Breast Augmentation Honolulu, HI : Larry Schlesinger, M.D., F.A.C.S.

Breast Augmentation Honolulu, HI : Larry Schlesinger, M.D., F.A.C.S.

Mommy Makeover Institute of Hawaii

(5.00 stars from 3 Reviews)

(808) 597-8835

1221 Kapiolani Blvd., Ste. 1025
Honolulu, HI 96814

12 Expert Answers

75-5665 Kuakini Hwy.
Kailua Kona, HI 96740

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1401 S. Beretania St., Ste. 590
Honolulu, HI 96814

12 Expert Answers

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S. Larry Schlesinger, MD, F.A.C.S., is a board certified plastic surgeon with more than 30 years of plastic surgery experience in Hawaii. He has performed more than 19,000 plastic surgery procedures.

A native of Detroit, Dr. Schlesinger took his premedical studies at the University of Michigan and medical studies at the Medical College of Virginia, where he was the highest honor graduate. He served his surgical residency at Stanford University Medical Center and his plastic surgery residence at Oklahoma Health Science Center, where he is a visiting professor of surgery.

Dr. Schlesinger is a member of the American Society for Aesthetic Plastic Surgery, a group of the most dedicated board certified surgeons specializing in cosmetic surgery.

Dr. Schlesinger is also a Diplomat of the American Board of Plastic Surgery, a Fellow of the American College of Surgeons and an Active Member of the American Society of Plastic Surgeons (ASPS). To be an active member of ASPS, Dr. Schlesinger had to have completed four years of medical school, three years of clinical training in general surgery, a residency of at least two years in an accredited plastic surgery hospital program, taken and passed intensive board exams, and have passed the scrutiny of his peers.

In 2000, Dr. Schlesinger received the Hawaii Medical Association’s Physician of the Year for Community Service for the State of Hawaii.

Dr. Schlesinger has made scores of scientific presentations to the Plastic Surgery community and published numerous articles on techniques and procedures of cosmetic plastic surgery.

Dr. Schlesinger’s major area of interest for women is in the Mommy Makeover.  The component parts of this are tummy tuck, liposuction, breast surgery to include lifts and augmentations, and labiaplasty or vaginal rejuvination.  For men, Dr. Schlesinger’s main concentration is gynecomastia or male breast tissue removal.  Finally, for both men and women, Dr. Schlesinger’s primary area of interest is correction of aging eyelids.


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Review for Larry Schlesinger, M.D., F.A.C.S.
  • Kanoe808 from
Dr.Schlesinger is a very skilled and intelligent doctor. I chose him by researching several different doctors in Hawaii that were able to perform breast implants.

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Is breast cancer common for women who have br...
No, breast cancer is definitely not more common in women who have breast implants, and in fact, there is some indication that women who have silicone breast implants have less cancer than women who have no implants.

There were three major studies of silicone breast implants during the 15 years when silicone breast implants were off the market (1991 - 2006). During that period, the FDA was investigating all potential problems caused by silicone breast implants. The three major studies were in Calgary, Canada, at Johns Hopkins, and at the Mayo Clinic. Each of these studies had thousands of women with and without breast implants, and compared the two groups for almost every conceivable problem. The big question that was answered by these large studies was whether silicone implants had a strong correlation to collagen vascular diseases, especially Lupus. All three studies proved neither Lupus nor any other collagen vascular disease was caused by silicone breast implants. Unexpectedly, all three studies showed that women with silicone breast implants had less cancer than women without silicone breast implants.

What this information means is that silicone breast implants do not increase one's potential for breast cancer. On the other hand, silicone breast implants may not protect one from breast cancer.

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Which lasts longer, saline implants or silico...
Today's silicone implants last longer than saline implants. After 2006, all silicone implants in the United States are some degree of semisolid as opposed to liquid silicone, therefore, if they rupture, they don't leak.

A plastic surgeon in Newport Beach, California has a video on YouTube showing him driving over both a saline and silicone implant with his personal BMW sedan. The saline implant breaks and the silicone implant does not.

The real problem with saline implants is the valve. Since saline implants are filled at the time of surgery, they have a self-sealing valve. These valves from all manufacturers tend to fail over time. Also, the body tends to send scar tissue down the valve. This scar tissue goes down the valve leading to a slow leak of the saline out of the implant.

Therefore, the reason for saline implants not lasting as long as silicone implants is because saline implants rupture more easily, and they tend to leak from the fill valve over time.

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What is the difference between implants in-fr...
Implants in front of the pectoralis muscle are known as suprapectoral or prepectoral implants. This is a much easier placement for the plastic surgeon, but in the long run, these suprapectoral implants have a greater chance of getting hard (capsular contracture). They also have an unusual look since normal breasts tend to have a gentle slope from the collarbone down to the nipple. With suprapectoral implants, there usually is a flatness from the collarbone to the upper portion of the implant, and then a jetting outward of the implant which has a relatively phony appearance.

Implants behind the muscle are called retropectoral or subpectoral implants. These have a more natural appearance since the pectoralis muscle inserts both on the clavicle (collarbone) and the 5th rib. When the pectoralis muscle is separated from the 5th rib, the upper portion of the muscle is flattened by the action of the pectoralis muscle, but the lower portion jets forward usually just behind the nipple areola complex giving it a very natural teardrop appearance.

For unknown reasons, retropectoral implants have a greater tendency to not get a capsular contracture than prepectoral implants, i.e. they stay softer.

With reference to a mammogram, subpectoral implants are preferred by mammographers because there is a density (the pectoralis muscle) between the breast tissue and the implant, therefore making the reading of a mammogram much easier.

What all the above means is that implants behind the muscle stay softer, look better, feel more natural, allow a better mammographic reading, and all in all, give a more sophisticated and attractive breast augmentation.

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Hi good morning, are there any insurance comp...
Breast augmentation is not covered by insurance because it is an elective cosmetic procedure.

That having been said, I certainly agree that, in many cases if not all, breast augmentation is a life changing procedure which improves one's emotional state and the ability of many women to feel comfortable within their own skin.

The concept of insurance is that many people get together, put a certain amount of money into a pot, and then one by one, withdraw a portion of that money when a medical need arises. With the increasing number of women in the world getting breast implants, even if this insurance could be structured in some way to encourage people to join the plan, the premiums would be so high that more than likely it would be less expensive to pay for one's own breast augmentation.

Fortunately, there are so many excellent Board Certified plastic surgeons, members of the American Society for Aesthetic Plastic Surgery, that you should be able to find in your State one or more of these plastic surgeons who would charge a reasonable price for an excellent breast augmentation.

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Can I still get pregnant after breast implant...
Breast augmentation does not inhibit pregnancy in any way. I have several patients who have had multiple pregnancies after their breast augmentation.

With reference to breastfeeding, many of my patients have nursed after having a breast augmentation.

I put all my primary breast implants in through the armpit behind the pectoralis muscle, and therefore the implant has little to do with the breast gland itself. There have been some reports that breast augmentations at the edge of the areola can interrupt some of the ducts and, therefore, decrease the amount of milk being produced during nursing.

The short answer to your question is that breast augmentation through the armpit (transaxillary) in no way inhibits pregnancy or nursing.

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Hi, I have an inverted nipples, it's congeni...
In my experience, breast augmentations rarely correct inverted nipples. However, inverted nipples can be corrected at the same time as a breast augmentation.

There are several excellent techniques for the correction of inverted nipples used by Board Certified plastic surgeons. In one way or another, some of the ducts to the nipple must be cut or stretched significantly. The real problem is, how does the plastic surgeon keep the tight nipple tissue from pulling the nipple back into its inverted position.

Recently, I have begun using a form of nipple ring which has a straight body with little screws at either end. This is much less complicated, keeps the nipple from re-inverting, and is less painful than most other devices.

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I would like my boobs to "look straight ahea...
The term "droopy boobs" refers to breasts that hang down and look old and unattractive.

The four main characteristics of droopy (ptotic) breasts are:

1. The areola is too large.
2. The areola is too low on the breast mound.
3. The breast hangs on the chest wall.
4. There is no fullness in the upper quadrant of the breast.

The first three characteristics above can be corrected by a breast lift. The fourth characteristic cannot be corrected unless an implant is placed in the lifted breast.

There are several types of breast lifts done by Board Certified plastic surgeons. In my practice in Hawaii:

1. For minimal droop, I do a dual plane mastopexy with implants.
2. For moderate droop, I do a Benelli mastopexy.
3. For significant droop, I do a standard mastopexy.

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I have had five children and have lot of left...
The object of a tummy tuck is to remove the excess skin, give a tight youthful appearance to abdominal skin, have a nice looking belly button with minimal to no scarring, and in my practice in Hawaii, we routinely liposuction the area commonly referred to as "love handles" or "muffin tops".

The liposuction incision scar is approximately 1/4" and is normally easily hidden in the one of many lines of a tattoo. The determination of whether the abdominoplasty scar will wrap around to the back needs to be made by an experienced Board Certified plastic surgeon, usually during the consultation. However, at times, even the best plastic surgeon may have to make the incision longer than they originally anticipated.

There are several excellent Board Certified plastic surgeons who do a short scar tummy tuck, but I am unimpressed with the quality of these scars. I feel an almost invisible abdominoplasty scar that is kept low and fine is far superior to short scars that are unattractive.

Most back tattoos are centralized, so in answer to your question, most abdominoplasties will not interfere with most mid-back tattoos.

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First time here, what is the band/strap that ...
In my practice in Hawaii, the band we use is actually an ace wrap. It is placed above the implant to help keep the breast implant from riding up out of the lower portion of the dissected breast pocket.

Since I do all my breast augmentations through the armpit, the ace wrap is placed on the patient at the time of surgery, and large pieces of soft gauze, known as ABD's, are placed over the corner of the pectoralis muscle which is also the front of the armpit. These ace wraps and other bandos tend to dig in to the corner of the pec, and without proper cushioning, could lead to scabs and then unnecessary scars.

These ace wraps are worn anywhere from 3-10 days in order to lock the implant into the pre-operatively determined position. No bra is worn for 30 days so that the implant may correctly seat into the pocket, and with gravity and no bra, it can begin to get a teardrop or natural breast shape. Since all implants rotate, a round implant in this position, no matter how it rotates, is always a correctly positioned teardrop when the upper portion of the implant is being pushed down by the intact portion of the pectoralis muscle.

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How does boob job differs from breast augment...
The term "boob" job is a slang term or common term for the technical term "breast augmentation".

Breast augmentation has historically meant the placement of a silicone or a saline filled silicone implant under the skin or under the muscle of a breast. Today, the term has expanded to include the placement of fat in a breast pocket.

Breast augmentation or boob job has many separate elements which must be determined between you and your Board Certified plastic surgeon. Some of these decisions are:

1. Which manufacturer to use.
2. Above or below the muscle.
3. Silicone or saline, with or without fat.
4. Textured or smooth.
5. Route of entry (through armpit, around areola, or below breast).
6. Teardrop or round (moderate, moderate plus, or high profile).
7. Size of implant, usually in ccs.

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How many hours does breast implant surgery la...
Breast augmentation surgery lasts anywhere from 1 to 2-1/2 hours depending on the complexity of the surgery.

I do all my breast augmentations through the armpit, partially under the muscle, using high profile silicone implants. The time of the surgery is increased if the patient has fat in the anterior part of the armpit (axillary breast tissue). This normally is suctioned out at no additional cost to the patient. Often, a dual plane is required to get the implant at the bottom of the breast pocket and get the nipple moved up.

With check-in time and post-op recovery time, breast augmentations appear to the family in the waiting room to take approximately 4-5 hours.

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What is the difference with silicone and sali...
Silicone and saline breast implants are covered by the same material. Back in 1991, there was a question of whether silicone caused diseases such as Lupus. When the FDA let silicone filled implants back on the market, in 2006, all possible concerns of silicone gel being toxic to human beings, had been put to rest.
The filler in saline implants is salt water. The filler in silicone implants is a highly bonded silicone gel, which is a semi-solid and not a liquid. Therefore, even if the integrity of the outer silicone wall is interrupted, silicone cannot spread throughout the body as previously alleged. Silicone breast implants are softer than saline breast implants. The flow pattern of silicone breast implants is closer to natural breast tissue than saline implants. Saline implants are filled during surgery in the operating room, therefore, they have a valve. Overtime, all valves fail. Therefore, one has a greater chance of a re-do surgery with saline implants than with silicone implants. Saline implants have a faster flow pattern than silicone leading to the appearance of rippling on the surface of the implant and possibly on the breast. Silicone implants, after a time, take the configuration of a tear drop while saline implants have a more artificial appearance over time. All in all, silicone implants are the implants of choice in the second decade of the 21st century. Thank you very much.

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