Wifey wants bolt-ons

[britincali]

I gotta say girls and guys there is some damn good info in this thread!!!

I knew here would be the place to ask :)

Im gonna sit down with her tomorrow morning and read the whole lot over again.

[Lisa]

Originally Posted by rsg

According to the studies submitted to the FDA 20-40% of ALL implants require another surgery within 3 years.

Richard, do you know why further surgery is required? Is it mostly because women want different implants, or because of poor placement, or because of CC, or for other reasons?

[rsg]

Originally Posted by Lisa

Richard, do you know why further surgery is required? Is it mostly because women want different implants, or because of poor placement, or because of CC, or for other reasons?

I don't know the exact reasons but will do a little looking around when I get a chance. What I do know from this particular study is that the population that is in the 20% range is made up primarily of cosmetic patients, while the population closer to the 40% range is made up primarily of reconstructive patients.
So I guess a better way to put it would be that about 20% of the cosmetic patients have another surgery within 3 years and up to 40% of the reconstructive patients have another surgery within 3 years.

[Lisa]

Originally Posted by rsg

I don't know the exact reasons but will do a little looking around when I get a chance. What I do know from this particular study is that the population that is in the 20% range is made up primarily of cosmetic patients, while the population closer to the 40% range is made up primarily of reconstructive patients.
So I guess a better way to put it would be that about 20% of the cosmetic patients have another surgery within 3 years and up to 40% of the reconstructive patients have another surgery within 3 years.

You know, I would love to be able to see into the future - say, in 20 to 30 years or more - to find out what happens to women who elected to get implants for cosmetic reasons. How many surgeries in all did they have? What kinds of problems did they encounter? How many had them removed? How did the problems compare between silicone and saline implants?

Maybe that info is already out there.

And even though a few years back the FDA approved silicone implants again for cosmetic patients, I still wonder how much we really know about what happens to them inside a person's body in the long term. I've heard that eventually many, if not most, of them will leak or rupture, but that it's hard to tell (even with MRI imaging) because they don't "deflate" like saline ones do. So that gooey stuff is in direct contact with the tissues. That would scare me. How can that not be an alarming thing?

This statement directly from a PubMed study of silicone implants:

"CONCLUSIONS:
The risk of implant rupture increases with implant age. A minimum of 15% of modern implants can be expected to rupture between the third and tenth year after implantation."

[Starwalker]

Originally Posted by Welshwatchman

Talk her out of it.

Does she know for a fact that she is the most special thing, as you say?

Perhaps that's all she needs to know.

Now I'm already out way out of my depth, advice wise, I'll go.

x2!

[Jocke]

Originally Posted by TheVTCGuy

AMEN AMEN AMEN Dude! And RIGHT ON!!! I am a CERTIFIED Boob man... I studied the material, took the written test, the "but" Men and the "leg" men were down the hall taking their tests at the same time and they said their's was difficult, but believe me, ours was not easy! Anyway, I passed with a 96% and proudly display my certifcation (As a matter of fact, my certification is due again this year, have to start studying again...).

I understand the image thing, and agree with Lisa, there is a lot of pressure on women these days to look... "perfect." I get that, but the whole attraction men have to breasts is.. the... Passion. When I see fake ones, it's an instant turn off. I've dated a couple women that had them, but it was NOT exciting, sensuous, nor passionate. Heck, if I want to feel that, I mine as well buy a hot-water bottle. I would much rather .. uh... "enjoy" a woman's REAL and im-perfect breast then fake nice-looking ones... it's just so... fake... plastic... not really her. It's the ... Passion that makes it sensuous.. sexy.. It's an incredible turn on!!!! It's the... the... the... uh.... uh....

I... uh... I have to go now.... uh... to the bathroom... yeah,, that's it... I'm uh... going to the bathroom....

Interesting info from a man who only has access to the implants.

[Lisa]

Originally Posted by Jocke

Interesting info from a man who only has access to the implants.

Paul - I found some perfect ones for you. As demonstrated:

[TheVTCGuy]

Originally Posted by Jocke

Interesting info from a man who only has access to the implants.

Jocke, what do YOU know about Breasts? You're Swedish!!!!!!!!



There! Guess I told him!

[TheVTCGuy]

Paul - I found some perfect ones for you. As demonstrated:

Hmmmm.... Now, being a CERTIFED Boob man Lisa... I can definitively say.... yep... Those are fake.

[Jonathan007]

Originally Posted by Lisa

It's society's fault! We're bombarded with images of what women should look like - and almost always big, luscious breasts are part of that. It's tough for many women to accept themselves as they are. That's one reason why I admire celebrities like Kate Hudson. She's got teensy breasts but exudes confidence and sexiness. And she's gorgeous, too.

Exactly, I blame tv and magazines!

Enjoy, sorry I ment good luck

Jon

[Christian B]

My $0.02: I really, really dislike breast implants. Even to the point where I'd rather not date the woman. Small, medium or large; I've never seen/touched an ugly, substandard, not-enough breast in my life. I even know two women who've had breast reductions. To me, all healthy women are beautiful. Healthy minds are sexiest of all!

I've been anaesthetised three times so far, and thoroughly enjoyed the "high" afterwards in every case. But I would certainly not have any unnecessary surgery ever.

[Lisa]

Originally Posted by TheVTCGuy

Hmmmm.... Now, being a CERTIFED Boob man Lisa... I can definitively say.... yep... Those are fake.

Well, if they're going to be cold and hard, at least they should be refreshing.

[TheVTCGuy]

Anyone else finding it difficult to concentrate on work subjects while glancing at this thread..... ?

[Lisa]

Originally Posted by TheVTCGuy

Anyone else finding it difficult to concentrate on work subjects while glancing at this thread..... ?

Well, the cold beers did it for me. Almost forgot to pick up my daughter from school.

[Jocke]

Originally Posted by TheVTCGuy

Hmmmm.... Now, being a CERTIFED Boob man Lisa... I can definitively say.... yep... Those are fake.

They only have fake beer's in San Diego.

[TheVTCGuy]

Originally Posted by Lisa

Well, the cold beers did it for me. Almost forgot to pick up my daughter from school.

Not the beers, the Breasts! I'm finding it difficult to concentrate at work and keep my mind on .. the... the er uh... task at hand... and... uhm.. to... uh...



I'm sorry, what was the question?

[TheVTCGuy]

Originally Posted by Jocke

They only have fake beer's in San Diego.

Jocke Jocke Jocke..... My silly Swedish friend Jocke.... Why not come over to San Diego, we'll sit on the beach and check out all the fake beers walking by

[Jocke]

Originally Posted by TheVTCGuy

Jocke Jocke Jocke..... My silly Swedish friend Jocke.... Why not come over to San Diego, we'll sit on the beach and check out all the fake beers walking by

I'm sure you have love that my best friend.

[rr-nyc]

Originally Posted by rsg

According to the studies submitted to the FDA 20-40% of ALL implants require another surgery within 3 years.

Originally Posted by Lisa

Richard, do you know why further surgery is required? Is it mostly because women want different implants, or because of poor placement, or because of CC, or for other reasons?

From a basic internet search, reconstructive patients (46% of women with silicone gel implants and 21% with saline implants) underwent at least one re-operation within three years. This isn't very clear since reconstructive patients have a pre-existing condition. It also doesn't state how many are revisions from complications vs revisions from non-implant related issues vs patient initiated revision. The same website states complications from augmentation is less but still significant. Mentor, the leading manufacturer, states 12.5% re-surgery rate

This is what they claim to be the complications within the first 3 years
21% Wrinkled appearance of the breast
13% Needed another operation
10% Loss of nipple sensation
9% Capsular contracture (hardening of breast)
8% Implant removal
7% Asymmetry (breasts look different from each other)
5% Intense, painful nipple sensation
5% Breast pain
3% Implant leaks/deflates
2% Implant can be felt
2% Infection
2% Sagging
2% Scarring complications
2% Hematoma (blood collects around the implant)

[Jocke]

Originally Posted by rr-nyc

From a basic internet search, reconstructive patients (46% of women with silicone gel implants and 21% with saline implants) underwent at least one re-operation within three years. This isn't very clear since reconstructive patients have a pre-existing condition. It also doesn't state how many are revisions from complications vs revisions from non-implant related issues vs patient initiated revision. The same website states complications from augmentation is less but still significant. Mentor, the leading manufacturer, states 12.5% re-surgery rate

This is what they claim to be the complications within the first 3 years
21% Wrinkled appearance of the breast
13% Needed another operation
10% Loss of nipple sensation
9% Capsular contracture (hardening of breast)
8% Implant removal
7% Asymmetry (breasts look different from each other)
5% Intense, painful nipple sensation
5% Breast pain
3% Implant leaks/deflates
2% Implant can be felt
2% Infection
2% Sagging
2% Scarring complications
2% Hematoma (blood collects around the implant)

So 9% are happy?

[Johny]

Originally Posted by Lisa

Well, the cold beers did it for me. Almost forgot to pick up my daughter from school.

[Jocke]

Originally Posted by Johny

I believe Lisa's daugther disagree.

[rr-nyc]

Originally Posted by rsg

Medical devices/implants are frequently used "off label" without any consequences.

Off-label is using a device for something other than its designed and approved indication. The FDA's indications for a breast implant are 1) primary reconstruction, 2) revision and reconstruction, or 3) primary augmentation

Off-label use of a breast implant would be to insert it in your biceps to make them look bigger.

[Johny]

Originally Posted by Jocke

I believe Lisa's daugther disagree.

[rr-nyc]

Originally Posted by Jocke

So 9% are happy?

Never looked at it like that... good point!

I guess my wife is one of the lucky 9%

[Lisa]

Originally Posted by rr-nyc

From a basic internet search, reconstructive patients (46% of women with silicone gel implants and 21% with saline implants) underwent at least one re-operation within three years. This isn't very clear since reconstructive patients have a pre-existing condition. It also doesn't state how many are revisions from complications vs revisions from non-implant related issues vs patient initiated revision. The same website states complications from augmentation is less but still significant. Mentor, the leading manufacturer, states 12.5% re-surgery rate

This is what they claim to be the complications within the first 3 years
21% Wrinkled appearance of the breast
13% Needed another operation
10% Loss of nipple sensation
9% Capsular contracture (hardening of breast)
8% Implant removal
7% Asymmetry (breasts look different from each other)
5% Intense, painful nipple sensation
5% Breast pain
3% Implant leaks/deflates
2% Implant can be felt
2% Infection
2% Sagging
2% Scarring complications
2% Hematoma (blood collects around the implant)

Stats from the makers of the devices... Makes me think about how the makers of SSRIs used to say that 3 percent of patients experience sexual dysfunction..

Wonder how they arrived at the 12.5 percent re-surgery rate? Was this only within a certain time frame after the surgery? Even so, even if you look at the data above with a discerning eye (and would most patients fully understand the implications of these figures?) the odds of having a less than satisfactory experience seem high.

[Johny]

risking your life and health by the look of the information...and for what?

[rr-nyc]

Originally Posted by Lisa

Stats from the makers of the devices... Makes me think about how the makers of SSRIs used to say that 3 percent of patients experience sexual dysfunction..

Wonder how they arrived at the 12.5 percent re-surgery rate? Was this only within a certain time frame after the surgery? Even so, even if you look at the data above with a discerning eye (and would most patients fully understand the implications of these figures?) the odds of having a less than satisfactory experience seem high.

The FDA is very strict on reporting adverse events so there is no marketing drivel... even for SSRI's. The complication rates I pasted are not a cumulative total as I joked. Each one is its each percentage out of every 100 patients. The more important statistics come from a 10 year follow up conducted by U of Minnesota and published by the FDA. 96% of women with saline-filled breast implants stated they would make the same choice again. 93% were satisfied or very satisfied with their breast implants.

I believe that the 12.5% re-surgery rate is in the first three years... that is a cumulative total. There is three year data published but I believe Mentor had a hard time keeping participants enrolled for a 5 year follow up. Bottom line is that breast implants are not permanent implants nor are they marketed as such.

Even other implants (knees, hips, stents, grafts, etc.) that are designed to be permanent aren't necessarily permanent.

[rsg]

Originally Posted by rr-nyc

Off-label is using a device for something other than its designed and approved indication. The FDA's indications for a breast implant are 1) primary reconstruction, 2) revision and reconstruction, or 3) primary augmentation

Off-label use of a breast implant would be to insert it in your biceps to make them look bigger.

Unless the IFU clearly states the surgical method for which the device is to be placed and the surgeon uses a different method to place the implant. A perfect example would be a device that approved for open procedures but is used percutaneously.

[rsg]

Originally Posted by rr-nyc

Bottom line is that breast implants are not permanent implants nor are they marketed as such.

Even other implants (knees, hips, stents, grafts, etc.) that are designed to be permanent aren't necessarily permanent.

Very true. I am currently developing a cardiovascular implant that we fatigue test to 400 million cycles and that is only for a 10 year life.