Just off phone with Feng

[Guest guest]

I just got off the phone with (I am assuming) an assistant of Dr.

Feng's. I was talking to her about my fiancé's situation and she

told me that she would not need to remove the capsule. Now as for

her situation... She has saline implants and is just a normal case

of someone who (as we know of now) has no symptoms. She has just

decided that she would no longer like to have them in. And the

assistant said if there are no symptoms then there is no need to

take the capsule out. I asked her what the benefit was to leaving

the capsule in and she said that removing it could effect the look

of the outcome because when you remove the scar tissue, a bit of

breast tissue might come with it. I don't know if this was just a

precautionary warning of what could happen, but as for my

understanding, you really can not get better then Dr. Feng when it

comes to matters like this.

Thanks,

[Guest guest]

,

Dr. Feng does know her business . . . And, under the

circumstances you describe, leaving the capsule behind

would probably be safe.

However, most women don't associate their symptoms

with their implants . . . fatigue, digestive,

respiratory, headaches, muscle/joint pain, rashes, . .

.. the list goes on and on.

I would be sure that she isn't having ANY problems

that are associated with implants before leaving the

capsules in . . . If there is bacteria/fungus on on

the implants, and that is left behind, she may require

another surgery later. . . IMHO, having the capsule

removed at the same time as explant is a good

precaution.

That said, Dr. Feng may be able to recognize an

implant that is causing problems, and would likely

remove the capsule if there was any question.

You're definitely a dear for handling this for your

fiancé!

Rogene

[Guest guest]

Thank you for responding so quickly. The only thing that worries me

is that she is becomeing more forgetfull. She said it herself that

she is forgetting things more easily now... however that may not be

linked as I sometimes have a week or two where I will forget things

more often. Another thing, what is the difference of expertise

between Melmed and Feng. I do know Feng is quite a bit more

expensive, but do you get what you pay for? We both want to have

this done right and to just put it behind us.

And, does removing the scar tissue really effect the outcome of the

surgery (aesthetic wise and risk wise)?

Thanks again,

[Guest guest]

,

Forgetting is one implant related symptom. By the time

I had my implants out, I couldn't sequence anything or

do the simplest job right. On the other hand,

forgetting can be caused by something as simple as not

getting enough sleep. Try giving her a list of ten

unrelated words, asking her to remember them, then

asking her to repeat the list in ten minutes.

I don't know Dr. Feng personally, but I do know Dr.

Melmed. . . I trust Dr. Feng by reputation. I know Dr.

Melmed personally. I would trust Dr. Melmed as an

honest man who will do everything possible to see that

your fiancee will get the best results possible, both

for her health and her looks.

Dr. Melmed is the most anti-breast implant plastic

surgeon I know. The fact that he costs less should not

be an issue. It does not speak to his expertise, but

of his lack of greed.

I have not had any surgery done by him. But, if I did,

I'd choose Dr. Melmed.

Rogene

--- jbuck789 <jabuck20@...> wrote:

>

> Thank you for responding so quickly. The only thing

> that worries me

> is that she is becomeing more forgetfull. She said

> it herself that

> she is forgetting things more easily now... however

> that may not be

> linked as I sometimes have a week or two where I

> will forget things

> more often. Another thing, what is the difference of

> expertise

> between Melmed and Feng. I do know Feng is quite a

> bit more

> expensive, but do you get what you pay for? We both

> want to have

> this done right and to just put it behind us.

> And, does removing the scar tissue really effect the

> outcome of the

> surgery (aesthetic wise and risk wise)?

>

> Thanks again,

>

>

>

>

>

[Guest guest]

Hi ,

You're a great guy for being so proactive in getting help for your

fiance. Thanks for coming here to ask very important questions.

I had the short term memory loss for sure with my saline implants.

If you look on the package insert that comes with implants, memory

loss is one symptom that has been linked to implant related illness.

(I'm pretty sure it still says that--I know memory loss was one I

saw listed before). Short term loss does not affect long term

memory in any way, but it is apparent in things like not being able

to recall a conversation that just took place, forgetting what you

were just doing, (I had an instance when I was showering when I

couldn't even remember if I had put on shampoo, conditioner or

either one of them.), and it could also go along with symptoms like

not being able to think clearly or do simple tasks like balancing

the checkbook. My brain function was affected significantly.

(Thank God that has gotten way better!)

If your fiance is having any chance at all that she might be showing

symptoms of illness related to the implants, you will want to make

sure the scar capsule is removed. I believe Dr. Feng also takes

this stance, as evidenced by her letter that we have in our files

section. Here it is for you:

Thanks very much to Dr. Lu-Feng of Cleveland Ohio for these

remarks regarding capsule removal after saline implants)

A biological capsule will form around any implant. Any saline

implant removal will require a total capsulectomy. Like anything

else in life, there are few exceptions. Here are the few exceptions

which would have to be fulfilled before I would entertain the

possibility of not removing the saline capsule.

(1) The capsule has to be tissue paper thin and without contracture.

(2) The patient has to be without any local or systemic symptoms.

(3) The saline implant has to be smooth shelled.

(4) There has to be no previous history of gel filled implant

insertion.

All these conditions have to be fulfilled before I would consider

not taking

the saline capsule out. As you can see, few patients would fulfill

these

criteria. Invariably, I take out the entire capsule around saline

implants.

Drfeng@...

So, , you can see for yourself what criteria is used.

Dr. Feng and Dr. Melmed are both excellent surgeons. I would

suggest calling and talking to both of them in order to make a final

decision you are comfortable with.

I hope this helps you!

Best wishes,

Patty

--- In , " jbuck789 " <jabuck20@s...>

wrote:

>

> Thank you for responding so quickly. The only thing that worries

me

> is that she is becomeing more forgetfull. She said it herself that

> she is forgetting things more easily now... however that may not

be

> linked as I sometimes have a week or two where I will forget

things

> more often. Another thing, what is the difference of expertise

> between Melmed and Feng. I do know Feng is quite a bit more

> expensive, but do you get what you pay for? We both want to have

> this done right and to just put it behind us.

> And, does removing the scar tissue really effect the outcome of

the

> surgery (aesthetic wise and risk wise)?

>

> Thanks again,

>

[Guest guest]

Thank you Rogene and Patty for helping me out, I greatly appreciate

it. I love to help her with this because we are in this together...

if it effects her, it effects me. And I am trying my hardest to make

sure everything works out for the best. The problem really comes

down to choosing which doctor now. I am very convinced that we

should remove the capsules, but I will talk to the doctor about it

when the time comes... my fiancé happens to fit that criteria (maybe

besides the tissue paper thing part... we have no clue what the

capsule looks like). But I always say, better safe then sorry right?

Anyways I will contact Melmed tomorrow... I talked to Feng's

assistant who was super nice and helpful. So I am really looking to

all of you for some advice as well. It really sounds like I can't go

wrong with either choice. I would lean towards Melmed because he is

less expensive, and I am originally from Houston. I also have

friends we could stay with in Dallas, and the flight is shorter.

However, the cost is really not the issue. I will pay anything to

make sure this is done right. I am really ridding off the reputation

Feng... I only hear good things and that she is the best.

Thanks again,

[Guest guest]

,

I don't think you can go wrong with either doctor.

They both will do the best work possible. All things

being even, it really comes down to who your fiancee

feels most comfortable with.

Just tell you fiancee we think she's one very lucky

lady to have you standing with her!

Hugs to both of you.

Rogene