Archive for category breast implant pre-op tutorial
Lindsay Walker – Four Breast Implant Operations in Four Years
Posted by admin in breast implant pre-op tutorial, plastic surgery news on August 7, 2012
Lindsay Walker, a pretty British woman, took her “boob job goal” to another level having four breast implant operations over four years. She was by no means wealthy so this was obviously important to her. Others would call it an obsession:
Lindsay decided to ditch her plans to move out of her parents’ house so she could save up for a boob op. Her social life also went out of the window as she worked hours of overtime in her then job in recruitment. Finally, at 23, she had enough money to pay for her first operation, at a clinic in Manchester.
[After Operation #4:]
She said: “When I woke after the op, I was the happiest I had been in years. I loved my boobs. I was a 28G and they were finally the size, position and shape I wanted.
Source: thesun.co.uk/sol/homepage/features/4444111/I-spent-20k-on-four-boob-ops-in-four-years-and-I-still-dont-think-theyre-that-big.html
At 5′ 4″ tall, Lindsay is quite petite. Staging the surgery over the years (going larger in stages at different operations) made going from an A cup to a G cup possible, but there are always consequences when you go beyond a certain size.
“They weigh a couple of pounds each so sleeping can be uncomfortable. I wear a bra to bed which makes it slightly easier.
“I’m also thinking about inventing a new sun lounger with a couple of holes in it for the beach, because sunbathing on my front is virtually impossible now!”
These types of extreme enlargement are not entirely predictable and have a much higher re-operation and complication rate relative to more standard size breast implant surgery. In this light, it is certain that over her lifetime Lindsay will be back and forth to the operating room several more times. This is the price for going larger.
Best Regards,
John Di Saia MD
Khloe Kardashian Against Plastic Surgery?
Posted by admin in breast implant pre-op tutorial, plastic surgery news on March 26, 2012
A report of a Kardashian reality show plastic surgery session had me curious:
Right off the bat, Malika admits to Khloe that she wishes she had bigger boobs. It starts out as kind of a joke at first, but later on, Malika announces that she has scheduled a consultation for breast implants. Looks like it’s time to “get a new set of twins.”
Although Khloe’s not opposed to the idea of plastic surgery, she’s worried that her bestie is going under the knife for the wrong reasons. She brings up the fact that Malika just broke up with Adrian — roll the montage of cute moments, followed by tears — and explains that she’s worried that this is about her break-up.
Source: wetpaint.com/kourtney-and-kim-take-new-york/articles/khloe-
lamar-recap-of-season-2-episode-5-malika-and-khloe-fight-
over-plastic-surgery
We have spoken of reality stars and their plastic surgery exploits here on a number of occasions. Being of the opinion that reality shows are scripted to excess, plot twists really do not surprise me much.
Still it might seem more than ironic to many that a Kardashian would have anything to say about plastic surgery except “Go! Go! Go!” That is probably the reason this reality was scripted for your enjoyment. 
That aside, it is true that women often seek plastic surgery when they are “between men.” Paradoxically, cosmetic patients are happier when they have surgery for reasons that are internal.
It was traditionally part of plastic surgery training to assess the motivations of a patient coming for cosmetic surgery. Such an evaluation itself in practice however probably happens much more infrequently than it did in years gone by. The competition element discourages this kind of dialogue.
Best Regards,
John Di Saia MD
Good Plastic Surgery in the OC – Nice Breast Implant Exchange Revision
Posted by admin in "Good Plastic Surgery in the OC", breast implant pre-op tutorial on March 8, 2012
Some Orange County women come to consultation interested in breast augmentation with anatomic or tear drop shaped breast implants to look more “natural.” A case in which I was asked to fix the breasts of a woman who had had five “bad boobjobs” (the patient’s words) by another surgeon actually involved removal of her tear drop shaped implants and replacement with round implants in addition to a modified breast lift. The “swapping out” of one breast implant (or pair) for another is called a breast implant exchange:
Her original tear drop implants didn’t look so great. (This is her “Before Dr D” Image.)
After her revision surgery, she was nicely improved:
Take a look Here if you would like.
Best Regards,
John Di Saia MD
Dr D’s Looking “Curvy but Natural” With 750 cc Breast Implants Video
Posted by admin in breast implant pre-op tutorial, Dr D's Patients on March 8, 2012
I have been flamed a bit online over my stance on breast implant size. Some women simply cannot go to the larger sizes without an undue risk of complications. That does not mean I simply do not offer surgery to women seeking larger sizes. Here’s a woman I operated twice over twelve years to give her the bust she desired. The first time the 750 cc implants she ultimately received would not have fit in there (her first operation was with 350 cc implants.). She has no rippling and no pain and these are saline-filled implants. They fit her form pretty well and most importantly she is happy.
Best Regards,
John Di Saia MD
Beauty and The Breast – and my Silicone Implant Position
Posted by admin in breast implant pre-op tutorial on March 5, 2012
Beauty and The Breast (a blog that later went offline) blogged on my Silicone Implant Position Post. They placed a picture of a Saline-filled implant explantation specimen with what appeared to be thick capsules seemingly to say “see this happens with saline implants too.” The capsule pictures they showed were kinda low resolution but did not seem to have calcium deposits.
Maybe I need to clarify this a bit. The process of capsular contracture happens with all foreign bodies placed into the body. The body makes a capsule with all breast implants silicone and saline. The question when such a device is placed is not whether it will occur but how can we make it occur to the least extent.
Things that can make capsules worse (generally thicker) include:
(1) Bleeding and/or Trauma
(2) Smoking
(3) Poor or Thin Soft Tissue Coverage
(4) Infection
(5) Radiation therapy
and arguably Silicone Gel.
Now why the Silicone Gel:
First by “Gel” we mean the stuff in the implant container or “shell.” The hard silicone gel “shell” that holds the contents of all breast implants is the same as the cover of other implants such as pacemakers etc. This alone has never been shown to be associated with thick capsules without one of the other things we mentioned above going on as well. When those capsules get thick, they rarely get calcified. This is relative to the “shell’s” solid silicone alone.
Silicone Gel is a non-biological filler put in the “shell” in Silicone Gel implants. It unfortunately does not stay in its container well. When you put Silicone Gel into the “shell,” we find that it weeps right through this “shell” in a process called Silicone Gel “bleed.” This is not the same with Saline-filled and Silicone Gel implants.
It is my belief that this added gel bleed contributes not only to thick capsules, but to the development of calcium deposits that make silicone gel implant capsules harder than any Saline-filled implant capsule. Those are the “glistening white shards” you see in the video from my previous post. So you can get thick capsules with any implant if other things happen, but the calcium deposition seems to be much more of a problem when you add the Silicone Gel. And this makes really hard; uncomfortably hard capsules.
The problem with these observations is that some women have had both Saline-filled and Silicone Gel implants. You never really get all the gel out of there when you remove a pair of implants. The gel as we mentioned weeps into the breast tissue as well. You get most of it out by removing the capsules with the implant. So there are cases of women who have had both types of implants having capsules. It kinda blurs the margin between the two when you are trying to keep track.
I appreciate the gals at Beauty and The Breast posting on this as it showed me that further discussion was needed. Again I am not saying Silicone Gel implants are “bad” and Saline-filled implants are “good.” I am saying that the severity of the local tissue reactions that develop with breast implants tend to be less over time with Saline-filled rather than Silicone Gel implants. This has been the summation of my experience working with them over the last 13 years. When a woman chooses to have breast implants she has to make a choice. This choice has something to do with risk tolerance. If women choose Silicone knowing this, that is of course their choice. I am mostly a Saline-filled breast implant surgeon although I do place some Silicone Gel implants as well.
Best Regards,
John Di Saia MD
Originally posted 2008-06-30 07:30:00.
What is a Botched Boob Job?
Posted by admin in breast implant pre-op tutorial on March 5, 2012
A mother called the office today. Her daughter had breast implants placed by a surgeon in another state and the two ladies are not happy. They called for a second opinion.
It is dicey dealing with situation like this as a second opinion consultant. The first question is whether or not the first surgeon did anything wrong. A botched boob job is not any boob job that the patient or mother do not like. “Botched” indicates fault. Sometimes there is fault on the part of the surgeon and sometimes there is not. Sometimes patients ask for surgery on the cheap and decline breast lifting or other associated surgery that might have made things look better. Sometimes the patient choose a surgeon of limited skill or qualifications. Sometimes infection, cigarette smoking or scarring can distort an otherwise good procedure. It is not always clear.
The second question for a consultant is whether or not the patient wants him or her to fix things or just wants to return to the original surgeon. No smart consultant wants to end up embroiled in a patient’s lawsuit with the original doctor. It is a waste of time and time is money.
Best Regards,
John Di Saia MD
Originally posted 2011-05-11 07:30:37.
Jennifer Ellison Big Fake Look Breast Implants
Posted by admin in breast implant pre-op tutorial on February 16, 2012
Jennifer Ellison – Implants
Sizing for pre-op breast implant patients can be difficult to figure. What one woman may find desirable another may find horrible.
Case and point: Jennifer Ellison. These are likely large high profile implants. Implants that provide more than a natural amount of upper breast fullness are likely large and/or high profile breast implants.
Going up “size wise” beyond certain maximums makes problems with implants more likely over time. The re-operation rate is higher for example. Ideally there is enough of your tissue to cover the implants to reduce these problems.
Understandably Jennifer is a bikini model and larger implants might just be “the cost of doing business” for her. I guess we will all see how she ages.
Best Regards,
John Di Saia MD
Originally posted 2007-09-02 10:05:00.
Donatella Versace Breast Implant Rippling
Posted by admin in breast implant pre-op tutorial, celebrity plastic surgery on January 19, 2012
Donatella Versace breast implant rippling is easy to see. She is quite thin and takes in too much sun exposure, so she displays breast implant rippling:
As we have discussed before, rippling is the visible dimpling through the skin seen when breast implants are covered by soft tissue that is on the thin side. It is seen here as Donatella sits upright topless at the beach as a number of roughly vertical parallel straight lines atop her left breast. Rippling is not defined by that which is felt but rather by that which is seen.
Surgery to repair this involves a few maneuvers which are variably successful. It is best to try to avoid it in the first operation by using muscular coverage and limiting implant size. When patients are quite thin it can be harder to hide. It bothers some people more than others.
Best Regards,
John Di Saia MD
Related:
Options for Old Breast Implants
Originally posted 2011-09-07 07:30:48.
Symmastia – Uniboob – Repair Sequence
Posted by admin in breast implant pre-op tutorial, Dr D's Truth on January 11, 2012
Breast implants should not touch in the middle
A forum I visited featured this image in a thread of bad boob jobs. This time I agree.
Symmastia is an unusual problem with breast implants that tends to happen in unskilled hands. I saw a case with a resident I was asked to supervise. In doing her original cosmetic implant surgery he had obviously separated her pectoral muscles from her chest bone (sternum.) The implants in a properly done case would have muscle separating them creating cleavage.
Symmastia can be fixed, but is best done by decreasing the implant size and sewing the scar capsule to itself internally. This diminishes the problem unless large implants are placed again in which case it just tears. Time must be allowed to pass after the first operation for this scar tissue to form providing a platform for the stitches.
Interestingly when using smaller implants and taking one’s time, this problem is virtually never created.
Best Regards,
John Di Saia MD
Related:
Tamara Mellon Shows Breast Implant Rippling
Posted by admin in breast implant pre-op tutorial on January 5, 2012
Source: drunkenstepfather.com/index.php/2009/12/21/tamara-mellon-in-her-bikini-of-the-day
Tamara Mellon is by reports quite wealthy, so the fact that she tolerates rippling is a bit surprising.
Rippling is the visible dimpling through the skin seen when breast implants have too little soft tissue coverage. It is seen here as Tamara leans forward as the dimples (four of them here) along the side of her chest at the base of the breast implant on this side.
Surgery to repair this involves a few maneuvers which are variably successful. It is best to try to avoid it in the first operation by using muscular coverage and limiting implant size.
Best Regards,
John Di Saia MD
Related:
Options for Old Breast Implants
Originally posted 2010-01-08 07:30:30.
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