Surgical Revisions
April 16th, 2009
There is a saying among surgeons, “If you don’t operate, you will not have complications.” The same can be said of surgical results. On occasion, the results of surgery do not go according to plan. All surgeons have surgical results which sometimes disappoint them. Occasionally the result requires secondary surgery to improve on the outcome.
The causes of less than optimum results are complex. Complications such as unwanted bleeding or infection may occur. Sometimes patients do not follow after care instructions as carefully as they could. Pre-existing medical conditions may also interfere with healing and scarring. The surgical design may just not work out for a particular patient. Generally, the final outcome is a combination of some or all of these. It really is a shared responsibility and must be remembered as such.
Revision surgery is difficult. Not only must the surgeon contend with previous surgical scarring but must also deal with changes in anatomy. Feelings of disappointment and possible mistrust by the patient are not to be over-looked. Expectations of perfection may present the burden of unrealistic results.
Results are rarely perfect. The decision to have revision surgery is usually based on the likelihood of possible improvement weighed against the risk of making things worse.
Finally, often small improvements are always the most difficult to achieve. I know this sounds counter intuitive, but I find that to be true.
Melissa’s Blog: Silicone or Saline Dilemma
April 15th, 2009
A somewhat controversial choice came up for me soon after I decided to schedule my augmentation surgery. I need to decide on whether to have saline or silicone implants put in. I have always envisioned myself going with silicone implants because from what others told me, “they felt most natural.” And then I began to think. “Most natural to whom or should I say, for whom?”
By all means, and lets be honest here, I most certainly want my husband to feel pleasure when he holds my boobs. In fact, I would love to have my breasts feel exactly as they are now, just slightly bigger. But I would also like to feel at ease with what I am putting inside my body. This choice was definitely a decision that I sat on for awhile.
One day it was, “Yes I’m going with silicone” and the next day it was, “No, I’m going with saline.” I consulted again with Dr. Bashioum on what he thinks I should do. After giving me information on both options, he made it clear to me that first and foremost, it is ultimately MY decision. I had heard the facts, so now I needed to decide for myself.
On the one hand, I was solely thinking of my husband. I want him to feel nothing different. And if that’s the case, silicone is the best choice. But on the other hand, I’m the one wearing these and I want to be safe. By choosing saline, if something happens to one of my implants, my body will simply absorb the saline solution. Peace of mind is certainly something I advocate. I have three beautiful young children, that I am constantly worrying about. At the end of the day; what is going to help me sleep better at night? I am going with saline, because it is the best choice for me.
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