Deltoid augmentation is a procedure for those that wish to have more bulk and definition in the area of the upper arm. Previously used in patients in need of shoulder reconstruction after trauma or cancer surgery, deltoid prostheses have been used to safely produce bulk in the shoulder region. Now, Dr. Chugay has perfected an aesthetically pleasing implant to not only give bulk to the deltoid region, but also to give definition and shape.

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

An incision is made in the area of deltoid muscle. The fascia (outer covering of muscles) that envelops the muscle is then dissected out. An incision is made in this fascia.
The implant is then placed in the pocket just below the fascia of the muscle. 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.

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.


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