The patient lacked fullness and projection so she opted for 450cc silicone implants. Dr. Gartner inserts sizers to ensure that the area where the implants will be placed is sufficiently stretched. The implants are finally inserted through a discreet incision on the breast fold, which will easily be hidden by a bra or bikini top. She has beautiful roundness and projection now! If you have any questions pertaining to this procedure leave them in the comment section below and let us know what you think of this video! Tell us what kind of videos you’d like us to post next!
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Breast Augmentation Surgery – Transaxillary Surgery Using a Keller Funnel, Hawaii with Dr. S. Larry Schlesinger at The Breast Implant Center of Hawaii, serving Oahu and Kona. Visit us online at http://goo.gl/xC8gFb or call 808-201-0540.
“Ok Jessica, we are all ready to go. You can give hugs and kisses on your way out. And Steve we’ll call you as soon as we’re all finished, ok?”
“Walk on in, and just kind of veer to your left there.”
“This doesn’t put you off to sleep this just makes you feel good.”
“Table up. And we do the inframammary and the lateral area where the intercostal nerves come up. Then we use the curved Metzenbaum scissors to open into the axilla and then now that we’ve made our initial incision nothing else sharp goes inside of Jessica. This is all blunt dissection.”
“See we got Pec Major right here. There’s a fascial plane between the two and it means that when you get into it it’s a soft plane. You know you’re not tearing any fibers. We’re in it right now. I’m above the Pec Minor, below the Pec Major and this is a dissector. The dissector goes in, it creates the space. Open it widely but do not interfere with the insertion of the Pectoralis Major into the fifth rib which occurs about this level right here.”
“Now we’re going to put an endoscope in and we’re going to cut the Pectoralis Major off the fifth rib. This causes no loss in function of the Pectoralis Major. A lot of studies have been done on that this is not going to interfere with pushups, decline bench pressing or anything else.”
“Amacar is a medicine that helps decrease bleeding. Makes these surgeries very nice. Ok, now we’re going to put the sizer in, mimic what an actual implant will look like and we fill it up with saline and see what size looks best. These go in sixty cc increments. That’s sixty, one-twenty, one-eighty, three-hundred. You can see it’s not quite going down to where we want it. Four-twenty, little bit more at the bottom. Five-forty and here’s the extra ten, five-fifty. Five-forty and ten is five-fifty. So we’ll work from that point.”
“Ok, now at this point we’re going to sit the patient up and we’re going to look and see what she looks like in the standing or sitting up position so we know that the implants are in the right location. We want to bring this down right here and I’ll attempt to do it right now. There we go, pretty good.”
“Alright, now we’re going to lavage out the pockets, clean them out so that we can have pretty good chance that they’ll be no post operative bleeding. So we’ll put a drain in to decrease the chance of blood around the implant. And this is a five-fifty cc implant going in through a transaxillary approach. It never touches the skin. And there it is. Perfect. And here’s another Keller Funnel and there is the little area we want on the back that’s why we put it in with this going down. A little air got in there with the implant. And now you can see that this needs to be open a little bit to the side. So we don’t open it to the side until the last minute.”
“Ok, we’re going to put the drains in now. You always have to have a drain. If you don’t have a drain you will have blood around the implant and that will lead ultimately to potentially a hard breast. The first layer of closure is with a 4-0 Monocryl and this is called a subcuticular suture below the skin and these last about thirty days. They give us enough strength to keep things together until scar tissue can take over again, there’s no tension here so literally the patients can lift there arms up right after surgery. They may not want to but they can.”
“Then we do a running intradermal with Prolene. Pulls out very nicely at six days. And this stitch is a running intradermal stitch. This could be left in several weeks because it doesn’t leave any cross hatch marks however, I believe in taking it out at six days so people can put on deodorant and shave and things like that.”
“I put in some interrupted black nylon sutures and the reason I do that is I’m kind of a belt and suspenders sorta guy. I want to make sure that everything stays exactly where I put it.”
“Everything looks good.”
“I think she’ll love it.”
“Definitely.”
“Yeah and we’ve got it all done. So, she’ll probably be about an hour and a half before you’ll be able to go talk to her, she’ll be awake and going home. Make sure they give you some DMSO I’ll talk to them. Because sometimes you get bruises below and you’ve got to spray those bruises. Do it every hour and they’ll be no bruising in the morning.”
“Ok.”
“And if I don’t see you before you leave, I’ll see you at 6:30 tomorrow morning.”
“Thank you.”
Breast Augmentation Surgery – Transaxillary Surgery Using a Keller Funnel, Hawaii with Dr. S. Larry Schlesinger at The Breast Implant Center of Hawaii, serving Oahu and Kona. Visit us online at http://goo.gl/xC8gFb or call 808-201-0540. Video Rating: / 5
Breast augmentation is a popular cosmetic treatment, with many women opting for breast implants. But are these implants safe? How long do breats implants last? What are the risks? Expert plastic surgeon Mr Venkat Ramakrishnan explains and gives his advice on the best breast implants.
Book an appointment with Mr Ramakrishnan or to learn more about breast surgery, by visiting his Top Doctors profile:
https://www.topdoctors.co.uk/doctor/venkat-ramakrishnan Video Rating: / 5
Tasha Star
https://www.instagram.com/tasha_star_fitness/
https://www.youtube.com/channel/UC_6Fzy_zxpvus001SKUn42Q
Ashlee
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HELPFUL RESOURCES:
https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/BreastImplants/ucm064242.htm
(FDA timeline of events)
https://www.mdanderson.org/newsroom/largest-ever-study-shows-silicone-breast-implants-associated-with-rare-diseases.h00-159227301.html
(MD Anderson study)
https://www.dailymail.co.uk/health/article-6847531/RuPaul-host-former-playmate-thousands-women-breast-implant-illness.html?fbclid=IwAR3o82foUsn18WNZiSC_rOkjCCfM_M1X7EY_n6_6xapTEUf9NMt_pLvIhxY
(plain language summary of the current situation)
*Note: I have not listed any specific groups or BII websites intentionally – watch the end of this video and you will understand why*
——————————-
MY OTHER BREAST AUGMENTATION VIDEOS:
https://youtu.be/bC0ftKcdEtE
Model Angie Everhart joins to share her experience with breast implant illness.
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About The Doctors: The Doctors is an Emmy award-winning daytime talk show hosted by ER physician Dr. Travis Stork and co-hosted by plastic surgeon Dr. Andrew Ordon, along with dermatologist Dr. Sonia Batra, OB-GYN Dr. Nita Landry, and neuropsychologist Dr. Judy Ho.
The Doctors helps you understand the latest health headlines, delivers exclusive interviews with celebrities dealing with health issues, debates and investigates health and safety claims, explains the latest viral videos and how you can avoid emergency situations, and serves up celebrity chefs to share the hottest and healthiest recipes and foods.
This is a really common question that patients ask when considering breast augmentation surgery. Mr Navid Jallali, a top plastic surgeon, gives his best advice.
Make an appointment now with Mr Jallali: https://www.topdoctors.co.uk/doctor/navid-jallali Video Rating: / 5
A breast tissue expander is an inflatable breast implant designed to stretch the skin and muscle to make room for a future, more permanent implant. Learn more from Lillie Shockney, administrative director of the Johns Hopkins Breast Center. For more information about the Johns Hopkins Breast Center, visit http://www.hopkinsmedicine.org/breast_center/ Video Rating: / 5
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HD video by the Medical Director of The Loudoun Center for Plastic Surgery, Dr Michael J Brown MD. This cosmetic plastic surgery shows breast implants being removed in an operating room in an actual surgery. Video Rating: / 5
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Dr. Bunkis is a Harvard trained board certified plastic surgeon out of Newport Beach, CA. He has been in private practice for 35+ years and has patients from all around the world.
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Dr. Brandow is completing a surgical demonstration of his scarless, underarm, Transaxillary Breast Implants using saline implants. He has performed over 3,500 breast implants using this technique. Video Rating: / 5
Jay H. Lucas, M.D. Premiere Board Certified Plastic Surgeon in Knoxville Tennessee – founder of The Lucas Center Plastic Surgery discusses a rejuvenation case involving breast implants and adding volume and shaping using fat grafting – The process of fat grafting (also known as autologous fat transfer) involves gently suctioning fat through tiny incisions made in areas of the body like the belly, thighs, or back. The fat is removed by liposuction using tiny hollow tubes called cannulas. The harvested fat is then processed and washed in order to remove unwanted substances before being carefully re-injected into another body site. http://www.thelucascenter.com/fat-grafting/
Dr. Lucas has had extensive experience with fat grafting and has honed his technique to yield superior, long-lasting results. By injecting tiny amounts of fat, spread carefully over the target region, he ensures adequate blood supply to the new tissue. This improves the longevity of the results and reduces the incidence of hard nodules or oil cysts that can form when large amounts of fat are injected into a single spot. Spreading out the injected cells also means more of them survive, eliminating the need to “overfill” the target area to compensate for future cell death, as some surgeons do.
The Lucas Center Plastic Surgery
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Knoxville, TN 37922
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