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Questions you should ask your Explanting Surgeon Prior to Surgery
 
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Beth
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 Tue Jun 6th, 2006 01:32 pm
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QUESTIONS FOR SURGEONS FOR REMOVAL OF IMPLANTS

 


Ask if he/she is familiar with 'the en bloc procedure' for removing implants. Ask how many procedures of this nature he/she has performed, and when the last one was performed.

 

Have the plastic surgeon explain, step-by-step, how the procedure will take place. Begin with how you will be "prepped." for surgery.

If you have the sub-muscular placement, discuss if and how the muscle will be repaired if any damage or trauma has occured to the muscle.

 

Ask if it would be possible for you to view some "before and after" photos of explantation surgeries he/she has performed.

 

If the plastic surgeon did not mention drains in the explanation of how the procedure will be done, ask if he/she will use drains to prevent accumulation of fluid and infection.

 

Ask how long the surgery will take and what type of anesthesia will be administered and will it be administered by an M.D. 


 

Ask if you will need a lift, and if so what kind do they recommend?  Discuss the different types of lifts and what would be best for you. 



Ask how long initial recovery will take. Ask the length of time it will be until you are able to function independently at home. Find out how long you will need someone to stay with you after surgery. It is advisable that someone stay with you for the first 24 hours and possibly a little longer. depending upon your recovery progress.

 

Ask how long it will be before you can resume normal activity. Everybody recovers at different rates, but most women are 'out-of-commission' for about two weeks, and cannot raise their arms above their heads for a month or longer. Find out how long you are not to lift anything heavier than three pounds, how long you should not drive, and how long should you wait to participate in any strenuous activities such as jogging, sex, exercising...etc. .

 

Ask what size he/she expects you to be after the surgery. 

 
Ask if he/she will prescribes antibiotics after surgery to prevent the complication of infection. Discuss all post-op medications he will use and what their purposes are. Ask if it would be possible to fill them the day before surgery to provide the convenience of them being available directly following surgery.

 

Ask if he/she will film the surgery on video if you desire. If so, request a copy for yourself. Ask whether or not you need to supply a blank tape. If this is not possible, ask if you may provide a camera to have the surgery photographed.

 

Ask what type of bandage he/she will use and how long it is to remain on.

 

Ask when you will need to start wearing the sports bra.

 

Ask for the phone numbers you will need to get in touch with him/her after-hours.

 

Request that any cysts or other suspicious tissue be sent to the pathologist for examination and report. Tell him/her that you would like to have any removed suspicious tissue and cysts returned to you with your implants. You may wish to have another pathologist examine them at a later date.

 

Explain that you wish to have your implants returned to you. Ask which pathology service he/she uses and ask for their contact information. Ask him/her the proper procedure to use to ensure that your implants are returned to you. They are yours and belong to YOU. 

 

Explain that you would like to request copies of the Operative Report and the Pathology Report from this surgery. Ask about proper procedure to ensure that you receive these copies.

 

                        <><><><><><><><><><><><><><><><><><><><>

 

 

Once you have selected a plastic surgeon and have set a surgery date, be sure to discuss the following with your doctor:

 

List all medications that you take, including the strength and frequency that you take them.

 

Inform your doctor of any drug allergies that you may have. (Also, let your doctor know if you are allergic to latex or talc.)

 

Make a list of all of any symptoms you may have, include dates that they began, and how they have progressed since they began. Include a history of all surgeries you have had.

 

The most recent operative report (if there has been more then one surgery) will contain helpful information about your implants, such as: the manufacturer, the model number, the lot number, and the will indicate how the implant was positioned. (Include any pathology reports that you might have.)  Also take your original augmentation operative report with you. This gives the surgeon even more information on your surgery.

 

Also, bring any recent MRI, mammogram, xeromamogram, or ultrasound reports. If you have had any recent lab work, bring these results with you, even though, your doctor will probably have them repeated prior to surgery. A comparison of the most recent lab work and the lab work he will do will be helpful to your doctor.  New mammograms are not recommended prior to surgery due to the risk of rupture during the procedure, request an ultrasound or MRI if possible. 

 

 




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Ouella1
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 Posted: Thu Sep 28th, 2006 12:54 pm
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Beth,

I will print your list and bring it with me to my consult on Monday.  You have saved me so much anguish in trying to gather my thoughts and come up with questions (without leaving something REALLY important out!)

Again,  Thanks

 

Lisa Bowman

Beth
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 Thu Sep 28th, 2006 03:02 pm
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Ouella1 wrote: Beth,

I will print your list and bring it with me to my consult on Monday.  You have saved me so much anguish in trying to gather my thoughts and come up with questions (without leaving something REALLY important out!)

Again,  Thanks

 

Lisa Bowman

HI LISA,

SO GLAD YOU WILL FIND THIS LIST HELPFUL!



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Ouella1
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 Posted: Thu Sep 28th, 2006 06:56 pm
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The name of my surgeon is Dinu Mistry, MD.  She is located in Boise, Idaho.  She is originally from Houston or Dallas (I can't remember).  If you know of another surgeon in my general area (NV, WA, OR, ID) I would appreciate a recommendation.  I have faith in my surgeon, but would love to get a second opinion from a recommended source.  I have my surgery consult next Monday (Oct 2).

 

Thanks for your response and for all that you have contributed to this website...I see your responses all over the spectrum.

 

Lisa Bowman

Beth
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 Thu Sep 28th, 2006 08:02 pm
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Lisa,

Did you see the list I sent you in the introduction thread?  There is a doctor there that is in Washington state.  Please take a look at it because those are the doctors that we recommend. 

Lisa, you didn't happen to grow up in Pennsylvania/New Jersey did you?  My best friend when I was a kid was Lisa Bowman.  I know the chances of the name being the same are slim to none but I saw your name and just wondered.  My friend moved to New Jersey with her family to breed Great Danes.  From there, I don't know where she went and have often wondered.

If you have a problem with that surgeon list, please let me know and I'll be happy to help you.  That goes with any questions you may have on the board.



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Ouella1
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 Posted: Thu Sep 28th, 2006 08:28 pm
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Thanks for the reply...I did see that there is a doc in Washington and also Oregon.  I will look into that further.

I did not grow up as Lisa Bowman, I got the last name when I married my husband - he grew up in Florida, Tennessee, Arizona and Idaho (Airforce brat).  What a strange coincidence.

 

Thanks,

 

Lisa

Beth
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 Thu Sep 28th, 2006 09:46 pm
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HI LISA,

GLAD YOU FOUND A DOCTOR CLOSE TO YOU.

YES, I FIGURED IT WAS A COINCIDENCE BUT THOUGHT I'D ASK ANYWAY.



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TinaMaria33
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 Posted: Thu Nov 2nd, 2006 07:28 pm
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Why do we want to get our implants back from the surgeon?



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Tina
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 Thu Nov 2nd, 2006 07:51 pm
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HI TINA,

I DON'T KNOW ANYTHING ABOUT YOUR STORY.  ARE YOU HAVING COMPLICATIONS?  SICK? 

YOU WANT TO HAVE YOUR IMPLANTS SO IF THERE IS A LAWSUIT, YOU WILL BE ABLE TO IDENTIFY THEM AT A LATER DATE.  SOME LADIES SEND THEM OFF SO THAT THEY CAN BE ANALYZED.  SOME LADIES DON'T GET THEIR IMPLANTS AND THEN YEARS LATER GET SICK AND HAVE NO WAY OF GETTING THEIR RECORDS FROM THEIR PS AND HAVE NO WAY TO PROVE WHAT TYPE OF IMPLANTS THEY HAD.  IMPORTANT TO HAVE YOUR RECORDS AND/OR YOUR IMPLANTS FOR PROOF.



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TinaMaria33
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 Posted: Mon Nov 6th, 2006 03:38 pm
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Thanks for the reply.  No, I'm not having what I consider to be complications (after having read many of your stories).  Minimal pain at this point really.  Just want them out, they are too big, and feel just awful, etc.  I have only had them in 3 years, so I hopefully won't have some of the problems other ladies have.  Thank you so much for this forum. 



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Tina
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 Mon May 7th, 2007 12:29 pm
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Beth,,, thanx I had time too look at this thread and feel more prepared for Melmed soon.:thrilled

scared1
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 Posted: Wed Sep 5th, 2007 12:46 pm
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I have a consult set up with Dr. Fenner in Chicago for Oct 6.  I read that I can request my implants come back to me, do they HAVE to go a lab first? 

ALSO, I'm planning on a mammogram.  I suppose that it should wait til after the implants are removed?

 

Last edited on Wed Sep 5th, 2007 12:47 pm by scared1



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Beth
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 Wed Sep 5th, 2007 02:53 pm
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I WOULD SPEAK TO YOUR SURGEON ABOUT THIS.  DIFFERENT STATES HAVE DIFFERENT LAWS REGARDING THIS.



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scared1
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 Posted: Wed Sep 5th, 2007 02:56 pm
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Beth wrote: I WOULD SPEAK TO YOUR SURGEON ABOUT THIS.  DIFFERENT STATES HAVE DIFFERENT LAWS REGARDING THIS.
okay, thanks!



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zebe
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 Fri Sep 7th, 2007 07:09 pm
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Thank you so much, Beth !

scared1
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 Posted: Thu Sep 20th, 2007 02:52 pm
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Beth and/or anyone:

I have 2 consults set up for the beginning of Oct.  I'm nervous and excited.  I will ask each doc how the procudure will take place. I want to know, is it better to have the doc suck out the saline properly or pull out the whole implant?  Sorry if I asked this before, I can't remember if I did or didn't.:foundmybrain



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Beth
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 Thu Sep 20th, 2007 04:46 pm
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HI SCARED,

IT IS BETTER TO HAVE THE DOCTOR TAKE THE IMPLANT OUT INTACT AND THEN REMOVE THE CAPSULE SINCE YOU HAVE SALINE IMPLANTS.  MAKE SURE THAT CAPSULE WILL BE REMOVED, IT IS IMPORTANT.

YOU DON'T WANT THEM TO DRAIN IT BECAUSE YOU DON'T KNOW WHAT CAN BE GROWING IN THERE AND YOU DON'T WANT ANY OF THAT GETTING INTO YOUR BODY.  :yikes



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scared1
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 Posted: Thu Sep 20th, 2007 04:52 pm
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Beth wrote: HI SCARED,

IT IS BETTER TO HAVE THE DOCTOR TAKE THE IMPLANT OUT INTACT AND THEN REMOVE THE CAPSULE SINCE YOU HAVE SALINE IMPLANTS.  MAKE SURE THAT CAPSULE WILL BE REMOVED, IT IS IMPORTANT.

YOU DON'T WANT THEM TO DRAIN IT BECAUSE YOU DON'T KNOW WHAT CAN BE GROWING IN THERE AND YOU DON'T WANT ANY OF THAT GETTING INTO YOUR BODY.  :yikes

Thanks!  And the sad thing is, I HATE MOLD!!!!  I would have never dreamed that it may be in my body!  I cannot wait to get past this.:frankenstein  (these are the best smileys)



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 Mon Oct 22nd, 2007 03:42 pm
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I met with Dr. Fenner in Evanston IL and like him and scheduled my explant and lift for Jan 7th, 2008.  However,  I'm still waiting for my quote.  He quotes based on each case.  I'm hoping this is a good thing that he just doesn't have flat fees without considering all circumstances.  Has anyone else run into this?



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Beth
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 Posted: Mon Oct 22nd, 2007 09:40 pm
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HI SCARED,

I'M GLAD YOU SET AN EXPLANT DATE.  CONGRATULATIONS.



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 Tue Oct 23rd, 2007 11:27 am
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Beth, I am THRILLED.  I cannot wait to have these out.  I was so upset about the whole thing now I'm excited and that's a great feeling!  I wish it was sooner, but with schedules it's the best time for the family.  My daughter is sitting on my lap right now and she and I LOVE the Halloween graphics you have floating around on here.

:halloween

 



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 Posted: Mon Nov 5th, 2007 01:28 pm
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This forum is so huge, I never know where to post.  I finally got my quote and it's $2000 for explant, $4000 for lift and $2500 for the OR and anesthesia.  There were optional fees and services on the quote, one was vitamins ($100!) and a pain pump ($300, I think).  Will I need either of these?  I think I'm have a pretty good pain tolerance (knock on wood), so I don't really think the pump will be necessary.

Any advice?



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Beth
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 Tue Nov 6th, 2007 03:42 pm
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HI LAURIE,

I CAN'T REALLY ANSWER THAT, IT IS REALLY ALL PERSONAL PREFERENCE.  I CAN'T TELL YOU HOW MUCH PAIN YOU WILL BE IN.  I TOOK PERCOCET FOR MY PAIN.  I ALSO WAS NOT GIVEN ANY VITAMINS.  SO I WOULD THINK ABOUT THIS AND DECIDE WHAT YOU WANT TO DO.



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 Posted: Wed Nov 7th, 2007 01:10 am
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thanks!  What about antibiotics?  I know this has been talked about all over this site, but now that it's getting close, I'm starting to freak about all I need to remember. 



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Beth
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 Wed Nov 7th, 2007 01:42 am
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LAURIE,

I WOULD CHECK WITH YOUR EXPLANTING SURGEON. 



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