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Here, commonly asked questions will be addressed as well as insights on a broad spectrum of topics which will educate and guide you on your plastic surgery journey.

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Breast Implant Illness

Breast Implant Illness An Entry Point and Center of Excellence The office of James J Romano MD   INTRODUCTION Dr Romano offers an entry point and center of excellence for women with breast implant related issues. This involves education, imaging, examination, testing, surgery, pathology analysis and follow up. His patients think of this as a… Breast Implant Illness
(BII)“>Read more »


NEW AND EXCITING CHANGES IN BREAST AUGMENTATION INCISIONS JAMES ROMANO MD INTRO There has been an explosion recently in the very new science in choosing a breast implant surgery incision. This comes from directly all of our new information about biofilm and its direct relationship to infection, but mostly, the most feared side effect of… NEW AND EXCITING CHANGES

Fat Grafting Breast

Fat Grafting Breast HISTORY Fat grafting to the breast can be traced back to as early as 1893 with a long trail of published articles. It did not really become popular until 1987 with anecdotal reports of procedures by Mel Bircoll MD in Los Angeles. That same year our society the ASPS put a two-year… Fat Grafting Breast“>Read more »

The Natural Breast

Creation of The Natural Breast James Romano, MD I continuously receive compliments about The Natural Breast results I obtain. This is because I never take for granted how women trust me to operate on a most important part of their body; the breast. Whether this involves breast enlargement, breast reduction, breast lift, or breast deformities… The Natural Breast“>Read more »

Biofilm and Breast Implant

Biofilm and the science of this is a rapidly emerging microbial concept that all medical specialties are learning more about and having to deal with. It is relatively new and the subject of intense research. Essentially you can think of this as “communities” of bacterial microbes that are locked into a polysaccharide (basically sugar) matrix,… Biofilm and Breast Implant
Contracture“>Read more »


Dr. James Romano has compiled important information relating to plastic surgery. All documents can be downloaded and viewed with Adobe Reader. Air Travel Instructions Artefill Treatment Botox FDA Breast Compression Exercises Breast Foam Roller Exercises Breast Implant Contracture Breast Implant Follow-Up Computer Imaging Eye Blepharitis Eye Pinkeye Facelift Theory Fat Grafting FAQs Gynecomastia Info Hair… Downloads“>Read more »

Education and Reassurance on BIA-ALCL
(Breast Implant Associated Anaplastic Large Cell Lymphona)

There is a lot of conversation and publicity about Breast Implant Associated (BIA) Anaplastic Large Cell Lymphoma (ALCL), so Dr. Romano wanted to post this to educate and reassure patients that this is not a major issue BECAUSE it is rare, readily identifiable if it occurs and is curable. So read on.  What is BIA-ALCL?… Education and Reassurance on BIA-ALCL
(Breast Implant Associated Anaplastic Large Cell Lymphona)“>Read more »

The Real Reason Why We Gain Weight

In order to get rid of fat for good, it’s important to understand what it really is and how it originates. There are a million different buzz words thrown around that make it confusing as to what and when to eat it to lose weight. But, what it really comes down to is this: if… The Real Reason Why We Gain Weight“>Read more »

Breast Reconstruction After 65

When it comes to breast reconstruction surgery, age is nothing but a number – for the most part. A recent study published in Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons, found that older women do not have an increased overall risk of complications from breast reconstruction after… Breast Reconstruction After 65“>Read more »

Breast Implants
Choosing the Right Size

Choosing to go under the knife for breast augmentation is a big enough decision, but the decision-making certainly doesn’t end there. Your lifestyle. If you are actively involved in sports, yoga or other physical activities, the size and weight of larger implants may be a hindrance. How natural? A natural breast has a particular slope… Breast Implants
Choosing the Right Size“>Read more »

Facts About
Plastic Surgery

The latest American Society for Aesthetic Plastic Surgery Statistics on Cosmetic Surgery demonstrated that 2014 was a big year for plastic surgery. While it wasn’t surprising to see procedures like butt augmentations and chemical peels on the list of the most popular procedures, there were five things in that report that were quite fascinating. Liposuction… Facts About
Plastic Surgery“>Read more »

Facial Liposuction

Facial liposuction and contouring is growing in popularity among patients who are looking to create a more youthful appearance. Just like any other area of the body, your face can harbor unwanted pockets of fat cells that can be resistant to diet and exercise. The localized fatty accumulation is typically not a sign of aging,… Facial Liposuction
Surgery“>Read more »

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