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The plot:  What you may think you want, and what you may get...

It's a simple story, but with a sad twist.  Certain patients want more projecting breast--forward thrusting, perky, "lifted", or even Dagmar-like (definition:  missile or artillery shell-like, named after a famous cleavage, and used for the design of front bumper grill decorations in 50's cars--find out more here: http://en.wikipedia.org/wiki/Dagmar_bumpers.)   What patients want, surgeons historically provide.  Simple demand and supply, but in this case, a story with a twist.

The story begins something like this--patient wants, surgeon supplies, patient pays, patient has new breasts, patient is happy.  Then the twist; the story doesn't stop with "patient is happy".  Patient thought she knew what she wanted--she just never dreamed what she might get.  Happy for a while, but then later...where did the projection go?  "Perky? I don't think so.  Now they're more like "rock in a sock?"  "I nursed my first child; why can't I nurse now?"  And "why can I see the edges of my breast implant; why are these big ripples in my cleavage area; and why does my surgeon say these things can't be corrected?"  Like the movie Easy Rider (yes I know that dates me), a story with a great beginning, but with twists and a sad ending.

High and extra high projection breast implants seem like a good idea for first-time breast augmentation patients who want them--until the story changes with a twist and sad ending.  Can a high projecting implant create a high projecting breast that hits the aesthetic mark for what the patient wants?  No question, and that's why many surgeons implant them when patients ask.  The problem is making choices without knowing the potential story endings.

The more highly projecting (front-to-back dimension) of a breast implant, the harder the implant pushes on what's in front of it--particularly breast tissue (the milk producing tissue that covers the implant and makes the breast feel like a breast) and the skin envelope (the skin that contains the implant and breast tissue, and supports the breast). What's wrong with the story so far?  Don't we need a more projecting implant to push harder and create a more projecting breast?  Yes, we do.  Patient and surgeon have decided what they want, and they have selected the type of implant that will force the tissues to the desired result.  But then comes the twist: forcing tissues to a desired result has consequences that patient and/or surgeon may not have considered when choosing an implant, changing a happy story to a sad ending.

The twists and the sad ending are predictable.  Excessive pressure from excessive implant size or projection compresses (squashes is a simpler term) the breast tissue against the overlying skin.  Over time, two bad things happen.  The breast tissue simply fades away or shrinks over time (medical term: parenchymal atrophy), and it's gone--for good.  No breast tissue, no milk, no nursing, and no coverage over the breast implant, so implant edges become visible.   Excessive pressure from overly projecting implants overly stretches the skin of the lower breast.  Like a blown bubble with chewing gum, as the bubble gets larger, it gets thinner.  Larger bubble in the lower breast means emptying of the upper breast and a fuller lower breast--rock in a sock.  Thinner bubble with less breast tissue covering the implant allows implant edges to become visible (yes, it's ugly).  As the weight of the implant pulls on the thin bubble (the skin evelope), the skin wrinkles and ripples in the areas where the skin is thinnest, often in the cleavage area where it's most noticeable.

Sad ending is, once the tissue is gone, it's gone.  Once the skin envelope is too thin--it's forever.  No surgical procedure can restore tissues irreversibly damaged by excessively projecting or excessively large imlants.  What started out as a well-intended but poorly thought out story, often ends up as a sad ending with uncorrectable tissue deformities.

Morals of the story?  Decisions and choices without thorough knowledge can produce irreversible and uncorrectable deformities.  Be certain that you balance what you think you want with what you are likely to get.

You may know what you think you want, but you need to know what you may get before making a choice of implant projection and size.  Keeping the happy story happy requires the right choices up front, because life (and breast augmentation) are about choices, and patients and surgeons are responsible for the choices they make.  Avoiding the twist requires recognizing and avoiding choices that put a sad ending on a happy story.   There is little or no place for highly projecting breast implants for primary (first time) augmentation if safety and preservation of patient tissues are priorities.

 

Postscript:  Breast reconstruction after mastectomy is very different compared to breast augmentation.  The breast (or large portions of it) is gone.  In carefully considered situations, more highly projecting implants sometimes have a place in breast reconstruction

resource - Terrye Tebbets
Choosing to have breast augmentation is an important decision to make - selecting the right plastic surgeon is just as important.

The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com

What’s to Recover From?

  • Jan. 7th, 2009 at 11:23 AM
Tissue Trauma

Any operation causes some degree of injury (trauma) to your tissues. The more precise and delicate the surgery, the less trauma, but some tissue trauma is unavoidable. Your body responds to tissue trauma in predictable ways: pain, swelling, bruising, and stiffness after surgery.

The greater the amount of trauma to your tissues, the more discomfort and other symptoms you’ll have after surgery.

The greater the trauma, the longer it takes your body to heal and the longer it takes for you to feel normal and return to normal activities.

The more trauma and bleeding you experience during surgery, the greater the likelihood you may develop problems such as capsular contracture or hematoma that require additional operations and can compromise the quality of your result.

To put an implant in your breast, the surgeon creates a pocket to receive the implant. The pocket can be behind breast tissue (retromammary), or behind breast tissue and behind muscle (partial retropectoral). If it’s just behind breast tissue, the surgeon lifts the breast tissue off the pectoralis muscle to create the pocket. If you are thin and need more soft-tissue coverage, you need additional muscle cover over the implant, and the surgeon needs to create a pocket behind the muscle (submuscular) or partially behind muscle and partially behind breast tissue (dual plane). Traditionally, you could expect more discomfort, swelling, and a longer recovery. How much longer? It depends on your tissues, and it depends on how the pocket is created at surgery. Since we developed and published the first techniques in the history of augmentation that allow patients to return to full normal activities within twenty-four hours, you can now recover just as rapidly if an implant is placed behind muscle as if it were placed only behind breast tissue! Using our twenty-four-hour recovery surgical techniques, manipulating your pectoralis muscle to provide more coverage, if done properly, does not result in more pain or a longer recovery
 

The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com
Learning about your recovery can tell you a lot about a surgeon and the quality of your surgery. A more skilled surgeon usually offers you a simpler and faster recovery.”

Learn about recovery before surgery? You must be kidding! Why not just worry about that when the time comes? Because...

Learning about recovery can potentially tell you more about a surgeon’s skills than anything else you can ask a surgeon. It is almost impossible for any surgeon to exaggerate the surgeon’s level of expertise if you ask the right questions about recovery.

Your experiences during recovery are a direct consequence of what happens during your surgery.

The less traumatic your surgical procedure, the easier and faster your recovery.

You can’t see what your surgeon will do in the operating room, but you can quickly figure out how much trauma and bleeding you’re likely to experience by simply asking in detail about recovery.

Would you like to have an easier and faster recovery? Would you prefer less time away from your normal activities? Less time off work? Less bruising? No drain tubes coming out of your body? No tight bandages or special bras? All of these things are possible, but only if you choose the right surgeon. In fact, all of these are routine in some augmentation practices. But not in all augmentation practices. The only way you’ll know is to ask about recovery before your augmentation!


The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com
The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com

Aneshesia and Recovery Time

  • Dec. 1st, 2008 at 1:51 PM

It’s nice to have anesthesia when you’re having surgery! Having anesthesia means that you will receive drugs. The longer the operation, the longer the anesthesia, and the more drugs you’ll receive. When the drugs are discontinued following surgery, your body must break down (metabolize) the drugs before you will feel normal. Anesthetic drugs often cause some hangover. Hangover can be good if it eases your discomfort immediately after surgery. But once you’re feeling better, a hangover that lasts longer is a nuisance because you don’t feel normal as quickly.

Some people are prone to develop nausea following anesthesia. Even the best antinausea drugs don’t totally prevent nausea in some patients. However, the fewer narcotic drugs you get, the less chance of your developing nausea. The shorter the anesthesia and the less tissue trauma during surgery, the fewer narcotic drugs you’ll need.

The longer you need anesthesia and the more tissue trauma, the more drugs you’ll need, the longer you’ll be required to remain at the surgery facility, and the longer time before you’ll feel normal.

Ask about surgery time, anesthesia time, time in the recovery room, and how long until you’ll return home the day of surgery. all of these factors will tell you a lot about how much anesthesia you’ll receive and when you can expect to feel normal.

There is no avoiding the fact that the shorter your surgery and the less tissue trauma, the fewer drugs you’ll need, the less chance of nausea and hangover, and the more rapidly you’ll return to normal.

I know I’m repeating, but I want to be sure you’ve got the picture!

In our peer-reviewed and published study of 627 patients in our twenty-four-hour recovery publications,refining our anesthetic and surgical techniques resulted in documented recovery times that we previously considered impossible. All patients were operated on using general, endotracheal anesthesia, and here are the recovery results:

Time from the beginning of the breast augmentation procedure until patients left our accredited outpatient surgery facility to return home averaged less than ninety minutes! All patients scored maximum on recovery criteria, and all were able to raise their arms fully over their heads before leaving.

No patient required narcotic-strength pain medications at home.

The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com

24 Hour Breast Augmentation Recovery

  • Dec. 1st, 2008 at 1:48 PM

Recovering from a pocket created behind breast tissue is NOW THE SAME AS RECOVERING FROM A POCKET CREATED BEHIND MUSCLE, USING OUR TWENTY-FOUR-HOUR RECOVERY SURGICAL TECHNIQUES! Why? We have now developed techniques that minimize trauma and bleeding when we manipulate your pectoralis muscle.

If you are thin and need muscle cover (or ne ed it for other reasons), it is more important to have muscle cover than to avoid slightly more tissue trauma. You and your surgeon must decide based on your tissues. even if a surgeon is unfamiliar with our twenty-four-hour recovery surgical techniques, you should prioritize assuring adequate soft-tissue cover over your implant.

The more tissue trauma caused by your surgery, the longer and more difficult your recovery. Our published studies and techniques in the past few yearshave completely redefined patient recovery, and it all results from techniques that minimize trauma to your tissues and minimize bleeding.

Ask about recovery and compare what surgeons tell you. the opportunity to return to full, normal activities within twenty-four hours following your augmentation tells you that a surgeon really can deliver less trauma and bleeding, not just say that he or she can. Longer recovery times usually imply more tissue trauma at surgery. No matter what a surgeon tells you about the surgeon’s expertise or techniques, recovery tells the truest story.

The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com

What’s to Recover From?

  • Dec. 1st, 2008 at 1:48 PM
Tissue Trauma

Any operation causes some degree of injury (trauma) to your tissues. The more precise and delicate the surgery, the less trauma, but some tissue trauma is unavoidable. Your body responds to tissue trauma in predictable ways: pain, swelling, bruising, and stiffness after surgery.

The greater the amount of trauma to your tissues, the more discomfort and other symptoms you’ll have after surgery.

The greater the trauma, the longer it takes your body to heal and the longer it takes for you to feel normal and return to normal activities.

The more trauma and bleeding you experience during surgery, the greater the likelihood you may develop problems such as capsular contracture or hematoma that require additional operations and can compromise the quality of your result.

To put an implant in your breast, the surgeon creates a pocket to receive the implant. The pocket can be behind breast tissue (retromammary), or behind breast tissue and behind muscle (partial retropectoral). If it’s just behind breast tissue, the surgeon lifts the breast tissue off the pectoralis muscle to create the pocket. If you are thin and need more soft-tissue coverage, you need additional muscle cover over the implant, and the surgeon needs to create a pocket behind the muscle (submuscular) or partially behind muscle and partially behind breast tissue (dual plane). Traditionally, you could expect more discomfort, swelling, and a longer recovery. How much longer? It depends on your tissues, and it depends on how the pocket is created at surgery. Since we developed and published the first techniques in the history of augmentation that allow patients to return to full normal activities within twenty-four hours, you can now recover just as rapidly if an implant is placed behind muscle as if it were placed only behind breast tissue! Using our twenty-four-hour recovery surgical techniques, manipulating your pectoralis muscle to provide more coverage, if done properly, does not result in more pain or a longer recovery
 

The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com

24 hour recovery

  • Dec. 1st, 2008 at 1:46 PM

“Learning about your recovery can tell you a lot about a surgeon and the quality of your surgery. A more skilled surgeon usually offers you a simpler and faster recovery.”

Learn about recovery before surgery? You must be kidding! Why not just worry about that when the time comes? Because...

Learning about recovery can potentially tell you more about a surgeon’s skills than anything else you can ask a surgeon. It is almost impossible for any surgeon to exaggerate the surgeon’s level of expertise if you ask the right questions about recovery.

Your experiences during recovery are a direct consequence of what happens during your surgery.

The less traumatic your surgical procedure, the easier and faster your recovery.

You can’t see what your surgeon will do in the operating room, but you can quickly figure out how much trauma and bleeding you’re likely to experience by simply asking in detail about recovery.

Would you like to have an easier and faster recovery? Would you prefer less time away from your normal activities? Less time off work? Less bruising? No drain tubes coming out of your body? No tight bandages or special bras? All of these things are possible, but only if you choose the right surgeon. In fact, all of these are routine in some augmentation practices. But not in all augmentation practices. The only way you’ll know is to ask about recovery before your augmentation!


The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com

If you are considering breast augmentation surgery,

If you are discriminating, and like to know the facts before making decisions,

If you believe in the value of common sense combined with knowledge,

If you want one resource that contains the most information about breast augmentation recovery,

If you want to take full advantage of recent innovations that have redefined the patient and surgeon experience in breast augmentation, enabling most patients to be out to dinner the evening of surgery and return to full, normal activities in twenty-four hours,

If you want information based on experience from two of the world’s experts in the field of breast augmentation-a surgeon and a woman who cares for augmentation patients every day, with a combined experience of over forty years,

If you decide to have breast augmentation and you’d like to get the Best Breast,

This breast augmentation book is for you!


The Best Breast2 is the source of information for women considering breast augmentation—the most in-depth source of insider information ever written. Regardless of how well informed a woman feels about breast augmentation, this book raises the bar, exposing important issues to provide women with a new powerful set of tools when considering augmentation.
http://www.thebestbreast.com