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Melissa’s Surgery Design

May 19th, 2009

Melissa had her surgery yesterday at 7:30AM.   She was asleep for the surgery.   After much thought, she decided on a final volume of 300ml.   Based on her breast diameter, I chose a Mentor Smooth Round Moderate Profile implant.   The implant had a minimal fill volume of 275ml.   Since Melissa chose a saline filled implant, we were able to fill this implant to 300ml based on the manufacturers recommendations.

The chosen incision was a 18mm(less than 3/4 inch) placed at the crease beneath the breast.   This is the smallest incision which can be used because the implant will not fit through a smaller incision.   The incision was closed with absorbable sutures beneath the skin and skin glue was applied as a final closure.   The skin glue serves as a dressing as well.   No other dressings were placed.   No bra or breast strap was placed.   There was no wrap either.   No drains were used nor were there any pain pump tubes to contend with.  I have found that this method works best for my patients and the after care cannot be simpler.

Surgery was completed on the left side followed by the right.   It only took about an hour to complete.   Her recovery was uneventful and she left the office about an hour after surgery was completed.

I anticipate that she will have an easy recovery.   Immediately after surgery the result looked very natural.   Of course, the complete healing process will take some 6 months to a year.

Look forward to Melissa’s video comments in the next couple days.

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Melissa’s Blog: 4 Days and Counting!

May 15th, 2009

Should I be nervous?  With only 4 days remaining, I can’t say that I have felt those telltale flutter of butterflies in my tummy, at least not yet.  “I wonder why?” I ask myself.  Maybe it’s because this procedure takes all of 45 minutes.  It would appear to me, to be a walk in the park for Dr. Bashioum, as he has done 1,000’s of these.  He sculpts my breasts like an artist sculpts a work of art.  And voila!  My masterpiece is complete.  Or maybe it’s because I have looked beyond my actual surgery and I’m gearing up for the weeks to follow.  It is surgery though, and I know it is serious business.  Dr. Bashioum has given me a very precise course of action to follow and it goes like this, I am not to lift anything exceeding 5 pounds for the next three weeks.  I repeat, “No lifting for three whole weeks!”  But I have three small children.  Precisely.  In an effort to help reduce any complication and to ensure a properly healed chest, it’s critical that I abide by my doctor’s orders.  So if that means sitting on the floor to console my child rather than picking them up, then up bet that you’ll find me on the kitchen floor singing, “Twinkle, Twinkle, Little Star.”  Thankfully this is all tmeporary and the finish line is just around the corner.

As a stay-at-home mother of three, to refrain from lifting for three weeks is like asking my little ones not to use the word “no.”  It’s going to be a very challenging task, but I understand how important it is.  Fortunately, I’m not walking into this situation with my eyes closed.  I have booked my mother-in-law an airline ticket out to our house, so she can help with the kids.  My husband, thankfully, will be taking a week off from work.   As all mothers know, our children depend on us greatly.  And to be out of commission for a few weeks, call for a bit of help from family and friends.  I’m so lucky to have that support.

My husband and I also decided to make a few minor changes to help aid in the “no lifting” policy.  For example, we thought it would be a good idea to trade cars for the time being.  He drives a compact.  I drive a SUV, so I’m constantly lifting one, if not two of my children into their car seats multiple times throughout the day.  By switching cars, this change will eliminate that problem.  My little ducklings will be able to get in/out all by themselves.

I’ve counted down the days, but soon my surgery will simply be hours away.  I invite you check back  to watch the video clips of my before and after comments in my personal journey to brand new boobs!

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