When breast enhancement procedures began in the 70's, they were somewhat crude. The dangers of them have been well chronicled. Over the years, the procedures have improved tremendously. The latest innovation in breast augmentation - TUBA, has several advantages over all others. TUBA, or transumbilical breast augmentation, puts the incision near the belly button and this offers many advantages.

1) Recovery time takes about half the time of other procedures.

2) Because the incision is not made in the breasts and/or the milk ducts, the chances of the patient acquiring a bacterial infection are greatly reduced.

3) The chances of there being problems with the production of breast milk during pregnancy are greatly reduced. Again, because the incision does not go through the milk ducts. It's important to note here that there still could be problems with milk production due to the pressure caused by the implants but these problems are very rare.

4) Scar treatments are rarely necessary. Other procedures require that you stay out of the sun for up to a year. This is not necessary with TUBA.

5) No chances of the incision stretching or tearing during recovery since it's made in the navel instead of the breast. The area is well protected and the incision is much smaller.

6) There's no chance of loss of nipple sensation since no nerves are cut like they are in other procedures.

When it comes to breast augmentation, TUBA offers many advantages that other procedures don't. There are, however, also some negatives that you should be aware of.

The great majority of women who have had breast enhancement surgery done are extremely satisfied with their results. They have a renewed sense of self confidence and clothes shopping is a lot more fun. However, a surprising percentage of them experienced some very negative emotions shortly after the surgery. Many compare these feelings to those experienced during post partum depression. There are many things that go into a successful recovery during the post breast augmentation period and handling the emotional roller coaster may be one of them.

Anastesia can be the problem for some women. Besides experiencing physical complications like migraines or nausea, waking up from surgery can have a lingering effect on the mind as well. It's important to have friends and family around to support you at this time.

Many women experience regret upon seeing their breasts for the first time. A major change in your body can take some time to get used to and you should prepare yourself for the "shock" of seeing the new you. Another reason regret sometimes sets in is, your breasts usually do not look very appealing right after surgery. It can take weeks or months for them to fully heal and take on a natural appearance.

You may be extra sensitive to stares and attention your new breasts will attract and many women have a hard time getting used to this. Planning conservative outfits to wear for the first few weeks of showing off the new you should help to keep feelings of insecurities down as you venture into public initially.

Make sure to ask your physician what to expect from every aspect of post breast augmentation surgery. Remember, feelings of regret or sadness is not uncommon and they will go away.

There are several types of breast enhancement procedures and each has its own set of recovery rules and requirements. Having said that, recovery after breast augmentation requires four main actions no matter what type of procedure you had performed. Following them closely can make the difference between a speedy recovery that goes smoothly and one that is prolonged and develops problems.

First, and most important, you must rest. This sounds simple and obvious but many women underestimate the amount of rest they will need after surgery. That's what this is after all, major surgery. Don't make the mistake of not scheduling enough time off of work or not having enough help once you get home. You need to stay in bed and let your body heal.

You need to take all medications as prescribed, especially the antibiotics. Infections can occur during your recovery after breast augmentation and they can cause serious problems. Make sure to let your surgeon know if pain persists or develops in areas other than the breasts.

Massage is very effective and necessary to speed up the recovery process. Pay attention closely to the instructions that will be given to you before the surgery.

Abide by the surgeons rules. Do not listen to others who may have also had enhancements done that brag about how quickly they returned to work or went sunbathing. Your inability or unwillingness to follow instructions can result in disastrous side effects.

Recovery after breast enhancement surgery is a very important part of the procedure that must be done correctly to ensure its success.

Recent figures have shown a 50% increase in the number of people undergoing facial rejuvenation procedures during the last year. Why are more people considering these forms of treatment? Many people tell me that they don't like having their photograph taken and feel as if they would like to look fresher and less tired. Patients often tell me that they believe their face does not match the way they feel.

In contrast to the United States most people considering any form of treatment want to look as natural as possible. Realistically treatments can make you look as you did 8-10 years ago.

To achieve a natural fresh appearance it is important to address each of the following: The skin, active wrinkles caused by muscle contractions and gravity changes. For some people dramatic improvements can be achieved with skin treatments which involve minimal downtime and cost.

Skin treatments alone can make you look much fresher and brighter. These treatments are typically performed with either laser therapy or a light chemical peel. This removes fine wrinkles, reduces pore size and causes mild skin contraction. These combine to make the skin look fresher and more youthful.

Active wrinkles caused by muscle contraction are typically found between the eyebrows (frown lines), on the forehead and below the temple (crows feet). As these lines are caused by muscle contraction they are best treated by selectively reducing the overactive muscle activity in these areas. This best performed with small injections into specific muscles.

Gravity changes include descent of the cheek region which causes deepening of the lines which come down from the nose to corner of the mouth. Other changes include loss of the jaw line and jowl formation. The neck skin can also loosen and the sharp angle between the neck and chin is lost.

Gravity changes are best treated with Surgery as the muscle layers of the face need to be repositioned in their previous position. In the forties and early fifties it is often best to have a Mini-face lift (MACS-lift). This elevates the cheek, jowl and neck regions and restores a more youthful face shape.

Most people in their mid to late fifties or older are more suited to more traditional face lift techniques (SMAS-lifts). These techniques specifically tighten the neck and jowl regions.

In order to find out which treatment would be best for you it is best to schedule and appointment for an individual assessment. Consultations are in the strictest confidence and can be arranged with either Mr Richards or his Nurse specialists.

The plastic surgery treatment of the aging face often involves a facelifting surgery. A facelift is one of the top ten cosmetic procedures performed in the United States. Despite its frequent performance and its recognition by the public, it is a procedure that is usually misunderstood.

The most common misconception of a facelift is that it does very little for much of the face. It is a procedure that has its impact on the neck and jowl areas. The rest of the face is untouched by the operation. While other procedures are often done with it, such as eyes and brows, these procedures are not part of the a traditional facelift operation. A facelift should more properly be called a necklift or a neck-jowl lift.

Another misconception about facelifts is what is actually lifted. Everyone understands that face and neck skin is lifted and moved back, but what goes on underneath the skin layer is a frequent point of misinterpretation. Patients often ask me if I am going to lift and tighten the 'muscles'. From an anatomic standpoint, lifting the facial muscles is an impossibility. Most facial muscles are attached tightly to the underlying bone and moving them would not only be very difficult but would not have any positive benefit. There is only one muscle that is often tightened in a facelift and that is the platysma muscle in the neck, which is often separated due to aging. It is never lifted per se but it is tightened in the middle, from the chin down to the adam's apple, to help sharpen the neck angle.

The layer underneath the skin that patients misinterpret as muscle being moved is actually a different tissue altogether. Between the skin and the muscles is a layer of tissue known as the SMAS. This is an acronym for a more anatomic name but for simplicity of understanding think of the SMAS as another layer of skin underneath. This layer can be raised up off the muscles and re-suspended up higher on the face. The combination of SMAS and skin tightening together generally makes for a better facelift result that may last somewhat longer.

There is great controversy in plastic surgery about how to most effectively deal with the SMAS during the facelift operation. Many facelift surgeons tout their own techniques and may even have their own names for their 'type' of facelift based on their version of SMAS manipulation. While SMAS management in any form of a facelift is a plus, there is no proven superior method of what to do with it. If one single SMAS facelift technique was genuinely best, we all would be using it.

In a facelift, the underlying tissues that are manipulated is the SMAS layer not muscles. SMAS tightening does usually make for a better facelift result that is more durable. However, time and aging will eventually outlast any facelift result no matter how it is done. And the overall goal for most patients is to ultimately outlive their facelift result....or at least I would think so.

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