Re: what to do.. need advice..

[Guest guest]

I am going to be totally straight with you ok honey, here is the thing. Yeah

necrosis was a risk all of us explanted ladies took, a very small one

however, and I don't think it is going to happen to you. My PS that

implanted me, and other ps's as well tried to tell me that crap about

waiting 6 months to do the lift too, I decided I didn't want to do that at

all so I opted for Dr Feng who told me she could do them both at the same

time and I trusted her. She is an expert, do you have any idea how many

implants she has removed? Trust me you will be safe with her, I think that

she is the best bet in my own opinion but the ultimate decision will of

course be yours. I still think that Feng is the best and that you will be

happier if you get the lift at the same time as the explant, I know it was

the right thing at least for me, I def would not have handled it well to

have terrible saggy breasts, I could have went that route too, I did what I

did and feel it was the right thing for me. It is tough and I understand

how you feel.

Keep us up to date girl ok! We are here for you.

Hugs

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

From: " xme2ynotx " <res0uls5@...>

< >

Sent: Thursday, July 25, 2002 5:46 PM

Subject: what to do.. need advice..

> Okay here is the story..

> Hello Ladies.. I am new here and the story is long so rather than

> backtrack here is where I am now. I am going to be explanted...

> SOONNNNNNN God willing. I called Dr Fengs office and it all made

> sense and sounded good!!! But I was freaked when I saw the necrosis

> on one of the patients who had the lift done after explantation.

> And the price is around $10K all said and done

>

> Well today I went to the ONLY board certified PS in my area..POMONA

> VALLEY.. Claremont is my town in California.

>

> At any rate I went and saw Dr. Li and he said that doing a lift after

> an explant (with the implant above the muscle) can compromise the

> blood supply and cause necrosis of the tissue and can cause loss of

> the nipple. This is becuase the implant is removed right under the

> skin... I have NO TISSUE left to speak of.. I know this..

> This guy is also a Professor of PS for 12 years.

> He said do the explant only (en bloc) and then when you have healed

> see if you want to do anymore but he said I have no tissue left and I

> have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

> somewhat after that.

> BUT the cost would be $2500 complete w/ everything and that is that.

> He is a good Doctor and checks out fine. BUT NOW I AM F----ing

> confused. I don't really care at 51 years old of being saggy... I

> know I don't have ANY breast tissue.

>

> NOW WHAT TO DO.. I will call the Feng office again and talk to them..

> OKAY GANG I NEED FEEDBACK..

> OH and I am so happy to have this board here.. I feel like I just

> jumped in belly flop up...

> I have had 2 sets of implants 20 years. Silicone for 10 and now

> saline. One breast is completely hard the other you can't tell it is

> an implant.

> But I WANT OUT NOW.. have lupus with blood, nervous system and some

> kidney involvement..

> KISS YOUR FACES.. all of them and sock it to me with your replies..

>

> MARY

>

>

>

>

[Guest guest]

Thank you

This is good to hear ... but does it matter I have no breast tissue

to lift just skin?

I will have to call. But I am just trying to sort it out and am a bit

confused by it all..

Thx..

[Guest guest]

Hi !

Welcome to our group--I'm so glad you felt comfortable to jump right in with

us. You are in a hard spot--just like we all were at one point in the past.

I had to make this same decision you are currently faced with. When I got

sick from the implants, I knew if I had them taken out, I would end up saggy

and in a mess, just like I was before implants, and I did not want to go

back to that, no way. It was a very painful thought, because I had lived

with my saggy breasts for almost 15 years, and implants were my dream come

true. I knew that I wanted to be fixed, once and for all if the implants

came out. My implanting P/S told me the same thing that your doc in

California is telling you--that you should wait until after the explant to

do the lift--he said I would then get the best results. However, I did not

trust him, because he didn't believe the implants were making me sick for

one thing, and number 2, he was just going to take out the implants and NOT

the scar tissue. I knew by that time that it was extremely important to get

everything taken out of me, implants AND the scar capsule around them. So,

I went to a second plastic surgeon for a consult, one that came recommended

by Ilena's support group, and he told me I would have to have a lift, and he

would do it at the same time as explant. All I can tell you is that, like

, I did not want to have to go through surgery twice. I knew that the

lift had to be the same time as explant, or it was not going to get done.

I am happy to say that I had no problems having the lift at the same time as

explant. My breasts look fine, although, of course, there are scars.

Sometimes I do wonder if the outcome would have been a tad different if I

had had two separate surgeries, as my right breast is a little lower than my

left, but you have to look hard to see that. I am my own worst critic about

my breasts. I also want to recommend that you ask specifics about the type

of scars you will have after explant, because there are new techniques that

can leave you with hardly any noticeable scars! I think it is called

something else, like a vertical lift, but I call it the lollipop, because

you only end up with a vertical scar and a round scar around your nipple. I

wouldn't go to anyone who couldn't do this technique on you. You should

find out what kind of removal technique this doc in California plans on

doing for such a small fee. He might not be doing it correctly. You have

to make sure that whoever is going to do it is going to remove the implants

AND ALL SCAR TISSUE. No compromise on that, dearie, if you want the best

chance to get over the lupus symptoms.

Let us know what you think--it is your decision, of course, but if I had to

do this all over again, I would go to Feng in a heartbeat. She is an

expert, and this will probably be the last surgery you will have to have on

your breasts. Amen!

Take care and God bless.

Patty

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

From: " xme2ynotx " <res0uls5@...>

< >

Sent: Thursday, July 25, 2002 4:46 PM

Subject: what to do.. need advice..

> Okay here is the story..

> Hello Ladies.. I am new here and the story is long so rather than

> backtrack here is where I am now. I am going to be explanted...

> SOONNNNNNN God willing. I called Dr Fengs office and it all made

> sense and sounded good!!! But I was freaked when I saw the necrosis

> on one of the patients who had the lift done after explantation.

> And the price is around $10K all said and done

>

> Well today I went to the ONLY board certified PS in my area..POMONA

> VALLEY.. Claremont is my town in California.

>

> At any rate I went and saw Dr. Li and he said that doing a lift after

> an explant (with the implant above the muscle) can compromise the

> blood supply and cause necrosis of the tissue and can cause loss of

> the nipple. This is becuase the implant is removed right under the

> skin... I have NO TISSUE left to speak of.. I know this..

> This guy is also a Professor of PS for 12 years.

> He said do the explant only (en bloc) and then when you have healed

> see if you want to do anymore but he said I have no tissue left and I

> have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

> somewhat after that.

> BUT the cost would be $2500 complete w/ everything and that is that.

> He is a good Doctor and checks out fine. BUT NOW I AM F----ing

> confused. I don't really care at 51 years old of being saggy... I

> know I don't have ANY breast tissue.

>

> NOW WHAT TO DO.. I will call the Feng office again and talk to them..

> OKAY GANG I NEED FEEDBACK..

> OH and I am so happy to have this board here.. I feel like I just

> jumped in belly flop up...

> I have had 2 sets of implants 20 years. Silicone for 10 and now

> saline. One breast is completely hard the other you can't tell it is

> an implant.

> But I WANT OUT NOW.. have lupus with blood, nervous system and some

> kidney involvement..

> KISS YOUR FACES.. all of them and sock it to me with your replies..

>

> MARY

>

>

>

>

[Guest guest]

, The ps you saw in CA is absolutely correct in what he is telling you. Having your implants removed en bloc is absolutely imperative; however, having a mastopexy (lift) is NOT necessary. After you have the implants removed, there will be excess saggy tissue, which does firm up with time---I know. I had my implants removed in Feb 2001, and while my breasts are definately not "perky" they are NOT that saggy, and furthermore, I don't think they are any more saggy than they would have been had I never gotten implants. Actually, I am a RN, and I have seen lots of bare breasts, and my breasts are a lot less saggy than many, many women who have never had implants. You need to look at yourself and decide from within whether you want to have the lift and pay the extra money. If you have a reputable ps remove your implants en bloc and he/she has a good track record, then there is a high probability that the aesthetic outcome will be positive and to your liking. Tell this ps that you want to see before and after pics---we all know that ps' love to take pictures! You have every right to see these pics. They do not reveal the identity of the pt at all, so the ps is not compromising patient confidentiality. And any reputable ps will (and should) have pics for you to view. You can see the outcome once the implants were removed and decide if you like his results or not. And you can also decide whether perhaps the aesthetic result looks okay, but you just don't want your breasts to sag that much. If a ps denies you access to before and after pics, I would question him/her and run in the opposite direction. Good ps' are proud of their work, and want to flaunt it. So if a ps states you can't see any pics, red flags should go up in your head. As we all know, our bodies are so different. What may be saggy to you may not be saggy to someone else, and vice versa, and what may be saggy to one ps may not be saggy to another ps. It all comes down to how we view ourselves and what the priorities are in our life as they relate to our bodies. I had very little breast tissue when I had my implants placed. I used to be very large breasted, then had a reduction in 1989, and then became severely anorexic and lost most of my weight in my breasts and stomach. So, when I got implants in 1996, I had NO tissue. I was afraid that my breasts would sag so much that everyone and their dog would know I had implants and then had them removed. Not true at all. But again, that is just my perception and the way my body is. I had my implants removed by Dr. Huang in Denver, CO where I lived. She is one of the pioneers of the en bloc technique, and tells it to you like it is. She removes many, many implants a yr, and knows her stuff. She has told me repeatedly that a mastopexy after explant is not always necessary. In fact, she doesn't recommend it unless the pt requests it and/or it is obvious that the pt will have severe sagging. I posted the most recent information on her reasons behind not doing mastopexy as well as her prices ($5000-5800 with mastopexy), back in April. If you would like me to repost this info, I will be happy to. On the flip side, I am not trying to sway you one way or another. Most women involved with this support group have had mastopexies and are very happy, and it seems that most ps' just do the mastopexy immediately. However, insurance companies will not pay for a mastopexy, but some insurance companies will pay for explant if you can prove medical necessity (if this is a concern for you). And for me, having perky breasts was no longer a priority as my life priorities had changed, and I was having my implants removed to return to the "natural" me. I didn't want anything fake, restructured, or repositioned. I just wanted "me" and my health back. I am only 32, former hi fashion model, and used to place a lot of emphasis on my looks (and my breasts). But when I had the implants removed at 31, it just didn't matter to me anymore whether I had perky or saggy breasts. So, basically, it depends on what you want, what result you want, and what you are willing to accept if you don't have a mastopexy and the results aren't what you wanted or pictured in your head. You can always go back and have a mastopexy. The way I look at it is that it is not an emergency to have a mastopexy; but it is important that you get the implants removed and give your body a chance to heal. While it is optimal to have everything done at one time, it isn't imperative. e ----- Original Message ----- From: xme2ynotx Sent: Thursday, July 25, 2002 4:51 PM Subject: what to do.. need advice.. Okay here is the story.. Hello Ladies.. I am new here and the story is long so rather than backtrack here is where I am now. I am going to be explanted... SOONNNNNNN God willing. I called Dr Fengs office and it all made sense and sounded good!!! But I was freaked when I saw the necrosis on one of the patients who had the lift done after explantation.And the price is around $10K all said and doneWell today I went to the ONLY board certified PS in my area..POMONA VALLEY.. Claremont is my town in California.At any rate I went and saw Dr. Li and he said that doing a lift after an explant (with the implant above the muscle) can compromise the blood supply and cause necrosis of the tissue and can cause loss of the nipple. This is becuase the implant is removed right under the skin... I have NO TISSUE left to speak of.. I know this..This guy is also a Professor of PS for 12 years. He said do the explant only (en bloc) and then when you have healed see if you want to do anymore but he said I have no tissue left and I have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up somewhat after that. BUT the cost would be $2500 complete w/ everything and that is that.He is a good Doctor and checks out fine. BUT NOW I AM F----ing confused. I don't really care at 51 years old of being saggy... I know I don't have ANY breast tissue. NOW WHAT TO DO.. I will call the Feng office again and talk to them.. OKAY GANG I NEED FEEDBACK.. OH and I am so happy to have this board here.. I feel like I just jumped in belly flop up...I have had 2 sets of implants 20 years. Silicone for 10 and now saline. One breast is completely hard the other you can't tell it is an implant.But I WANT OUT NOW.. have lupus with blood, nervous system and some kidney involvement..KISS YOUR FACES.. all of them and sock it to me with your replies..MARY

[Guest guest]

Dear :

I wish you the best. Take care.

-Marie

[Guest guest]

Girl did you see my pics on the site? I was a bad bad case with nothing but

skin, however somehow Dr Feng managed to shape these little skin sacks into

breasts. Ok they are small, I am not even really an A cup, but they are

pretty cute and a nice shape. I am so happy cause before implants they were

not even breasts really, they were skin sacks with stretch marks, I am a

young woman very attractive, so to have these horrible breasts was very very

hard on me emotionally and my confidence took a beating. Trust me girl, Feng

made me breasts somehow so I do believe she can help you. If you chose to

get them out by this other Dr I would recomend that later if you are unhappy

that you go to Feng for some finsihing touches. I don't think anyone is

better at making a great looking breast than her.

While it is not medically necessary to have the mastopexy, for some of us,

emotionally it is necessary and if we don't do it, the depression that can

set in can be just as hard on our health as the physical stuff.

While many women are happy without the lift I always take into consideration

several things, do you have any breast tissue? Are you extremely thin? Are

your breasts extremely mishapen and saggy. If they are then you probably

will be happier with the lift, and if you don't get it at the same time,

you are looking at another surgery down the road that may be hard on your

body to go through this twice, remember anesthesia can cause hair loss and

other side effects as well.

SO yeah girl I think that the lift is a good idea! They look really good

after a few months.

Hugs

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

From: " xme2ynotx " <res0uls5@...>

< >

Sent: Thursday, July 25, 2002 7:37 PM

Subject: Re: what to do.. need advice..

> Thank you

> This is good to hear ... but does it matter I have no breast tissue

> to lift just skin?

>

> I will have to call. But I am just trying to sort it out and am a bit

> confused by it all..

> Thx..

>

>

>

>

>

[Guest guest]

I agree with , if your going to get explanted, get the lift simultaneously. Avoid going under general anesthesia as much as possible, get all the breast work done in one procedure--saves money too.

LM

[Guest guest]

Dear : It is very safe to do a donut mastopexy with an explantation.

Usually this is all that is needed and the scar around the nipple areolar

complex is well hidden. Please see the information under frequently asked

questions at www.plastikos.com. Has either doctor arranged to precert so

that your insurance will cover the cost of explantation or spoken to you

about detoxification and immune therapies to accompany your surgery. If

these are not done in the perioperative period, many become more ill as

surgery can exacerabate candidiasis. I often have to treat patients

emergently if these precautions are not taken prior to surgery. Kolb

M.D.

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

From: xme2ynotx [mailto:res0uls5@...]

Sent: Thursday, July 25, 2002 7:47 PM

Subject: what to do.. need advice..

Okay here is the story..

Hello Ladies.. I am new here and the story is long so rather than

backtrack here is where I am now. I am going to be explanted...

SOONNNNNNN God willing. I called Dr Fengs office and it all made

sense and sounded good!!! But I was freaked when I saw the necrosis

on one of the patients who had the lift done after explantation.

And the price is around $10K all said and done

Well today I went to the ONLY board certified PS in my area..POMONA

VALLEY.. Claremont is my town in California.

At any rate I went and saw Dr. Li and he said that doing a lift after

an explant (with the implant above the muscle) can compromise the

blood supply and cause necrosis of the tissue and can cause loss of

the nipple. This is becuase the implant is removed right under the

skin... I have NO TISSUE left to speak of.. I know this..

This guy is also a Professor of PS for 12 years.

He said do the explant only (en bloc) and then when you have healed

see if you want to do anymore but he said I have no tissue left and I

have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

somewhat after that.

BUT the cost would be $2500 complete w/ everything and that is that.

He is a good Doctor and checks out fine. BUT NOW I AM F----ing

confused. I don't really care at 51 years old of being saggy... I

know I don't have ANY breast tissue.

NOW WHAT TO DO.. I will call the Feng office again and talk to them..

OKAY GANG I NEED FEEDBACK..

OH and I am so happy to have this board here.. I feel like I just

jumped in belly flop up...

I have had 2 sets of implants 20 years. Silicone for 10 and now

saline. One breast is completely hard the other you can't tell it is

an implant.

But I WANT OUT NOW.. have lupus with blood, nervous system and some

kidney involvement..

KISS YOUR FACES.. all of them and sock it to me with your replies..

MARY

[Guest guest]

Dear : It is very safe to do a donut mastopexy with an explantation.

Usually this is all that is needed and the scar around the nipple areolar

complex is well hidden. Please see the information under frequently asked

questions at www.plastikos.com. Has either doctor arranged to precert so

that your insurance will cover the cost of explantation or spoken to you

about detoxification and immune therapies to accompany your surgery. If

these are not done in the perioperative period, many become more ill as

surgery can exacerabate candidiasis. I often have to treat patients

emergently if these precautions are not taken prior to surgery. Kolb

M.D.

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

From: xme2ynotx [mailto:res0uls5@...]

Sent: Thursday, July 25, 2002 7:47 PM

Subject: what to do.. need advice..

Okay here is the story..

Hello Ladies.. I am new here and the story is long so rather than

backtrack here is where I am now. I am going to be explanted...

SOONNNNNNN God willing. I called Dr Fengs office and it all made

sense and sounded good!!! But I was freaked when I saw the necrosis

on one of the patients who had the lift done after explantation.

And the price is around $10K all said and done

Well today I went to the ONLY board certified PS in my area..POMONA

VALLEY.. Claremont is my town in California.

At any rate I went and saw Dr. Li and he said that doing a lift after

an explant (with the implant above the muscle) can compromise the

blood supply and cause necrosis of the tissue and can cause loss of

the nipple. This is becuase the implant is removed right under the

skin... I have NO TISSUE left to speak of.. I know this..

This guy is also a Professor of PS for 12 years.

He said do the explant only (en bloc) and then when you have healed

see if you want to do anymore but he said I have no tissue left and I

have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

somewhat after that.

BUT the cost would be $2500 complete w/ everything and that is that.

He is a good Doctor and checks out fine. BUT NOW I AM F----ing

confused. I don't really care at 51 years old of being saggy... I

know I don't have ANY breast tissue.

NOW WHAT TO DO.. I will call the Feng office again and talk to them..

OKAY GANG I NEED FEEDBACK..

OH and I am so happy to have this board here.. I feel like I just

jumped in belly flop up...

I have had 2 sets of implants 20 years. Silicone for 10 and now

saline. One breast is completely hard the other you can't tell it is

an implant.

But I WANT OUT NOW.. have lupus with blood, nervous system and some

kidney involvement..

KISS YOUR FACES.. all of them and sock it to me with your replies..

MARY

[Guest guest]

It is very unlikely to have problems with a donut mastopexy after an

explantation and usually this is all that is necessary. Did your plastic

surgeons precert your procedure with your insurance comapny as often the

cost of explantation is covered. Please see the information in frequently

asked questions at www.plastikos.com. It is also important to have a

detoxification and immune program around the time of surgery. Most patients

who do not often become ill and I have had to treat a number of patients

emergently lately from other surgeons. Kolb M.D.

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

From: xme2ynotx [mailto:res0uls5@...]

Sent: Thursday, July 25, 2002 7:47 PM

Subject: what to do.. need advice..

Okay here is the story..

Hello Ladies.. I am new here and the story is long so rather than

backtrack here is where I am now. I am going to be explanted...

SOONNNNNNN God willing. I called Dr Fengs office and it all made

sense and sounded good!!! But I was freaked when I saw the necrosis

on one of the patients who had the lift done after explantation.

And the price is around $10K all said and done

Well today I went to the ONLY board certified PS in my area..POMONA

VALLEY.. Claremont is my town in California.

At any rate I went and saw Dr. Li and he said that doing a lift after

an explant (with the implant above the muscle) can compromise the

blood supply and cause necrosis of the tissue and can cause loss of

the nipple. This is becuase the implant is removed right under the

skin... I have NO TISSUE left to speak of.. I know this..

This guy is also a Professor of PS for 12 years.

He said do the explant only (en bloc) and then when you have healed

see if you want to do anymore but he said I have no tissue left and I

have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

somewhat after that.

BUT the cost would be $2500 complete w/ everything and that is that.

He is a good Doctor and checks out fine. BUT NOW I AM F----ing

confused. I don't really care at 51 years old of being saggy... I

know I don't have ANY breast tissue.

NOW WHAT TO DO.. I will call the Feng office again and talk to them..

OKAY GANG I NEED FEEDBACK..

OH and I am so happy to have this board here.. I feel like I just

jumped in belly flop up...

I have had 2 sets of implants 20 years. Silicone for 10 and now

saline. One breast is completely hard the other you can't tell it is

an implant.

But I WANT OUT NOW.. have lupus with blood, nervous system and some

kidney involvement..

KISS YOUR FACES.. all of them and sock it to me with your replies..

MARY

[Guest guest]

Dr Kolb what would be the reason to do a vertical as opposed to a donut

mastopexy? What would be the benefits and the negative behind these

different types of lifts?

Thanks

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

From: " Dr. Kolb " <drkolb@...>

< >

Sent: Sunday, July 28, 2002 3:18 PM

Subject: RE: what to do.. need advice..

> Dear : It is very safe to do a donut mastopexy with an explantation.

> Usually this is all that is needed and the scar around the nipple areolar

> complex is well hidden. Please see the information under frequently asked

> questions at www.plastikos.com. Has either doctor arranged to precert so

> that your insurance will cover the cost of explantation or spoken to you

> about detoxification and immune therapies to accompany your surgery. If

> these are not done in the perioperative period, many become more ill as

> surgery can exacerabate candidiasis. I often have to treat patients

> emergently if these precautions are not taken prior to surgery.

Kolb

> M.D.

>

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

> From: xme2ynotx [mailto:res0uls5@...]

> Sent: Thursday, July 25, 2002 7:47 PM

>

> Subject: what to do.. need advice..

>

>

> Okay here is the story..

> Hello Ladies.. I am new here and the story is long so rather than

> backtrack here is where I am now. I am going to be explanted...

> SOONNNNNNN God willing. I called Dr Fengs office and it all made

> sense and sounded good!!! But I was freaked when I saw the necrosis

> on one of the patients who had the lift done after explantation.

> And the price is around $10K all said and done

>

> Well today I went to the ONLY board certified PS in my area..POMONA

> VALLEY.. Claremont is my town in California.

>

> At any rate I went and saw Dr. Li and he said that doing a lift after

> an explant (with the implant above the muscle) can compromise the

> blood supply and cause necrosis of the tissue and can cause loss of

> the nipple. This is becuase the implant is removed right under the

> skin... I have NO TISSUE left to speak of.. I know this..

> This guy is also a Professor of PS for 12 years.

> He said do the explant only (en bloc) and then when you have healed

> see if you want to do anymore but he said I have no tissue left and I

> have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

> somewhat after that.

> BUT the cost would be $2500 complete w/ everything and that is that.

> He is a good Doctor and checks out fine. BUT NOW I AM F----ing

> confused. I don't really care at 51 years old of being saggy... I

> know I don't have ANY breast tissue.

>

> NOW WHAT TO DO.. I will call the Feng office again and talk to them..

> OKAY GANG I NEED FEEDBACK..

> OH and I am so happy to have this board here.. I feel like I just

> jumped in belly flop up...

> I have had 2 sets of implants 20 years. Silicone for 10 and now

> saline. One breast is completely hard the other you can't tell it is

> an implant.

> But I WANT OUT NOW.. have lupus with blood, nervous system and some

> kidney involvement..

> KISS YOUR FACES.. all of them and sock it to me with your replies..

>

> MARY

>

>

>

>

[Guest guest]

There was a woman on Ilena's group that went through explant the same time I

did, Darcy Laudzers. She had a donut mastopexy done, and I do remember her

letters to me, in which she made comments about the appearance of her scars

after surgery. She said that there were puckers around the aerola, like when

you sew fabric and you've got excess to take up which leaves puckers. It

didn't sound too good! Of course, it could have been the skill of the

surgeon involved. I would definitely try to get some photos of this

surgery's outcome with any doctor who is using it.

Patty

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

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

< >

Sent: Monday, July 29, 2002 9:11 AM

Subject: Re: what to do.. need advice..

> Dr Kolb what would be the reason to do a vertical as opposed to a donut

> mastopexy? What would be the benefits and the negative behind these

> different types of lifts?

>

> Thanks

>

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

> From: " Dr. Kolb " <drkolb@...>

> < >

> Sent: Sunday, July 28, 2002 3:18 PM

> Subject: RE: what to do.. need advice..

>

>

> > Dear : It is very safe to do a donut mastopexy with an

explantation.

> > Usually this is all that is needed and the scar around the nipple

areolar

> > complex is well hidden. Please see the information under frequently

asked

> > questions at www.plastikos.com. Has either doctor arranged to precert

so

> > that your insurance will cover the cost of explantation or spoken to you

> > about detoxification and immune therapies to accompany your surgery. If

> > these are not done in the perioperative period, many become more ill as

> > surgery can exacerabate candidiasis. I often have to treat patients

> > emergently if these precautions are not taken prior to surgery.

> Kolb

> > M.D.

[Guest guest]

: What are your thoughts on Dr. Shanklin's article on saline

implants. This is his new research. .

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

From: Heer [mailto:idagirl@...]

Sent: Wednesday, July 31, 2002 8:36 AM

Subject: Re: what to do.. need advice..

Thank you I think this explains clearly why I was in need of the

vertical I had very very VERY saggy breast prior to implants. If the PS was

worth anything he would not have even put implants in me without having done

a donut lift first. Stupid me I believed we could fill them out, in the end

the implants looked funny esp on the right where the breast sagged over the

implant.

I must say that the vertical scar is the least obvious one now at almos 2

years, I can see it on the breast that was more saggy but only barely the

other breast it is completely gone, cannot find it at all, the nipple

incisions are a thin white line, they look more obvious than the vertical

one, but are really really light and worth the look that I ended up with

Thanks

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

From: " Dr. Kolb " <drkolb@...>

< >

Sent: Tuesday, July 30, 2002 9:25 PM

Subject: RE: what to do.. need advice..

> Most patients have a symetrical excess of tissue with explants over a

> certain size which are best fixed with a donut mastopexy. A lollipop

> mastopexy is sometimes needed if breast ptosis is present but many women

do

> not want the vertical scar which is more prominent than the periareolar

> scar. The advantage to the lollipop is that more projection can sometimes

> be acheived but usually the donut corrects the most common problems.

> Rarely, an anchor pattern is needed and if one is not very careful, tissue

> or nipple loss can occur. Kolb M.D.

>

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

> From: Heer [mailto:idagirl@...]

> Sent: Monday, July 29, 2002 12:12 PM

>

> Subject: Re: what to do.. need advice..

>

>

> Dr Kolb what would be the reason to do a vertical as opposed to a donut

> mastopexy? What would be the benefits and the negative behind these

> different types of lifts?

>

> Thanks

>

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

> From: " Dr. Kolb " <drkolb@...>

> < >

> Sent: Sunday, July 28, 2002 3:18 PM

> Subject: RE: what to do.. need advice..

>

>

> > Dear : It is very safe to do a donut mastopexy with an

explantation.

> > Usually this is all that is needed and the scar around the nipple

areolar

> > complex is well hidden. Please see the information under frequently

asked

> > questions at www.plastikos.com. Has either doctor arranged to precert

so

> > that your insurance will cover the cost of explantation or spoken to you

> > about detoxification and immune therapies to accompany your surgery. If

> > these are not done in the perioperative period, many become more ill as

> > surgery can exacerabate candidiasis. I often have to treat patients

> > emergently if these precautions are not taken prior to surgery.

> Kolb

> > M.D.

> >

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

> > From: xme2ynotx [mailto:res0uls5@...]

> > Sent: Thursday, July 25, 2002 7:47 PM

> >

> > Subject: what to do.. need advice..

> >

> >

> > Okay here is the story..

> > Hello Ladies.. I am new here and the story is long so rather than

> > backtrack here is where I am now. I am going to be explanted...

> > SOONNNNNNN God willing. I called Dr Fengs office and it all made

> > sense and sounded good!!! But I was freaked when I saw the necrosis

> > on one of the patients who had the lift done after explantation.

> > And the price is around $10K all said and done

> >

> > Well today I went to the ONLY board certified PS in my area..POMONA

> > VALLEY.. Claremont is my town in California.

> >

> > At any rate I went and saw Dr. Li and he said that doing a lift after

> > an explant (with the implant above the muscle) can compromise the

> > blood supply and cause necrosis of the tissue and can cause loss of

> > the nipple. This is becuase the implant is removed right under the

> > skin... I have NO TISSUE left to speak of.. I know this..

> > This guy is also a Professor of PS for 12 years.

> > He said do the explant only (en bloc) and then when you have healed

> > see if you want to do anymore but he said I have no tissue left and I

> > have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

> > somewhat after that.

> > BUT the cost would be $2500 complete w/ everything and that is that.

> > He is a good Doctor and checks out fine. BUT NOW I AM F----ing

> > confused. I don't really care at 51 years old of being saggy... I

> > know I don't have ANY breast tissue.

> >

> > NOW WHAT TO DO.. I will call the Feng office again and talk to them..

> > OKAY GANG I NEED FEEDBACK..

> > OH and I am so happy to have this board here.. I feel like I just

> > jumped in belly flop up...

> > I have had 2 sets of implants 20 years. Silicone for 10 and now

> > saline. One breast is completely hard the other you can't tell it is

> > an implant.

> > But I WANT OUT NOW.. have lupus with blood, nervous system and some

> > kidney involvement..

> > KISS YOUR FACES.. all of them and sock it to me with your replies..

> >

> > MARY

> >

> >

> >

> >

[Guest guest]

I am sorry I have not read it, where can I find this ?

I am very interested. If you have been keeping up with my posts I guess you

know how well I have healed from my illness and come to terms with my small

breasts. I think you are fantastic and do a great thing by posting

here and the research and help you give to women, your a great lady.

Hugs

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

From: " Dr. Kolb " <drkolb@...>

< >

Sent: Thursday, August 01, 2002 5:03 AM

Subject: RE: what to do.. need advice..

> : What are your thoughts on Dr. Shanklin's article on saline

> implants. This is his new research. .

>

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

> From: Heer [mailto:idagirl@...]

> Sent: Wednesday, July 31, 2002 8:36 AM

>

> Subject: Re: what to do.. need advice..

>

>

> Thank you I think this explains clearly why I was in need of the

> vertical I had very very VERY saggy breast prior to implants. If the PS

was

> worth anything he would not have even put implants in me without having

done

> a donut lift first. Stupid me I believed we could fill them out, in the

end

> the implants looked funny esp on the right where the breast sagged over

the

> implant.

>

> I must say that the vertical scar is the least obvious one now at almos 2

> years, I can see it on the breast that was more saggy but only barely the

> other breast it is completely gone, cannot find it at all, the nipple

> incisions are a thin white line, they look more obvious than the vertical

> one, but are really really light and worth the look that I ended up with

>

> Thanks

>

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

> From: " Dr. Kolb " <drkolb@...>

> < >

> Sent: Tuesday, July 30, 2002 9:25 PM

> Subject: RE: what to do.. need advice..

>

>

> > Most patients have a symetrical excess of tissue with explants over a

> > certain size which are best fixed with a donut mastopexy. A lollipop

> > mastopexy is sometimes needed if breast ptosis is present but many women

> do

> > not want the vertical scar which is more prominent than the periareolar

> > scar. The advantage to the lollipop is that more projection can

sometimes

> > be acheived but usually the donut corrects the most common problems.

> > Rarely, an anchor pattern is needed and if one is not very careful,

tissue

> > or nipple loss can occur. Kolb M.D.

> >

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

> > From: Heer [mailto:idagirl@...]

> > Sent: Monday, July 29, 2002 12:12 PM

> >

> > Subject: Re: what to do.. need advice..

> >

> >

> > Dr Kolb what would be the reason to do a vertical as opposed to a donut

> > mastopexy? What would be the benefits and the negative behind these

> > different types of lifts?

> >

> > Thanks

> >

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

> > From: " Dr. Kolb " <drkolb@...>

> > < >

> > Sent: Sunday, July 28, 2002 3:18 PM

> > Subject: RE: what to do.. need advice..

> >

> >

> > > Dear : It is very safe to do a donut mastopexy with an

> explantation.

> > > Usually this is all that is needed and the scar around the nipple

> areolar

> > > complex is well hidden. Please see the information under frequently

> asked

> > > questions at www.plastikos.com. Has either doctor arranged to precert

> so

> > > that your insurance will cover the cost of explantation or spoken to

you

> > > about detoxification and immune therapies to accompany your surgery.

If

> > > these are not done in the perioperative period, many become more ill

as

> > > surgery can exacerabate candidiasis. I often have to treat patients

> > > emergently if these precautions are not taken prior to surgery.

> > Kolb

> > > M.D.

> > >

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

> > > From: xme2ynotx [mailto:res0uls5@...]

> > > Sent: Thursday, July 25, 2002 7:47 PM

> > >

> > > Subject: what to do.. need advice..

> > >

> > >

> > > Okay here is the story..

> > > Hello Ladies.. I am new here and the story is long so rather than

> > > backtrack here is where I am now. I am going to be explanted...

> > > SOONNNNNNN God willing. I called Dr Fengs office and it all made

> > > sense and sounded good!!! But I was freaked when I saw the necrosis

> > > on one of the patients who had the lift done after explantation.

> > > And the price is around $10K all said and done

> > >

> > > Well today I went to the ONLY board certified PS in my area..POMONA

> > > VALLEY.. Claremont is my town in California.

> > >

> > > At any rate I went and saw Dr. Li and he said that doing a lift after

> > > an explant (with the implant above the muscle) can compromise the

> > > blood supply and cause necrosis of the tissue and can cause loss of

> > > the nipple. This is becuase the implant is removed right under the

> > > skin... I have NO TISSUE left to speak of.. I know this..

> > > This guy is also a Professor of PS for 12 years.

> > > He said do the explant only (en bloc) and then when you have healed

> > > see if you want to do anymore but he said I have no tissue left and I

> > > have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

> > > somewhat after that.

> > > BUT the cost would be $2500 complete w/ everything and that is that.

> > > He is a good Doctor and checks out fine. BUT NOW I AM F----ing

> > > confused. I don't really care at 51 years old of being saggy... I

> > > know I don't have ANY breast tissue.

> > >

> > > NOW WHAT TO DO.. I will call the Feng office again and talk to them..

> > > OKAY GANG I NEED FEEDBACK..

> > > OH and I am so happy to have this board here.. I feel like I just

> > > jumped in belly flop up...

> > > I have had 2 sets of implants 20 years. Silicone for 10 and now

> > > saline. One breast is completely hard the other you can't tell it is

> > > an implant.

> > > But I WANT OUT NOW.. have lupus with blood, nervous system and some

> > > kidney involvement..

> > > KISS YOUR FACES.. all of them and sock it to me with your replies..

> > >

> > > MARY

> > >

> > >

> > >

> > >

[Guest guest]

The new newsletter is at www.plastikos.com or www.templeofhealth.ws and has

articles by Drs. Shanklin and that are very interesting. Two older

newsletters are up also and have very good articles from leaders in the

silicone fields with a variety of information. I especially think that

Kathy ley 's article is very informative. .

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

From: Heer [mailto:idagirl@...]

Sent: Thursday, August 01, 2002 10:21 AM

Subject: Re: what to do.. need advice..

I am sorry I have not read it, where can I find this ?

I am very interested. If you have been keeping up with my posts I guess you

know how well I have healed from my illness and come to terms with my small

breasts. I think you are fantastic and do a great thing by posting

here and the research and help you give to women, your a great lady.

Hugs

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

From: " Dr. Kolb " <drkolb@...>

< >

Sent: Thursday, August 01, 2002 5:03 AM

Subject: RE: what to do.. need advice..

> : What are your thoughts on Dr. Shanklin's article on saline

> implants. This is his new research. .

>

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

> From: Heer [mailto:idagirl@...]

> Sent: Wednesday, July 31, 2002 8:36 AM

>

> Subject: Re: what to do.. need advice..

>

>

> Thank you I think this explains clearly why I was in need of the

> vertical I had very very VERY saggy breast prior to implants. If the PS

was

> worth anything he would not have even put implants in me without having

done

> a donut lift first. Stupid me I believed we could fill them out, in the

end

> the implants looked funny esp on the right where the breast sagged over

the

> implant.

>

> I must say that the vertical scar is the least obvious one now at almos 2

> years, I can see it on the breast that was more saggy but only barely the

> other breast it is completely gone, cannot find it at all, the nipple

> incisions are a thin white line, they look more obvious than the vertical

> one, but are really really light and worth the look that I ended up with

>

> Thanks

>

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

> From: " Dr. Kolb " <drkolb@...>

> < >

> Sent: Tuesday, July 30, 2002 9:25 PM

> Subject: RE: what to do.. need advice..

>

>

> > Most patients have a symetrical excess of tissue with explants over a

> > certain size which are best fixed with a donut mastopexy. A lollipop

> > mastopexy is sometimes needed if breast ptosis is present but many women

> do

> > not want the vertical scar which is more prominent than the periareolar

> > scar. The advantage to the lollipop is that more projection can

sometimes

> > be acheived but usually the donut corrects the most common problems.

> > Rarely, an anchor pattern is needed and if one is not very careful,

tissue

> > or nipple loss can occur. Kolb M.D.

> >

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

> > From: Heer [mailto:idagirl@...]

> > Sent: Monday, July 29, 2002 12:12 PM

> >

> > Subject: Re: what to do.. need advice..

> >

> >

> > Dr Kolb what would be the reason to do a vertical as opposed to a donut

> > mastopexy? What would be the benefits and the negative behind these

> > different types of lifts?

> >

> > Thanks

> >

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

> > From: " Dr. Kolb " <drkolb@...>

> > < >

> > Sent: Sunday, July 28, 2002 3:18 PM

> > Subject: RE: what to do.. need advice..

> >

> >

> > > Dear : It is very safe to do a donut mastopexy with an

> explantation.

> > > Usually this is all that is needed and the scar around the nipple

> areolar

> > > complex is well hidden. Please see the information under frequently

> asked

> > > questions at www.plastikos.com. Has either doctor arranged to precert

> so

> > > that your insurance will cover the cost of explantation or spoken to

you

> > > about detoxification and immune therapies to accompany your surgery.

If

> > > these are not done in the perioperative period, many become more ill

as

> > > surgery can exacerabate candidiasis. I often have to treat patients

> > > emergently if these precautions are not taken prior to surgery.

> > Kolb

> > > M.D.

> > >

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

> > > From: xme2ynotx [mailto:res0uls5@...]

> > > Sent: Thursday, July 25, 2002 7:47 PM

> > >

> > > Subject: what to do.. need advice..

> > >

> > >

> > > Okay here is the story..

> > > Hello Ladies.. I am new here and the story is long so rather than

> > > backtrack here is where I am now. I am going to be explanted...

> > > SOONNNNNNN God willing. I called Dr Fengs office and it all made

> > > sense and sounded good!!! But I was freaked when I saw the necrosis

> > > on one of the patients who had the lift done after explantation.

> > > And the price is around $10K all said and done

> > >

> > > Well today I went to the ONLY board certified PS in my area..POMONA

> > > VALLEY.. Claremont is my town in California.

> > >

> > > At any rate I went and saw Dr. Li and he said that doing a lift after

> > > an explant (with the implant above the muscle) can compromise the

> > > blood supply and cause necrosis of the tissue and can cause loss of

> > > the nipple. This is becuase the implant is removed right under the

> > > skin... I have NO TISSUE left to speak of.. I know this..

> > > This guy is also a Professor of PS for 12 years.

> > > He said do the explant only (en bloc) and then when you have healed

> > > see if you want to do anymore but he said I have no tissue left and I

> > > have a LOT OF EXTRA skin. I will be VERY SAGGY at first and shrink up

> > > somewhat after that.

> > > BUT the cost would be $2500 complete w/ everything and that is that.

> > > He is a good Doctor and checks out fine. BUT NOW I AM F----ing

> > > confused. I don't really care at 51 years old of being saggy... I

> > > know I don't have ANY breast tissue.

> > >

> > > NOW WHAT TO DO.. I will call the Feng office again and talk to them..

> > > OKAY GANG I NEED FEEDBACK..

> > > OH and I am so happy to have this board here.. I feel like I just

> > > jumped in belly flop up...

> > > I have had 2 sets of implants 20 years. Silicone for 10 and now

> > > saline. One breast is completely hard the other you can't tell it is

> > > an implant.

> > > But I WANT OUT NOW.. have lupus with blood, nervous system and some

> > > kidney involvement..

> > > KISS YOUR FACES.. all of them and sock it to me with your replies..

> > >

> > > MARY

> > >

> > >

> > >

> > >