Considering a breast augmentation? Learn what you need to know from the board certified plastic surgeons at Renaissance Plastic Surgery in Macon, Georgia. For more info visit http://www.renaissanceplasticsurgery.net
Breast size is a sensitive issue for many women and can have a profound effect upon your confidence, sense of attractiveness and overall happiness. Women feel beautiful if they have a sexy body, and a big part of feeling sexy is having a set of full breasts for more visit http://www.rahatherbalcare.com/product/rahatwbcareherbalcapsule-breastenhancementcapsule/
Brief guide for anyone thinking of having breast augmentation in Thailand. This is a presentation we send to prospective clients to help with any concerns they may have before breast implants in Thailand.
Will non invasive radio frequency Pelleve skin tightening give you the results you are after? Today's presentation answers your questions about Pelleve facial treatments and gives you the information you need to make the right beauty treatment decisions. See Pelleve before and after pictures and decide for yourself if a non-surgical facelift is right for you or if a more radical cosmetic surgery is called for. Take a look at the results of this popular anti aging wrinkle treatment and decide for yourself. See the original article, website, and video resources for more in depth information and treatment.
For women who would like larger breasts for cosmetic reasons, there is breast augmentation surgery, which places implants under the breast tissue or chest muscle to increase the breast size.
The normal breast consists of milk-producing glands that are
connected to the surface of the skin at the nipple by narrow
ducts. The glands and ducts are supported by connective tissue
made up of fat and fibrous material. Blood vessels, nerves, and
lymphatic channels to the lymph nodes make up most of the
remaining breast tissue.
Minimal Access Surgery is conducted with small incisions
(5-15 mm long) through which a surgeon passes a telescope
and video camera into a body cavity. Images are magnified
for the surgeon to examine, and operate by passing surgical
instruments through other similar incisions.
Breast size is a sensitive issue for many women and can have a profound effect upon your confidence, sense of attractiveness and overall happiness. Women feel beautiful if they have a sexy body, and a big part of feeling sexy is having a set of full breasts for more visit http://www.rahatherbalcare.com/product/rahatwbcareherbalcapsule-breastenhancementcapsule/
Brief guide for anyone thinking of having breast augmentation in Thailand. This is a presentation we send to prospective clients to help with any concerns they may have before breast implants in Thailand.
Will non invasive radio frequency Pelleve skin tightening give you the results you are after? Today's presentation answers your questions about Pelleve facial treatments and gives you the information you need to make the right beauty treatment decisions. See Pelleve before and after pictures and decide for yourself if a non-surgical facelift is right for you or if a more radical cosmetic surgery is called for. Take a look at the results of this popular anti aging wrinkle treatment and decide for yourself. See the original article, website, and video resources for more in depth information and treatment.
For women who would like larger breasts for cosmetic reasons, there is breast augmentation surgery, which places implants under the breast tissue or chest muscle to increase the breast size.
The normal breast consists of milk-producing glands that are
connected to the surface of the skin at the nipple by narrow
ducts. The glands and ducts are supported by connective tissue
made up of fat and fibrous material. Blood vessels, nerves, and
lymphatic channels to the lymph nodes make up most of the
remaining breast tissue.
Minimal Access Surgery is conducted with small incisions
(5-15 mm long) through which a surgeon passes a telescope
and video camera into a body cavity. Images are magnified
for the surgeon to examine, and operate by passing surgical
instruments through other similar incisions.
Conseguir la forma perfecta del cuerpo no es una taza de té para cada uno. Se necesita mucho entrenamiento y, sin embargo, la gente no en eso. Las mujeres que se sienten incómodas debido a sus senos agrandados pueden consultar al Dr. José Luis Daza para la cirugía de mamoplastia en México. Del mismo modo, las mujeres que quieren una figura equilibrada pueden optar por la cirugía de implante mamario en México por el Dr. Daza que es un cirujano plástico de primera categoría.
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This presentation privdes facts and statistics for non-invasive procedure such as Macrolane.
Macrolane is a Nasha Gel for volume restoration and contouring of body surfaces.
Breast augmentation involves the use of FDA approved silicone or saline breast implants. Addition of the desired breast volume or re-contouring the breasts can be done with these implants.
Interested in the mommy makeover? Learn all about the comprehensive cosmetic procedure from Chicago plastic surgeons Dr. David Dreyfuss and Dr. Jack Gelman. For more info visit http://www.dgplasticsurgery.com
Breast cancer Reconstruction Surgery- Breast cancer Reconstruction procedures provides correction of the absence or abnormality of the breast for whatever reason - be it cancer, infection, trauma or congenital.
Breast Augmentation: A Girlfriend's GuideLisa Reath
Straight talk about breast augmentation from some girlfriends in the know.....Dr. David Reath's office staff. Dr. Reath is a plastic surgeon in Knoxville, Tennessee and serves as Chairman of the Public Education Committee of the American Society of Plastic Surgeons.
Dr. Victor I. Rosenberg exposes plastic surgery gimmicks such as "Gummy Bear" Implants, Vampire Facelifts and SmartLipo. After 40 years in the industry, he reveals what really works to get you the best results for your money.
Simply put this is a surgery performed to increase the size of the breasts. Brest is a common operation that involves the use of silicone implants inserted beneath the breast, to allow the breast to protrude further than its natural size allows. For more information, visit us on https://bit.ly/2FyCSUt
Discover the difference in Asian breast augmentation and what to know before undergoing Asian breast enlargement surgery. Dr. Jerome Edelstein discusses his techniques for Asian breast augmentation and what he does to get superior results for his Toronto area Asian patients.
Read more: http://www.edelsteincosmetic.com/learning-centre/breast-augmentation/asian-breast-augmentation.php"
Modern plastic surgery makes it possible for mothers to look as young as they feel. "Mommy makeover" is a term that has become common in today's plastic surgery lexicon, and it describes a special approach to body contouring that caters to mothers who wish to restore a youthful, flattering figure.
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morganstern non-surgical duration and width enhancement.
expanded length and width – no surgical treatment: the fastest, safest option to an extended and thicker you. plus, additional size can be finished with next treatments.
morganstern non-surgical duration and width enhancement highlights – value: $8,500.
morganstern immediately enhancement.
morganstern’s instantaneous enhancement is the easy, low chance and less expensive opportunity for men to get a bigger penis. there’s no scalpels, no stitches nor anesthesia – and your ready to get again to intimate business nearly right away. offers fantastic increase in penis girth with fda-accepted fillers.
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Conseguir la forma perfecta del cuerpo no es una taza de té para cada uno. Se necesita mucho entrenamiento y, sin embargo, la gente no en eso. Las mujeres que se sienten incómodas debido a sus senos agrandados pueden consultar al Dr. José Luis Daza para la cirugía de mamoplastia en México. Del mismo modo, las mujeres que quieren una figura equilibrada pueden optar por la cirugía de implante mamario en México por el Dr. Daza que es un cirujano plástico de primera categoría.
These facelift surgery in India help you lift your face and give u a wrinkle free texture, proper toned skin and the perfect glow and tightness required.
http://www.aestheticsmedispa.in/cosmetic-surgeries/face/face-lift-a-neck-lift.html
This presentation privdes facts and statistics for non-invasive procedure such as Macrolane.
Macrolane is a Nasha Gel for volume restoration and contouring of body surfaces.
Breast augmentation involves the use of FDA approved silicone or saline breast implants. Addition of the desired breast volume or re-contouring the breasts can be done with these implants.
Interested in the mommy makeover? Learn all about the comprehensive cosmetic procedure from Chicago plastic surgeons Dr. David Dreyfuss and Dr. Jack Gelman. For more info visit http://www.dgplasticsurgery.com
Breast cancer Reconstruction Surgery- Breast cancer Reconstruction procedures provides correction of the absence or abnormality of the breast for whatever reason - be it cancer, infection, trauma or congenital.
Breast Augmentation: A Girlfriend's GuideLisa Reath
Straight talk about breast augmentation from some girlfriends in the know.....Dr. David Reath's office staff. Dr. Reath is a plastic surgeon in Knoxville, Tennessee and serves as Chairman of the Public Education Committee of the American Society of Plastic Surgeons.
Dr. Victor I. Rosenberg exposes plastic surgery gimmicks such as "Gummy Bear" Implants, Vampire Facelifts and SmartLipo. After 40 years in the industry, he reveals what really works to get you the best results for your money.
Simply put this is a surgery performed to increase the size of the breasts. Brest is a common operation that involves the use of silicone implants inserted beneath the breast, to allow the breast to protrude further than its natural size allows. For more information, visit us on https://bit.ly/2FyCSUt
Discover the difference in Asian breast augmentation and what to know before undergoing Asian breast enlargement surgery. Dr. Jerome Edelstein discusses his techniques for Asian breast augmentation and what he does to get superior results for his Toronto area Asian patients.
Read more: http://www.edelsteincosmetic.com/learning-centre/breast-augmentation/asian-breast-augmentation.php"
Modern plastic surgery makes it possible for mothers to look as young as they feel. "Mommy makeover" is a term that has become common in today's plastic surgery lexicon, and it describes a special approach to body contouring that caters to mothers who wish to restore a youthful, flattering figure.
penis enlargement surgery price.
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morganstern most everlasting penis expansion.
the world’s great lifestyles-lasting penis expansion surgery – tested secure: 4,000 instances. patented, undetectable, financing available. presents maximum capability increase in both period and girth of penis.
morganstern most everlasting penis expansion surgical treatment highlights – fee: $11,000.
morganstern non-surgical duration and width enhancement.
expanded length and width – no surgical treatment: the fastest, safest option to an extended and thicker you. plus, additional size can be finished with next treatments.
morganstern non-surgical duration and width enhancement highlights – value: $8,500.
morganstern immediately enhancement.
morganstern’s instantaneous enhancement is the easy, low chance and less expensive opportunity for men to get a bigger penis. there’s no scalpels, no stitches nor anesthesia – and your ready to get again to intimate business nearly right away. offers fantastic increase in penis girth with fda-accepted fillers.
the morganstern immediately enhancement is good for men no longer quite sure approximately how they experience approximately an enhancement system or are currently on a good finances.
morganstern instantaneous enhancement highlights – cost: $6,000.
additional media penis expansion offerings: charges & pricing.
circumcision cost: $3,900.
circumcision is a surgical technique
You and your friends have been selected by the Ministry of Health Malaysia to design a multimedia health brochure promoting plastic and cosmetic surgery.
Enlarged breast tissue in men can be a major source of anxiety and self-consciousness. If you want to improve the look of your chest, even when diet and exercise have failed, then male breast reduction could be the solution. Here are several pros and cons to consider when deciding if this surgery is a good fit for you.
Similar to A Girlfriend's Guide to Breast Augmentation (20)
In this ebook you will learn everything you need to know about affiliate marketing - the jargon, how it works, pros & cons. It's important to understand the basics of affiliate marketing before diving in. Did you know, you can generate a 6-figure income without having to create your own product.
The B2B direct debit is a modality of SEPA direct debit, specifically conceived to carry out transactions between legal persons or what is the same between companies and or freelancers. The B2B scheme is optional and your bank may not offer it as a service.
For more info visit website at https://documentosepa.eu/esquema/b2b
We buy houses even if it's ugly and in poor condition, fire damaged, water damaged, needs a new roof. Sell your house as-is fast for cash because we are a top cash home buyer locally. Sell your house fast to us for a cash offer today https://www.sellmyhouse7.com/selling-a-house-in-probate-in-connecticut
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Mexican Technology Entrepreneur Gerardo Alton-Ortega said he would use part of his current investments in new energy and renewable resources into drone manufacturing, people carrying drones that is.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. Your Breast Augmentation
Surgery:
This is an important decision that you are
considering. Have you always thought about
increasing the size of your breasts, but you
weren’t sure who to ask, where to go, or
what to do about it?
That’s why we’re here.
We made this guide to give you all the
information you need before going forward
with a breast augmentation: How To Choose
a Plastic Surgeon, Breast Implant Sizes and
Types, Breast Incision Placement, Risks,
Recovery and more.
We’re here to help through
your journey.
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3. Who are we?
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At Renaissance Plastic Surgery and Renaissance Surgical Centre, our Board Certified Plastic Surgeons
are dedicated to providing the highest standard of cosmetic and reconstructive surgery and associated
medical care in a positive environment. Our team, including staff and mid-level providers, are sensitive
to the mental and physical needs of our patients.
Christopher L. Mclendon, M.D.
Dr. Mclendon has been in practice in Macon since 1989. He is boarded by
the American Board of Plastic Surgery, and he is a member of the American
Society of Plastic Surgery and the American Society of Aesthetic Plastic
Surgery.
Dr. Roy Powell, M.D. F.A.C.S
Dr. Powell has been double-board certified by the American Board of Plastic
Surgery and the American Board of Surgery for more than 25 years.
Paul John Syribeys, M.D. F.A.C.S
Dr. Syribeys is Middle Georgia’s leading microvascular surgeon. He is
double-board certified by the American Board of Plastic Surgeons, the
American Board of Surgery, and he is a Fellow of the American College of
Surgeons.
4. What is breast
augmentation?
Breast augmentation involves the placement of implants to create larger breasts with a pleasing shape.
This highly customized procedure allows women to feel more self-confident and to achieve a more
proportionate figure. Women who have had breast implants find that clothing fits them better, and they feel
more attractive.
Most women over the age of 18 are good candidates for breast implants, but the procedure is not advised
for women with active cancer or women who are pregnant or breastfeeding.
Prior to your appointment for implants, we will consult with you to understand fully how you wish to look.
We will provide our recommendations and tell you everything you can expect during and after your
surgery. After a thorough examination, we will devise a surgical plan to achieve your desired result with the
most discreet incisions possible.
Using our state-of-the-art Vectra 3D imaging, you will be able to see how you would look with various
types and sizes of implants.
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5. The first important decision you have to make regarding your breasts is choosing the right
plastic surgeon for the procedure. Take all the time you need to make an educated selection;
don’t feel pressured to pick anyone. Before going into a consultation, do some research at
home on the surgeon’s training and experience. With the appropriate information, you will feel
more comfortable and confident about the process and procedure.
What you need to research and verify about your surgeon:
• Plastic surgery specialty
• Plastic surgery board-certification
• Years of experience and training
• Hospital privileges
• Surgical facility/office and accreditation by a national or state agency
How to Choose Your
Plastic Surgeon
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6. There are many ways for you to identify a qualified plastic surgeon.
Ask your friends or family members, who’ve had breast
augmentations, for referrals. Find plastic surgeons in your area, and
on their website, read testimonials from their past patients.
For more information, please contact any of the following
distinguished professional organizations:
The American Society of Plastic Surgeons (ASPS)
American College of Surgeons
International Society of Aesthetic Plastic Surgeons
Plastic Surgery
Certification
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7. • Were you trained specifically in the field of plastic surgery?
• How many years of plastic surgery training have you had?
• Do you have hospital privileges to perform this procedure? If so, at which hospitals?
• Is the office-based surgical facility accredited by a nationally-or state-recognized accrediting
agency, or is it state-licensed or Medicare-certified?
• Am I a good candidate for breast enhancement or breast enlargement?
• What will be expected of me to get the best results?
• Where and how will you perform my breast augmentation surgery?
• What shape, size, incision site and placement site are recommended for me?
• How long of a recovery period can I expect, and what help will I need during my recovery?
• What are the risks and complications associated with my procedure?
• How are complications handled?
• How many additional implant-related operations can I expect over my lifetime?
• How will my ability to breastfeed be affected?
• How can I expect my implanted breasts to look over time?
• What are my options if I am dissatisfied with the cosmetic outcome?
• How will my breasts look if I choose to have the implants removed without replacement?
• Do you have breast augmentation before-and-after photos I can look at for this procedure
and what results are reasonable for me?
Questions for Your
Plastic Surgeon
Asking the following questions during your initial consultation will help
you better understand the procedure so that you can feel more
confident. Your surgeon should listen to your concerns in a patient,
respectful manner. Assess your surgeon in his or her response so that
you can determine how comfortable you feel with him or her.
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The Breast
Augmentation
Procedure
Prior to your appointment for implants, we will consult with you
to understand fully how you wish to look. We will provide our
recommendations and tell you everything you can expect
during and after your surgery. After a thorough examination,
we will devise a surgical plan to achieve your desired result
with the most discreet incisions possible.
Using our state-of-the-art Vectra 3D imaging, you will be able
to see how you would look with various types and sizes of
implants.
WWW.RPSMD.COM
9. VECTRA 3D Camera
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Renaissance Plastic Surgery uses Canfield's VECTRA 3D camera to capture a
three dimensional photograph of each patient. Using multiple cameras, the
VECTRA 3D Camera takes several photographs simultaneously from different
points of view, which are used to build a three dimensional virtual model of the
subject. With Vectra 3D, you can Sculpt Your Dream and visualize results.
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10. Step 1: Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include
intravenous sedation and general anesthesia. We will recommend the best choice for you.
Breast
Augmentation
Surgery
10
*Image provided by ASPS
• Periareolar (under the nipple) – scar blends well, but it is difficult to place certain types of implants,
and there is a higher risk of difficulty breast-feeding
• Inframammary (bottom of breast) – space for implant can be seen clearly, scar will be easily
concealed, and there is a lower risk of difficulty breast feeding
• Transaxillary (crease of armpit) – no scar on breast, but there is the risk of injury to vital nerves and
vessels in the arm, and larger implants cannot be placed
Step 2: Incisions
Incisions for breast augmentation can
usually be placed in areas that are
largely hidden. We will discuss which
options are appropriate for your desired
outcome. The three most common
placements are:
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11. Step 3: Placement of the Implant
Besides incision placement, the implants can be inserted in one of two areas – under or over the chest muscle. Placing
the implant between the chest muscle and breast tissue allows for a shorter surgery and faster recovery time with less
post-surgical pain. This is called “sub-glandular” placement. The implants
Breast
Augmentation
Surgery
11
Step 4: Following the Procedure
Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape. Drains,
pumps, and support bras cannot be used. If desired, a soft bra without an underwire can be worn the next day. Swelling
will subdue within one month, and the breasts will adhere to their final shape and size within six months. You should not
work for three to four days, depending on your job. After surgery, light physical activity, like walking, is permitted and
encouraged. However, heavy exercise, lifting and sexual activity should be avoided for two weeks.
may be easier to see and feel through the skin, however. “sub-muscular”
placement under the chest muscle allows the implants to be less easily seen
and felt, but recovery takes slightly longer. This placement may also allow for
more accurate mammogram imaging and may decrease the chance of scar
contracture.
Our surgeons will help you make the best implant placement decision for you.
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12. Types of Implants
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There are different types of implants. When you decide to get breast implants, you have a lot of specific choices, not only in terms of the size and type of material, but
also in terms of shape. We will thoroughly discuss the advantages and disadvantages of each with you so that you can make the optimal choice for your needs.
Saline Implants are filled after they have been placed in the breast, which means that a smaller incision is required. The ability to fill the implant after insertion
also allows the doctor to adjust the size during surgery. These implants are FDA-approved for women of age 18 and older.
Silicone Implants are generally believed to have a softer, more natural feel than saline. They are especially recommended for women with thin tissue and/or little
breast tissue. Silicone implants require a larger incision, however, because they are filled prior to insertion. These implants are FDA-approved for women of age 22 and
older, although younger women often qualify for their use.
While breast implant ruptures are not a frequent occurrence, both saline and silicone implants can rupture. The FDA recommends that women with silicone implants
have an MRI every two years to determine if a rupture has occurred. This is because silicone implant ruptures may not be readily detected. Saline, on the other hand,
simply deflates if a rupture occurs, so it is easily detected.
Cohesive Gel Implants, also known as form stable or “gummy bear” implants, can be divided in half, and the contents will not spill out. The gel of these
implants is similar in consistency to gummy bear candies, they are less prone to leakage, and they will not lose their shape if the outer shell is disrupted. These
implants also have a natural, teardrop shape.
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1st Week
• You are allowed to shower the day after surgery.
• Light activity, including walking, is permitted and encouraged immediately following surgery.
• You may be able to return to work 3-4 days after surgery, depending on the nature of your job.
• You should not lift, pull or push anything that causes pain and limit strenuous activity for 2 weeks.
• You will need to set up an appointment with your surgeon to check on your recovery process.
2nd and 3rd Weeks
• You should minimize excessive physical or sexual activity for at least 2 weeks after surgery.
• Most swelling will resolve within 1 month.
Long-term
• Return to your surgeon’s office for follow-ups at the recommended times and if you notice any
abnormal changes in your breasts.
• Contact your plastic surgeon with any questions or concerns.
Recovery Timeline
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Potential Risks
Every surgery has its specific benefits as well as risks. Below some potential risks of breast augmentation:
• Rupture – A breast implant may rupture at any time after surgery, but this is more likely to happen after 10 years. MRI screening is recommended by the
FDA for silicone implants at 3 years after your initial surgery and every 2 years thereafter in order to check for a silent rupture. If a rupture is found,
removal with or without replacement is recommended.
• Capsular contracture – Capsular contracture is the tightening of the scar tissue around an implant. This may result in firmness or hardness of the breast
as well as pain. Additional surgery may be required if these symptoms are severe.
• Infection – Most infections occur within several days following the procedure, but they are still possible at any time. If an infection requires removal,
replacement may not be feasible until 3 months later.
• Hematoma/Seroma – A hematoma is a collection of blood in the area surrounding the implant. A seroma is a pocket of clear fluid that can develop in the
body after surgery. Both can result in an infection or capsular contracture. While small collections may resolve on their own, larger amounts of fluid or
blood require additional surgery and scars.
• Mammography – Breast implants make mammography more difficult. Although techniques have been developed to move your implants during a
mammography, complete visualization of the breast tissue is not possible You should alert your mammography center that you have breast implants, and
you should continue to perform monthly self-examination of your breasts.
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Before & After
Here are a few actual images of Renaissance Plastic
Surgery’s past patients, so you can see the satisfactory
results of breast augmentations done by their doctors. Before
and after photographs are vital tools that give you the
opportunity to visualize what your breasts could potentially
look like after the procedure.
If you are interested in viewing more and maybe finding
something similar to your desired body, please visit our
Breast Augmentation Photo Gallery
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Before
Before
After
After
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Helpful Resources
You journey is just beginning, and the following websites will help you
gain a deeper understanding of surgery and recovery. Connect with
the plastic surgery community through these resources, so you can be
better informed and prepared.
• American Society of Plastic Surgeons (ASPS)
http://www.plasticsurgery.org/
• RealSelf
http://www.realself.com/
• American Society of Aesthetic Plastic Surgery (ASAPS)
http://www.surgery.org/
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