Re: Thank you so much...some very important last questions

[Guest guest]

, We've found very few surgeons who we can recommend wholeheartedly . . . Before committing to any surgery, be sure the doctor will do exactly what YOU want. He/she is working for you! Dr. Melmed is noted for not always removing all the capsule on salines - especially if a woman isn't symptomatic. . . He does beautiful work though - just be sure you reach an understanding about what he's going to do - in writing. Hugs, Rogene

[Guest guest]

Hi ,

My doctor had a tough time getting the implants out, they were under

the muscle and way too big for me - but luckily she was able to

remove them en bloc, and was able to remove all of the capsule.

Make sure the doctor plans on using drains, too. I don't think any

doctor can guarantee that they'll be able to remove 100% of the

capsule, but you don't want a doctor who suggests that the capsule

eventually is absorbed by the body (because there's no proof of

that). What state do you live in?

Sis

>

> Hi again,

>

> I can't thank you so much for all your support!!!! I get teary

eyed

> from the love of other woman really caring for each other and

being

> there for me. I am thinking I will do the explant....now what

bothers

> me is my meeting with the PS ....he said he would do a total

> capsulectomy as much as possible..I had my saline implants

underneath

> the muscle and he said sometimes it is not possible to get the

scar

> tissue that is stuck to the ribs and en bloc can be very

difficult. Is

> this not acceptable? I put an email into Dr Melmed. Thank you

again..

>

> Blessings and love,

>

>

[Guest guest]

> >

> > Hi again,

> >

> > I can't thank you so much for all your support!!!! I get teary

> eyed

> > from the love of other woman really caring for each other and

> being

> > there for me. I am thinking I will do the explant....now what

> bothers

> > me is my meeting with the PS ....he said he would do a total

> > capsulectomy as much as possible..I had my saline implants

> underneath

> > the muscle and he said sometimes it is not possible to get the

> scar

> > tissue that is stuck to the ribs and en bloc can be very

> difficult. Is

> > this not acceptable? I put an email into Dr Melmed. Thank you

> again..

> >

> > Blessings and love,

> >

> >

>

[Guest guest]

-Hi ...

Not sure my last note got through..thanks again for your reply. I

live in San Diego, CA. I emailed Dr Melmed and wrote about my PS..I

told how my PS said there is not guarantee he can do an en bloc or

complete total capsulectomy because my saline inplants are under the

muscle and scar tissue could be on the ribs and close to the lungs.

My PS is very good and said he would do the best he possibly could.

I asked Dr Melmed if that sounded right..Dr Melmed said that is 100%

correct and good luck. That made me feel a whole lot better!

-- In , " " <lindabirse@...> wrote:

>

>

> > >

> > > Hi again,

> > >

> > > I can't thank you so much for all your support!!!! I get teary

> > eyed

> > > from the love of other woman really caring for each other and

> > being

> > > there for me. I am thinking I will do the explant....now what

> > bothers

> > > me is my meeting with the PS ....he said he would do a total

> > > capsulectomy as much as possible..I had my saline implants

> > underneath

> > > the muscle and he said sometimes it is not possible to get the

> > scar

> > > tissue that is stuck to the ribs and en bloc can be very

> > difficult. Is

> > > this not acceptable? I put an email into Dr Melmed. Thank

you

> > again..

> > >

> > > Blessings and love,

> > >

> > >

> >

>

[Guest guest]

, I went to Dr. Feng, and she never told me it wasn't possible to get out all the capsule. In fact, I was in surgery a whole extra hour just to make sure she got it all. By my pain and buising, along with the post surgery report, she had to scrape inbetween my ribs and inbetween different muscles, including as far back as deep into my armpit. I would really consider finding a PS who is willing to take the time to get it all out. If he is stating that it may not be possible, then he may be one who will close you up because he may be late for his Tee Time. <lindabirse@...> wrote: Hi again,I can't thank you so much for all your support!!!! I get teary eyed from the love of other woman really caring for each other and being there for me. I am thinking I will do the explant....now what bothers me is my meeting with the PS ....he said he would do a total capsulectomy as much as possible..I had my saline implants underneath the muscle and he said sometimes it is not possible to get the scar tissue that is stuck to the ribs and en bloc can be very difficult. Is this not acceptable? I put an email into Dr Melmed. Thank you again..Blessings and love,-

Get your email and more, right on the new .com

[Guest guest]

Actually, Dr. Feng spent an extra hour on my surgery, too. I'm

really thankful I went to her, I couldn't have asked for a better

result - you'd never know I had implants if you saw me nude!

Sis

> Hi again,

>

> I can't thank you so much for all your support!!!! I get teary

eyed

> from the love of other woman really caring for each other and

being

> there for me. I am thinking I will do the explant....now what

bothers

> me is my meeting with the PS ....he said he would do a total

> capsulectomy as much as possible..I had my saline implants

underneath

> the muscle and he said sometimes it is not possible to get the

scar

> tissue that is stuck to the ribs and en bloc can be very

difficult. Is

> this not acceptable? I put an email into Dr Melmed. Thank you

again..

>

> Blessings and love,

>

>

>

>

>

>

>

> -

>

>

> ---------------------------------

> Get your email and more, right on the new .com

>

[Guest guest]

I think Dr. Melmed must have had to do a lot of scraping with me as well, because I have this huge dark bruise on my left breast, and bruises and sort of lumps in between my breasts, like on my ribcage, which is sore-like he had to do a lot of scraping or something. Huge sore bruises! Lamse <wannabe_proverbs31@...> wrote: , I went to Dr. Feng, and she never told me it wasn't possible to get out all the capsule. In fact, I was in surgery a whole extra hour just to

make sure she got it all. By my pain and buising, along with the post surgery report, she had to scrape inbetween my ribs and inbetween different muscles, including as far back as deep into my armpit. I would really consider finding a PS who is willing to take the time to get it all out. If he is stating that it may not be possible, then he may be one who will close you up because he may be late for his Tee Time. <lindabirseaol> wrote: Hi again,I can't thank you so much for all your support!!!! I get teary eyed from the love of other woman really caring for each other and being there for me. I am thinking I will do the explant....now what bothers me is my meeting with the PS ....he said he would do a total capsulectomy as much as

possible..I had my saline implants underneath the muscle and he said sometimes it is not possible to get the scar tissue that is stuck to the ribs and en bloc can be very difficult. Is this not acceptable? I put an email into Dr Melmed. Thank you again..Blessings and love, - Get your email and more, right on the new .com

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[Guest guest]

Leyna, How long did you have drains? Did they stay in until there was no significant drainage? Hugs, Rogene Leyna <leyna1964@...> wrote: I think Dr. Melmed must have had to do a lot of scraping with me as well, because I have this huge dark bruise on my left breast, and bruises and sort of lumps in between my breasts, like on my ribcage, which is sore-like he

had to do a lot of scraping or something. Huge sore bruises! Lamse <wannabe_proverbs31 > wrote: , I went to Dr. Feng, and she never told me it wasn't possible to get out all the capsule. In fact, I was in surgery a whole extra hour just to make sure she got it all. By my pain and buising, along with the post surgery report, she had to scrape inbetween my ribs and inbetween different muscles, including as far back as deep into my armpit. I would really consider finding a PS who is willing to take the time to get it all out. If he is stating that it may not be possible, then he may be one who will close you up because he may be late for his Tee Time.

<lindabirseaol> wrote: Hi again,I can't thank you so much for all your support!!!! I get teary eyed from the love of other woman really caring for each other and being there for me. I am thinking I will do the explant....now what bothers me is my meeting with the PS ....he said he would do a total capsulectomy as much as possible..I had my saline implants underneath the muscle and he said sometimes it is not possible to get the scar tissue that is stuck to the ribs and en bloc can be very difficult. Is this not acceptable? I put an email into Dr Melmed. Thank you again..Blessings and love, -

Get your email and more, right on the new .com Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less.

[Guest guest]

Rogene, Dr. Melmed took my drains out the day after surgery. All I saw was blood going into the containers...the photo of my drains on Shutterfly and Explantation.com was how they looked the day he took them out. God, that hurt worse than any part of the surgery! lol He just did it soooo slowly, and then yanked! Ouch!Rogene S <saxony01@...> wrote: Leyna, How long did you have drains? Did they stay in until there

was no significant drainage? Hugs, Rogene Leyna <leyna1964 > wrote: I think Dr. Melmed must have had to do a lot of scraping with me as well, because I have this huge dark bruise on my left breast, and bruises and sort of lumps in between my breasts, like on my ribcage, which is sore-like he had to do a lot of scraping or something. Huge sore bruises! Lamse <wannabe_proverbs31 > wrote: , I went to Dr. Feng, and she never told me it wasn't possible to get out all the capsule. In fact, I was in surgery a whole

extra hour just to make sure she got it all. By my pain and buising, along with the post surgery report, she had to scrape inbetween my ribs and inbetween different muscles, including as far back as deep into my armpit. I would really consider finding a PS who is willing to take the time to get it all out. If he is stating that it may not be possible, then he may be one who will close you up because he may be late for his Tee Time. <lindabirseaol> wrote: Hi again,I can't thank you so much for all your support!!!! I get teary eyed from the love of other woman really caring for each other and being there for me. I am thinking I will do the explant....now what bothers me is my meeting with the PS ....he said he would do a total

capsulectomy as much as possible..I had my saline implants underneath the muscle and he said sometimes it is not possible to get the scar tissue that is stuck to the ribs and en bloc can be very difficult. Is this not acceptable? I put an email into Dr Melmed. Thank you again..Blessings and love, - Get your email and more, right on the new .com Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less.

All-new - Fire up a more powerful email and get things done faster.

[Guest guest]

-

Lenya,

I totally agree pulling out those drains hurt way worse than the

explant.I didn't know they would just pull them out like that. I

thought it was just going to be the same size as the tubing, wrong

they were traingle shaped and hard plastic.I have more of a scar from

the drains than the incision. But they have a huge purpose. Mine I

had in for over a week, But I had a lot of fluid still coming out. My

breasts weren't swollen at all. Thi scapsule removal I just had

didn't have a drain and the breast is a little swollen. Anyway I

agree with you explant was a breeze. I was scared to death of the

pain I would be in after, but it was minimal.

Terri P

-- In , Leyna <leyna1964@...> wrote:

>

> Rogene,

> Dr. Melmed took my drains out the day after surgery. All I saw

was blood going into the containers...the photo of my drains on

Shutterfly and Explantation.com was how they looked the day he took

them out. God, that hurt worse than any part of the surgery! lol He

just did it soooo slowly, and then yanked! Ouch!

>

> Rogene S <saxony01@...> wrote:

> Leyna,

>

> How long did you have drains?

>

> Did they stay in until there was no significant drainage?

>

> Hugs,

>

> Rogene

>

>

>

> Leyna <leyna1964@...> wrote:

> I think Dr. Melmed must have had to do a lot of scraping with

me as well, because I have this huge dark bruise on my left breast,

and bruises and sort of lumps in between my breasts, like on my

ribcage, which is sore-like he had to do a lot of scraping or

something. Huge sore bruises!

>

> Lamse <wannabe_proverbs31@...> wrote: ,

>

> I went to Dr. Feng, and she never told me it wasn't possible to

get out all the capsule. In fact, I was in surgery a whole extra

hour just to make sure she got it all. By my pain and buising, along

with the post surgery report, she had to scrape inbetween my ribs and

inbetween different muscles, including as far back as deep into my

armpit. I would really consider finding a PS who is willing to take

the time to get it all out. If he is stating that it may not be

possible, then he may be one who will close you up because he may be

late for his Tee Time.

>

>

>

> <lindabirse@...> wrote:

> Hi again,

>

> I can't thank you so much for all your support!!!! I get teary eyed

> from the love of other woman really caring for each other and being

> there for me. I am thinking I will do the explant....now what

bothers

> me is my meeting with the PS ....he said he would do a total

> capsulectomy as much as possible..I had my saline implants

underneath

> the muscle and he said sometimes it is not possible to get the scar

> tissue that is stuck to the ribs and en bloc can be very difficult.

Is

> this not acceptable? I put an email into Dr Melmed. Thank you

again..

>

> Blessings and love,

>

>

>

>

>

>

>

> -

>

> ---------------------------------

> Get your email and more, right on the new .com

>

>

>

>

>

> ---------------------------------

> Messenger with Voice. Make PC-to-Phone Calls to the US

(and 30+ countries) for 2¢/min or less.

>

>

>

>

>

>

>

>

>

> ---------------------------------

> All-new - Fire up a more powerful email and get things

done faster.

>

[Guest guest]

,

A good plastic surgeon, such as Dr. Feng, will do whatever it takes to remove the scar tissue. These

are the conscientious doctors who want to do things right, and I have heard often of her scraping the rib cage to get it all

out. If you read some of the archived stories about explants, you will hear in detail how hard she works to get this all out!

I think Dr. Kolb works extra hard too.

Most other doctors won't take the necessary time to do it. They just feel that if it is too hard to get out, it is just fine

to leave it in. I heard one plastic surgeon here in Vegas say that it is just too risky due to blood vessels, veins, etc. I myself don't know which is the correct stance...but I think alot of times they use that statement as their excuse for not working harder to do it right. This is such a sticky issue with us....I wish all doctors were in agreement here!

Here is what Dr. Feng writes about removing scar tissue from those with saline implants:

(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@... Good luck with your decision, !

Thank you so much...some very important last questions

Hi again,I can't thank you so much for all your support!!!! I get teary eyed from the love of other woman really caring for each other and being there for me. I am thinking I will do the explant....now what bothers me is my meeting with the PS ....he said he would do a total capsulectomy as much as possible..I had my saline implants underneath the muscle and he said sometimes it is not possible to get the scar tissue that is stuck to the ribs and en bloc can be very difficult. Is this not acceptable? I put an email into Dr Melmed. Thank you again..Blessings and love,

[Guest guest]

Leyna, I suspect some of the bruising and lumps you're experiencing are a result of not leaving the tubes in long enough . . . I know Dr. Melmed likes to take them out after 24 hours . . . but sometimes a woman hasn't drained enough by then. I think it was who had drains almost three weeks! . . . Quite a few women have had drains for as many as five days. The body will eventually absorb all that extra blood . . . but you may be sore a bit longer. Rogene

[Guest guest]

>

>

> OMG - I am sooo not looking forward to the drain part then, yikes!!

>

>

No one says you can't yell if it hurts. That 'big girls don't cry'

business went out with the 'poodle cut!' If it hurts, yell like hell,

girl! In my experience doctors aren't usually sadists, but they do

believe in the faster is better approach to bandaid removal, etc. Too

bad these guys/gals don't let a nurse remove the drains!!!! LOL!!!!

A nurse,

[Guest guest]

Mine were in for four days with Melmed. He told me he likes to leave them in for that long but will take 'em out sooner if a person has to leave town before then, which I think Leyna did. A lot of the ladies that go to him don't want to stick around, paying more money for the hotel, etc.

Bindi

Re: Thank you so much...some very important last questions

Leyna,

I suspect some of the bruising and lumps you're experiencing are a result of not leaving the tubes in long enough . . . I know Dr. Melmed likes to take them out after 24 hours . . . but sometimes a woman hasn't drained enough by then. I think it was who had drains almost three weeks! . . . Quite a few women have had drains for as many as five days.

The body will eventually absorb all that extra blood . . . but you may be sore a bit longer.

Rogene

[Guest guest]

That does make sense......I did think I was still draining at the time, but he said it was "clear", so he went ahead and took them out.freebindi <bindi@...> wrote: Mine were in for four days with Melmed. He told me he likes to leave them in for that long but will take 'em out sooner if a person has to leave town before then, which I think Leyna did. A lot of the ladies that go to him don't want to stick around, paying more money for the hotel, etc. Bindi Re: Thank you so much...some very important last questions Leyna, I suspect some of the bruising and lumps you're experiencing are a result of not leaving the tubes in long enough . . . I know Dr. Melmed likes to take them out after 24 hours . . . but sometimes a woman hasn't drained

enough by then. I think it was who had drains almost three weeks! . . . Quite a few women have had drains for as many as five days. The body will eventually absorb all that extra blood . . . but you may be sore a bit longer. Rogene

Get your email and more, right on the new .com

[Guest guest]

I know one wonan, who traveled from Mexico City, who could have afforded any doctor . . .any hotel, who went through months of anguish because of swollen breasts after taking the drains out too soon. It really worries me. She tried to get into see a doctor in NYC, but couldn't get an appointment in a reasonable time . .. She eventually was fine. But she was scared silly! After 24 hours, one drain had stopped up . .. the other was removed. I think the key is to insist the drains be left in until there's no signficant drainage - even if you have to have your family doctor remove them. Rogene

[Guest guest]

Rogene, that's a very good idea. Drains could be removed by her own

physician when the woman going out of area for explantation needs to

leave for financial or other reasons...IF the explanting surgeon agrees,

of course.

[Guest guest]

Rogene, Ok...it's not that big of a deal really. I mean, I'm a lot more worried about my nipple discharge than I am a little bruising. lolRogene S <saxony01@...> wrote: Leyna, I suspect some of the bruising and lumps you're experiencing are a result of not leaving the tubes in long enough . . . I know Dr. Melmed likes to take them out after 24 hours . . . but sometimes a woman hasn't drained enough by then. I think it was who had drains almost

three weeks! . . . Quite a few women have had drains for as many as five days. The body will eventually absorb all that extra blood . . . but you may be sore a bit longer. Rogene

How low will we go? Check out Messenger’s low PC-to-Phone call rates.

[Guest guest]

Yes, Dr. Feng wouldn't remove my drains until my output was at an

acceptable level, because she said she didn't want me getting

a " seroma " , I think that's was it was called. Anyway, they

definitely kept the swelling to a minimum.

Sis

>

> I know one wonan, who traveled from Mexico City, who could have

afforded any doctor . . .any hotel, who went through months of

anguish because of swollen breasts after taking the drains out too

soon.

>

> It really worries me. She tried to get into see a doctor in NYC,

but couldn't get an appointment in a reasonable time . .. She

eventually was fine. But she was scared silly!

>

> After 24 hours, one drain had stopped up . .. the other was

removed.

>

> I think the key is to insist the drains be left in until there's

no signficant drainage - even if you have to have your family doctor

remove them.

>

> Rogene

>

[Guest guest]

Those were my thoughts too....I had no drains at all with my explant (because I didn't know to ask for them) and I was so bruised I looked like I had been hit by a truck. I hate the thought that my body had to deal with all that yucky fluid on its own. Those who have drains in and have them long enough to let all that fluid get out of the system don't bruise much at all. I think Dr. Feng leaves them in until the patient is draining under a certain amount per day, which usually takes somewhere around a week or so.

But at least you had them for 24 hours Leyna! I didn't have the benefit of having any at all, so my bruising was probably even worse.

Patty

Re: Thank you so much...some very important last questions

Leyna,

I suspect some of the bruising and lumps you're experiencing are a result of not leaving the tubes in long enough . . . I know Dr. Melmed likes to take them out after 24 hours . . . but sometimes a woman hasn't drained enough by then. I think it was who had drains almost three weeks! . . . Quite a few women have had drains for as many as five days.

The body will eventually absorb all that extra blood . . . but you may be sore a bit longer.

Rogene

[Guest guest]

I guess I just didn't understand the reason for the drains actually. I mean, mine just leaked a lot of blood-I changed it 3 times in the 24 hours I had it in. By the second day, it wasn't leaking very much at all, and Dr. Melmed said they were "clear", whatever that means. Something about "you don't have any clumps, and it's clear"....I didn't want to ask what he meant by that! lolTricia Trish <glory2glory1401@...> wrote: Those were my thoughts too....I had no drains at all with my explant (because I didn't know to ask for them) and I was so bruised I looked like I had been hit by a truck. I hate the thought that my body had to deal with all that yucky fluid on its own. Those who have drains in and have them long enough to let all that fluid get out of the system don't bruise much at all. I think Dr. Feng leaves them in until the patient is draining under a certain amount per day, which usually takes somewhere around a week or so. But at least you had them for 24 hours Leyna! I didn't have the benefit of having any at all, so my bruising was probably even worse. Patty Re: Thank you so much...some very important last questions Leyna, I suspect some of the bruising and lumps you're experiencing are a result of not leaving the tubes in long enough . . . I know Dr. Melmed likes to take them out after 24 hours . . . but sometimes a woman hasn't drained enough by then. I think it was who had drains almost three weeks! . . . Quite a few women have had drains for as many as five days. The body will eventually absorb all that extra

blood . . . but you may be sore a bit longer. Rogene

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[Guest guest]

The usual answer is to leave them on until they fall off. . . . If there's an open wound when they drop off, then you will want to cover the wounds with something sterile (I'd recommend a sterile gauze pad, held in place by your sports bra). If the bandage gets soiled by drainage or blood before it falls off, remove it and use a sterile gauze pad. If you can avoid using tape, all the better. Some women are sensitive to the tape. Rogene

[Guest guest]

Are you still having nipple discharge? . . . If so, is it changing in amount, color, thickness? Rogene

[Guest guest]

-

Diane,

Mine was the nurse who pulled them out, she wasn't any gentler,although

she was compassionate about it. She said I am sorry do you want me to

wait a few minutes to do the next one/ I said no just do it now.

Terri P

-- In , Crocker <dwcrn@...> wrote:

>

> >

> >

> > OMG - I am sooo not looking forward to the drain part then, yikes!!

> >

> >

> No one says you can't yell if it hurts. That 'big girls don't cry'

> business went out with the 'poodle cut!' If it hurts, yell like

hell,

> girl! In my experience doctors aren't usually sadists, but they do

> believe in the faster is better approach to bandaid removal, etc.

Too

> bad these guys/gals don't let a nurse remove the drains!!!! LOL!!!!

>

> A nurse,

>

>

[Guest guest]

Sounds like good advice to me! :)Rogene S <saxony01@...> wrote: The usual answer is to leave them on until they fall off. . . . If there's an open wound when they drop off, then you will want to cover the wounds with something sterile (I'd recommend a sterile gauze pad, held in place by your sports bra). If the bandage gets soiled by drainage or blood before it falls off, remove it and use a sterile gauze pad. If you can avoid using tape, all the

better. Some women are sensitive to the tape. Rogene

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