearing aid. I just want to say thank you for your very tender care of my son. His mom passed away nearly 4 years ago and I know she would join me in extending this thank you! You are a pretty decent ear maker too, and I would be willing to tell Dr. Brent!
- R.S., Father of Ear Reconstruction patient
I wanted to tell you how thankful I am that you worked on me today. I think it looks terrific! Your work must be so rewarding. You are life changing to so many. Thank you!
- K.D., Nasal Reconstruction
I just want to tell you and everyone else at the office, THANK YOU! You helped make my dreams come true with your patience and superb hospitality. I will be sure to tell all my friends how terrific this experience was for me. Thank you again very much!
- D.G., Rhinoplasty
I am deeply grateful and ever so appreciative of your truly welcome and much needed help! Your surgery results are nothing short of awesome! Thoughtfulness like yours indeed takes a special caring. Again, "Thanks a Million" for everything!!
- P.S., Revision Rhinoplasty
I wanted to thank you again for the great work that you did on my nose. My wife and I are very pleased. You are truly gifted. God bless.
- K.V., Nasal Reconstruction
Thank you for making a beautiful nose. I’ve always wanted a “normal” looking nose and without you I wouldn’t have had this life altering opportunity. You amaze me.
- L.S., Congenital Nasal Deformity Reconstruction
My nose is healing very well and it looks great. I must admit that I am really loving my new nose! Thank you very much Dr. Menick.
- C.M., Rhinoplasty
Your work is beautiful and so reminiscent of the Wabi Sabi concept but did you know that this advanced aesthetic concept is also a perspective and philosophy of life? Thanks for changing my life. I feel so vibrant and alive as a result of your work.
- A.C., Revision Rhinoplasty
Some gifts you hold in your hand: Some you hold in your heart. We are so grateful for the blessing of you! My family and I want to extend a sincere thank you for giving me my life back. You are a special man: Your heart heals us and your hands make us beautiful again. Dr. Menick, you create gifts like no other. No words could ever express the thankfulness I feel for you, your office staff and your hospital team...
- C.J., Nasal Reconstruction after Dogbite
Everything is going great and I have significant feeling in the nose. Once in a while certain vibrations (like singing) cause a most intense tickling/itching sensation. It’s kind of weird and exciting all at the same time. It gets better all the time. Thank you so much.
- A.C., Nasal Reconstruction
I am writing just to let you know that I am very happy with my nose now. It really changed my life a lot, now I can take lots of pictures of my face (it doesn’t matter if the light is in my face), it always looks great and I am very confident meeting people, I don’t have to hide anymore. I had some concerns about the high bridge but after 2 months I started being 100% happy. All the rib pain in the end was worth it. Thanks a lot for what you have done for me and I hope you will make many other patients happy.
- R.F., Revision Rhinoplasty
Breast Augmentation Surgery
A breast augmentation is performed as an outpatient procedure. Placement of a breast implant is uncomfortable for a few days after enlargement. The patient’s chest feels quite tight and painful on deep breathing because the muscles are sore after chest wall surgery. Most patients recover at home and do not stay overnight in the hospital, however. Occasionally, in a complicated revision of an old breast augmentation, the patient may be admitted overnight for pain control.
Click Here to See Dr. Menick’s Breast Augmentation Gallery
There is no one way or perfect way to perform a breast augmentation. There are different surgical techniques and different implants. All have advantages and disadvantages. You are provided with this information to help you decide, with me, the method most likely to please you. You must consider your desired breast size, incision site and implant placement (in front or behind muscle).
DESIRED BREAST SIZE
A useful method to determine the size of the breast implant is to place different sized implants into your brassiere, prior to surgery, to estimate your likely postoperative cup size and to measure the width and height of the desired breast on your chest prior to surgery. Larger sizes are associated with more postoperative pain, an unnatural “look”, and more late problems with tissue thinning, wrinkling, and longterm complications. Women should think “longterm” and try to avoid later problems by choosing implants that are not too large.
Most often, breast implants are placed through an incision around the nipple or in the fold under the breast. They are not often placed through an axillary (armpit) incision because the risk of misplacement of the implant and later breast shape distortion is higher with this approach. The type and size of the implant you desire, the visibility of the scar position, and the size of your nipple areolar complex will determine the incision.
1. Behind Breast Tissue and in Front of the Pectoral Muscle is the most anatomic and traditional site to place breast implants. Subglandular implant position is associated, however, with a higher risk of capsular formation, wrinkles and implant visibility. Active use of the chest wall muscles does not cause distortion of the breast if an implant is placed in front of the muscle.
2. In Back of the Pectoral Muscle. If a smooth silicone implant is placed behind the pectoral muscle, the risk of capsular formation is decreased. This is a significant advantage.
Positioning the breast implant behind the pectoral muscle is useful in the thin patient with little subcutaneous fat or breast tissue. When the muscle covers the implant, it helps to hide the breast implant edge or any wrinkling of the implant surface. This creates a more natural and gentle breast shape and less palpability of the implant. Because saline implants are more likely to be palpable along the edges or to have “ripple” folds when the patient leans forward (especially without a brassiere), saline implants are usually put behind the muscle layer to minimize these problems. However, the placement of the implant behind the breast muscle can be associated with postoperative breast distortion with exercise. The muscle squeezes the implant into an unnatural shape for a moment, when exercising. But returns to a normal shape immediately when the muscle is relaxed.
TYPES OF IMPLANTS
1. Saline Implant (silicone bag filled with saltwater). This implant has been used for approximately 30 years. A saline implant can leak. Saline (salt water) occasionally leaks out through the injection port, which was used to fill it, or due to a micro fracture in the silicone bag. This causes the implant to leak and go “flat”. Another operation will be needed to place a new implant. These manufacturing problems have been minimized with newer implants and the risk of leakage has been significantly decreased, but not eliminated. The risk is probably 1% per year. The risk of capsular formation with saline implants is less than that of a silicone implant.
2. Smooth Silicone Gel Implant (silicone bag filled with silicone jelly). This was the first type of implant developed and has been used for more than 25 years. Studies have found that silicone implants are safe, and the overwhelming view of the medical profession is that silicone implants do not cause disease. The FDA supports this conclusion.
Many surgeons, in the past, have preferred gel-filled implants in all patients because the implants feel more like breast tissue and cause less skin rippling. Modern saline implants, however, can create a very satisfactory result. Most patients are happy with saline or with silicone implants.
3. Smooth Implants (saline or silicone). Traditionally, implants had a smooth outer surface. They have been used successfully for 30 years.
4. Textured implants (saline or silicone). These implants are similar to regular implants except that their surfaces are rough, like sandpaper. Scientific studies suggest that a textured implant may be less likely to cause capsular scar contraction, but skin rippling is more common. Many surgeons continue to prefer smooth implants.
1. Breast augmentation is a common procedure and most women are pleased with the results. Because the skin, muscle and bone of the chest are normal, the objective is to increase the size of the breast mound. This is accomplished by placing a saline implant (or a silicone implant if appropriate) behind normal breast tissue or behind breast tissue and the underlying pectoral muscle.
2. Breast augmentation is performed as outpatient surgery, under general anesthesia. Someone must drive the patient home and care for her overnight until all effects of the sedatives given in the operating room have passed. The patient is seen the next day in the office for a postoperative check and the ace bandage, which was placed at surgery, is removed. Then, she may wear a brassiere or wear the ace bandage for a few days. She may shower the day after surgery. All sutures are placed internally and do not need to be removed after surgery. A piece of tape is placed over the incision, which loosens and spontaneously falls off in approximately one week. Significant breast discomfort is gone in 24 to 48 hours, although some soreness and tightness remains for 3 to 14 days and “you don’t forget you had an operation” for several weeks. Patients can usually return to work in 48 to 72 hours, although heavy lifting, aerobics and tennis, etc., should be avoided for three weeks.
3. There are a number of facts about which you should be aware. Breast surgery does not cause breast cancer. However, it should be noted that a mammogram (x-ray taken of the breast to detect breast cancer) may be more difficult to read after any breast surgery and, specifically, after a breast augmentation. If a breast cancer were to develop, it may be harder to diagnose with a mammogram after augmentation. The patient should continue self-breast exams, just as before surgery, and should be examined yearly by a qualified physician. When a mammogram is performed, she should notify the radiologist that she has had a breast augmentation so that he/she can alter the examination as necessary. Breast augmentation does not interfere with breast – feeding or pregnancy. The results of breast augmentation are long lasting and usually the size and the shape of the breast will be maintained without significant change over the years, although age and multiple pregnancies do affect the long-term result. Additional breast augmentation surgery may be required to increase or decrease breast size, treat capsular contraction (” hard feeling” of the breast due to scar tissue), implant rupture, or a less than desired result.