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BAPRAS: Think Over before you Make Over

22/2/2015

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Every year thousands of people in the UK put themselves at serious risk by undergoing bad or inappropriate surgery that could be easily avoided by asking some simple questions about their treatment.  Poor surgery can have both physical and psychological consequences, so it is vital to make an informed choice and choose the right surgeon for the job. 

Following 5 Cs for cosmetic surgery will help you decide if cosmetic surgery is the right choice for you. 


THINK OVER BEFORE YOU MAKE OVER 

1 Think about the CHANGE you want to see

Do your research. Find out all you can about the treatment/s you want. Be precise as to the change you hope to see and the reasons why.


2 CHECK OUT potential surgeons

If you are thinking about cosmetic surgery, speak to your GP. Find a surgeon who
has the right credentials and is on the appropriate specialist register with the GMC. Fully qualified Plastic Surgeons will be on the GMC Specialist Register for Plastic Surgery. Find out about their experience of the procedure you are considering and make sure you meet them and discuss the outcome you can expect before you commit to having something done.


3 Have a thorough CONSULTATION & ask the right questions

Your Plastic Surgeon will discuss and clarify the treatment options with you and then plan your treatment. Find out as much as possible by bringing along questions so you know the risks involved and feel comfortable with the surgeon who will be carrying out your surgery.

4 COOL OFF before you commit

Give yourself some time to ensure that you want the surgery and to make sure you feel at ease with the surgeon who will be treating you.

 5 CARE about your aftercare 


Aftercare can be just as important as the surgery itself, so make sure you know who to contact and how you will be looked after, especially if there are any complications or problems following your surgery or treatment.


Key questions to ask your surgeon before choosing cosmetic surgery
  1. Who will operate on me? 
  2. What are your qualifications?
  3. What are the potential risks and complications?
  4. What is your complication & re-operation rate?
  5. What results can I expect and how long will they last for? 
  6. What aftercare do you provide? 

THINK OVER BEFORE YOU MAKE OVER 


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Polyurethane coated breast implants: the answer to capsular contracture?

8/2/2015

 
One of the two reasons why breast implants need replacing is capsular contracture, the other is rupture or leaks. The implants that I currently use are high cohesive gel by Allergan and Mentor, both are FDA approved. Rupture rates in these implants are low, infact both manufacturers provide a life-time warranty for rupture. Capsular contracture, though, continues to be a problem.

Polyurethane coated implants, supplied by Polytech in the UK may be a solution. These implants have been used in South America for the last 35 years, and were used for a short period of time in the US, but were withdrawn from USA, alongwith all silicone implants in the 1990s during the years of ‘silicone controversy’.  The other finding has been the presence of 2,4TDA (toluenediamine) in the urine of women with these implants. But this has finally been resolved too, as TDA has been found in urine of women with no breast implants. Polyurethane is also used in other prosthetics such as heart valves and pacemakers, so safety is no longer an issue. 


The polyurethane coating does two things:

  •  It reduces the rate of capsular contracture to 1-3% at 15 years by stabilising the collagen fibres that make up the capsule, preventing these from sliding over each other and causing the capsule to contract like a ‘shrink-wrap’.
  • As a result of the polyurethane coating, these implants stay where they are placed, a distinct advantage when tear-drop (aka anatomical or natural-shaped) implants are used, thus preventing rotation of the shaped implant.
So I have started using these implants. Precise placement is crucial and my early results are very pleasing both for my patients, and for me when I evaluate my results. 

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