Latest news with #ShaferClinic
Elle
05-08-2025
- Health
- Elle
Derms Reveal What Really Works for Cellulite—and What Doesn't
Every item on this page was chosen by an ELLE editor. We may earn commission on some of the items you choose to buy. We're in the peak of summer, which means lighter layers, lots of sunscreen, and happy hours everywhere. It also means showing off much more skin, with curves and tan lines peeking out from our two-piece swimsuits or shorts. When looking in the mirror, some may not notice any changes, while others might see a slight development of cellulite. It's no secret that cellulite hasn't had the best PR, leading many of us with the dimpled appearance on our bodies to search high and low for relief. Results include a laundry list of products that claim to firm, tighten, and eliminate cellulite altogether. Luckily, we're here to quiet the storm brewing in your head. A hard truth: cellulite can't be fully eliminated, but it can be effectively managed and treated with the right products, tools, and at-home routines. Ahead, we tapped NYC-based board-certified dermatologist Dr. Dendy Engelman to learn all about cellulite and which at-home practices and products are best for treating it. Not to be confused with stretch marks or 'tiger stripes,' as many would call them, cellulite 'is a common, harmless skin condition that occurs when fat cells beneath the skin push up against connective tissue, causing the skin above it to pucker or dimple,' explains Dr. Engelman, a board-certified dermatologist at Shafer Clinic. If your summer uniform consists of wearing bikinis and shorts a lot, you might have noticed the dimpled appearance on your lower body, including thighs, butt, and hips, 'and sometimes the abdomen or arms,' Dr. Engelman adds. 'Cellulite is more prevalent in women than men due to differences in how fat, muscle, and connective tissue are distributed. In women, the connective tissue is arranged vertically, which makes it easier for fat cells to push through and create that dimpled appearance. Hormonal factors, genetics, and lifestyle can also influence its visibility. That said, cellulite is incredibly common and can affect people of all shapes, sizes, and fitness levels,' she notes. Dr. Engelman assures that cellulite is nothing to be worried about. In fact, 'it's a completely normal anatomical response influenced by hormones (especially estrogen), genetics, age, and even lifestyle factors such as diet and activity level. As we age and our skin loses elasticity, cellulite can become more visible. Reduced collagen production, decreased circulation, and changes in lymphatic flow can all contribute to its appearance,' she explains. Short answer? No. 'Cellulite is not something we can fully 'eliminate,' but we can minimize its appearance through a combination of lifestyle practices and topical or in-office treatments,' Dr. Engelman shares. The skin care market is ripe with corrective formulas that can improve the overall look and firmness of skin. However, it's important to be realistic about the results expected. 'No treatment, topical or otherwise, offers a permanent solution, as it is an important function of a healthy body. Cellulite is complex and multifactorial, so managing expectations and committing to consistent care is key. Improvement is possible, but long-term maintenance is typically required,' she advises. 'When it comes to treating cellulite, the most effective topical ingredients are those that stimulate circulation, reduce inflammation, and improve skin firmness and elasticity,' Dr. Engelman says. Think of your most firming, lifting, and plumping products, and there will likely be a common denominator: caffeine. 'Caffeine is one of the most popular and effective ingredients because it acts as a vasoconstrictor, temporarily tightening the skin, reducing puffiness, and increasing blood flow to targeted areas,' she explains. Of course, very few ingredients improve the overall look and texture of skin quite like retinol: 'A derivative of vitamin A, it supports long-term collagen production and skin cell turnover, which helps thicken the skin and improve its overall texture, making cellulite less visible over time. Peptides are another similar key group of ingredients that work by signaling the skin to produce more collagen and elastin, ultimately helping to firm and smooth the surface.' Dr. Engelman adds that 'botanical extracts like Centella Asiatica, also known as gotu kola, are valued for their ability to improve microcirculation and support connective tissue.' Dr. Engelman advises using the aforementioned ingredients, but also suggests Arnica Montana extract, which she says isn't a traditional cellulite treatment but offers impressive results. 'It's known for its anti-inflammatory and soothing properties. Products like Arnicare Roll-On, which contain arnica, may help reduce puffiness and tenderness in areas prone to cellulite, especially when used after massage or physical activity,' she adds. However, she maintains that 'products with caffeine and retinol are among the most studied and effective for firming and smoothing the skin when used over time.' It takes more than just a cream or a massage tool to yield the results you desire. 'The best way to manage and reduce the appearance of cellulite is through a well-rounded approach that includes lifestyle habits, skin care, and, for some, in-office treatments. Regular massages, whether manual or with a roller, can help stimulate blood flow and encourage lymphatic drainage, both of which support healthier-looking skin and may reduce fluid retention,' Dr. Engelman instructs. You know what else helps? Water. 'Staying hydrated is also essential, as it helps keep the skin plump and supports proper lymphatic function.' Additionally, 'exercise, particularly strength training, builds muscle tone and minimizes the appearance of fat deposits that contribute to cellulite,' she says, adding that dry brushing could help boost circulation as it exfoliates. 'Lastly, a balanced, anti-inflammatory diet that's low in excess sugar and processed foods can improve skin quality and reduce bloating and water retention, all of which contribute to a smoother, healthier look,' she advises. 'If cellulite is the root cause of your skin concerns and you're seeking more dramatic, targeted improvement, professional treatments can be a game-changer,' Dr. Engelman explains. 'One option I recommend looking into is EMTONE, an FDA-approved cellulite treatment that combines targeted pressure energy with radio frequency to help tighten the skin. It works by stimulating circulation, breaking down fibrous bands, and helping the body eliminate fluid and waste retention, all of which contribute to the appearance of cellulite. It is non-invasive and works well for patients who want visible smoothing without surgery or downtime.' 'There are many creams and serums on the market targeted at cellulite, but the key is finding products that include active ingredients supported by science and that you'll actually use consistently,' she shares. This means looking beyond products traditionally designed for cellulite and paying attention to specific ingredients, such as retinol, peptides, and caffeine. Dr. Dendy Engelman is a NYC-based board-certified dermatologist at Shafer Clinic in Manhattan. As a leading publisher of fashion, lifestyle, and beauty content, is committed to highlighting the best products in various categories by personally testing the latest and most innovative products, interviewing countless experts, and vetting customer-loved items. For this piece, beauty editor Nerisha Penrose consulted a dermatologist to learn how cellulite is formed and how to effectively treat it at home.
New York Post
23-07-2025
- Health
- New York Post
Dermatologist reveals ‘biggest blind spot' people have about skin care: ‘It really is the gold standard in anti-aging'
Is your 10-step skincare regimen all style and no substance? 'I'm always a little surprised at how many people will invest in high-end treatments or complex routines, but skip the fundamentals,' Dr. Dendy Engelman, a board certified dermatologist at Shafer Clinic Fifth Avenue, told The Post. Engelman often sees three glaring skincare slip-ups — including one simple mistake that could be quietly sabotaging your pricey products. Here's how to avoid them. 4 Dr. Dendy Engelman is based in New York City. Tamara Beckwith #1. Retinol regret 'One of the biggest blind spots I see is retinol,' Engelman said. Retinol — the milder, over-the-counter cousin of prescription-strength retinoids — is a vitamin A-derived powerhouse that tackles everything from fine lines to acne. 'It's a cornerstone for increasing cell turnover, smoothing texture, improving pigmentation and stimulating collagen,' Engelman explained. 'It really is the gold standard in anti-aging.' Still, most people aren't using it. Studies show only about a quarter of American women and one in ten US men include retinol in their skincare routines. 'It's one of the most well-studied ingredients we have in dermatology, and yet people are still hesitant, either because they've had one bad experience or because they're worried about irritation,' Engelman said. 'The truth is, there are so many elegant, buffered formulations now that make retinol incredibly accessible, even for sensitive skin,' she added. While retinol can cause irritation like redness, itchiness and peeling, simple steps can help minimize these side effects. 4 Retinol is a common ingredient added to skin creams, lotions and serums. zigres – If you're just starting out, try using retinol every other or every third night and gradually working up to daily use, according to the Cleveland Clinic. Waiting about 30 minutes after washing your face before applying retinol can reduce irritation. For sensitive skin, applying moisturizer first can also help by creating a protective buffer that can prevent discomfort. #2. Exfoliation overload 'People love that fresh, squeaky-clean feeling, but more isn't always better,' Engelman said. Your skin naturally sheds dead cells every 30 days, but when those cells don't fully slough off, it can lead to problems like dryness, clogged pores and hyperpigmentation. Exfoliating — whether with chemicals, scrubs or tools — helps clear the buildup, revealing a brighter, smoother complexion. Over time, exfoliating can even boost the production of collagen, the protein that keeps skin firm, elastic, and wrinkle-free. But going overboard can backfire. 4 Before exfoliating, make sure to wash your face with a gentle cleaner. Svitlana – 'I see a lot of patients with compromised skin barriers because they're using too many acids, too frequently, or layering physical and chemical exfoliants without realizing the cumulative effect,' Engelman said. The result? Inflamed, reactive skin that's more prone to breakouts and dullness. 'Exfoliation should be thoughtful, not aggressive,' Engelman warned. 'It's about supporting the skin, not scrubbing it into submission.' For oily or normal skin, experts generally recommend exfoliating 2-3 times a week. If your skin is dry or sensitive, you may only need to do it once per week. 4 While skipping washing your face one night probably won't cause lasting damage, consistently neglecting this step can harm your skin's health and appearance. Salute Studios – #3. Clueless cleansing In surveys, a staggering 80% of Americans admit to making at least one mistake when cleansing their face — including half of men and women who regularly skip washing before bedtime. 'It sounds so basic, but so many people do a quick once-over with a wipe or skip a proper cleanse altogether if they're tired,' Engelman said. Failing to wash your face, especially if you wear makeup, can lead to clogged pores, breakouts, dullness and premature aging over time. Experts recommend washing your face with a gentle cleanser in the morning and at night to remove sweat, oil, dirt and debris that build up throughout the day and while you're asleep. If you wear makeup or sunscreen, Engelman advises double cleansing at night. 'An oil-based cleanser first, then a gentle second cleanse to remove residue,' she said. 'It helps keep the skin clear, the barrier intact, and preps the skin to actually absorb your serums and treatments. Without that clean canvas, even the best products won't perform.' 'At the end of the day, I'd always rather see someone with a few consistent, thoughtful steps than a long, chaotic list of products that don't work well together,' Engelman said. 'Skin thrives on consistency, not overwhelm.'
Yahoo
02-07-2025
- Health
- Yahoo
How To Patch Test a New Skincare Product Correctly, According to Dermatologists
It's an all too common scenario: You're excited to try your new skincare product, whether it's an eye cream, serum, moisturizer, or body cream, and slather it all over, only to find yourself with a rash a few hours later. The reality is that skin reactions do happen, but there is an easy way to avoid them—patch testing. 'It's a good idea to patch test products when using them for the first time, especially if you have sensitive skin, to identify any adverse reactions before you apply the product to a larger area,' says Dendy Engelman, MD, FACMS, FAAD, board-certified cosmetic dermatologist and Mohs surgeon at the Shafer Clinic in New York City. 'It's a safer way to ensure a product is compatible with your skin before regular use.' Now you're probably wondering, what is patch testing exactly? To help break down the procedure, we turned to two dermatologists to get the scoop, including the best way to do it at home. Below, learn everything there is to know about patch testing. Dendy Engelman, MD, FACMS, FAAD, is a board-certified cosmetic dermatologist and Mohs surgeon at the Shafer Clinic in New York City. Kseniya Kobets, MD, is the Director of Dermatology at Montefiore Einstein Advanced Care.'Dermatologists or allergy doctors often use patch testing to determine if a specific ingredient or substance can be causing someone to have rashes or skin reactions from contact with the skin, skincare, or the environment,' says Kseniya Kobets, MD, Director of Dermatology at Montefiore Einstein Advanced Care. The test is applied in the office and includes a series of 'patches' of concentrated allergens that come into direct contact with the skin. This is typically applied as a bandage with six to twelve patches per strip. "It's checked over a few days to a week to check for a reaction or delayed reaction on your skin after exposure to common and reported allergens," explains Dr. Kobets. While the in-office treatment is recommended by experts, you can also try to patch test at home. According to Dr. Kobets, you should apply a small amount of a cream or other topical you'd like to test to the inner part of your arm and monitor if it causes a reaction within hours to 24 hours. However, she warns that this is not a precise method. At-home testing involves using a product that can contain various ingredients. If you do have an allergy, you wouldn't know which component is causing the reaction. In-office patch testing, on the other hand, uses individually identified allergens at higher concentrations, which are more likely to show a reaction and offer a more targeted result. It's best to do a patch test every time you try a new hair or skin product, especially if you have sensitive skin or a history of atopic dermatitis or eczema. 'It's also important to test products that contain active ingredients or fragrances, which are more likely to cause irritation,' says Dr. Engelman. 'Patch testing is best done at least 24 to 48 hours before using the product widely, to give enough time to spot any reaction.' If you choose to perform a patch test at home, Dr. Engelman shares these step-by-step instructions: Choose a small, discreet area of skin to test, such as behind the ear, the inner forearm, or your foot. Apply a small amount of the product to that spot, spreading it thinly and evenly. Cover the area with a bandage or leave it uncovered if the product dries quickly. Wait at least 24 to 48 hours without washing or disturbing the spot. Check the area for any signs of redness, itching, swelling, or irritation. If there's no reaction, the product is likely safe to use on your skin. If irritation appears, avoid using the product and consult a dermatologist if needed. After completing these steps, it is important to take action should a reaction occur. 'It will be easy to tell if a patch test reveals an adverse reaction—you'll likely notice redness, itching, small bumps, and/or unusual warmth, which can signal early irritation,' Dr. Engelman says. 'If your patch test causes a reaction, stop using the product right away and gently wash the area with cool water and a fragrance-free cleanser. Applying a gentle, fragrance-free moisturizer can help soothe the skin. If the reaction gets worse or doesn't improve in a day or so, consult your dermatologist for guidance.' It's important to note that you can still have a delayed reaction even if your patch test showed no immediate issues. 'Some sensitivities develop slowly and may only appear after repeated or prolonged use of a product,' Dr. Engelman says. 'The patch test checks for quick reactions but doesn't always catch long-term irritation or allergies. Always watch your skin closely when trying something new, even after a clear patch test.' If you have a history of reactive skin and it is only getting worse over time, then Dr. Kobets suggests getting a professional patch test in consultation with a dermatologist. As far as what to expect during a professional patch test, the process is fairly straightforward. A dermatologist will typically apply standard allergens on your back unless you already have an active rash, acne, or reaction on the area. 'You're advised to avoid exposure to sun and moisture, avoid scratching, and to come back at a specific time throughout the week for the first reading at 48 hours and then a second reading at 72 to 96 hours,' Dr. Kobets explains. Your dermatologist or allergist may ask you to avoid specific medications, such as antihistamines and topical or oral steroids, for a specific number of days before the testing, as they can interfere with the results, adds Dr. Kobets. 'You may want to keep a list of products you're allergic to or sensitive to, and note a common unifying ingredient that reappears in all of these,' she adds. If you have sensitive skin or suspect a new product may trigger a reaction, patch testing is a good idea. Going the DIY route can be fine, but keep in mind that it won't always accurately predict a reaction. 'You should see a professional for a patch test if you have persistent or severe skin reactions that don't improve with home care,' Dr. Engelman says. 'It's especially important if you experience widespread redness, swelling, blistering, or intense itching after using products. A dermatologist can perform a more thorough patch test to identify specific allergens or irritants. They can also recommend personalized treatment and help you avoid triggers in the future.' Read the original article on Byrdie
Yahoo
04-06-2025
- Entertainment
- Yahoo
Kylie Jenner Shared Her Breast Implant Sizing. We Asked Plastic Surgeons to Explain
Getty Images Kylie Jenner is getting transparent about the plastic surgery she's done. In a now viral TikTok comment, the beauty mogul shared the exact details and sizing of her breast implants. She even went a step further and shared the name of the doctor she used for the job: Garth Fisher, MD. On June 2, British YouTuber Rachel Leary posted a public callout on TikTok for Jenner to share the specifics of her boob job. 'Girl, please can you tell us what it is you asked for when you had your boobs done?' Leary said in the video. 'To me, you've got what I am looking for to have done in terms of a boob job. It's the most perfect, natural looking boob job ever. They're still big, but whatever way you had the implants, if they are implants, or if you had fat transfer, to me it is perfection. That is what I aspire mine to look like.' Ask and you shall receive. A day later Jenner, 27, responded in the comments from her verified account. '445 cc, moderate profile, half under the muscle!!! silicone!!! garth fisher!!! hope this helps lol.' It's clear Leary wasn't the only one who wanted Jenner's boob job deets. Fans in the comments expressed their gratitude for the information, sharing they also wanted the same look. 'Never saved something so fast in my life,' one wrote, while another praised Jenner's transparency. 'I love this. I didn't even know you could get half under the muscle! She a girls girl for sure.' But before you go running to book your appointment for Jenner's exact measurements, David Shafer, MD, a double board-certified plastic surgeon and founder of Shafer Clinic Fifth Avenue in NYC, says it's not that simple. For starters, it's important to keep in mind that plastic surgery is very specific to each person's unique body. 'When you look at what she had done and then with breast augmentation in general, you have to caution patients a little bit. Just because she had 445 ccs doesn't mean another person who got 445 ccs would have the same result that she has, because with implants, you need a match to the patient's anatomy,' says Dr. Shafer. However, using Jenner as inspiration is a good starting point. Dr. Shafer always encourages patients to come in with references during consultations. 'I like to talk to patients about their goals and expectations. I love to see inspiration pictures. So their inspiration board, bring a picture of Kylie or maybe bring a picture of somebody where they don't like how it looks.' If you want a look similar to Jenner's, your plastic surgeon can help find the right specs and sizing that makes sense for you. 'If you're somebody with a different body shape or size than Kylie and you put 445 in them, it's not going to look the same,' explains Dr. Shafer. 'You're looking more at the ratio of their chest diameter, their height, the size of the implants, the implant projection height, low, moderate or high to help kind of simulate maybe what Kylie had. But the number size of the implant might actually be different to get the same kind of ratio for the patient.' All that being said, Dr. Shafer says Jenners transparency is a good thing—and he hopes other celebs follow suit. 'So many times celebrities have stuff done and then they deny it, and it makes people who have never had anything done feel like there's something wrong with their body,' he says. 'When they're open about it, it really helps people feel like it's okay to search things out. It's okay to have procedures done when you go to the right people. And naming the doctors is also great because then they can look into that person or somebody with similar qualifications closer to where they live.' If you're curious about Jenner's boob job specifics and what they mean, we asked top plastic surgeons to break it down below. 'Kylie had 445 ccs, which is the size of the implant,' says Dr. Shafer. According to board-certified plastic surgeon Anthony Berlet, MD, this typically results in a full D cup, 'though the final look always depends on the patient's starting point and anatomy.' 'And then there's the profile of the implant. She had a moderate profile, and that's the most common,' says Dr. Shafer. In breast augmentation, there is low profile, moderate profile, and high profile, which describe how far the breast sticks out from the body and how wide the implant is. 'You're going to want to match this to the patient's body because someone who is shorter and wider, you might want to use a lower-profile implant so that it matches the width of their breast. But if you had a tall, thin person and you put a low-profile wide implant in them, it would be extending into their armpit,' says Dr. Shafer. According to Dr. Berlet, Jenner most likely used a standard breast augmentation technique called a dual-plane placement. 'Meaning the implant sits partially under the chest muscle and partially beneath the natural breast tissue,' he says. 'This approach helps the implant settle into a more natural, teardrop-like shape.' Dr. Shafer echoes that statement. 'Half under the muscle is typical for doing breast augmentation,' he says. 'When you put the implant just under the skin, especially if you have really thin skin, it can look almost like an apple with Saran Wrap on it." Placing the implant half under the muscle provides cushioning and a more natural look. 'If you just put it under the muscle and left the muscle connections at the bottom, the implant gets pushed up too high because the muscle's holding it up,' explains Dr. Shafer. 'So you divide the muscle on the bottom half of the breast just so the implant can relax and settle and have a more natural shape.' There are two main types of breast implants: silicone and saline. Both are encased in a silicone shell. Saline has salt water inside, while silicone is filled with cohesive silicone. 'And all modern implants now are a cohesive silicone,' says Dr. Shafer. 'It's kind of semisolid, so it holds its form, it holds its shape. And then how cohesive it is determines how stiff the implants are. So choosing which type of cohesiveness is also important for patients.' On Instagram Stories, Dr. Fisher confirmed that he used Natrelle silicone implants from Allergan Aesthetics for Jenner's augmentation. Originally Appeared on Glamour Body talk Why getting a breast reduction was the best decision I ever made If you survived the early 2000s without body issues, congratulations Selena Gomez wore a bikini on vacation. The comments are appalling. The very unwelcome return of eating disorder culture
Yahoo
04-06-2025
- Entertainment
- Yahoo
Kylie Jenner Shared Her Breast Implant Sizing. We Asked Plastic Surgeons to Explain
Getty Images Kylie Jenner is getting transparent about the plastic surgery she's done. In a now viral TikTok comment, the beauty mogul shared the exact details and sizing of her breast implants. She even went a step further and shared the name of the doctor she used for the job: Garth Fisher, MD. On June 2, British YouTuber Rachel Leary posted a public callout on TikTok for Jenner to share the specifics of her boob job. 'Girl, please can you tell us what it is you asked for when you had your boobs done?' Leary said in the video. 'To me, you've got what I am looking for to have done in terms of a boob job. It's the most perfect, natural looking boob job ever. They're still big, but whatever way you had the implants, if they are implants, or if you had fat transfer, to me it is perfection. That is what I aspire mine to look like.' Ask and you shall receive. A day later Jenner, 27, responded in the comments from her verified account. '445 cc, moderate profile, half under the muscle!!! silicone!!! garth fisher!!! hope this helps lol.' It's clear Leary wasn't the only one who wanted Jenner's boob job deets. Fans in the comments expressed their gratitude for the information, sharing they also wanted the same look. 'Never saved something so fast in my life,' one wrote, while another praised Jenner's transparency. 'I love this. I didn't even know you could get half under the muscle! She a girls girl for sure.' But before you go running to book your appointment for Jenner's exact measurements, David Shafer, MD, a double board-certified plastic surgeon and founder of Shafer Clinic Fifth Avenue in NYC, says it's not that simple. For starters, it's important to keep in mind that plastic surgery is very specific to each person's unique body. 'When you look at what she had done and then with breast augmentation in general, you have to caution patients a little bit. Just because she had 445 ccs doesn't mean another person who got 445 ccs would have the same result that she has, because with implants, you need a match to the patient's anatomy,' says Dr. Shafer. However, using Jenner as inspiration is a good starting point. Dr. Shafer always encourages patients to come in with references during consultations. 'I like to talk to patients about their goals and expectations. I love to see inspiration pictures. So their inspiration board, bring a picture of Kylie or maybe bring a picture of somebody where they don't like how it looks.' If you want a look similar to Jenner's, your plastic surgeon can help find the right specs and sizing that makes sense for you. 'If you're somebody with a different body shape or size than Kylie and you put 445 in them, it's not going to look the same,' explains Dr. Shafer. 'You're looking more at the ratio of their chest diameter, their height, the size of the implants, the implant projection height, low, moderate or high to help kind of simulate maybe what Kylie had. But the number size of the implant might actually be different to get the same kind of ratio for the patient.' All that being said, Dr. Shafer says Jenners transparency is a good thing—and he hopes other celebs follow suit. 'So many times celebrities have stuff done and then they deny it, and it makes people who have never had anything done feel like there's something wrong with their body,' he says. 'When they're open about it, it really helps people feel like it's okay to search things out. It's okay to have procedures done when you go to the right people. And naming the doctors is also great because then they can look into that person or somebody with similar qualifications closer to where they live.' If you're curious about Jenner's boob job specifics and what they mean, we asked top plastic surgeons to break it down below. 'Kylie had 445 ccs, which is the size of the implant,' says Dr. Shafer. According to board-certified plastic surgeon Anthony Berlet, MD, this typically results in a full D cup, 'though the final look always depends on the patient's starting point and anatomy.' 'And then there's the profile of the implant. She had a moderate profile, and that's the most common,' says Dr. Shafer. In breast augmentation, there is low profile, moderate profile, and high profile, which describe how far the breast sticks out from the body and how wide the implant is. 'You're going to want to match this to the patient's body because someone who is shorter and wider, you might want to use a lower-profile implant so that it matches the width of their breast. But if you had a tall, thin person and you put a low-profile wide implant in them, it would be extending into their armpit,' says Dr. Shafer. According to Dr. Berlet, Jenner most likely used a standard breast augmentation technique called a dual-plane placement. 'Meaning the implant sits partially under the chest muscle and partially beneath the natural breast tissue,' he says. 'This approach helps the implant settle into a more natural, teardrop-like shape.' Dr. Shafer echoes that statement. 'Half under the muscle is typical for doing breast augmentation,' he says. 'When you put the implant just under the skin, especially if you have really thin skin, it can look almost like an apple with Saran Wrap on it." Placing the implant half under the muscle provides cushioning and a more natural look. 'If you just put it under the muscle and left the muscle connections at the bottom, the implant gets pushed up too high because the muscle's holding it up,' explains Dr. Shafer. 'So you divide the muscle on the bottom half of the breast just so the implant can relax and settle and have a more natural shape.' There are two main types of breast implants: silicone and saline. Both are encased in a silicone shell. Saline has salt water inside, while silicone is filled with cohesive silicone. 'And all modern implants now are a cohesive silicone,' says Dr. Shafer. 'It's kind of semisolid, so it holds its form, it holds its shape. And then how cohesive it is determines how stiff the implants are. So choosing which type of cohesiveness is also important for patients.' On Instagram Stories, Dr. Fisher confirmed that he used Natrelle silicone implants from Allergan Aesthetics for Jenner's augmentation. Originally Appeared on Glamour Body talk Why getting a breast reduction was the best decision I ever made If you survived the early 2000s without body issues, congratulations Selena Gomez wore a bikini on vacation. The comments are appalling. The very unwelcome return of eating disorder culture
