Jump to content

TheFox

Administrators
  • Content Count

    4,951
  • Joined

  • Last visited

About TheFox

  • Rank
    Moderator

Profile Information

  • Location
    Melbourne
  • Surgery/ Procedure
    Breast Augmentation
    Rhinoplasty
  • Name of Surgeon and Date of Surgery
    Professor Mark Ashton 27/03/2013

Recent Profile Visitors

14,369 profile views
  1. I suspect he is doing more rounds now because of the ALCL link with textured implants. I also didnt think medicare provided an item number for revision after 2018 except in the case of removal without new implants
  2. Hi there, As a TCI patient you would have had Nagor Impleo implants which are much better than the Nagor GFX implants I had. Donatella and I both had these implants and both had ruptures. My rupture was a gel bleed which caused very uncomfortable inflammation. I asked to keep the implants after explant and the side that was inflamed had air bubbles inside the implant and it burst in my hand when I gave it a soft squeeze. My preference for implants now is Mentor CPG anatomical as they have a very proven track record and long history so the longer term complications are well researched. Id also consider Motiva implants but I have some hesitation because they are new. I never claimed anything back from Nagor re my implant rupture but i had mine removed before the medicare changes so my private health insurance covered 100% of the cost
  3. I havent had any experience with Dr Dona but he has many happy patietns on this site and is on the affordable side. I had a rupture and took advice from Dr Tavakoli and can highly recommend. He is on the more expensive side, but well worth it in my opinion.
  4. Hi wantboobs, im more than happy to answer your questions: 1. Your explants were quite large... how long did you have them in for? I had them in for around 5 years (just under). I had 410cc but they were roughly the same size if not smaller than what my breasts were when I was breastfeeding. I developed no new stretchmarks from my surgery and the skin was never stretched to accomodate the implants. 2. I really struggling to find an understanding surgeon with experience in downsizing. I saw a handful, and they all just said they thought I looked fine. I think surgeons get so out of touch with what looks natural. I understand this. I was given advice that I could downsize in one operation although, the suggested downsize amount would not have been enough to make me happy i.e. less than 100cc difference, i think I would have still thought they were too big. I developed other symptoms prior to my explant which necessitated the surgery and my surgeon was happy for me to exchange for a smaller implant during that surgery. It was actually another surgeon (Dr Tavakoli) who gave me the advice that I can now see was in my best interest. I had asked his opinion earlier on about downsizing and he told me that the safest way would be to remove my implants, let the pocket heal and the skin retract, then go for implants later on. He told me I would have a high risk of rotation with anatomical implants if I implanted straight away. I feel like he really understood my desire for a very small natural look but was also very realistic and frank with me about the only way I could achieve that. I ended up getting a bunch of uncomfortable and concerning symptoms the weekend before my surgery (i was at a plastic surgery conference incidentally) and it was here that again Dr Tav told me that I really needed to take them out asap and not put new ones in for 12 months minimum. Of course this was not news I wanted to hear, especially since I was booked in for removal and replacement two days later but he really urged me not to. Given his experience and reputation as a world leader in breast surgery, i really felt it would be crazy not to take his advice. Anyway as you can see from my story, I ended up electing to not replace them and when i woke in recovery my surgeon said to me, 'i dont know how you knew, but I am so glad you didn't want new implants in straight away because it was a mess inside". It was bad enough that he spent extra time in theatre and wanted me to stay in hospital overnight. 3. How do they look now? Again, I took advice from Dr Tavakoli to strap my breasts down with hypafix so that the skin would have a good chance of retraction. I did this for three months and I will say, i feel like it helped immensely. I also wore a very tight compression crop top 24/7. At around the 10-12 month mark I could honestly say my breasts looked a hell of a lot better than they even did before I had them done. I think this is in part due to the fact I had them done only 4 months after I stopped breastfeeding so the skin hadn't fully retracted. They are not saggy at all but they are deflated. Think about a deflated balloon lol if i gain weight they fluff out more but due to some weightless caused by stress, they are pretty non existent. Maybe a small b cup at most. I was 175cms and 55kgs when I had them done, I started at about a 10C (deflated though). Currently im only 48kgs and I only really wear calvin klein crops or barrettes but Id be about an 8B. Id be more than happy to DM you a before and after pic if it helps you to your mind at ease. I am at the point now where I am very keen to have a small implant put back in but my issue is I really would like to get them done by Dr Tavakoli but he is in Sydney so I would need to go there for a week and its just so hard to find the time. I definitely want an anatomical implant and in the 200-270cc range although he suggested a motiva implant would also work well for me. For me, the biggest issue I had all along was that I was thin, not a lot of breast tissue, deflated but not saggy and already prestretched from pregnancy and breastfeeding. An implant that was too small would not have filled the skin pocket well yet I didn't have enough loose skin for a lift. I would have preferred a lift if it meant i could have had a small implant but was always told i didn't need one. So, im in that awkward borderline category. Same thing with my stomach. I have some stretchmarks under my belly button, the skin is a little lose, but there's not enough skin for even a mini tuck. It kind of sucks to be in that category but im sure there are manny of us out there. Im very much like this woman's before picture and although her implants look biggish (they always do when they are naked) she only has 295cc implants. It gives me hope. The second and third images are my goals, Id love to achieve. Im all about the mini boob job look.
  5. My best friend had hers done by Professor Mark Ashton - you can see her results here https://cosmeticjourney.com/review/clinician/mark-ashton/20/ You can find more reviews for blepharoplasty with surgeons in Vic here https://cosmeticjourney.com/reviews/
  6. the abstract is only available online, not the entire article. You need a membership to access the full article. I have emailed the authors and asked if they could share part or all of the article with us, or if we could have a copy and reference the relevant portions for an article on the blog
  7. I had a fairly easy recovery with my augmentation. My twin sister had a harder time and I think it was probably because I had already been somewhat expanded from breastfeeding and pregnancy so I did not have any stretching or tightness in my chest that a lot of women complain about. As for the rapid recovery technique outline by Dr Tebbets, this does not refer to things like being able to lift a significant weight such as picking up your kids, or going back to the gym. You will be asked to take it easy for some time so that you dont get your heart rate too high and risk bleeding from the incisions etc before they are fully healed. You also wont be able to do things like swimming etc. It really refers to pain and movement post op. I think the best advice I can give you is to really allow yourself enough time to recover properly and have some time to take it easy. You really want to let your body heal and not rush things. After all, revision surgery is far more inconvenient than a few extra days of taking it easy
  8. It is believed that the rough texturing surface makes it difficult for the capsule to develop and thicken around the implant. Of course, the more the textured an implant is, the more spaces there are for ALCL bacteria to develop (hypothetically). Smooth implants are pretty widely recognised as being more unstable in the breast pocket. Think of it as a water ballon that is a traditional balloon material compared to say, a water balloon that has a fine sand paper texture feel. The rough surface is going to be much more easy to hold onto and this is believed to be the case for inside the body also. The rough texture acts like a velcro adherence to the surrounding tissue where as smooth implant is constrained only by the size of the implant pocket. I hope that makes sense. https://academic.oup.com/asj/article/38/1/38/4259312?searchresult=1 This is a very comprehensive but easy to follow article that really breaks everything down about smooth and textured implants, the reasons for the benefits and negatives, ALCL and stats on the reparation rates between the implant surfaces. Well worth a read
  9. What do you think about the proposal to restrict medical practitioners from using titles such as "cosmetic surgeon" allowing them to only use their titles recognised by the National Law under AHPRA https://cosmeticjourney.com/blog/rogue-unregistered-doctors-set-face-tougher-penalties/ Rogue and unregistered doctors are set to face tougher regulatory oversight with Australia’s Health Ministers agreeing to pass new legislative amendments to the Health Practitioner Regulation National Law at the last Council of Australian Governments (COAG) Health Ministers’ meeting on 31 October and 1 November. The communique from the COAG meeting stated, ‘the use of the title “surgeon”, including by way of “cosmetic surgeon”, by medical practitioners, non-specialist surgeons or those without other appropriate specific training can cause confusion among members of the public.’ Dr Naveen Somia, President of the Australasian Society of Aesthetic Plastic Surgeons (ASAPS) said, pleasingly, Health Ministers have agreed to progress changes to restrict the use of the title “surgeon.” “Patients need better information about the qualifications of surgeons, including those who call themselves cosmetic surgeons. “Patients are being misled by fabricated titles that imply surgical accreditation. These titles are being used by doctors who are not registered with AHPRA as surgeons. “Innocent as it may sound when the truth about the accreditation and training of a doctor is withheld from the patient, their safety is put at risk,” Dr Somia said. In aligning with the NSW Clinical Excellence Commission, ASAPS believes the principles of open disclosure should be the framework every doctor uses when consulting with a patient about their cosmetic surgery. “Open disclosure is a core ethical obligation for doctors about how they should interact with patients following an incident, but we think this framework should be used from the outset. If a doctor is open, honest and acts empathetically towards his or her patients, truth and transparency in their accreditation and titling should naturally follow,” Dr Somia said. The media coverage since the death of Jean Huang in August 2017 has shown a growing number of lives destroyed by unaccredited surgeons. These are doctors who have failed to adhere to the rules and advertise themselves as per their Australian Health Practitioner Regulation Agency(AHPRA) approved title. Following the recent surge in cosmetic surgery complications in NSW, the Committee on the Health Care Complaints Commission (HCCC) handed down a report in 2018, into cosmetic surgery that recommended banning the pseudonym ‘cosmetic surgeon’ as this would eliminate the confusion amongst the public about who is an accredited surgeon and who is not. “A survey of our ASAPS members earlier this year showed more than 85 per cent had treated patients with complications in the last 12 months “In the opinion of our members surveyed, close to 60 per cent of cosmetic surgery patients said if they knew their doctor was not a qualified plastic surgeon would have chosen differently,” Dr Somia said. A RealSelf survey conducted online by The Harris Poll found that 59 per cent of women in the United States didn’t know the difference between a plastic surgeon and a cosmetic surgeon. Further, 84 per cent of American women were unaware that doctors didn’t have to be Board-certified in plastic surgery to perform rhinoplasty or breast augmentation. A 2019 online market research poll conducted by McNair yellowSquares on behalf of ASAPS found that 92 per cent of people surveyed agreed that patients’ safety is put at risk when a doctor performs surgery without having completed surgical training. Ninety-three per cent of Australians agreed that it would be easier for patients to differentiate surgeons from doctors if medical professionals were required only to use their AHPRA titles. According to the new research, it was those aged 18-24-years who are less likely to prioritise a doctor’s surgical qualifications. Of the five questions asked, it was on four that those in the 18-24-year-old age group were significantly different from the rest of the population. ASAPS President, Dr Naveen Somia said this trend was alarming as it was this age group that was most likely to be targeted by doctors who were marketing themselves as having surgical expertise. “It’s no secret that those younger Australians are more heavily influenced by social media and influencers rather than by accurate information on official government websites, which is why a clear distinction between those who are and those who are not accredited to perform surgery is necessary. “AHPRA has official titles for all sub specialities of surgery ranging from Neurosurgeon to Specialist Plastic Surgeon that is meant to represent a doctor’s accredited training. “In the interest of patient safety, all doctors should mandatorily use only their AHPRA approved titles which is an accurate and legitimate representation of their accredited training. “We applaud the Health Ministers for taking this step and look forward to being involved in discussions about how best ASAPS can support these reforms,” Dr Somia said.
  10. Professor Mark Ashton outlined earlier in the year three factors which must be met for ALCL to occur: “The evidence suggests that rough texturing allows bacteria to grow on the surface and over time , usually 7-10 years, this can lead to ALCL” Professor Ashton states. However, he explains that the development of ALCL is dependent on three factors: Genetic predisposition (there has only been one reported case of ALCL in asian women) How the implant is inserted (A critical factor is that the implant is contaminated by a particular type of bacteria, common in tap water) Rough surface to the implant Based on the above, I would suggest it is a combination of point two and three. I know for a fact, a high number of ALCL cases (Around 7 i understand) were attributed to one cosmetic surgeon in QLD. The reasoning that a high number attributed to cosmetic surgeons seems to suggest that not all cosmetic surgeons are either properly trained in inserting the implant without contamination (Plastic Surgeons follow the 14 point plan) but also many cosmetic surgeons exclusively used brazilian implants, marketing them as the best implants for their patients, stated that plastic surgeons dont use them because they require additional training etc etc - we now know that brazilian implants have the highest risk of ALCL much much higher than the other implants on the market.
  11. See below for latest post from Australian Society of Aesthetic Plastic Surgeons regarding the latest information regarding ALCL. Ive asked permission from the authors to repost the journal article here for you to read. I will update if we get approval. "The latest paper on BIA-ALCL was published yesterday in the @aestheticsurgeryjournal_asj with some new and interesting conclusions. Non-certified physicians (they call themselves ‘Cosmetic Surgeons’), despite performing the minority of breast surgery operations, were responsible for 73% of cases of BIA-ALCL.A non-certified physician has not completed the extensive training a Specialist Plastic Surgeon undergoes and therefore are not certified as a Fellow of the Royal Australasian College of Surgeons (FRACS). This paper reinforces the importance of researching your surgeon and ensuring they are accredited as a Plastic Surgeon." Congratulations to #ASAPSMembers@drmarkmagnusson and @profdevafor publishing this insightful research."
  12. An interesting paper was just published in the Aesthetics Journal regarding ALCL. Cosmetic Surgeons were responsible for a staggering 83% of cases for BIA-ALCL Of course, the ASAPS have concluded that this is because they do not receive adequate training particularly around the non contamination practices etc for breast augmentation surgery, or this could be because 95% of brazilian implants were implanted by cosmetic surgeons. Either way, I have attached the summary to this thread for everyone to have a read
  13. You wont find any surgeons in Australia (trained or otherwise) that will be able to use these implants as they have been recalled by the TGA and banned. The incidence of ALCL is definitely much much greater with this type of implant (along with the other macro textured non poly implants that were on the market) - as high as 1:1200 compared to 1:86,000 for microtextured implants. Your right though, smooth have their own set of complications which would rule them out for me. For all women with breast implants, or no breast implants, round, teardrop, smooth, silk or textured surface, it is so important to regularly check your breasts and be aware of any changes and if there are any changes, to have these investigated medically. ALCL has a very good prognosis when diagnosed before it progresses to other areas - the treatment is removal of the implant and capsule and in some cases radiation therapy. Chemo etc is not routinely used unless it has advanced.
  14. Craig Layt is very senior and well respected surgeon in Qld, was a past President of ASAPS and regularly lectures at conferences. Matthew Peters has an astounding reputation for breast surgery and heads the breast clinic at one of the big hospitals - he does both reconstructive surgery for breast cancer patients and lots of revision surgery too. He would definitely be worth a look at and their clinic in Fortitude Valley is stunning. Luke Stradwick, Eddie Cheng, Andrew Broadhurst and Phil Richardson would also be worth looking into as well. Im sure I have missed some but they are the ones that immediately come to mind.
  15. I ended up doing a round of 6 endermologie treatments at around 6 weeks post op to help things along. that made a big difference as the swelling was still significant at that time, my ankles would be non existent at the end of the day from fluid
×
×
  • Create New...