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hi, i'm dr. frank lista here at the plasticsurgery clinic and we've just finished a day of surgery. actually it's our first day ofsurgery in january in the new year, so happy new year to everyone. and one of our patientsasked a question. the question was: why do you use drains after breast augmentation whenother surgeons don't? first of all, what's a drain? a drain is a little tiny tube likethis, see it's really small, it's only a couple millimetres wide, it's made out of silicone.and at the end of surgery, while you're still asleep, the drain is inserted around the implant.it comes out through a little tiny opening just beside your incision, one on each side.it's invisible, it doesn't bother you, it doesn't hurt, you can't feel it. one end ofthe drain is attached to this little bulb, which is attached to the tube, and any bloodor fluid that collects around the implant comes out through this- through the drainagetube, into the co

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when i first met dr. dibernardo, i had toldhim what i was looking for. he had helped me with the decisions, picking sizes. it wasa very comfortable situation. i didn’t feel forced into making a decision i wasn’t readyto make. it was more of a partnership than it was a patient-doctor relationship. throughthe surgery, he was fantastic. i was feeling a little under the whether and he made mefeel so comfortable. the reaction my girlfriends had was, “what is his name, and what ishis phone number?” i can probably guarantee at least a dozen of them have been here sincemy procedure with dr. dibernardo. people will look at me and they don’t necessarily knowwhat i had done. it’s not something like, “look at what she had done.” it’s avery natural thing. my opinion of dr. dibernardo is, he is not only a surgeon, he is and artist.he sees the end result before he even begins. breast augmentation procedures are reallyviewed from the patients’ standpoint as, “what do i see a

do you have one of these? i got a little obsessed with mine. in fact i got a little obsessed withall my stuff. have you ever wondered where all thestuff we buy, comes from and where it goeswhen we throw it out? i couldn't stop wondering about that.so i looked it up. and what the text book said,is that stuff moves through a system from extraction to productionto distribution to consumption to disposal. all together, it is called the materials economy.well, i looked into it a little bit more. in fact, i spent 10 years traveling the world, tracking where our stuff comesfrom and where it goes. and you know what i found out?that is not the whole story. there's a lot missing fromthis explanation. for one thing,this system looks like it's fine. no problem. but the truth is it’s a system in crisis. and the reason it is in crisisis that it is a linear system and we live on a finite planet and you can not run a linear systemon a finite planet indefinitely. every step along th

hi everybody. i'm dr. david reath and i'mhere to discuss this week's truth-o-meter tuesday question.well, we have another question this week that references breast implants, and it's aboutsomething that i talk to patients a lot about and get asked a lot about.and what we said is that breast implants, to get the best result, must be placed underthe chest muscle--the pectoralis major muscle. and the answer is false.now, many many women do have breast implants placed beneath the chest muscle, and for manywomen this is definitely the preferred position. however, some women do have the option ofgoing on top of the muscle, and with that they can have an excellent result every bitas good as going under the muscle, and in some cases perhaps even better.the things we take into consideration is the amount of the original breast tissue we'restarting with, and whether we're using saline or silicone as implants.saline implants will almost always go underneath the muscle

a breast augmentation is one of our most popularprocedures. it’s a safe and simple procedure used toenhance or enlarge a woman’s breast. it’s an outpatient surgery, it usually takes45 to an hour to perform. the ideal for breast augmentation is someonethat has pretty realistic goals in terms of where they’re starting, where they wantto end up, and then anatomically when i examine them, that they have a size and shape thatallows me to accomplish the goals that they want. choosing the right implant is one of the mostimportant aspects of breast augmentation. you will have the opportunity to sit downwith your surgeon and together form a customized individual treatment plan and have the chanceto try on different size implants, so you and your surgeon can feel comfortable withthe implant you select. breast augmentation surgery can be performedwith other procedure or on it own. in general, when it is performed on its ownthe recovery time for it is a few days there may be some acti

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