Breast enhancement | What really happens during operation

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Breast augmentation or enlargement is the most popular cosmetic surgery carried out in the UK. Thousands of women every year are delighted with the results of their surgery. However, the prospect of any surgical procedure can be daunting, especially if you don’t know what to expect.

We asked Mr Marc Pacifico, a Consultant Plastic Surgeon who works at Nuffield Health Tunbridge Wells Hospital, to explain everything you need to know about what a typical procedure involves, from the moment you arrive at the hospital until you go home again.

What happens when you are admitted?

On arrival at the hospital you will see three types of medical specialists. These are the nurses who will admit you and perform health checks, then your anaesthetist, who will put you to sleep during your operation and most importantly, your surgeon. The role of the surgeon at this stage is to ensure you fully understand the procedure, and to get your formal consent. Like most surgeons, I then make some important drawings on my patients. Using a special pen, I mark where I will make any incisions, where the implant will sit and the midline between the breasts. I also write notes, such as the exact size of the implant that’s been agreed on. It’s important to do this before surgery, as when a patient is anaesthetised and lying down, things look very different to when they are sitting or standing upright. I also take a photograph at this stage, to refer to in surgery.

After this is done, you will be brought down to the anaesthetic room. You may have a drip put in, and given some oxygen and gas via a mask, plus an injection in your hand or arm which together will ensure you drift off to sleep.

What happens in the operating theatre?

First, the whole chest area is sterilised with an antiseptic solution that’s painted on like a t-shirt. Then sterile drapes are placed over your body so only the area that’s being operated on is visible.

To place the implant, normally I will cut at the breast crease to create a space for the implant to fit into. The placement of the incision may vary, and you should discuss it with your surgeon beforehand. Sometimes the pocket created will be in front of the chest muscle, and sometimes partially behind it.

The implant is then washed in a solution to sterilise it, and I also use an antibiotic solution which limits the risk of infection. The sterile implant is then pushed into the space made for it. When I am completely satisfied the implant looks right and the result is what the patient described, I will stitch the internal tissues together with dissolvable thread. These are the really important stitches that hold everything in place. The skin is then closed with further superficial, dissolvable stitches, which are then covered with surgical glue and a simple dressing. I normally just apply some surgical tape over the incision.

I normally put my patients into their surgical bra at this point. Other surgeons prefer to bandage the area. Either is normal, so discuss what your surgeon thinks is right for you.

This process takes between 45 and 90 minutes, depending on the complexity of the operation.

What happens in recovery?

You will wake up in a recovery room. You may feel pretty groggy, and you might be uncomfortable; but you shouldn’t experience pain. You will probably be sore if you’ve had a large implant placed under the muscle. Some people experience nausea as a reaction to anaesthetic.

You will either be wearing your bra or bandaged, so you won’t see your final result, the incision or any stitches at this point.

You should be able to eat a meal around two hours after your surgery, and if your surgery was in the morning, my patients usually go home the same day. If your operation was later in the day, you may stay in hospital for one night. Again, your surgeon will advise you.

What happens after you leave hospital?

If you are experiencing any discomfort, you will normally only need to take over the counter painkillers in the first days after you leave hospital. Dressings will stay on for two weeks, and during this time you should avoid strenuous activity. After a fortnight, you will have a follow up appointment, all your stitches will have dissolved, and you will be able to see your new breasts.

After your operation you may expect to experience a little discomfort and swelling, but if you suffer severe pain, bleeding, a high temperature or feel unwell, you should call your surgeon and go back to the hospital. If your surgery is at Nuffield Health, there are no time limits on your aftercare, in line with the Nuffield Health Promise (terms and conditions apply).

The best way to ensure your operation goes smoothly and safely, and that you love the result, is to do your research and find a fully qualified, experienced and insured plastic surgeon who works in a reputable hospital.

Source: privatehealth

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  163. Apple now has Rhapsody as an app, which is a great start, but it is currently hampered by the inability to store locally on your iPod, and has a dismal 64kbps bit rate. If this changes, then it will somewhat negate this advantage for the Zune, but the 10 songs per month will still be a big plus in Zune Pass’ favor.

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  172. Zune and iPod: Most people compare the Zune to the Touch, but after seeing how slim and surprisingly small and light it is, I consider it to be a rather unique hybrid that combines qualities of both the Touch and the Nano. It’s very colorful and lovely OLED screen is slightly smaller than the touch screen, but the player itself feels quite a bit smaller and lighter. It weighs about 2/3 as much, and is noticeably smaller in width and height, while being just a hair thicker.

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  194. If you’re still on the fence: grab your favorite earphones, head down to a Best Buy and ask to plug them into a Zune then an iPod and see which one sounds better to you, and which interface makes you smile more. Then you’ll know which is right for you.

  195. The new Zune browser is surprisingly good, but not as good as the iPod’s. It works well, but isn’t as fast as Safari, and has a clunkier interface. If you occasionally plan on using the web browser that’s not an issue, but if you’re planning to browse the web alot from your PMP then the iPod’s larger screen and better browser may be important.

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  197. Hands down, Apple’s app store wins by a mile. It’s a huge selection of all sorts of apps vs a rather sad selection of a handful for Zune. Microsoft has plans, especially in the realm of games, but I’m not sure I’d want to bet on the future if this aspect is important to you. The iPod is a much better choice in that case.

  198. The Zune concentrates on being a Portable Media Player. Not a web browser. Not a game machine. Maybe in the future it’ll do even better in those areas, but for now it’s a fantastic way to organize and listen to your music and videos, and is without peer in that regard. The iPod’s strengths are its web browsing and apps. If those sound more compelling, perhaps it is your best choice.

  199. Between me and my husband we’ve owned more MP3 players over the years than I can count, including Sansas, iRivers, iPods (classic & touch), the Ibiza Rhapsody, etc. But, the last few years I’ve settled down to one line of players. Why? Because I was happy to discover how well-designed and fun to use the underappreciated (and widely mocked) Zunes are.

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  201. If you’re still on the fence: grab your favorite earphones, head down to a Best Buy and ask to plug them into a Zune then an iPod and see which one sounds better to you, and which interface makes you smile more. Then you’ll know which is right for you.

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  206. The Zune concentrates on being a Portable Media Player. Not a web browser. Not a game machine. Maybe in the future it’ll do even better in those areas, but for now it’s a fantastic way to organize and listen to your music and videos, and is without peer in that regard. The iPod’s strengths are its web browsing and apps. If those sound more compelling, perhaps it is your best choice.

  207. The new Zune browser is surprisingly good, but not as good as the iPod’s. It works well, but isn’t as fast as Safari, and has a clunkier interface. If you occasionally plan on using the web browser that’s not an issue, but if you’re planning to browse the web alot from your PMP then the iPod’s larger screen and better browser may be important.

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  215. Zune and iPod: Most people compare the Zune to the Touch, but after seeing how slim and surprisingly small and light it is, I consider it to be a rather unique hybrid that combines qualities of both the Touch and the Nano. It’s very colorful and lovely OLED screen is slightly smaller than the touch screen, but the player itself feels quite a bit smaller and lighter. It weighs about 2/3 as much, and is noticeably smaller in width and height, while being just a hair thicker.

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  218. I’ll gear this review to 2 types of people: current Zune owners who are considering an upgrade, and people trying to decide between a Zune and an iPod. (There are other players worth considering out there, like the Sony Walkman X, but I hope this gives you enough info to make an informed decision of the Zune vs players other than the iPod line as well.)

  219. The new Zune browser is surprisingly good, but not as good as the iPod’s. It works well, but isn’t as fast as Safari, and has a clunkier interface. If you occasionally plan on using the web browser that’s not an issue, but if you’re planning to browse the web alot from your PMP then the iPod’s larger screen and better browser may be important.

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