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.
Imperfect Results
April 15th, 2009
Cosmetic surgery is a complex blend of art, medicine and surgery. As such, imperfect results and complications do occur. Physicians and patients alike feel badly when things do not turn out perfect. However, there are many reasons for these events to occur, which neither the surgeon nor the patient have any control.
The healing process is complicated. All of us heal a little differently. When some scars resolve, they can be wider or thicker than others. Swelling sometimes takes longer than expected to completely dissipate. Scar tissue may build up under the skin, which detracts from the desired result, particularly after nose surgery. These differences may contribute to the final result.
Surgeons go to great lengths to create detailed instructions for patient care after surgery. The instructions are based on years of training and experience with their surgical techniques. Careful attention to the instructions is essential in providing the patient with the best result and reduce the risk of complications.
There is a common misconception that we are exactly the same on each side of our body. This is not true. Small differences in symmetry are present in all of us. It is the expression of these subtle differences which will often embody unique beauty. We turn to cosmetic surgery when differences are perhaps too great and it interferes with our self-esteem.
Anatomy cannot be predicted with 100% accuracy. There is variations in how we as humans are put together. Nerves and blood vessels can be in locations which are simply different than most other people. This phenomenon is referred to as anatomical variation. Slight birth defects can result in structural differences in anatomy. Just last week I cared for a patient who did not have part of her pectoralis (pec) muscle. This anomaly was taken into consideration in the way we chose to design her surgery.
One of the few guarantees I can make about cosmetic surgery is there will be differences when each side is compared to the other after surgery. I recommend revision surgery to my patients only if the differences are significant.
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