November 16th, 2011 by John Di Saia, M.D. in Opinion, True Stories
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Jeanette’s story:
For as long as I can remember my nickname has been ‘Jen Big Boobs’. Friends joke that the first thing they see when I walk through the door is my chest. I know they mean no harm – just as I know that my husband, Steve, adores them – but it’s reached the point where they have got to go. They simply dominate my life. Whether I’m trying to get comfy in bed or walking down the street I can’t forget them for a moment. They are always there, getting in the way of everything I do. In primary school I was the first in class to wear a bra. So when my pals changed in the classroom for PE, I’d change in the loos. Big boobs weren’t a huge surprise – they run in my family. But it was embarrassing and I didn’t like being different. They’ve singled me out for loads of attention. Buying bras has always been and still is a nightmare. I have to order specially-made ones that are ugly and cost up to £50. By the time I was 20 I’d already gone to see my GP about a reduction operation. He was sympathetic but said I was too young for surgery.
Steve’s story:
I love my wife’s big boobs and don’t want them reduced. I don’t mind admitting that Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
October 14th, 2011 by John Di Saia, M.D. in Health Tips, Opinion
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Breast Lift surgery (Mastopexy) is obviously surgery to lift the breast. There are variations of this operation – quite a few variations. Breast lift operations are usually discussed relative to the “full breast lift” which has also been called the anchor lift. This operation leaves scars around the areola, under the breast and vertically between the two. The shape of the scar configuration resembles an anchor, hence the name. The potential for scars is one of the major concerns potential patients have with the surgery. This version of the operation also has the greatest potential to change the shape of the breast.
Reduced scar breast lifts came into creation to limit the potential for scarring. The important compromise, however, is that these modified breast lifts “lift” less. Reduced scar lifts can involve any portion of the full lift scar pattern. The modified lift with an incision above the areola only is called a “Crescent lift.” It provides only Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
September 24th, 2011 by Shadowfax in True Stories
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A hard thing about being an ER doctor is that I know a little, sometimes very little, about a lot of things. When I am faced with a particular condition, I often need to call the specialist for that organ, who knows way way more about it than I ever will, and they all think I’m an idiot because I don’t know as much about their organ as they do. There’s a huge asymmetry of knowledge, and it can create some tension and conflict.
I’m OK with it, because I can ignore their condescension and I am secure with what I do know, and its limits. But sometimes I get perplexing instructions from the specialists. The emergency medicine dogma can be overbroad and a little hidebound and what the specialists will do in the real world often radically diverges from what the Emergency Medicine textbooks say to do. It’s often an interesting learning opportunity for me, especially when it’s a condition I don’t encounter that much. But I also have to work to maintain a flexible and open-minded attitude when I call a consultant and my side of the conversation consists of “Really? I didn’t know you did that for this…” You need to know and trust your colleagues in other specialties, and know when to call BS on them and push to do something else, which is really hard to do when you are talking to someone who is so much more of an expert than you are.
So I saw this guy recently, an urban hipster who was perhaps a bit too old to be riding his longboard on the hilly streets of our fair town. He didn’t seem to be too good at it, judging by the collection of crusted abrasions and aging ecchymoses he was sporting. He had been falling a lot recently — we only get about a month of sun here, so I guess he was making the most of the summer weather practicing his new hobby. He had a variety of complaints from Read more »
*This blog post was originally published at Movin' Meat*
September 24th, 2011 by John Di Saia, M.D. in Opinion
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I read someone said she had to get her implants re-done 20 or so years later. I thought that getting breast implants was a one-time thing. How long do breast implants last?
Breast implant surgery is definitely not to be considered a “one time thing.” That is one good finding that came out of the breast implant craziness of the 1990′s in the US; the time at which the FDA banned silicone gel implants and demanded studies.
Interestingly, the implants themselves are not always the problem that leads to re-operation. It can be the body’s reaction to them. Silicone gel breast implants in particular can Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
