*

arm

*INDIVIDUAL RESULTS WILL VARY. IMAGES DO NOT CONSTITUTE A PROMISE OR REPRESENTATION OF ANY PARTICULAR OUTCOME OR EXPERIENCE.

Wouldn’t it be great to have the arms of a Greek god without the hours of pain at the gym? Now, this dream can be a reality. In Dr. Chugay’s bicipital augmentation procedure, you can gain the bulk and definition in the biceps region that you’ve always wanted.

Long used for reconstruction of the upper arm after trauma and cancer surgeries, biceps implants have been used as a mainstay of creating bulk in the upper arm. Dr. Chugay has taken the idea of the biceps implant and taken it further…developing an implant that is not only anatomically sound but aesthetically pleasing.

What is the Word on Silicone?

Silicone is a generic term for a family of polymers derived from the element silicon (Si). Silicone is biologically inert. There are two major types of medical-grade silicone: liquid and solid. The breast implant controversy involved liquid silicone encapsulated in a hard shell. When the implant leaked, liquid silicone was dispersed in the body, often producing problems.

It is a fact, however, that solid silicone will not “leak out.” Furthermore, there have been absolutely no clinical findings of cancer risk from solid (or recently – even liquid silicone). Plastic surgery savvy customers know that many facial implants, including chin, cheek and jaw are usually made of soft solid silicone. The conclusion: solid silicone is just as safe as basically any other implant material. However, you should always remember that a foreign material is not a part of your body – there will always be risk for infection, implant migration, and local tissue reaction.

The Procedure

A cut is made in the armpit region and the fascia overlying the biceps muscle is identified. Next, a cut is made in this fascia to gain access to the biceps muscle. Using blunt dissection, a pocket is created just below the biceps muscle on top of the long bone of the upper arm.

The implant is then placed in this pocket. The muscle lining is sutured with absorbable sutures and subcuticular sutures are used to close the skin. Over time, the implant becomes surrounded by a scar tissue pocket, where it stays for the rest of the person’s life.

Read Dr. Chugay’s Article on Bicep Augmentation in the American Journal of Cosmetic Surgery.

What is Unique About Dr. Chugay’s Technique?

A Word on Blunt Dissection

Remember: the hallmark of Dr. Chugay’s methodology in any operation is the dissection. Whenever possible, Dr. Chugay will use blunt instruments. Although this does prolong the operative time, the benefits to the patient are numerous:

  • There is less risk of injury to tendons, nerves, blood vessels and other tissues
  • There is less bleeding
  • There is less risk of hematoma or seroma (fluid accumulation at the surgical site)
  • You will heal faster
  • Your bodily tissues will suffer less shock.

It is unfortunate that most surgeons still prefer to use sharp instruments; hopefully, as time goes by, more physicians will learn the intricacies of the blunt dissection technique.

Suturing: Can Your Scar be Less Noticeable?

The answer is a resounding: “YES!” Dr. Chugay in most procedures (whenever possible) will use subcuticular sutures. They are dissolvable and hidden UNDER the skin, not on TOP of it! This minimizes post-operative scarring, making the incision almost un-noticed by the untrained eye.

What does Artistry have to do with it?

Everything. In Muscle Augmentation, artistry comes into play both during conceptualization and execution. Dr. Chugay will consider every factor: your body type, symmetry, proportions, the desired result and the most effective outcome with the least invasive action. Unique implant designs are created and proposed implant locations are selected. Finally, a custom-made implant, created just for you, will be manufactured and skillfully inserted to give you the look you’ve always wanted.

Anesthesia

Dr. Chugay utilizes a combination of local anesthesia and IV sedation. You will be asleep and comfortable during the procedure. The risky general anesthesia is not used. Dr Chugay is pleased to offer Goldilocks Anesthesia.

IV sedation:

  • Is Less Risky
  • Assures Quicker Recovery
  • Causes Less Nausea and Vomiting

Many surgeons still utilize general anesthesia. After all, the patient is completely paralyzed and is easier to work on. However, surgeon’s ease does not translate to the patient’s advantage. Another reason why so many surgeons choose general anesthesia over IV sedation is the experience of their anesthesiologist. It takes more experience to administer IV sedation. Many anesthesiologists and nurses anesthetists do not know how to handle it properly. Many anesthesiologists have little practical experience with sedation. It takes a lot of skill to make certain that patients are comfortably asleep and do not wake up during surgery.

Additional Resources

Check out our youtube videos for lots of amazing stuff on various procedures.

http://www.youtube.com/user/drchugay