Guest guest Posted September 24, 2002 Report Share Posted September 24, 2002 Hi Everyone, I have been trying to keep up with the posts. I just wanted to update everyone and seek some advice if that is OK. Am I compromising care by not getting enbloc or wrapped tightly with explant? I had a consult: he will not be doing enbloc. He said most times it does not work out that way anyways. Hmmm??? Also: Does anyone know if " not " wrapping (tightly and bandaging/compressing) the breasts to assist with skin contracture makes a difference in the final outcome? I am having explant only - no lift. I understood the tight bandaging was what helped everything heal up compressed and tightly? What if they just put steri strips over the incision and a sports bra- that's it? What will the difference be in my outcome if done this way opposed to tightly wrapping? I really want to get this over-with. Thank you very much for your assistance. Your input is greatly appreciated. Warmly, J~ PS e, I still haven't heard back. Dr. Kolb, what do you think? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2002 Report Share Posted September 24, 2002 Hi J~ I hope you will fight for the en bloc removal--if I remember right you have leaking silicone gel implants, don't you? You really do need to have the silicone contained to not risk any further spread into your body if this is true. AND you must get a total capsulectomy. This is so important--you risk not getting your health back AND getting much worse if you do not get all the capsule removed. This is one surgery you cannot afford to have an unconcerned plastic surgeon doing, if you want the best chances for recovery. I understand you are in a predicament and it is very difficult, but make sure your doctor takes you seriously. Patty ----- Original Message ----- From: JHH7 Sent: Monday, September 23, 2002 5:33 PM Subject: need input please Hi Everyone,I have been trying to keep up with the posts. I just wanted to updateeveryone and seek some advice if that is OK. Am I compromising care by not getting enbloc or wrapped tightly withexplant? I had a consult: he will not be doing enbloc. He said most times it doesnot work out that way anyways. Hmmm??? Also:Does anyone know if "not" wrapping (tightly and bandaging/compressing) thebreasts to assist with skin contracture makes a difference in the finaloutcome? I am having explant only - no lift. I understood the tight bandaging was what helped everything heal upcompressed and tightly? What if they just put steri strips over the incision and a sports bra-that's it? What will the difference be in my outcome if done this wayopposed to tightly wrapping? I really want to get this over-with.Thank you very much for your assistance. Your input is greatly appreciated.Warmly,J~PS e, I still haven't heard back. Dr. Kolb, what do you think? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2002 Report Share Posted September 24, 2002 J, I did not have my breasts wrapped at all. Dr. Huang put some 4x4s over my breasts and the JP drains, and secured them with tape. That was it. I did, however, get wrapped tightly with implant---I had an ace wrap around my breasts and then was told to were a sports bra for 1 wk. Didn't have to do any of that after explant. By the way---whatever happened with Dr. Huang? The last I heard, you had faxed some info to her. Did the financial situation not work out with the medicaid aspect? Or do you still feel like you could not travel that distance due to your health? The doctor who states en bloc "doesn't work" is someone you don't want to go to. En bloc is a very specialized technique and docs have to be specially trained in the technique. I have found with docs (any type of doc) if they don't know how to do a specific technique, they tend to put it down. En bloc does work as evidenced by the women in this group who have had en bloc done and have gotten healthier. Not to mention that it is recommended and done automatically by the docs we highly recommend on this group. And it is of utmost importance that implants be removed in this manner. I would seriously think very long and hard about going to this doctor for your explant. He obviously doesn't understand the importance of doing an explant en bloc, and for him to make such a flip statement like that indicates he is not someone you can trust. I think posted something last wk related to the importance of not throwing caution to the wind. Don't just settle---you need to find an excellent ps. I know you need to get the implants removed, but if you don't get the explant done correctly, you could end up even more sick and requiring more surgeries to repair/correct the damage done by this ps. Take the time to find a good doc, and if necessary and you need to travel, take the time to focus on getting well enough to travel. But do it right and don't further jeopardize your health. e ----- Original Message ----- From: JHH7 Sent: Monday, September 23, 2002 5:41 PM Subject: need input please Hi Everyone,I have been trying to keep up with the posts. I just wanted to updateeveryone and seek some advice if that is OK. Am I compromising care by not getting enbloc or wrapped tightly withexplant? I had a consult: he will not be doing enbloc. He said most times it doesnot work out that way anyways. Hmmm??? Also:Does anyone know if "not" wrapping (tightly and bandaging/compressing) thebreasts to assist with skin contracture makes a difference in the finaloutcome? I am having explant only - no lift. I understood the tight bandaging was what helped everything heal upcompressed and tightly? What if they just put steri strips over the incision and a sports bra-that's it? What will the difference be in my outcome if done this wayopposed to tightly wrapping? I really want to get this over-with.Thank you very much for your assistance. Your input is greatly appreciated.Warmly,J~PS e, I still haven't heard back. Dr. Kolb, what do you think? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2002 Report Share Posted September 24, 2002 Ask him to do enbloc if possible and to use drains for 5 to 7 days and to wrap with an ace wrap or binder if possible. These are important in order to avoid silicone spillage and seroma formation. Kolb M.D. -----Original Message----- From: JHH7 [mailto:rogerlh@...] Sent: Monday, September 23, 2002 8:33 PM Subject: need input please Hi Everyone, I have been trying to keep up with the posts. I just wanted to update everyone and seek some advice if that is OK. Am I compromising care by not getting enbloc or wrapped tightly with explant? I had a consult: he will not be doing enbloc. He said most times it does not work out that way anyways. Hmmm??? Also: Does anyone know if " not " wrapping (tightly and bandaging/compressing) the breasts to assist with skin contracture makes a difference in the final outcome? I am having explant only - no lift. I understood the tight bandaging was what helped everything heal up compressed and tightly? What if they just put steri strips over the incision and a sports bra- that's it? What will the difference be in my outcome if done this way opposed to tightly wrapping? I really want to get this over-with. Thank you very much for your assistance. Your input is greatly appreciated. Warmly, J~ PS e, I still haven't heard back. Dr. Kolb, what do you think? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2002 Report Share Posted September 24, 2002 Hi e, Thanks for the information. Interesting that your 'dressing' was similar. It is confusing since he said the scar would be small which indicates that he is not trying enbloc, but then said although enbloc is ideal, it doesn't work out most of the time anyways. I faxed her all the info and never received a call from her or anyone in the office. I admit it is adding to my discouragement, resulting from so many attempted but unsuccessful avenues. Thanks for replying. J~ ---------- From: e Rene <e_Rene@...> < > Subject: Re: need input please Date: Monday, September 23, 2002 9:42 PM J, I did not have my breasts wrapped at all. Dr. Huang put some 4x4s over my breasts and the JP drains, and secured them with tape. That was it. I did, however, get wrapped tightly with implant---I had an ace wrap around my breasts and then was told to were a sports bra for 1 wk. Didn't have to do any of that after explant. By the way---whatever happened with Dr. Huang? The last I heard, you had faxed some info to her. Did the financial situation not work out with the medicaid aspect? Or do you still feel like you could not travel that distance due to your health? The doctor who states en bloc " doesn't work " is someone you don't want to go to. En bloc is a very specialized technique and docs have to be specially trained in the technique. I have found with docs (any type of doc) if they don't know how to do a specific technique, they tend to put it down. En bloc does work as evidenced by the women in this group who have had en bloc done and have gotten healthier. Not to mention that it is recommended and done automatically by the docs we highly recommend on this group. And it is of utmost importance that implants be removed in this manner. I would seriously think very long and hard about going to this doctor for your explant. He obviously doesn't understand the importance of doing an explant en bloc, and for him to make such a flip statement like that indicates he is not someone you can trust. I think posted something last wk related to the importance of not throwing caution to the wind. Don't just settle---you need to find an excellent ps. I know you need to get the implants removed, but if you don't get the explant done correctly, you could end up even more sick and requiring more surgeries to repair/correct the damage done by this ps. Take the time to find a good doc, and if necessary and you need to travel, take the time to focus on getting well enough to travel. But do it right and don't further jeopardize your health. e ----- Original Message ----- From: JHH7 Sent: Monday, September 23, 2002 5:41 PM Subject: need input please Hi Everyone, I have been trying to keep up with the posts. I just wanted to update everyone and seek some advice if that is OK. Am I compromising care by not getting enbloc or wrapped tightly with explant? I had a consult: he will not be doing enbloc. He said most times it does not work out that way anyways. Hmmm??? Also: Does anyone know if " not " wrapping (tightly and bandaging/compressing) the breasts to assist with skin contracture makes a difference in the final outcome? I am having explant only - no lift. I understood the tight bandaging was what helped everything heal up compressed and tightly? What if they just put steri strips over the incision and a sports bra- that's it? What will the difference be in my outcome if done this way opposed to tightly wrapping? I really want to get this over-with. Thank you very much for your assistance. Your input is greatly appreciated. Warmly, J~ PS e, I still haven't heard back. Dr. Kolb, what do you think? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2002 Report Share Posted September 24, 2002 Enbloc may not be possible due to extrcapsular rupture but should be attempted. . -----Original Message----- From: JHH7 [mailto:rogerlh@...] Sent: Monday, September 23, 2002 11:37 PM Subject: Re: need input please Thanks Dr. Kolb. Do you think that enbloc is the only safe way for a case like mine or can it safely be done in a 2 step process (removing the implants first and then the capsule)? Also, is that a fair statement that enbloc doesn't work out many times? I appreciate your input very much. Thank you in advance. J~ ---------- > From: Dr. Kolb <drkolb@...> > > Subject: RE: need input please > Date: Monday, September 23, 2002 10:23 PM > > Ask him to do enbloc if possible and to use drains for 5 to 7 days and to > wrap with an ace wrap or binder if possible. These are important in order > to avoid silicone spillage and seroma formation. Kolb M.D. > > -----Original Message----- > From: JHH7 [mailto:rogerlh@...] > Sent: Monday, September 23, 2002 8:33 PM > > Subject: need input please > > > Hi Everyone, > > I have been trying to keep up with the posts. I just wanted to update > everyone and seek some advice if that is OK. > > Am I compromising care by not getting enbloc or wrapped tightly with > explant? > > I had a consult: he will not be doing enbloc. He said most times it does > not work out that way anyways. Hmmm??? > > Also: > Does anyone know if " not " wrapping (tightly and bandaging/compressing) the > breasts to assist with skin contracture makes a difference in the final > outcome? > > I am having explant only - no lift. > > I understood the tight bandaging was what helped everything heal up > compressed and tightly? > > What if they just put steri strips over the incision and a sports bra- > that's it? What will the difference be in my outcome if done this way > opposed to tightly wrapping? > > I really want to get this over-with. > > Thank you very much for your assistance. Your input is greatly appreciated. > > > Warmly, > J~ > > PS > e, I still haven't heard back. > Dr. Kolb, what do you think? > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2002 Report Share Posted September 24, 2002 Thanks Dr. Kolb. Do you think that enbloc is the only safe way for a case like mine or can it safely be done in a 2 step process (removing the implants first and then the capsule)? Also, is that a fair statement that enbloc doesn't work out many times? I appreciate your input very much. Thank you in advance. J~ ---------- > From: Dr. Kolb <drkolb@...> > > Subject: RE: need input please > Date: Monday, September 23, 2002 10:23 PM > > Ask him to do enbloc if possible and to use drains for 5 to 7 days and to > wrap with an ace wrap or binder if possible. These are important in order > to avoid silicone spillage and seroma formation. Kolb M.D. > > -----Original Message----- > From: JHH7 [mailto:rogerlh@...] > Sent: Monday, September 23, 2002 8:33 PM > > Subject: need input please > > > Hi Everyone, > > I have been trying to keep up with the posts. I just wanted to update > everyone and seek some advice if that is OK. > > Am I compromising care by not getting enbloc or wrapped tightly with > explant? > > I had a consult: he will not be doing enbloc. He said most times it does > not work out that way anyways. Hmmm??? > > Also: > Does anyone know if " not " wrapping (tightly and bandaging/compressing) the > breasts to assist with skin contracture makes a difference in the final > outcome? > > I am having explant only - no lift. > > I understood the tight bandaging was what helped everything heal up > compressed and tightly? > > What if they just put steri strips over the incision and a sports bra- > that's it? What will the difference be in my outcome if done this way > opposed to tightly wrapping? > > I really want to get this over-with. > > Thank you very much for your assistance. Your input is greatly appreciated. > > > Warmly, > J~ > > PS > e, I still haven't heard back. > Dr. Kolb, what do you think? > > > > > > Quote Link to comment Share on other sites More sharing options...
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