I had gauze under my nose to catch the blood but otherwise looked pretty normal, as the swelling and bruising hadn't set in yet. I wasn't in much pain — I described the sensation to a nurse as a bad sunburn, tight and sore. I could breathe so freely through my nose, which was something new for me. Dr. Kolker had fixed a valve in there — a sweet bonus.
Unfortunately, as time goes on it is often difficult for patients to remember the specifics of the type of breast augmentation surgery and implants that they had.  Your are not alone!  The easiest way to determine what type of implant you had is to request a copy of the operative report from either the hospital, surgery center or your surgeon's office.  The implant specifics are recorded on this document.  Your office record also includes this information.  If it has been over ten years since your procedure, sometimes these records are no longer available.  Ultrasound or MRI can help to answer this question but it is an expensive way to solve the mystery and not an indication for these procedures.  If you registered your implants with the manufacturer at the time of surgery, the company will have a record of this information.  Fortunately, this inforation is not absoltely critical to your health unless you are having a problem with your implants.  Your surgeon can often develop a reasonable treatment plan even without this information.  I would strongly recommend that you register your implants and purchase the affordable insurance program if you have surgery again.  These programs are helpful in storing vital information regarding your implant type, size, filler, model and lot number.  Should there be a recall or long term problem requiring additional surgery, this information is readily available.  There is often also some fiancial support to offset costs.  Investigate the options available by contacting your surgeon or the implant manufacturer's websites. 

Some costs for breast implant revision surgery may be covered by your surgeon, depending on the reason for revision. “Generally, if the doctor feels the result is below their expectations, they will often cover much or all of the cost,” says Seattle plastic surgeon Dr. Richard P. Rand in a RealSelf Q&A. “However, if the problem is something about your body, like capsular contracture or wrinkling and rippling above the muscle, it is reasonable that charges should apply as this is no fault of the doctor.”

Arm LiftBody ContouringBody LiftBotulinum ToxinBreast AugmentationBreast Implant Removal & ExchangeBreast LiftBreast ReconstructionBreast ReductionBrow LiftButtock Lift with AugmentationChin AugmentationCleft Lip and PalateCraniosynostosis SurgeryDermal FillersEar SurgeryEyelid SurgeryFaceliftGynecomastia SurgeryHair TransplantLip AugmentationLiposuctionRhinoplastyThigh LiftTummy Tuck


The U.S. Food and Drug Administration established the age ranges for women seeking breast implants; for breast reconstruction, silicone-gel filled implants and saline-filled implants were approved for women of all ages; for breast augmentation, saline implants were approved for women 18 years of age and older; silicone implants were approved for women 22 years of age and older.[120] Because each breast implant device entails different medical risks, the minimum age of the patient for saline breast implants is different from the minimum age of the patient for silicone breast implants—because of the filler leakage and silent shell-rupture risks; thus, periodic MRI screening examinations are the recommended post-operative, follow-up therapy for the patient.[121] In other countries, in Europe and Oceania, the national health ministries' breast implant policies do not endorse periodic MRI screening of asymptomatic patients, but suggest palpation proper—with or without an ultrasonic screening—to be sufficient post-operative therapy for most patients.
Subfascial: the breast implant is emplaced beneath the fascia of the pectoralis major muscle; the subfascial position is a variant of the subglandular position for the breast implant.[77] The technical advantages of the subfascial implant-pocket technique are debated; proponent surgeons report that the layer of fascial tissue provides greater implant coverage and better sustains its position.[78]
Case 25: This patient had what is called a tension nose wherein a convexity on the bridge pushes the tip forward and down. Notice how this also puts tension on the upper lip and appears to tether it from inside. a combination of straightening, improving breathing, removing the hump, and setting the tip appropriately also helps to relax the upper lip and complete the look.
The amount of time the procedure takes is also an important factor. The longer and more complicated the procedure, the more you can expect to pay for it. This is why a breast augmentation with fat transfer and a breast lift with implants cost more than a standard breast augmentation with implants. Some surgeons include their fee in the price they give you for your entire procedure. Be sure to ask during your consultation!
Although reviewing before and after photographs is an important element in selecting the right rhinoplasty surgeon, choosing your surgeon solely on the basis of website photos is ill-advised. Indeed, countless disappointed rhinoplasty patients can attest to the deceptive and misleading nature of many rhinoplasty websites. Moreover, viewing online photos is no substitute for the consultation visit, where I can share numerous other before and after photos, many with noses similar in appearance to your own – a far more meaningful comparison. Although I have been slow to incorporate internet marketing into my rhinoplasty practice, the growing number of individuals who look to the internet as their sole source of medical information cannot be overlooked. Consequently, I offer this website as a source of candid information to equip the prospective rhinoplasty patient with accurate information and honest advice.
A: During your initial consultation, you will discuss your desired results with Dr. Hochstein so he can fully understand your expectations. You will be provided with before and after photos so that you can see some of the results Dr. Hochstein has achieved with his other patients. He will examine your breasts and evaluate other factors that may affect the outcome of your surgery. This will help determine the appropriate breast size and incision location.

Many different types of breast lifts are now available in conjunction with a breast reduction, including lifts just around the areola (periareolar), vertical/lollipop mastopexies (incision around the areola and down to the breast fold, and full breast lifts with an anchor incision. For patients who have very loose skin in the armpit or back, axillary or bra lifts are also often combined with breast reductions.

A portion of fat will naturally absorb and effectively “disappear” as you heal. In order to prevent fat from reabsorbing, there shouldn’t be too much movement of the injected area right after surgery. Areas that shift a lot, like the lips, typically don’t hold on to fat very well. Pressure is also bad—fat that is injected into the butt can easily dissipate if patients sit on their bottoms a lot during the first couple weeks of recovery, says Ganchi. Ganchi tell his patients they either have to lay on their stomach or stand for the first four weeks after surgery (yes, really!). And since fat can absorb unevenly, some patients need more than one injection session to even things out—adding up to even more money spent.
A portion of fat will naturally absorb and effectively “disappear” as you heal. In order to prevent fat from reabsorbing, there shouldn’t be too much movement of the injected area right after surgery. Areas that shift a lot, like the lips, typically don’t hold on to fat very well. Pressure is also bad—fat that is injected into the butt can easily dissipate if patients sit on their bottoms a lot during the first couple weeks of recovery, says Ganchi. Ganchi tell his patients they either have to lay on their stomach or stand for the first four weeks after surgery (yes, really!). And since fat can absorb unevenly, some patients need more than one injection session to even things out—adding up to even more money spent.
When the patient is unsatisfied with the outcome of the augmentation mammoplasty; or when technical or medical complications occur; or because of the breast implants’ limited product life, it is likely she might require replacing the breast implants. Common revision surgery indications include major and minor medical complications, capsular contracture, shell rupture, and device deflation.[44] Revision incidence rates were greater for breast reconstruction patients, because of the post-mastectomy changes to the soft-tissues and to the skin envelope of the breast, and to the anatomical borders of the breast, especially in women who received adjuvant external radiation therapy.[44] Moreover, besides breast reconstruction, breast cancer patients usually undergo revision surgery of the nipple-areola complex (NAC), and symmetry procedures upon the opposite breast, to create a bust of natural appearance, size, form, and feel. Carefully matching the type and size of the breast implants to the patient's pectoral soft-tissue characteristics reduces the incidence of revision surgery. Appropriate tissue matching, implant selection, and proper implantation technique, the re-operation rate was 3 percent at the 7-year-mark, compared with the re-operation rate of 20 per cent at the 3-year-mark, as reported by the U.S. Food and Drug Administration.[64][65]
Having a breast lift is similar to resetting the clock for sagging. Your breasts will still undergo natural changes due to the aging process, although with proper care you should not experience your previous level of sagging for many years. However, it is important to understand that certain life events, such as future pregnancy or weight fluctuations can negatively affect your results. If you are planning to have more children or you would like to lose weight, it is best to achieve these milestones before having a breast lift.
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