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.

Primary Cartilage Tympanoplasty: Our Technique And Results.(dr Mubarak Khan,pune) Am J Otolaryngol. 2010 Sep 9. [epub Ahead Of Print]primary Cartilage Tympanoplasty: Our Technique And Results.khan Mm, Parab Sr.abstractcartilage Has Shown To Be A Promising Graft Material To Close Tympanic Membrane Perforations. However, Due To Its Rigid Quality, Doubts Are Raised Regarding Its Sound Conduction Properties. It Has Been Suggested That Acoustic Benefit May Be Obtained By Thinning The Cartilage. We Describe Our Innovative Method For Harvesting Tragal Cartilage From The Same Endaural Incision And Also Describe Preparation Of The Graft By Slicing It. We Present Our 3-year Experience Of Shield Cartilage Type 1 Tympanoplasty Using Sliced Tragal Cartilage-perichondrium Composite Graft.aim: The Aim Of This Study Was To Prove The Success Rate Of Our Technique Of Shield Cartilage Tympanoplasty Using Sliced Tragal Cartilage Graft In Terms Of Functional And Anatomic Results.study Design: Retrospective Analysis Of Type 1 Cartilage Tympanoplasties Using Sliced Tragal Cartilage Was Carried Out In Mimer Medical College And Sushrut Ent Hospital During May 2005 To January 2008 With A Minimum Follow-up Of 2 Years.method And Materials: A Total Of 223 Ears Were Operated By Our Technique.results: The Overall Success Rate Of Our Technique Was 98.20% In Terms Of Perforation Closure And Air Bone Gap Closure Within 7.06 ± 3.39 Db. The Success Rates In The Various Age Group Are As Follows: 11 To 20 Years, 97.67%; 21 To 40 Years, 99.12%; And 41 To 60 Years, 96.96%.conclusion: Our Technique Of Type 1 Cartilage Tympanoplasty Achieves Good Anatomic And Functional Results.

Our Bio-energy Is The Source Of Our Health And Vitality. In Traditional Chinese Medicine Health Is Defined As A Harmonic Flow Of ‘chi’ Or ‘qi’ Dynamically Regulating All Biological Functions. From The Chinese Perspective Not Only The Human Organism But The Whole World And The Entire Cosmos Are Interwoven With The Subtle Vibrations Of This Life Force. This Energy Flows Within, Without And Through Us Governing Our Organs And Tissues And Connecting Us With Our Environment (natural And Man-made), Mother Earth As Well As The Universe. Everything In The Universe, Organic And Inorganic, Is Composed Of This ‘chi’ Or ‘qi’. As Biological Energy It Is Driving, Nourishing And Regulating All Living Matter. Based On Their Different Origins, The Chinese Tradition Basically Knows Two Types Of Energy – Inherited And Acquired Qi. • The Inherited Qi, Also Called ‘prenatal Qi’ Or ‘original Qi’, Is Received From The Parents At Conception. It Is Stored In The Kidneys And Partly Responsible For An Individual’s Constitution. • The Acquired Qi – ‘breath Qi’ And ‘nutrition Qi’ – Is Extracted In The Lungs From The Air We Breathe And Created In Stomach And Spleen From The Food We Eat. Original Qi, Breath Qi And Nutrition Qi Together Form The True Qi – The Equivalent Of What In Modern Terms Is Called Bio-energy. In Our Organism, This ‘true Qi’ Is In Constant Motion, Ascending And Descending Throughout The Complex Network Of Meridians, Entering And Leaving Through Its Windows Or Acupuncture Points – And – As Long As All These Activities Are In Accordance With The Natural Biorhythms Within And Without, Then Our Bodies Are Flushed With Soundness And Wellness. An Abundance Of ‘true Qi’ Or Life Force Is Thus The Sine Qua Non For Good Health And Vitality. Therefore In The World’s Oldest Medical Manual, The 2.500 Years Old Yellow Emperor’s Classic Of Internal Medicine Or “huang Di Nei Jing” It Is Said: “a Person With Strong ‘qi’, Will Not Be Brought Down By Illness.” In Its Nature, ‘true Qi’ Is Like Water – Soft Yet Strong, Circulating Freely And Balanced Through A Complex Network Of Rivers, Streams And Brooks Interlacing The Organism. True Qi Is Vitalizing Our Bodies Similar To Water Irrigating The Fields And Fertilizing The Soil. It Is The Source Of Human Health And Vitality, The Source Of Movement And Transformation, Protecting And Warming Our Bodies, Governing The Function Of Our Organs And Maintaining The Physical Integrity, Metabolic Function And Supply Systems Of Our Organism. In A Healthy Person With Abundance Of This Vibrant Bio-energy Available And Living In Harmony With Her- Or Himself, Others And The Environment, It Circulates Freely. A Disturbance Of This Cyclical Flow Of Energy Results In Disharmony Leading To Sickness And Disease. Each Disturbance Expresses Itself In Various Forms Of Illness. Any Part Or Organ In Our Body With Deficient Energy Supply Cannot Function Properly. Also As People Get Older, All Functions Of The Organism, Including The Metabolism, Slow Down. Less Energy Is Produced And Available To Protect The Body Against Disease And Repair Damage And Injury. If ‘qi’ Is Missing Or Its Flow Blocked, Humans Become Increasingly Prone To Illness. It Is Thus Extraordinarily Important That Sufficient Qi Is Present In The Body, And That Its Flow Is Unhindered. Then Humans Are Healthy. Health Is Soundness And Wellness, Is Equivalent To Free Vibration And Free Flow Of Energy – Panta Rhei – Everything Flows. Panta Rhei – Energy For True Prevention From Its Earliest Beginnings Traditional Chinese Medicine (tcm) Recognized, That Every Organism Is A Continuously Self-regulating And Self-optimizing “functional System” Which Responds To A Multitude Of External And Internal Influences. As Said, The Organism Requires Large Amount Of Free Flowing Energy To Do So – And Only An Energy Rich Organism Is Capable To Defend Itself Against Such Influences, Repair And Correct Any Damage And Rebalance Energy & Function. Pathological Developments Can Take Place At Any Time And At Any Place Within Such Complex Systems As The Human Organism. Only In Case Of Disease Do Humans Usually Become Aware Of The Energy Required For Recuperation. Since Ancient Times, Traditional Chinese Medicine Always Put The Emphasis On Prevention Of Illness And Maintenance Of Health Rather Than Treatment Of Disease. In The World’s Oldest Medical Manual, The 2.500 Years Old Yellow Emperor’s Classic Of Internal Medicine Or “huang Di Nei Jing” It States: “if One Takes Medicine Only After One Has Fallen Ill, If One Endeavors To Restore Order After Unrest Has Broken Out, That Is, As If One Would Wait With Digging A Well Until One Is Weakened From Thirst.” Based On This Philosophy, Physicians In Ancient China Were Paid, If Their Patients Were Feeling Well And Healthy. The Focus Was On The Wellness Of The Patient Rather Than On Treatment Of Illness. And The Principle Of This True Prevention Was Based On Free Vibration And Free Flow Of Energy, On – Panta Rhei – Everything Flows. Just As The Nobel Price Laureate Albert Szent-györgyi (1960) Said: “in Every Culture And In Every Medical Tradition Before Ours, Healing Was Accomplished By Moving Energy.” In Primary Prevention Lies The Greatest Potential Of Energy Medicine – Preventing ‘many Patients’ From Traveling The Long Path Of Trial And Tribulation Into Degenerative Disease, Guiding Them Back To Radiant Health And Vitality Instead. Consequently The Essence Of Primary Prevention Consists Of Timely Intervention When Disorders Border Between Health And Disease. At This Stage Of Un-wellness, The Possibilities Of Prevention And Total Recuperation Of The Individual Are Very High. This Is The Aim Of Meridian Diagnostic And Therapeutic Concepts In Energy Medicine. As The Majority Of Patients Fall Into This Category, Which Our Present Health Care Delivery System Cannot Address, The Implementation Of A Prevention-orientated Energy Medicine Offers A Huge Potential To Dramatically Improve Public Health. Energy Medicine Already Enables Us To Diagnose And Analyze Disruptions In The Energy Status And Flow And Understand Some Of Their Underlying Biophysical Dynamics. Further Research Will Heighten Our Awareness And Deepen Our Comprehension How Bio-energy Can Actually Transform Matter And Create An Entirely New Body Structure. From Here The True Therapeutic Potential Of Energy Medicine Will Unfold, Allowing To: • Dissolve Energy Stagnations & Open Energy Blockages • Activate The Body’s Own Vibrational Capacity • Harmonize The Energy Flow • Recharge The Body’s Energy Reserves. With Energy Medicine There Is A Revolution Taking Form, Redefining How The Future Modern Scientific Medicine Is Going To View Health And Disease. Energy Medicine Marks The Beginning Of An Exciting Era Opening Our Hearts And Minds To A New Paradigm Where Mysterious Ancient Healing Traditions Meld With Vanguard Medical Research And Health Science To – As The Nobel Prize Winner Albert Szent-györgyi (1960) Said – Once More ‘accomplish Healing By Moving Energy’. Healing Balances Energy: We All Have Storage Centers In Our Bodies That Store Energy And Energetic Patterns. They Are Called Chakras. We Can Have Energetic Patterns Stored From Events That Happened Yesterday As Well As From Many Years Back In The Past. Some Of These Patterns Will Be Happy Memories And Some Of Them Will Be Unpleasant And Painful Memories Of Something That Happened To Us. Sometimes We Stash Them Away Deep Into Some Recess In Our Chakras And In Our Emotional Body (the Energy Field Around Us, Our Second Energy Body), And Try To Forget About Them, But They Don’t Really Go Away. Dis-ease Is A Manifestation Of Unbalanced And Stagnant Energetic Blockages. Healing, Then Is A Way Of Balancing And Increasing The Energy Flow And Open (delete) Energetic Blockages. This Can Happen Completely Naturally As Soon We Stimulate The Meridian System To It’s Normal Way. Almost All Chronic Or Therapy Resistant Diseases Have Blocked Or Disturbed Meridian Energy Flow. It Leads To Permanent Energy Leakage In The Corresponding Organs And Consequently To Malfunction. “when A Bug Is In The Software The Hardware Doesn’t Work Proper But Its Not Death. Is The Bug Fixed (overwritten), The Hardware Is Functioning Normal Again.“ Same In Our Body And The Meridian System. Is The Energy Flow Re-established The Organ Is Functioning Proper. Even Long Term Diseases Can Go Back To Normal When The Energy Is Increased Over A Certain Period Of Time. The Maintenance Of The Meridian System Is One Of The Most Important Tasks To Keep Health / Vitality And Avoid Disease. Http://new-planet.net/wp/perth-therapy-2/