Melissa’s Blog: 11 and counting!
May 8th, 2009
It’s May and I couldn’t be happier. With only 11 days until my surgery, I’m gladly watching each day go by, but I’m also very busy preparing for my before and after patient responsibilities. Dr. Bashioum has provided me with an extensive packet of information that covers preparations for surgery, as well as after-care instruction. He does this in an effort to assure the very best surgical results.
One of my responsibilities at hand is to schedule a pre-operative physical evaluation. Because Dr. Bashioum’s goal is to provide me with exceptional medical care and in doing so, he insists on having the medical evaluation and report completed by my primary care physician within the two weeks prior to my scheduled surgery. He told me that in his practice, he limits elective cosmetic surgery to healthy patients. So, some of the items that are included in this evaluation are to check my medical history, review and compile a list of any allergies, medications and past surgeries. I can also expect a complete physical exam, a check of vital signs like heart and lungs, etc. Barring any unforeseen health problems, I’m on deck for surgery in less than two weeks. My coming blog entries will include video clips that will be filmed on the night before the big day and my very first reflections in the recovery room after my surgery. You’ll have a unique opportunity to follow my progress to the conclusion of my journey!
Three Bears
April 27th, 2009
Can you tell Melissa has three small children? In her latest blog, her analogy comparing breast size to “Goldilocks and the Three Bears” is apropos. It is a fact that all patients want the perfect size after surgery. So do I! No one wants to go through the expense and risks of having surgery for a second time, in an effort to get the breast size they want.
Melissa’s choice should work very well for her. I believe to achieve a natural result for Melissa, we must start by first matching the diameter of the implant to the diameter of her breast. Placing the implant centered beneath the nipple will fill the breast and skin envelope symmetrically. This combination should give her a natural tear drop shaped breast which looks most natural.
Based on my examination of Melissa and the size she has chosen, I expect to use a Mentor implant which has a minimum inflation volume of 275ml. This matches her breast diameter best. The manufacturer recommends inflation between 275ml to 300ml. The plan will be to inflate this implant to the 300 ml she has chosen. I do not exceed the manufacturer’s recommended inflation volumes.
The implant will be inserted through a 20mm incision near the crease beneath each breast. This inconspicuous scar will always be hidden by her clothing. It will be inserted empty and inflated after being placed underneath the muscle and breast tissue. This effective technique results in having the final scar measuring less than an inch long.
Based on this plan we should achieve Goldilock’s, “Just right!”
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