Often I am asked to render an opinion and give advice, which if you have been reading my stuff, I am usually happy to do! I am always full of opinions! However, opinions can be dangerous, especially if when you ask for them, you are seeking the information to shore up what you think you already believe or want to do. Take this question for an example...
"I have emailed you before and want to ask your opinion on Silimed, mid profile, polyurethane coated implants at 250-280cc above the muscle. I have breastfed 3 children and have quite a lot of excess breast tissue. On the borderline for lift but dont wish to have the scars. Just wanted to know what your opinion on these type of implants are please?"
Ok, without a clinical examination and measurements, how do we know what this patient needs? All we know is what she doesn't want ....the incisions and possible scars from a mastopexy or breast lift. But what if a Mastopexy is really what she needs? Trying to make an implant do something it isn't meant to do - correct something it was never meant to correct is asking for trouble. It's like forcing a square peg into a round hole. I would rather see the patient do nothing than to do the wrong thing.
Rarely does a certain type of implant fix a problem. Breast implants are just objects - they are not solutions in and of themselves. So the main issue I have with this inquiry is that the patient seems to know what operation she needs, but is trying to find a way around it - - that spells trouble. The bigger picture problem for her is that there seems to be an absence of a surgeon that will help her make clinical decisions based on measurements of her own body. The numbers are what they are and they don't lie - - so if she needs a lift, but refuses the incisions, then so be it - don't have any operation at all.
Dreams have to match reality. Finding reality means finding a responsible, honest surgeon who will make clinical decisions with you and be proactive in helping the patient understand the consequences of her decisions and actions. A good surgeon is kind of like a good parent in this respect. They may not always tell you what you want to hear, but are ultimately looking out for your best interest long term.
So my advice to this patient is to seek the clinical opinions of one of the best breast augmentation surgeons and be open to adjusting her expectations with what her body will realistically allow her to have. In the end, you always have the option of leaving things the way they are - - at least that is you and natural. Forcing that square peg into that round hole can mean nothing but trouble in the end!
"I have emailed you before and want to ask your opinion on Silimed, mid profile, polyurethane coated implants at 250-280cc above the muscle. I have breastfed 3 children and have quite a lot of excess breast tissue. On the borderline for lift but dont wish to have the scars. Just wanted to know what your opinion on these type of implants are please?"
Ok, without a clinical examination and measurements, how do we know what this patient needs? All we know is what she doesn't want ....the incisions and possible scars from a mastopexy or breast lift. But what if a Mastopexy is really what she needs? Trying to make an implant do something it isn't meant to do - correct something it was never meant to correct is asking for trouble. It's like forcing a square peg into a round hole. I would rather see the patient do nothing than to do the wrong thing.
Rarely does a certain type of implant fix a problem. Breast implants are just objects - they are not solutions in and of themselves. So the main issue I have with this inquiry is that the patient seems to know what operation she needs, but is trying to find a way around it - - that spells trouble. The bigger picture problem for her is that there seems to be an absence of a surgeon that will help her make clinical decisions based on measurements of her own body. The numbers are what they are and they don't lie - - so if she needs a lift, but refuses the incisions, then so be it - don't have any operation at all.
Dreams have to match reality. Finding reality means finding a responsible, honest surgeon who will make clinical decisions with you and be proactive in helping the patient understand the consequences of her decisions and actions. A good surgeon is kind of like a good parent in this respect. They may not always tell you what you want to hear, but are ultimately looking out for your best interest long term.
So my advice to this patient is to seek the clinical opinions of one of the best breast augmentation surgeons and be open to adjusting her expectations with what her body will realistically allow her to have. In the end, you always have the option of leaving things the way they are - - at least that is you and natural. Forcing that square peg into that round hole can mean nothing but trouble in the end!
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