Implants: All the Information You Need


I want to have a Breast Augmentation, what size should I be?  What type of Implant would fit my body type?   

These are some of the frequently asked questions my patients have.  Lest start by the beginning, so you’ve made up your mind, you want to look and feel better,  you book your appointment with a Board Certified Plastic Surgeon.  

I sit down with the patient in the consultation, and talk about the way you want to look, and whether you’re a good candidate for this procedure. So the first thing we look at is sizing.  The next step is to look at pictures of before and afters, and look at what parameters we are dealing with size-wise.  The next step would be the examination and measurements of the patient’s chest, look at the different options whether the patient needs just an Augmentation or a Lift with Augmentation (usually for patients that had children, and have “ptosis” or excess skin and tissue that “hangs” would consider the option of Lift with Augmentation.”  


The next step would be to see where the patient wants the scar to be, whether the patient wants the scars to be around the nipple, or under the base of the breast.  For patients that need a Lift with Augmentation, the amount of scarring will usually be more than for those patients that just need an Augmentation.  They will have to decide whether to have a “T” shape scar, or have just scarring around the nipple (this option might not be optimal for all patients, it always depends on the severity of the “ptosis” they present).  


Choosing an Implant

I work with two types of Silicone Gel Implants: Sientra and Natrelle, and with Natrelle Saline Implants.  Silicone Gel Implants were approved by the FDA in 2012, with the latest in Implant technology to be developed in 2013 by Allergan, the company that produces Natrelle 410 highly cohesive anatomically shaped Implant.  Sientra Implants were the ones to give the “gummy bear” description to the newest generation of Silicone Gel Implants.  I personally like Sientra Implants since they are made with more viscous gel, or high strength silicone.  In addition, Sientra Implants come in smooth, textured, moderate and high projection versions, as well as round and shaped styles.  These features provide the patient a way to correct very small and /or sagging breasts resulting from pregnancy or weight loss.  You will be able to look and feel all these types of Implants: the smooth, versus the textured Silicone Implants, the moderate vs. high projection versions, and the round vs. the shape styles.

Feeling the Implants in your hands, and having a chance to try the Implants out is crucial to determine which Implant is right for you!


My Next Blog Entry will be talking about Risks of Breast Augmentation Surgery, What to Expect after the Breast Augmentation Surgery & Recovery Times


To learn more about Implants, call to make a complimentary appointment with me at: (858) 457-8686

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The Download on FILLERS & FAT Injections

“Dermal Fillers” as more commonly known, are substances designed to rejuvenate the face and restore a more “youthful” appearance.  They “fill” the fine lines and wrinkles of common areas such as the “nasolabial” or “marionette” lines.  Fillers can also add volume to parts of the face, like the “lip” area, the “jawline” and the “cheek” areas.  



I anesthetize the patient’s areas with a numbing cream first, this takes anywhere from ten to twenty minutes.  Then, depending on the area I will be injecting, I choose different “depths” the injection will be going into the skin and into the soft tissue.  



I use Restylane and Juvederm the most, favoring Juvederm over Restylane.  Juvederm has proven to be softer, and less painful when injected to the patient.  There are many different types of fillers in the market available today.  Both Restylane and Juvederm are long-lasting fillers, they typically will last anywhere from five to up to eight or nine months, depending on the patient.  I also use Sculptra which is a longer lasting derma filler, however: I do not recommend permanent fillers (like silicone which is banned in the United States)

Juvederm is a Hyaluronic acid type of filler.  What this means is that the “hyaluronic acid” is a naturally occurring substance between the skin cells that binds moisture and provides fullness.  So “hyaluronic acid” type of fillers will be with time, broken up naturally by our body.  I use Juvederm to give lips a fuller appearance, to erase the fine lines just above the upper lip or the “smokers” lines, to erase the “marionette” lines, and also to get rid of any deep indentations in the face.



In good hands, like those certified to apply filler injections (best would be Board Certified Plastic Surgeons), the benefits are amazing.  In just minutes, fillers provide the face with a more youthful, radiant appearance. The down time is minimal, non-existent.  The only outcome might be bruising in the injecting site, and this might happen if the doctor who is injecting has little or no experience.  Personally I have been injecting patients for over 15 years,

Sculptra, is another filler I use as well.  Sculptra is designed to go deeper and to add volume and improve shape of the jaw, cheeck area, and chin.  

All these three fillers I use are FDA approved, and Im in the process of acquiring  Belotero, the newest filler in the market that has JUST been approved for use in the United States by the FDA.


I also perform fat injections.  Fat Injections use fat from one area of your body (that is usually undesired) to enhance another area, like your facial area.  Fat injections are the most natural, near-permanent means of augmenting or enhancing your face.  I usually take fat from the abdomen, thighs, hips or buttocks using liposuction techniques.  It is then processed, and re-injected to enhance your facial area.

I usually combine a Liposuction treatment with a Facial enhancement treatment, in this way I provide the patient with a complete Make-over!

Patients end up with amazing results from this procedure!  

Right after the procedure, the patient will immediately see the results in their facial area, although they will be exaggerated by the amount of swelling and fluid retention they will experience.  There might be a minor discomfort in the area where the fat was injected.  The patient will be swollen and bruised.  Cold compresses may be used to alleviate the discomfort.  Depending on the extent of the procedure, the downtime might range anywhere from several days to weeks of “down time.” 

The results of the fat injections are generally permanent, even though some of the fat will naturally be reabsorbed by the own body, within the first year after the treatment was performed.  This is why I usually over inject during the Fat Injections procedure, to give the patient a permanent look of youthful rejuvenation.

I commonly inject fat in the following areas:

The lips

Facial Creases and depressions 


Back of the hands to erase the “bony” appearance

Upper portion of the buttocks, to give it a “rounder” more natural, youthful look

Divets, defects and imperfections in the soft tissue, such as the breast area



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It was a pleasure writing this for you, my readers!  I will be injecting Botox this week for photos and video that will be updated in the Botox section!Image


Botox: All the Information you Need


It seems to be everywhere you go, your friends are talking about it, your sister has done it, your best friend is doing it!  What is Botox?  What are its effects?  Who should do it?  How long does it last?



Botox is a toxin (neurotoxin) produced but the Clostridium bacteria.  Although lethal in large quantities, its a naturally occurring substance, and in minimum quantities can be used very effectively in the Cosmetic industry.

The Botox injections only carry a small dose of the toxin, and is used to prevent the development of wrinkles by paralyzing facial muscles.



Botox Cosmetic Providers should be: Plastic Surgeons and Dermatologists.  These are two types of doctors that should be administering the Botox Injections.  There are dentists, cosmetologists, nurses and physician assistants that do this as well.


Botox is administered via injections.  The Plastic Surgeon, or doctor will first have a consult with the patient and talk about the desired outcome of Botox Injections.  At this time it would be good for you to let the doctor know exactly what type of “look” you would like from the injections.  This will help the doctor determine the way in which he will inject the Botox to your face.  Each patient is different, some like an “arched brow” look, others would want the forehead completely “frozen,” while other patients would go for a more “natural” look where some frown lines would be left visible.


In order to avoid pain from the injection, it is recommended that your doctor applies numbing medication  The numbing medication cream should be applied at least 20 to 30 minutes prior to the  application of the injections.  This will completely numb your skin, and will make you more comfortable during the procedure.


The Plastic Surgeon or doctor, will then inject the areas you desire:  your forehead “frown” area, the “crows feet” area or sides of your eyes, the area between your eyes, the sides of your nose, the upper lip  area (to get a more plumping effect in your lips).  


You won’t notice the results right away, the Plastic Surgeon or doctor will tell you that the results will be visible anywhere form four to five days after the procedure.  However, it might take up to two weeks to see the full results of Botox injections.  The day of the procedure, try to have at least six hours standing up or in an upright position before you lie down or go to sleep.


The wrinkle preventing effect of Botox injections normally lasts anywhere from three to four months, but in some patients it lasts up to six months.


Side effects are temporary, they include: paralysis of the wrong muscle group and allergic reaction. Minor bruising at the site of the injection might occur, but this is not a side effect of the toxin but rather the way the injection was administered.  Individuals who are pregnant or have egg allergies should avoid Botox injections.


Hope this was useful information.  Tomorrow I will be injecting a patient and will be doing a video to show you how I inject my patients with Botox.

Call my office to schedule your free consult at: 858-457-8686

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Leave any questions or comments you have!

Welcome to Plastic Surgery by Dr. Soltero!

Let me introduce myself, I’m Dr. Ron Soltero, a Plastic Surgeon from San Diego, CA.  I’ve been in practice in the San Diego/La Jolla area for over fifteen years.  I’m not only an experienced Plastic Surgeon but I have the three highest credentials needed for patients to feel safe when selecting a Plastic Surgeon:

Board Certified by the American Society of Plastic Surgeons (ASPS)

Member of  ASAPS (The American Society for Aesthetic Plastic Surgery )

Fellow of FACS (American College of Surgeons)

These three credentials, added to my experience as a Plastic Surgeon in my own  expansive Cosmetic & Reconstructive Plastic Surgery practice in Southern California, places me in a very interesting position, where I choose to become not only an Educator (Actual Professor of Microvascular Surgery, University of California, San Diego, vol.) but a Guide for Plastic Surgery patients.

Through this blog, it’s my objective to inform you of the most popular Plastic Surgery Procedures offered in the market. I will also guide you through the complicated maze when it comes to making the right decisions for your own safety, and deciding what’s a correct fit for YOU.

This blog was inspired by my wife, who is an avid advocate for “Natural” results, and for complete and unbias information given to all patients, to empower them to make the right decisions.

Nowadays, it’s so complicated to get the right information, most of our tastes are guided by Marketing groups who dictate what information is out there. The best way to find out about your surgeon is to do a thorough research in his credentials, and then schedule a consult to sit down and have a realistic talk about expectations and information on the desired procedure.

Visit my website to find out more about my practice, about Before and After pictures, and Videos of Plastic Surgery Procedures I have performed:

Leave comments, visit my Facebook Fan Page: or follow me via my informative tweets @drsoltero

Remember: the best recommendation always comes from your patients: that’s why “bedside manners” is one of the factors to take into consideration, together with the right credentials, when selecting a Board Certified Plastic Surgeon.

Consultations are also the most important point to consider once all of the above are met. Meeting your Plastic Surgeon, and making sure he takes the time to sit down with you and answer all your questions, is key to make sure you’re making the right choice.

Hope you’ve enjoyed my first post!  

You can call the office anytime to talk to one of our extremely professional Patient Consultants Ines Ustare, or Laura Valera at:

(858) 457-8686

Consultations are always complimentary, so schedule ahead of time, to make sure you take the time to sit down with me, and ask me about the procedures you are interested in, so we can have a candid talk where all your answers are met, and a realistic goal is set for you to look and feel your best!

We offer Financing for Patients on all Plastic Surgery Procedures.

Our offices are located close to the UTC Mall, in the San Diego area at:

4510 Executive Dr.
Ste. 105 A
San Diego, CA 92121

More to come this week on:

Botox Injections: All the inside Information

Fillers: Get the scoop on which one is the Best, lasts longer and looks natural

Implants: All The Information You Need

Liposuction vs. Liposculpture vs.Ultrasonic Liposuction

Tummy-Tuck: Mommy Makeovers

Facelift: Brow Lift, Eyelid Surgery, Mid-Facelift, Mini Facelift,Neck Lift,  all the facts on all Face Surgery Procedures