before and after breast augmentation 250cc

bjbjlulu so we're going to be operating nowon a lady who's got pip implants in place. she doesn't know what size they are, but sheknows they're pip and she thinks they may be ruptured. so i'll be taking you througheach stage of the operation. this is our patient today. she's got pip implants placed behindthe muscle. she thinks they're ruptured. she's got quite a lot of pain in both breasts andsome auxiliary lymph nodes, and i'm going to be removing the implants in a minute. so,our patients got a four and a half centimetre incision. it's a little bit wide. so i'm goingto take out the incision, out the old scar so we're back to fresh tissue, and then i'llgo down to the implant. this is just the bit of scar i removed there, so we're back tofresh tissue so we get a better scar, and

now i'm going to go down onto the implant.so i've gone down onto the implant. can you see all this fluid coming out now? can yousee all this fluid coming out from around? this fluid, see, can you see it? it's likepuss around the implant. can you see? this is quite common, all this fluid around theimplant. there's normally about 10 to 20 mils. we're just going to remove it all there. sothis lady has got issues with her . . . even if they're not ruptured, she's got a lot offluid which shouldn't be there. she's got pussy, horrible fluid, and we'll take a specimenof that. so can you see all this fluid that's coming out around the implant? you don't seethis around normal implants. i don't know if really you can see it. it's just pouringout here. it's sort of browny, horrible fluid.

i think that's what's making the patient feelbad and unwell. it's probably a result of it's poor quality silicone. i don't know whetheryou can see that. it's still coming out there. so, we'll collect all this and send it offto be analysed. so this is just some of the fluid that was lying round this lady's implant.this shouldn't be there. it's sort of pussy fluid. i've hardly ever, ever see this aroundany other types of implants. only really see it around pip implants. so this is the implant.i've just removed it, and i've seen very much this pattern before on a lot of implants.the shell breaks. the silicone inside there, it's bad. it's industrial silicone. that makesall the fluid around it. i've never seen an implant like this, which has just almost exploded.absolutely exploded, letting all that silicone

free. i've never, ever seen any other implantother than pips rupture in this way. our patient today has decided to have a nagor 240cc implant.so, that pip was 250cc. our patient would like to go a bit smaller. so i've gone for240 nagor, which i'm just going to insert now. so, i'm just coming up onto the capsulehere. i'm just going to incise it again here. yeah, again, can you see all that fluid again,coming out? can you see it all? just pouring out? so could we take a specimen? can yousee it? again, what seems to happen with these pip implants, this one was put in, in 2005.that's a very bad time for these implants. i think they really ruptured a lot, and whenthey do rupture, you've got this horrible silicone sitting in there, causing all thisfluid. can you see it all there? when you

ask, should you have your pips removed, imean this lady had a lot of symptoms. i don't think there's any argument that if there'sa question like this, i'd want mine removed. can you see all that fluid that was just lyingaround the implant? can you see the free silicone there? just coming out. everything's a realmess in there. we're going to send this fluid off separately from the left side. i'm goingto clean everything out. this one has done pretty much the same thing. it's a differentpattern of rupture, so it's not quite as ruptured. but can you see? it's gone around the baseplate here, and inside you've got this horrible silicone. so it's not quite as ruptured asthe other one, but they all seem to rupture in the same sort of pattern. so this ladywas 2005. it's seven years later, and i think

that's been ruptured for some time. so we'vejust done the operation here. we've got some fluid, which were going to send off to thelaboratory. i don't know whether you can see that there, for both sides. i'll show youthe implants. here, this is the right one. as you see, completely exploded, with thesilicone there. so it was quite badly split that one. and the left one, not quite as badlysplit, but still going that way. so both implants really not in good shape at all. and as imentioned, it is quite characteristic of these pip implants, particularly around this time,2005 to 2006, 2007, i'm finding a lot of them in this sort of state. thank you for watchingthe video. if you are considering having your pip implants assessed, please contact us.we can arrange a scan, ultrasound, or an mri.

if necessary, give you advice on the bestway forward for you. h{_& gdmh gdmh so what your going to be operating now on a lady who'sgot pip implants in place rjd1 normal.dot rjd1 microsoft office word so what your goingto be operating now on a lady who's got pip implants in place title microsoft office worddocument msworddoc word.document.8