breast augmentation before and after 270cc

bjbjlulu what i'm doing here is using steriledressings which we term as nipple sheets. we will cover the nipple area because quiteoften we can get discharge from that area, and it could be a source of infection. thislady first noticed some problems in her left side. a couple of months after that she noticedshe had a lump developing on the right side, for which she then had biopsy that we cansee. we can see a scar on the breast from where she had that. fortunately it came backas being benign. then subsequently, when she heard about this problem with pip implants,she decided to go ahead and have them removed. she has had further lumps on the right breasthere, which i am also going to remove at the same time, and a third one in the axilla.i'm just marking the incision which is just

along the previous scar. we measure that andit's quite a nice well-healed, well-settled scar that she has, which is about 5 centimetresin length. so i will probably stick to the same scar. what i'm trying to do is to removethe implant intact within the capsule so as to avoid any spillage of silicone if the implanthas ruptured. what i'm finding is that the capsule is pretty thin walled, and havingreleased the capsule at one point, there is silicone that has spilled into the capsule.the implant seems intact. it's not ruptured, but there's a considerable amount of siliconebleed that is actually onto the surface of the implant as you can see there. can yousee this? these are what are called silicone granulomas that she has formed where the lymphnodes have picked up the silicone that has

probably leaked out from the implant intothe tissues. this lady to begin with had pip implants that were 270 grams, but she alsohad an associated capsule around it, which i have circumferentially released, which doesmake the pocket slightly bigger. so to accommodate that pocket and of course she also did saythat she wanted to go slightly bigger than what she was, so we've gone for a 300-gramimplant on both sides, and these are nagor implants. one of this lady's concerns wasthe fact that her old implants stopped somewhere there, and there was a big gap between thetwo. so that is why we made a specific attempt at increasing the pocket there so she's gotbetter cleavage on the medial side now. i put some steri-strips on to support the woundand then some waterproof dressings so that

she can start showering in a couple of dayswithout getting the dressings wet, and those stay on for a week and we then change them.so these are the two pip implants that we removed from this lady. as you can see, thisis the left one. both of them were intact. there were no ruptures. but if you comparethe two, you can see that they are different colours. this is definitely darker in colourthan the left one, and that is probably because of the fact that, as i said during the procedure,there was distinct evidence of much greater silicone bleed on the right side with a fairamount of free silicone within the capsule that had formed around the implant. the capsuleon the right side was also much lighter than on the right, which was probably due to thefact because there was more silicone irritating

the capsule from inside than the left. thesewere pip 270 cc. i don't know whether you can pick it up on the screen. h0_| what i'mdoing here is using sterile dressings which we term as nipple sheets rjd1 normal.dot rjd1microsoft office word what i'm doing here is using sterile dressings which we term asnipple sheets title microsoft office word document msworddoc word.document.8