Honolulu Hawaii Plastic Surgeon
Dr. Michael Anthony Pasquale D.O.
Implant Size Revision | Capsular Contracture | Symmastia
Bottoming Out | Ruptured Implant | Double Bubble
Dr. Michael Pasquale is one of Hawaii's best cosmetic plastic surgeons in Hawaii and the world. His unique combination of education and experience give him special qualifications and insight into cosmetic plastic surgery.
Of special note, Dr. Pasquale is one of the few plastic surgeons in the world who has not only completed a full residency in plastic surgery but has also earned a 2-year training certificate specifically in the subspecialty of cosmetic surgery. 
He earned this certificate in Manhattan N.Y., at NYU Downtown Hospital, under some of New York’s leading cosmetic and plastic surgeons. In addition to his training in plastic surgery, Dr. Pasquale is an osteopathic physician and surgeon (D.O.), which means he has had additional training in manual medicine techniques and alternate medicine. This holistic medical education has given him a deeper understanding of medicine and knowledge about newer concepts of health.
"Plastic Surgery is a specialty of art, creation, psychology and true considerate human understanding."
First and foremost as a surgeon, I am required to apply my rational surgical skills using sound science, good technique, and meticulous attention to detail to every case. As a plastic surgeon, I have developed the understanding to seek creative solutions to extremely complex problems, such as a paralyzed face or limb, with science. As an Osteopathic Surgeon I seek to understand the mind-body relationship of an individual patient and the psychology that is at work. As a cosmetic surgeon I always seek to treat with an artistic appreciation of form, beauty and attractiveness. As for my patients, I strive to never forget that it is an honor and privilege to gain their trust and do all that I can to keep that trust sacred.
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> Implant Volume / Size Revision
Patients with saline implants who aren't happy with the volume or size of their breasts can elect to have revision surgery to add or remove saline from their implants. Silicone patients would have to purchase a new silicone implant in the desired size.
> Capsular Contracture
This is the most common complication for breast implant patients. A capsule is the fibrous tissue that grows around the breast implant (as with any foreign object placed in the body).
> Symmastia
The breasts appear too close at the center and the implants can appear to be touching each other. Symmastia (aka - uniboob, breadloafing) occurs only when an implant is placed under the muscle (submuscular) and the pectoralis muscle is severed from the sternum.
> Bottoming Out
Breast implants that have bottomed out can have nipples that appear too high or an inframammary fold that appears unnaturally low.
> Ruptured Implants
Decreased breast size, uneven breasts, pain or swelling can indicate a ruptured breast implant (saline or silicone breast implants). Most ruptures are covered by the implant manufacturer, although surgical costs for replacing the damaged implant are still incurred.
> Double Bubble
When tissue hangs beneath an implant which has been placed submuscular, this is referred to as a double bubble or high-riding implant. This usually occurs with an individual who has sagging breasts before their breast augmentation surgery.
