Mamma...mia.!!!! Since Times Immemorial Breasts Have Always Held The Fascination Of Mankind Irrespective Of The Age. And The Fact Is Just As True Today As It Was Many Years Ago. But The Only Thing That Has Changed Is The Fact That Women Themselves Also Are Starting To Take Notice Of Them. So Let Us Examine And Learn A Few Things About Breast Augmentation Or As It Is Fondly Called " A Boob Job!" Who Undergoes A Breast Augmentation….?. Is It The Celebrities Or Routine People?? What Drives Them To Get The Operation? Do They Understand The Risks Involved And About The Procedure??? For The First Question The Answer Is No! It Is Not Only The Celebrities, But Routine People, The Housewife, The Teacher, The Software Engineer, The Doctor… People From All Walks Of Life Who Undergo The Procedure. What Drives Them To Get The Procedure Done?? Well A Few Have Pathological Problems In The Chest Area And Hence Have To Go In For An Augmentation. But, Majority Of The Women Undergo The Procedure Because Either The Volume Was Less To Start Off With Or Decreased With Age And Multiple Pregnancies Or Sudden Weight Loss. What Drives Them Is The Fact That Breasts Are A Sign Of Femininity And These Women Feel That The Decreased Volume Of The Breasts Affects The Way They See Themselves. First Of All Let Us Understand Some Facts Regarding Breasts : 1. Breast Size Is Variable In People And There Is No Fixed Size Which Is The Norm. Several Deciding Factors Like The Amount Of Breast Tissue, Heredity, How Fat The Person Is And The Fact That Whether The Person Has Been Pregnant Before All Contribute To Breast Size. And Of Course Age Is A Contributing Factor As Always 2.there Is Nothing Like A Perfect Breasts.usually Perky Breasts Without A Sag And Nipples Pointing Forwards And A Little Laterally Are Acceptable As The Norm But They Vary With The Size. Small Perky Breasts Look Good If The Person Is Thin But Not On A Well Built Female. So Its All About Proportion. 3. 99.9% Women Have Asymmetrical Breasts The Left Usually Being Larger Than The Right. The Nipples May Be Erect, Flat, Inverted, The Areola May Be Large Or Small, With Or Without Few Hairs Growing Long, Or The Areola May Be Bumpy All Of Which Are Normal. Regarding Understanding The Procedure And The Risks Involved, I’m Sad To Say That Though Most Of The Patients Are Educated Women, Hardly 10% Of Them Really Know About The Procedure And The Risks Involved. Broadly There Are Two Categories Of Women Undergoing The Procedure. The First Category Or Age Group Is The Young Women Who Are In Their 20's Who Want To Increase Their Bust Size Because They Have Underdeveloped Breasts. The Second Category Or Age Group Of Patients Are Those In Their 30's Who Are Usually Mother's Who Have Finished With Their Families And Now Have Their Children Off To School And Have Done With Their Responsibilities And Want To Get Back Into Shape And Feel They Way They Used To Maybe 10 Years And Two Children Back. This Section Of Patients Has Seen A Steady Increase And I'm Sure We Are Going To See More Of Them. But In This Group Many A Times They Might Require Certain Ancillary Procedure Along With A Breast Augmentation Which Is Usually A Breast Lift Or A Areola Reduction Or The Such. Breast Augmentation Surgery Was First Performed In 1962 By A Texas Plastic Surgeon Who Used Silicone Breast Implants To Enhance The Size Of A Woman’s Breasts. 1997 Hbo Film "breastmen" Starring David Schwimmer And Chris Cooper Shows A Cinematic Representation Of The Introduction Of The Concept Of The Breast Implant To Increase Breast Sizes And The Early Days Of Breast Augmentation Surgery And Its Pitfalls. Breast Augmentation Surgery Has Come A Long Way Since Then With Lots Of Advancements In The Type Of Implants And Techniques, Though The Basic Methods Remain The Same. A Common Fear Amongst Women Is The Fear Of Cancer With Implants. This Is Totally Unfounded As Per Research Done By Various Medical Fraternities. Recently Even In The Us, The Fda Has Cleared The Use Of Silicone Gel Implants. Otherwise, Silicone Gel Implants Are Used Widely All Over Europe, South America, And Asia, Though Saline Implants Are Also Equally In Vogue Though More In North America.. Implants Are Commonly Filled With Saline Or Silicone Gel. Both Implant Types Have Advantages And Disadvantages. The Saline Implants Are Silicon Bags Into Which Saline Is Injected To Fill It Up. The Advantage Of This Is That Smaller Incisions To Place The Implant Can Be Used And The Sizes Can Be Increased Or Decreased In Case Of Volumetric Discrepancies Between The Right And The Left Breasts. But The Disadvantage Is That Some Of The Saline May Leak Over A Period Of Many Years And The Implant May Have To Be Replaced. The Silicone Gel Implants Are Permanent As They Do No Deflate. But They Require A Larger Incision Size. They Have A Natural Feel And The New Highly Cohesive Gel Implants Do Not Leak Even If They Are Punctured Or Cut. The Choice Of The Implant Is Usually Left To The Patient. The Implant Can Be Inserted In Three Ways Either Through The Armpit Or Through A Cut Below The Breast Or Through A Cut Around The Nipple/areola. The Approach Is Determined By The Size Of The Implant And The Individual Patient. Recently The So Called “scar Less Breast Augmentation” Has Been In Demand Also Known As The “tuba” Here A Saline Filled Implant Is Inserted Through The Belly Button And Hence The Scar Is Hidden Giving It The Name Scar Less. The Implant Can Either Be Placed In Front Of The Muscle Of The Chest Wall, “sub Glandular” Or Behind The Muscle, “sub Muscular”. Placement Of The Breast Implant Under (behind) The Pectoralis Muscle Is Preferred In Women With Anatomically Less Breast Tissue Since The Results Are More Aesthetic. Placement Behind The Muscle Does Not Stop You From Using Those Muscles, Though Body Builders And Weight Lifters Tend To Prefer Placement Over The Muscle. Placement Under The Muscle Allows For A More Natural Look And Feel Than Placement Over The Muscle. Also, The Incidence Of Capsular Contracture Is Decreased With This Placement. Placement Behind The Muscle Allows Easier Breast Self-examination And Improved Images With Mammography When Compared To Placement In Front Of The Muscle, All This Because It Is Far Away From The Normal Breast Tissue. The Common Problems After A Breast Augmentation Surgery Are Mild Pain And Discomfort After The Procedure. This Is A Little More In The Sub Muscular Placement Of The Implant. Scar Maybe A Problem If You Have An Incision Below The Breast Which Will Be Seen In The Initially But Fades Over A Period Of Time. You Might Be Required To Do Some Regular Massages For The Next 6 Months Which Your Surgeon Will Explain After The Surgery. The Most Common Cause Of Dissatisfaction Amongst Women Undergoing The Procedure Worldwide Has Been The Size Of The Implant With Most Women Feeling That They Should Have Gone In For A Bigger Implant. The Cause For This Is That Initially Because Of The Swelling The Size Looks More And As The Swelling Settles Down The Size Feels A Little Smaller . But The Size Has To Be Determined By The Amount Of Tissue She Has, The Incision , The Type Of Implant. In The End One Has To Realize That The Final Decisions Are Taken After A Proper Consultation And Examination. Also The Fact That, All Surgeries Have Their Associated Risks And Complications, Which Every Surgeon Operating On You Will Surely Address. This Article Was Aimed At Educating Women About The Procedure Of Breast Augmentation, Allay Few Fears And Misconceptions And To Help Them Make Educated Decisions Regarding The Same. Dr.surindher Www.cosmesisindia.com #note: This Article Is The Sole Property Of Cosmesisindia.com And Dr.surindher. No Part May Be Reproduced In Complete Or In Part Without Permission From Dr.surindher.

Unhealthy Habits Put Today’s Children At Extreme Riskof Osteoprosis . Here’s How To Protect Them , And Yourself . Every Time A Child Takes A Soft Drink, He,s Laying The Groundwork For A Dangerous Bone Disease. No, Fizzy And Sugary Drinks Don’t Cause Osteoporosis. But Because They’re Often A Substitute For A Glass Of Milk , Kids And Not Getting The Calcium And Vitamin D They Need To Build A Strong Skeleton.many Of Them Also Lead A Sedentary Lifestyle, So They Aren’t Getting The Bone – Building Benefits Of Vigorous Exercise Either. These Children Aren’t Just In Jeopardy For Brittle Bones And Fracture Decades Down The Road: They Could Be Risk Of Osteoporosis At A Younger Age Than Ever Before . ‘’parants Should View This Seriously” A Body Of Osteoporosis Experts Trying To Spread Awareness About This Bone Crippling Disease . “osteoprosis Strats In Childhood But Has Consequences Later In Life.” The Condition Causes Bones To Become Riddled With Holes, Like The Frame Of House That’s Been Attacked By Termites. That Can Lead To Broken Bones, Which In Turn Can Cause Deformity ,chronic Pain Or Disability Osteoprosis Can Even Be Fatal : Up To 25 Percent Of Older People Who Suffer A Broken Hip Die Within A Year. Osteoporosis Isn’t Just Your Grandmother’s Health Threat. Although It Strikes Over 50million Women In India,it Also Menaces Over 12million Men And Unaccounted Million More Have Low Bone Mass. “ It’s A Silent Disease And Doesn’t Get Detected In Most Causes Until After The Patiant’s First Fracture” Osteoporsis Cause Loss Of Height , Pain In Joints And Back , Fractures And Fear Of Fracture , And Can Be Very Depressin. So It Is Important That We Adopt Preventive Measures To Save Millions Of People .” These ‘s A New Medical Understanding Of The Best Ways To Protect Ourselves – And Our Children . “ Simple Lifestyle Change And Proper Nutrition Will Help Save Your Bones” “ The Sooner You Get Moving The Better.” Do All Children Need Supplements? Ideally ,kids And Adults Should Get Their Daily Calcium Guota Through A Healthy Diet. Taking Milk ?dairy Products Of All Types Will Do The Trick. Other Good Sources Include Sardines, Indian Carp, Leafy-green Vegitables Like Ragi (finger Millet), Soya , Calcium-fortified Juices And Breakfast Cereal. Encourage Your Children To Have Two To Three Servings Of These Bone –bulider Daily. And If They Shun Milk Because They Think Its Fattening , Let Them Know The Latest Research Shows The Opposite Is True :kids With The Highest Milk Consumption Are Also The Slimmest , While Those Who Drink The Most Sweetened Beverages , Unsurprisingly , Are The Heaviest . “ If Your Child Is Getting Insufficient Calcium From His Diet , Go For Supplements” Or Consult With Urs Paediatric Rheumatollogist. “ There Are Many Supplements Now Avilable In Market, Inclide Flavoured , Chewable 250 And 500mg Tablets. There Are Also Liquid Preparations To Choose From .but Be Warned ! Calcium Is Best Absorbed In Small Amounts So Don’t Give More Than 500mg At A Time .” Adult Lacking In This Bone – Bulding Mineral Can Take 1000mg Daily Preferably500 In The Morning And 500 At Night . What ‘ D’ Can Do ? Vitamin D Is Essential For Our Body So It Can Absorb The Calcium It Gets From Food Supplements , And Helps In Forming New Bones. Are You Getting Enough Vitamin D? The Aiims Study In Northern India Also Found That Over 80 % Of The Children Also Had Moderate To Severe Vitamin D Deficiency . “this Is Extremely Worrying” There’s Growing Scientific Consensus Among Experts That The Current Guidelines Of 200 Iu (international Units) For Adults Under 50 , And 400 To 600 Iu For Older People , Are To Low . Even A Little More Can Only Do Good There Is Growing Evidence To Suggest That Lack Of Vitamin D Can Lead To A Host Of Illness Es Like Diabites, Prostate , Colon And Other Cancer, In Addition To Osteoporosis” Unfortunately Vitamin D Is Found In Just A Handful Of Foods Like Egg Yolk And Cod Liveroil. People Can Get This Vitamin Naturally Through Exposure To The Sun . It Is Ironic That Although We Have Ample Sunshine In Our Country Studies Show Indians Tend To Be Deficient In Vitamin D . And This More So In The Case Of Urban Indians Because They Spend More Daytime Indoors Than Rural Folk. So Make It A Habit To Be Outdoors In The Sun For 20 To 30 Minutes Just After Sunrise Or Before Sunset. Studies Also Show That Skin Production Of The Vitamin Dwindles In Older People Even If They’re Frequently Exposed To Sun . Suggesting That A Supplement Might Be The Best Way To Safeguard Their Bone Health . A Test That Can Save Your Life Because Osteoprosis Often Causes No Symptoms At All Until A Fall Snaps A Bone , The Only Way To Tell If You Have It Is Via A Bone Mineral Density Test . This Prosedure Is Advised For All Women Over 50 Use It Or Lose It As You Age , You Lose Bone Faster Than You Produce It .over The Five To Seven Years After Menopause , Women Can Lose Up To 20 %of Their Bone Mass Due To Oestrogen Deficiency . Paying Extra Attention To Bone Health Can Lessen The Damage , However . Men Are Also Affected By Age – Related Skeletal Loss, But Not As Dramatically , Since Their Larger Frames Provide A Higher Peak Bone Mass And Their Hormones Don’t Plunge After Age 50. Our Skeleton Needs Regular Exercise At Every Age To Stay Strong, But We’re Getting More And More Sedentary . “physical Activity Is Very Critical For Retaining Bone Mass”. Children And Adult Should Exercise To Keep Their Bones Healthy : 60 Minutes Of Physical Activity A Day For Kids And 30 Minutes For Adults. A Combination Of Weight – Bearing Routines (such As Walking , Jogging, Stairs-clinbing, Or Dancing Pluse Resistance Exercise Like Weight – Lifting)is The Ideal Recipe For Bone Health . For Children , Jumping Is A Fun Way To Bone Up. The Researcher Contrasted Elementry School Girls Who Took Gym Classes To Those Who Also Did Ten Minites Of High – Impact Jumping Exercise , Three Times A Week. At The End Of The Two – Year Study , The Jumping Exercise Group Had A Nearly Five Percent Increase In Bone Mass .other Weight –bearing Exercise With Kid Appeal Include Skipping , Tennis , And Team Sports , Such As Football “ Its Never Too Late To Adopt Bone – Frendly Habits – Exersise , Get Enough Sunlight , Have Adequate Calcium . This Way , We Can Keep Our Bones Healthy And Prevent Osteoporosis” For More Information Consult With Physician Or Physiotherapist

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