Posts Tagged large
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.
A Lipoma Can Get Really Large- Picture Alert
Posted by admin in Lumps, Picture Warning on December 26, 2011
A lipoma is not something to be left alone. This Navy career man was told for 17 years by his doctor that this growing mass did not require removal. “It was just a lipoma.” This thing slowly grew to the point at which when he retired this large lump was visible even in clothing.
The bottom line here is that even if a soft fleshy lump is not cancer, it can grow and produce a problem if ignored for long enough.
My baseline recommendation is that people get these things removed early. On Page 2 is an image of the tumor once it was removed.
Best Regards,
John Di Saia MD
Related:
Originally posted 2009-11-10 07:30:14.
Safe Labiaplasty – Wedge versus Trim
Posted by admin in Dr D's Truth, labiaplasty on August 10, 2011
We have discussed reduction labiaplasty surgery here before. Some women consider this small but delicate operation due to the size of their Labia minorae. Others do it for aesthetic concerns. A woman with large labia can experience pain in tighter clothing. It is all relative of course.
The key to a maximizing safety with this operation is choosing the right method and focusing on the outer structures using an experienced surgeon.
There are many ways the inner lip reduction operation can be performed, but the two most common techniques are called the “Trim” and “Wedge.”
The Trim is a simple operation in which the unwanted portion of the Labia minora is simply cut off and sutures are used to close the openings. “Simple” does not necessarily translate to “better.” The PROs of the Trim procedure include that it is easy to teach and learn and can easily be performed under local anesthesia. Amongst the CONs are the facts that pain after surgery can be severe and longstanding and it is common for “too much to be removed” leaving a pretty unnatural appearance. This is the most commonly performed version of labiaplasty surgery at present.
The Wedge operation involves the removal of a “pie shaped” piece of the labia. This tends to leave the appearance of the remaining “lip” looking untouched. This version of the operation is harder to learn and is harder to perform under just local anesthesia. The sensation of the remaining tissue is normal in the vast majority of cases if the operation is done well. Wedge patients tend to return to physical and sexual activity earlier than Trim patients.
My opinion is that a well-performed Wedge is the way to go in most cases and has a lower risk profile. There are some cases in which the anatomy lends itself better to one technique as opposed to the other, but that is where a surgeon’s experience comes into play.
Best Regards,
John Di Saia MD
Huge Breast Implant Removal? a Reader Asks
Posted by admin in Dr D's Truth, Ridiculous Breast Implants on February 3, 2011
Huge Breast Implant Removal?
Reader Question:
Just wondering what your thoughts were on girls such as this. I understand these sort of implants were only available for a short time only….can’t imagine why they were ever invented actually! Are these implants able to be removed? What are the long term complications?
Huge Breast Implant Patient
As we have mentioned before, silicone gel doesn’t do a body good. When this stuff is placed into your body, your tissues are best shielded from the bare silicone gel. The degree to which there may be a problem can be minimized, but the larger breast implants have more involved effects upon the patient’s body than smaller ones.
When the implants get really large, those changes affect not only the skin and soft tissue, but also the chest wall (ribs, and bones.) Really large implants actually wear into and bend bones and cartilage. These kinds of problems are most commonly seen in reconstructive breast surgery (re-creation of the breast after breast cancer treatment,) but would certainly affect patients with huge breast implants over time. The implants this woman has are in the “well over a 1000 cc each.” You can’t get them in the United States and I wouldn’t want to place them if you could. This makes my malpractice carrier happy. 
Very few of these “super large” implant patients come to having their implants removed (without replacement) as the appearance afterward would be pretty unusual. Such a patient would likely have to have several operations to take in the stretched skin and would likely be left with noticeable contour defects visible under that stretched skin, that is, if the implants were not to be replaced.
I think it is safe to say that most people would categorize implants in this size as “ridiculous breast implants.”
Best Regards,
John Di Saia MD
Large Fake Breast Implants…Desirable?
Posted by admin in breast implant pre-op tutorial on January 25, 2011
I found this gal’s image on theperfectboobs.net, a forum dedicated to really large “fake looking” breast implants. By report, she had 1000 cc implants and was looking for larger. She is slender and the rest of her seems in great shape. Obviously she works out quite a bit.
The question is whether or not this size is ever desirable and/or worth the risk. As we have discussed here, more gals with larger implants will have problems and end up looking poorly over time relative to patients with smaller implants. Interesting in the perfectboobs forum is the desire by some to obtain the “fake” appearance that many other women seek to avoid. Some of the posters at that forum even like rippling, a sign resident plastic surgeons are taught to avoid by limiting implant size.
Best Regards,
John Di Saia MD
E-mailed Comment – Over 1000 cc Breast Implants and Overfilling
Posted by admin in breast implant pre-op tutorial on November 29, 2010
E-mailed Comment:
I’m friends with a few local plastic surgeons. With regard to the larger implant sizes, I recall from your past posts that you aren’t a fan but recognize the interest some women have with them. ‘Custom’ implants are pretty-much a thing of the past, but there are good alternatives. For one thing, an Allergen or Inamed implant can be overfilled as much as 10 times before bursting. So my point is – overfilling an 800 or 850cc implant by 4 times it’s rating is still fairly ‘safe’ in-terms of the actual device. Yes, the patient’s particular physiology is another matter altogether. But my (now ex) significant other had 800cc-rated implants overfilled to 1900cc’s without incident to the device, and a friend of ours had some overfilled to 3000cc’s. Later ‘fills’ can be handily accommodated to facilitate making the implants larger, under local anesthesia. Our friend was implanted at 1100cc’s, and had subsequent ‘fills’ of these ‘standard’ implants to 1600, 1900, 2100, 2400 and finally 3000 – in the aforementioned manner.
Liability is one of the the main regulatory forces within medicine. You might recall the World’s largest breast implant patient went to Brazil to get her surgery as she reportedly couldn’t find a US surgeon to do it.
Although you describe a pretty good experience with overfilling breast implants in such a large way, the question is what would happen if the implants were to rupture? The manufacturers state that over filling beyond their stated tolerance voids the warranty. If they were to rupture or require additional surgery, the patient would be on the hook for the cost. At this size the potential to need further surgery for problems at some point would be essentially 100%. This is part explains the relative scarcity of docs who will “go that big.”
I am a big believer in the right of a patient to do that which she wants with her body, but don’t want to end up in court. This like many things in medicine is a matter of a doctor’s own philosophy. I would need a specially-worded consent form for a case like this if I agreed to do it. lol.
Best Regards,
John Di Saia MD
Large, Flabby Pubic Mound after Tummy Tuck – Can it be Fixed?
Posted by admin in tummy tuck pre-op tutorial on December 23, 2008
I’ve reached the one year anniversary of my TT/lipo. I’ve dropped from a pre-surgical size 18/20 to a size 12/14, and I’m quite pleased with that.
What I am NOT pleased with is the huge mons pubis that my surgeon did not lipo (although she had promised me she would) which sticks out of my clothes. It really looks like I’ve got a guy’s ‘package’ – one most guys would be proud to display!
Source: messageboards.makemeheal.com/viewtopic.php?t=107896
What some people do not realize is that plastic surgery is not like a car. You are not buying a product, but a surgical service. Surgical results vary with the surgeon and the patient’s pre-operative condition and ability to heal.
Tummy tuck surgery in particular can require secondary “touch up” operations and although they are usually small, they can be larger particularly in larger cases. This woman would likely benefit from a touch-up operation and needs to discuss with her surgeon what can be done.
Fortunately I have seen many more of these in the patients of other surgeons than in my own. Online some people refer to a puffy mons pubis after tummy tuck surgery as a “Ken Doll.” These can frequently be improved by a combination of skin and fat removal sometimes assisted by liposuction. I had a secondary tummy tuck recently that required both and looked better immediately.
Best Regards,
John Di Saia MD
Carmen Electra Feels Her Implants Are Too Large
Posted by admin in Celebs a Talkin' on June 19, 2006
“I didn’t like it at first. I really didn’t want to go as big as I ended up going. “It was nice that I didn’t have to wear a push-up bra anymore, but I could have left myself alone. “
Source: hollywoodtuna.com/?p=1365
A more frequent complaint after breast augmentation is that the implants are not large enough. It is rare that women consider smaller implants although they tend to look more natural. It can be hard to make really thin women look natural. But really big looks really fake especially in thin women. Carmen could be a lot worse.
Best Regards,
John Di Saia MD
132 pounds Removed in Marathon Tummy Tuck
Posted by admin in plastic surgery news on April 1, 2006
MADRID, Spain — Spanish surgeons using cranes and ropes removed a 132-pound mass of fat and liquid from the abdomen of a middle-aged woman in the procedure known as a tummy tuck.
Francisco Javier Gabilondo, chief of plastic surgery at Hospital Cruces near the Basque city of Bilbao, said Friday the operation was “more spectacular than it was difficult.”
The nine-hour procedure was performed last week, and the name of the patient was not released. She is in her 50s.
This sounds like a pannus resection but the detail here is not-so-good. This kind of weight removal is almost unheard of in tummy tuck surgery in which most patients lose under five pounds. The operation is more of a contouring procedure for patients who have loose abdominal tissue rather than weight loss. News stories like this one make pre-op counseling longer than it should be.
Best Regards,
John Di Saia MD
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