Re: Explant care- incisions & massage

[Guest guest]

, Why did you use neosporin after your explant? Did you use it to prevent infection or to help reduce scar appearance? Neosporin will not help reduce scar appearance, as it is a local anti-infective, and has no action at all on decreasing scar appearance. Mederma has been marketed to reduce scar size, but I have been using it since March on my neck, sternal, and hip scar and have yet to see any improvement. I'm pretty disappointed in it especially since it's not cheap. Has anyone else been disappointed with Mederma? I have found massage to be the most effective method for me to decrease scar size and to smooth the scar out. e ----- Original Message ----- From: Heer Sent: Saturday, June 29, 2002 10:12 PM Subject: Re: Explant care- incisions & massage I used the neosporin and then the mederma for months, I had no problems witheither and they worked quite well. Did you have a lift with explant?hugs----- Original Message -----From: "cdpayne64" <cdpayne64@...>< >Sent: Saturday, June 29, 2002 9:16 AMSubject: Explant care- incisions & massage> What are the best things to put on incisions after explant, I thought> about Neosporin and also about vit E oil. Anything else to help> reduce scars?>> Also, did I read a post about breast massage after explant? Does> this help healing? If so when do you begin them and how long?>> Darlene>>>>

[Guest guest]

I was explanted and lifted in March. I used mederma and massage after surgery but still ended up with keloid scaring under both breasts and around my nipples. I have never had a keloid scar in my life. I don't know what could have contributed to the poor healing. I have been following detox therapy since January and an extensive supplement program to treat my fibromyalgia. I am concerned about my ability to detox because my PS did not remove my capsules like he told me he would. He said that he changed his mind during surgery because he didn't think it was worth the additional risks. Any thoughts on this?

[Guest guest]

Dr. Kolb,

I just found Mederma in a search looks like it is a good product.

I'll see if I can find it at a drug store around here. Thank you very

much.

Darlene

> I would not recommend Neosporin as up to 15% of patients develop

allergic

> reactions. Mederma is much more effective than vitamin E for scar

> reduction. I use paper tape for 4 weeks then Mederma. .

>

> -----Original Message-----

> From: cdpayne64 [mailto:cdpayne64@y...]

> Sent: Saturday, June 29, 2002 11:16 AM

> @y...

> Subject: Explant care- incisions & massage

>

>

> What are the best things to put on incisions after explant, I

thought

> about Neosporin and also about vit E oil. Anything else to help

> reduce scars?

>

> Also, did I read a post about breast massage after explant? Does

> this help healing? If so when do you begin them and how long?

>

> Darlene

>

>

>

>

[Guest guest]

It is important to remove the capsules as they are the site of much of the immune interaction of the implant with the body. The probable cause of the hypertropic scars are due to contamination of this tissue from the infected capsules. What was the results of the wound cultures from the capsules? If you are treated by a surgeon who is not familar with the pathophysiology of the disease you may have adverse effects and complications. This includes surgeons who do not understand the need for detoxification and immune treatment prior to surgery. The next issue of the newsletter will be out soon on www.plastikos.com and Dr. Shanklin has an interesting article in the newsletter regarding the immume effects of saline implants. There will also be a national special on the possible dangers of saline implants that is due to air on July 4th. .

-----Original Message-----From: JSiegelbaum@... [mailto:JSiegelbaum@...]Sent: Sunday, June 30, 2002 12:51 PM Subject: Re: Explant care- incisions & massageI was explanted and lifted in March. I used mederma and massage after surgery but still ended up with keloid scaring under both breasts and around my nipples. I have never had a keloid scar in my life. I don't know what could have contributed to the poor healing. I have been following detox therapy since January and an extensive supplement program to treat my fibromyalgia. I am concerned about my ability to detox because my PS did not remove my capsules like he told me he would. He said that he changed his mind during surgery because he didn't think it was worth the additional risks. Any thoughts on this?

[Guest guest]

Dr Kolb,

Thank you for your reply. I wish I had been a member of this support group before my implants were removed. I had textured saline implants placed in 1997 and became progressively sicker as time went on. It didn't occur to me that the implants could be making me sick until one ruptured last winter and I started looking on the Internet for information on whether this was common or not. I was shocked to see that all of the health problems that I have had over the last 5 years were on a list of common symptoms of implant recipients.

I didn't have the best of experiences with my explanting surgeon. He had taken over my implanting surgeon's practice when he retired. I felt compelled to use him because he was charging me $1000-3000 less than other estimates I had received and he had an excellent reputation for good cosmetic results. He said he was charging me less out of courtesy to my previous doctor. (Money is a big issue for me because I have been unable to work for 3 years due to illness.) He did not believe that my illness was implant related & resisted removing the capsules but said he would anyway. On the day of surgery I added capsulectomy to the consent that I signed because it was not there. He came and spoke to me pre-op about how dangerous it would be and it would be nearly impossible to prevent disfiguration. I was under an extreme amount of stress so I asked him to remove as much as he could without causing disfiguration. When I awoke I discovered that he had made no attempt to remove the capsules. I had asked him to save the implants for me. You can imagine my shock when I came to the office the following morning to see the surgeon and he presented my implants to me already deflated, sterilized, and packaged to ship off to the manufacturer. He did not do cultures of any kind.

What are my options at this point? Will I need another procedure to remove the capsules?

Thanks for the info! andra

[Guest guest]

Dr. Kolb,

Don't surgeons have to send everything they remove from your body during

surgery to a Pathology Lab?

I have the pathology report from my explant surgery, stating they

received 2 implants & 2 capsules; the condition they were in etc. And I

didn't even ask for this to be done because at the time I was not

informed of any of this.

This is rather frightening.

[Guest guest]

The capsules will need to be removed and often insurance will cover the procedure. Please call me at 770-457-4677 to discuss. .

-----Original Message-----From: JSiegelbaum@... [mailto:JSiegelbaum@...]Sent: Sunday, June 30, 2002 5:38 PM Subject: Re: Explant care- incisions & massageDr Kolb,Thank you for your reply. I wish I had been a member of this support group before my implants were removed. I had textured saline implants placed in 1997 and became progressively sicker as time went on. It didn't occur to me that the implants could be making me sick until one ruptured last winter and I started looking on the Internet for information on whether this was common or not. I was shocked to see that all of the health problems that I have had over the last 5 years were on a list of common symptoms of implant recipients. I didn't have the best of experiences with my explanting surgeon. He had taken over my implanting surgeon's practice when he retired. I felt compelled to use him because he was charging me $1000-3000 less than other estimates I had received and he had an excellent reputation for good cosmetic results. He said he was charging me less out of courtesy to my previous doctor. (Money is a big issue for me because I have been unable to work for 3 years due to illness.) He did not believe that my illness was implant related & resisted removing the capsules but said he would anyway. On the day of surgery I added capsulectomy to the consent that I signed because it was not there. He came and spoke to me pre-op about how dangerous it would be and it would be nearly impossible to prevent disfiguration. I was under an extreme amount of stress so I asked him to remove as much as he could without causing disfiguration. When I awoke I discovered that he had made no attempt to remove the capsules. I had asked him to save the implants for me. You can imagine my shock when I came to the office the following morning to see the surgeon and he presented my implants to me already deflated, sterilized, and packaged to ship off to the manufacturer. He did not do cultures of any kind. What are my options at this point? Will I need another procedure to remove the capsules?Thanks for the info! andra

[Guest guest]

The capsules should be sent to pathology. I usually send at least one of

the implants if they are silicone especially if they are ruptured in order

to document the rupture. If they are saline, I do not usually send them to

pathology unless requested by the patient. Some surgeons refuse to give the

patients their saline implants and this has caused much distress to some

patients who realize their right to have their implants is being violated.

.

-----Original Message-----

From: shihtzusrock@... [mailto:shihtzusrock@...]

Sent: Sunday, June 30, 2002 6:49 PM

Subject: Re: Explant care- incisions & massage

Dr. Kolb,

Don't surgeons have to send everything they remove from your body during

surgery to a Pathology Lab?

I have the pathology report from my explant surgery, stating they

received 2 implants & 2 capsules; the condition they were in etc. And I

didn't even ask for this to be done because at the time I was not

informed of any of this.

This is rather frightening.

[Guest guest]

The neosporin that I used is marketed that it reduces scaring, it is new.

I used it only when my incisions were fresh.

Hugs

----- Original Message -----

From: e Rene

Sent: Sunday, June 30, 2002 12:01 AM

Subject: Re: Explant care- incisions & massage

,

Why did you use neosporin after your explant? Did you use it to prevent infection or to help reduce scar appearance? Neosporin will not help reduce scar appearance, as it is a local anti-infective, and has no action at all on decreasing scar appearance.

Mederma has been marketed to reduce scar size, but I have been using it since March on my neck, sternal, and hip scar and have yet to see any improvement. I'm pretty disappointed in it especially since it's not cheap. Has anyone else been disappointed with Mederma? I have found massage to be the most effective method for me to decrease scar size and to smooth the scar out.

e

----- Original Message -----

From: Heer

Sent: Saturday, June 29, 2002 10:12 PM

Subject: Re: Explant care- incisions & massage

I used the neosporin and then the mederma for months, I had no problems witheither and they worked quite well. Did you have a lift with explant?hugs----- Original Message -----From: "cdpayne64" <cdpayne64@...>< >Sent: Saturday, June 29, 2002 9:16 AMSubject: Explant care- incisions & massage> What are the best things to put on incisions after explant, I thought> about Neosporin and also about vit E oil. Anything else to help> reduce scars?>> Also, did I read a post about breast massage after explant? Does> this help healing? If so when do you begin them and how long?>> Darlene>>>>

[Guest guest]

, I could be mistaken, but I think that neosporin is meant to reduce scarring with small scars. What I have seen it advertised for is scarring that results from cuts, abrasions, scratches, etc. I don't think that it was meant to reduce scarring related to large surgeries producing large scars. But again, I could be wrong. e ----- Original Message ----- From: Heer Sent: Sunday, June 30, 2002 9:11 PM Subject: Re: Explant care- incisions & massage The neosporin that I used is marketed that it reduces scaring, it is new. I used it only when my incisions were fresh. Hugs ----- Original Message ----- From: e Rene Sent: Sunday, June 30, 2002 12:01 AM Subject: Re: Explant care- incisions & massage , Why did you use neosporin after your explant? Did you use it to prevent infection or to help reduce scar appearance? Neosporin will not help reduce scar appearance, as it is a local anti-infective, and has no action at all on decreasing scar appearance. Mederma has been marketed to reduce scar size, but I have been using it since March on my neck, sternal, and hip scar and have yet to see any improvement. I'm pretty disappointed in it especially since it's not cheap. Has anyone else been disappointed with Mederma? I have found massage to be the most effective method for me to decrease scar size and to smooth the scar out. e ----- Original Message ----- From: Heer Sent: Saturday, June 29, 2002 10:12 PM Subject: Re: Explant care- incisions & massage I used the neosporin and then the mederma for months, I had no problems witheither and they worked quite well. Did you have a lift with explant?hugs----- Original Message -----From: "cdpayne64" <cdpayne64@...>< >Sent: Saturday, June 29, 2002 9:16 AMSubject: Explant care- incisions & massage> What are the best things to put on incisions after explant, I thought> about Neosporin and also about vit E oil. Anything else to help> reduce scars?>> Also, did I read a post about breast massage after explant? Does> this help healing? If so when do you begin them and how long?>> Darlene>>>>

[Guest guest]

Well either way my incisions healed well and they look good so I am happy!

----- Original Message -----

From: e Rene

Sent: Sunday, June 30, 2002 10:35 PM

Subject: Re: Explant care- incisions & massage

,

I could be mistaken, but I think that neosporin is meant to reduce scarring with small scars. What I have seen it advertised for is scarring that results from cuts, abrasions, scratches, etc. I don't think that it was meant to reduce scarring related to large surgeries producing large scars. But again, I could be wrong.

e

----- Original Message -----

From: Heer

Sent: Sunday, June 30, 2002 9:11 PM

Subject: Re: Explant care- incisions & massage

The neosporin that I used is marketed that it reduces scaring, it is new.

I used it only when my incisions were fresh.

Hugs

----- Original Message -----

From: e Rene

Sent: Sunday, June 30, 2002 12:01 AM

Subject: Re: Explant care- incisions & massage

,

Why did you use neosporin after your explant? Did you use it to prevent infection or to help reduce scar appearance? Neosporin will not help reduce scar appearance, as it is a local anti-infective, and has no action at all on decreasing scar appearance.

Mederma has been marketed to reduce scar size, but I have been using it since March on my neck, sternal, and hip scar and have yet to see any improvement. I'm pretty disappointed in it especially since it's not cheap. Has anyone else been disappointed with Mederma? I have found massage to be the most effective method for me to decrease scar size and to smooth the scar out.

e

----- Original Message -----

From: Heer

Sent: Saturday, June 29, 2002 10:12 PM

Subject: Re: Explant care- incisions & massage

I used the neosporin and then the mederma for months, I had no problems witheither and they worked quite well. Did you have a lift with explant?hugs----- Original Message -----From: "cdpayne64" <cdpayne64@...>< >Sent: Saturday, June 29, 2002 9:16 AMSubject: Explant care- incisions & massage> What are the best things to put on incisions after explant, I thought> about Neosporin and also about vit E oil. Anything else to help> reduce scars?>> Also, did I read a post about breast massage after explant? Does> this help healing? If so when do you begin them and how long?>> Darlene>>>>

[Guest guest]

My thoughts are like Dr Kolbs, you need to get the capsules out, they will just sit in you and rot away, esp since you have symptoms. I have a close friend who had to do this, she said the second surgery to remove the capsules was much simpler, just small incisions under each breast, and she has been healing much better since this. If you leave the capsules you will most likely continue to have health problems, since the capsules are just like having the implants as far as your bodies responce to them would be. I think that if you had anything in writting that this ps was supposed to remove those capsules, then you should talk to a lawyer as well, because I would think you would have some kind of legal case against him. However I am sure he could say he was or is not capable of doing this procedure. Just another big time issue I have with implants, if these Damned plastic surgeons can put the freaking things in, they should ALL be trained on how to take them out correctly, like Dr Feng, Dr Kolb, etc etc do. Since implants are just so easily obtainable, they should be just as easily obtainable to remove, it is why I only recomend surgeons who I know are educated and will do this procedure right, it is so important so women don't end up maimed and still sick.please let us know what you decide to do ok?

As far as the scarring goes, I still think allot of it has to do with the surgeon as well. I mean if you never got a keloid before, why would you get one now unless it was something he did? I think that the scar creams and all that stuff are great but if your original results aren't great all the treatment with scar creams won't make a huge difference. I guess I could be wrong, I am sure there are many reasons why keloids develop.

Prayers and hugs

----- Original Message -----

From: JSiegelbaum@...

Sent: Sunday, June 30, 2002 10:50 AM

Subject: Re: Explant care- incisions & massage

I was explanted and lifted in March. I used mederma and massage after surgery but still ended up with keloid scaring under both breasts and around my nipples. I have never had a keloid scar in my life. I don't know what could have contributed to the poor healing. I have been following detox therapy since January and an extensive supplement program to treat my fibromyalgia. I am concerned about my ability to detox because my PS did not remove my capsules like he told me he would. He said that he changed his mind during surgery because he didn't think it was worth the additional risks. Any thoughts on this?

[Guest guest]

Keloids can also be heriditary. If there is anyone in your family who

developed keloids after surgery, then you are inclined to develop them as

well.

e

>From: " Heer " <idagirl@...>

>Reply-

>< >

>Subject: Re: Explant care- incisions & massage

>Date: Mon, 1 Jul 2002 10:47:19 -0600

>

>

>

>My thoughts are like Dr Kolbs, you need to get the capsules out, they will

>just sit in you and rot away, esp since you have symptoms. I have a close

>friend who had to do this, she said the second surgery to remove the

>capsules was much simpler, just small incisions under each breast, and she

>has been healing much better since this. If you leave the capsules you will

>most likely continue to have health problems, since the capsules are just

>like having the implants as far as your bodies responce to them would be. I

>think that if you had anything in writting that this ps was supposed to

>remove those capsules, then you should talk to a lawyer as well, because I

>would think you would have some kind of legal case against him. However I

>am sure he could say he was or is not capable of doing this procedure. Just

>another big time issue I have with implants, if these Damned plastic

>surgeons can put the freaking things in, they should ALL be trained on how

>to take them out correctly, like Dr Feng, Dr Kolb, etc etc do. Since

>implants are just so easily obtainable, they should be just as easily

>obtainable to remove, it is why I only recomend surgeons who I know are

>educated and will do this procedure right, it is so important so women

>don't end up maimed and still sick.please let us know what you decide to do

>ok?

>

>As far as the scarring goes, I still think allot of it has to do with the

>surgeon as well. I mean if you never got a keloid before, why would you get

>one now unless it was something he did? I think that the scar creams and

>all that stuff are great but if your original results aren't great all the

>treatment with scar creams won't make a huge difference. I guess I could be

>wrong, I am sure there are many reasons why keloids develop.

>

>Prayers and hugs

>

> ----- Original Message -----

> From: JSiegelbaum@...

>

> Sent: Sunday, June 30, 2002 10:50 AM

> Subject: Re: Explant care- incisions & massage

>

>

> I was explanted and lifted in March. I used mederma and massage after

>surgery but still ended up with keloid scaring under both breasts and

>around my nipples. I have never had a keloid scar in my life. I don't

>know what could have contributed to the poor healing. I have been

>following detox therapy since January and an extensive supplement program

>to treat my fibromyalgia. I am concerned about my ability to detox because

>my PS did not remove my capsules like he told me he would. He said that he

>changed his mind during surgery because he didn't think it was worth the

>additional risks. Any thoughts on this?

>

[Guest guest]

I did not used anything on my incisions, nor did I do

any massage . . .

My scars are almost invisible. . . .no healing

problems.

Rogene

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