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Speaker 1: Hey there, it's your old pal Josh. This week's curator

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Speaker 1: of s Y s K selects, and this week I've

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Speaker 1: selected how breast implants Work. Uh. It's a pretty great

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Speaker 1: vintage episode. Has it all science, pop culture, history, surgery,

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Speaker 1: all sorts of weird stuff. And this episode is the

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Speaker 1: origin of when I realized that Chuck says the word

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Speaker 1: tattoo really oddly. So enjoy it. Take care to two.

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Speaker 1: Welcome to Stuff you Should Know Reroomhouse Stuff Works dot Com. Hey,

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Speaker 1: and welcome to the podcast. I'm Josh Clark, and there's

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Speaker 1: Charles W Chuck Bryant, and Jerry's over there. So you

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Speaker 1: got the three MUCHA shows together was well, Chaos and Muchacha.

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Speaker 1: Is that right? Is Muchacha a girl? It makes sense

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Speaker 1: to be probably that's generally how worths right, Yeah, but

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Speaker 1: I also may have just made up a word in

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Speaker 1: Spanish that it could be a snack food. Anyway, this

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Speaker 1: is stuff you should know, and we want to extend

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Speaker 1: a extra hearty welcome to all the additional twelve year

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Speaker 1: old boys who are listening to this one. We want

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Speaker 1: to apologize in advance for disappointing you, because you're going

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Speaker 1: to be sorely disappointed, and I would like to insert

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Speaker 1: a quick c a okay for myself. Um, we're gonna

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Speaker 1: be talking about breast implants, and I'm gonna try not

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Speaker 1: pepper the show with my own opinions because we have

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Speaker 1: the to each his own decree here, And I'm just

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Speaker 1: gonna go ahead and say out front, I'm not into it.

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Speaker 1: I wish people would just learn to love themselves. But

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Speaker 1: I get it, And if someone feels better to do

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Speaker 1: something like this, then then that's fine. No judgment here. Yeah, Um,

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Speaker 1: who are we to judge? Yeah, it's gonna be tough

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Speaker 1: in the parts about like the string Uh what was

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Speaker 1: that one called the string implant? It's dead and gone, yeah,

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Speaker 1: but still we got to cover it. Well, you might

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Speaker 1: hear some derision in my voice, a little like, but again,

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Speaker 1: if a string implant is what uh, those women wanted

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Speaker 1: to feel better than, then you have to go to

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Speaker 1: an underground doctor to get it. Now, Well you do now, Yeah,

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Speaker 1: And of course we're gonna you know, it's not just

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Speaker 1: like just augmentation, like you know, mastectomes and men can

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Speaker 1: get breast in plants. So we're gonna cover the whole gamut. Yeah,

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Speaker 1: you're given a lot away here. People know the whole

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Speaker 1: the whole farm. People know. People are gonna they're not

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Speaker 1: gonna want to buy the cow because you just gave

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Speaker 1: them all the milk. Hey, this, this milk and the

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Speaker 1: cow are both free anyway, so let's do it. That's

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Speaker 1: my little c o A. That was good chick. Thanks. Um.

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Speaker 1: We are talking breast implants, and we are going to

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Speaker 1: explain everything there is to know about breast plants. Breast

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Speaker 1: same plants, not breast plants. That's a it's a subtropical

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Speaker 1: species of carnivorous plant um that looks like a breast.

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Speaker 1: Oh is that where it gets his name? Um? Anyway,

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Speaker 1: I want to have I have a little intro. So, um,

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Speaker 1: have you ever heard that in France the perfect breast

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Speaker 1: fits into champagne glass? I have not heard that. So

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Speaker 1: you told me this and I was like, what are

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Speaker 1: you talking about? I thought that at first two And

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Speaker 1: she's like, no, we're not a flute, you dummy, a coupe.

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Speaker 1: Because I was, I was saying that very odd of banana.

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Speaker 1: It's a weird. Yes, it would be a little weird

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Speaker 1: if that were the case, but as champagne coup. So

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Speaker 1: she looked it up and was showing it to me.

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Speaker 1: And while we were UM, while we were looking at that,

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Speaker 1: we found another axiom that was possibly even more true

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Speaker 1: that in America. Somebody commented underneath this, in America, the

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Speaker 1: of a breast cloggs a toilet doesn't fit into a

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Speaker 1: champagne coop. It cloggs a toilet. That's an axiom, it

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Speaker 1: is according to this comment or who made it up.

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Speaker 1: I did not know that. I I think the commenter

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Speaker 1: made it up as a joke, okay, and it was

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Speaker 1: a pretty funny joke if you ask me. I thought

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Speaker 1: I was going to get a bigger response from you,

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Speaker 1: but I'll live with what I got. Um. The point

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Speaker 1: is is, if in America that is the standard breast

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Speaker 1: so big that they clogged toilets, that's a pretty high

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Speaker 1: bar to set, especially naturally, which is probably why some

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Speaker 1: women turned to breast implants. Yeah, and speaking of America,

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Speaker 1: it seems like a good place for that. Um. They

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Speaker 1: topped the list in the number total number of breast

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Speaker 1: implant operations. UM. But if you want to go per capita,

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Speaker 1: there number five and the first four are Brazil, Greece, Italy,

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Speaker 1: and Colombia. Per capita, which is to me, what matters

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Speaker 1: per capita. Sure, obviously we have the most because we

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Speaker 1: have more people, right than in those other countries. I

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Speaker 1: am surprised that we're number five. I would think we'd

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Speaker 1: be higher than that. You know, it's number ten per capita.

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Speaker 1: Of course, what is that, right? Yeah, they're like comfortably

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Speaker 1: in the middle. Although no, that's still pretty high towards

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Speaker 1: the top. Although I guess it would be about in

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Speaker 1: the middle if you just did industrialized countries. So anyway,

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Speaker 1: there's my stat that's a great stat. I've got another

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Speaker 1: one for you, Chuck Um. Breast implants was the number

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Speaker 1: one elective surgery in two thousand twelve in the United States.

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Speaker 1: In two thousand eleven it was LiPo, but breast implants

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Speaker 1: breast augmentation. Um beat it out in two thousand twelve.

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Speaker 1: I don't know how many, probably by a nose, because

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Speaker 1: in two thousand eleven it was three hundred thousand and

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Speaker 1: change LiPo sections, and in two thousand and twelve there

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Speaker 1: are three hundred and thirty thousand, six hundred and eighty

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Speaker 1: one breast augmentation surgeries. In two thousand twelve, according to

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Speaker 1: the Wall Street Journal, you know that was a rhino

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Speaker 1: plastic sat that would have been a great joke by

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Speaker 1: knows By. You know, yeah, I bet that's on the

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Speaker 1: top five. Oh, I guess so sure. In fact, I

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Speaker 1: bet that's number three. There's several ways to find out,

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Speaker 1: should we know, Man, this thing is all too a

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Speaker 1: rocky start. I'm just guessing. Okay, So let's talk breast implants.

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Speaker 1: For before we talked implants, Chuck, we should probably talk

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Speaker 1: about well, you want to talk about the history of him. Yeah,

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Speaker 1: that's a good place to start. So apparently a guy,

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Speaker 1: a doctor named two doctors named Frank Garrow and Thomas

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Speaker 1: cronin Um came up with the idea. And Garrel specifically

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Speaker 1: squeezed a plastic blood bag one day and remarked how

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Speaker 1: much it felt like a breast, right, and that was

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Speaker 1: um circu Yeah, And so he had the That apparently

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Speaker 1: was the quote unquote aha moment like, hey, we should

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Speaker 1: do this. So they tried it out on a dog

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Speaker 1: named Esmerelda and uh and not obviously, you know, they

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Speaker 1: were just inserting it into a body. They weren't like, hey,

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Speaker 1: let's give this dog boobs. You know, they have always

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Speaker 1: wanted to see what boobs look like kind of dogs.

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Speaker 1: So they wanted to just see if it worked, and

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Speaker 1: it apparently it took enough to where they're like, hey,

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Speaker 1: I think we can try this on a person. Yeah,

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Speaker 1: Esmerelda chewed at our stitches, so they had to remove

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Speaker 1: it after a couple of weeks. But I mean that

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Speaker 1: they were they were. It was definitely an improvement on um,

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Speaker 1: what had been an innovation among Japanese prostitutes during World

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Speaker 1: War Two because American gis again boobs that calged a

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Speaker 1: toilet um. They apparently the Japanese prostitute said, Hey, these

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Speaker 1: guys like big boobs, let's give him big boobs. Let's

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Speaker 1: steal some medical grade silicone from the docks of Yokohama.

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Speaker 1: I thought it was sponges that that was something. They

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Speaker 1: also they self injected silicone directly into their breasts, which

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Speaker 1: apparently worked, but it also gave them things like gang

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Speaker 1: Green thinks the silicone rot At the side of injection.

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Speaker 1: There was a lot of hematomas, very bad news stuff,

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Speaker 1: but there was a It showed this desire to increase

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Speaker 1: breast size, and these guys in the early sixties came

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Speaker 1: in to deliver that's right. Uh, and they did it

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Speaker 1: in it's sort of a weird way. There was this

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Speaker 1: woman named Timmy Jean Lindsay in nine two, a mother

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Speaker 1: of six in Houston, Texas, and she had to too

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Speaker 1: of a rose vine on her breasts that her boyfriend

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Speaker 1: talked her into. Broke up with a boyfriend and was like,

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Speaker 1: I kind of really don't want this anymore. Went in

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Speaker 1: to get the two two removed and she had to

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Speaker 1: change to wino forever exactly, And um, why are you

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Speaker 1: saying to huh? I always said that it's tattoo to too.

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Speaker 1: No not I mean no, okay I And if you

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Speaker 1: say it like that again to each his own, if

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Speaker 1: you want breast implants, fine, if you want to say

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Speaker 1: to too, fine, But I couldn't just sit here and

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Speaker 1: pretend like I didn't notice that you were saying too.

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Speaker 1: I've said that plenty of times and be ignored me.

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Speaker 1: So are you sure? Yeah? Alright, alright. So anyway, she

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Speaker 1: went in to get the tattoo removed. No, no, go back,

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Speaker 1: go back to to two. I feel too guilty when

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Speaker 1: you say tattoo to get it removed and umo, and

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Speaker 1: she said that, Um, they said, hey, we got this

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Speaker 1: new thing called breast implants. Would you like to try it?

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Speaker 1: And she said, well, my ears stick out too much.

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Speaker 1: If you if you pin my ears back some, I'll

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Speaker 1: let you use me as a guinea pig. Basically, she

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Speaker 1: knows how to bargain. Yeah, and that's what happened. That's

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Speaker 1: the first breast implants were sort of a bargain like that.

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Speaker 1: She went from a bead cup to a seat cup.

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Speaker 1: That is correct. And um, this is at a time

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Speaker 1: when women wore pointy cone braws and stuff like that.

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Speaker 1: It was there was a big emphasis on big boobs.

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Speaker 1: Maryland was big. They had false ease, even like the

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Speaker 1: padded braws. Yeah, so there was, I mean, this desire

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Speaker 1: to increase your bus size and to do it permanently.

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Speaker 1: It was there and it just kind of took off

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Speaker 1: like a rocket ever since then, ever since that the

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Speaker 1: first procedures. The problem is there were all sorts of

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Speaker 1: lawsuits associated with it too, especially because they were using

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Speaker 1: medical grade silicone. Uh that's derived from silicon, which is

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Speaker 1: a mineral that apparently makes up about four of Earth's crust,

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Speaker 1: mixed with oxygen to create silicone, which is was originally

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Speaker 1: a trade name of this medical grade silicon gel um

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Speaker 1: created by GE and the early implants would rupture, and

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Speaker 1: there were a lot of lawsuits against some of the manufacturers,

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Speaker 1: specifically DOAO, who shell out like three billion in UM

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Speaker 1: in payouts in just like the course of a decade. Yeah,

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Speaker 1: and well, so you might as well go ahead and

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Speaker 1: let the cat out of the bag. They finally FDA said,

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Speaker 1: actually they they put a voluntary moratorium. They were like

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Speaker 1: basically asked, can you stop making them in doctors? Can

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Speaker 1: you stop using them? Except in certain cases? Yeah, Like

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Speaker 1: there was inconclusive studies. Basically they never found like hard

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Speaker 1: proof that it could cause illness, but um, it was enough,

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Speaker 1: I guess in conclusion to say maybe we shouldn't push

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Speaker 1: on with us. Yeah, because the when the when the

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Speaker 1: implant ruptures and it's silicone, the body absorbs the silicone,

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Speaker 1: and they're like, just there, Well, what happens to the

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Speaker 1: body after it absorbs the silicone will happen, right, So,

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Speaker 1: since no one knew, they created that moratorium. In two

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Speaker 1: thousand and six, the FDA finally said, there's no evidence

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Speaker 1: that this is bad, so you can go back to silicone.

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Speaker 1: And now silicone implants make up of the you can

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Speaker 1: get them without any special cases. Now, even in two

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Speaker 1: thousand six they lifted the moratorium. Got you because for

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Speaker 1: a while it was just like, um, if you had

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Speaker 1: a mastectomy or um, if you were willing to if

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Speaker 1: you're willing to be part of a study going on

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Speaker 1: five to ten years um. And the reason why silicone

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Speaker 1: was so popular, and the reason actually they looked at

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Speaker 1: the band ultimately, aside from the fact that they never

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Speaker 1: found any, um, real provable medical problems from it, is

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Speaker 1: that it's apparently far superior to the alternative, which is

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Speaker 1: sailing filled bags. Yeah, they say, apparently the silicone feels better,

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Speaker 1: looks better. It's just look, it's more natural looking. Apparently

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Speaker 1: it moves. Oh my god, I can't believe I just

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Speaker 1: did that. Uh, the in the sailing is just kind

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Speaker 1: of like a water filled implant. Yeah. Should we tell

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Speaker 1: everybody Josh just talking with his hands, that's all. Um. Yeah,

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Speaker 1: so this is not a video podcast, So that's okay. Alright,

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Speaker 1: So silic is back. I don't I don't think I

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Speaker 1: knew that back in a big way. Se Man. That's

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Speaker 1: a that's that's a significan again, amount of three hundred

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Speaker 1: and thirty thousand. Um. So let's talk about before we

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Speaker 1: get into like how breast implants work and how they're

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Speaker 1: inserted and all that kind of stuff, let's talk about

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Speaker 1: the breast itself. Um, the anatomy of the breast as

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Speaker 1: it Well, apparently you can break a breast down into

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Speaker 1: two different and by the way, only women have breasts.

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Speaker 1: Men don't have breasts. Um, But you can break a

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Speaker 1: breast down into two separate parts. There's the structural component

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Speaker 1: and then there's the epithelial component. That's right, and that

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Speaker 1: produces the milk. Uh. Structural component is um ligaments, fatty tissue. Um.

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Speaker 1: There are there is muscle, but not actually as a

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Speaker 1: part of the breast. It's behind the breast exactly. Yeah.

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Speaker 1: And there's a there's a ligament that kind of works

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Speaker 1: to to keep the breasts suspended supported called the Cooper's ligament. Yeah.

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Speaker 1: I looked into that guy, by the way, what is

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Speaker 1: he like? He was He was just very big on

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Speaker 1: describing anatomy in the you know, mid eighteen hundreds, and

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Speaker 1: he's got a lot of stuff named after him, a

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Speaker 1: lot of diseases, a lot of body parts, Cooper's ankle,

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Speaker 1: Cooper's ligament is one of them. It's just the ankle,

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Speaker 1: but he pointed it out exactly. Um, But yeah, that

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Speaker 1: is is They kind of called these muscles in the

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Speaker 1: ligaments sort of like a natural brazier to help keep

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Speaker 1: the breast up. UM. And then there's the milk producing

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Speaker 1: in delivery system. Milk production and delivery system, it's the

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Speaker 1: epithelial component. You've got UM. Apparently fifteen to twenty five

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Speaker 1: lobes are what they're called um and they're arranged kind

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Speaker 1: of like a flower around the center of the breast.

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Speaker 1: So if someone says your breasts are like a flower,

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Speaker 1: they're they're complimenting your lobes exactly, and that's anatomically correct. UM.

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Speaker 1: You can still smack them in the face though if

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Speaker 1: you want to. Yeah. The lobes can further be broken

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Speaker 1: down into lobules, which are kind of like clusters of grapes,

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Speaker 1: and there's a lot of these um per lobe, right uh.

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Speaker 1: And then at the end of the lobules there's dozens

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Speaker 1: Each lobule has dozens of bulbs and that's where milk

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Speaker 1: is produced. That's right. They're connected to ducks called the

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Speaker 1: lactiferrous sinus, and that carries the milk to the nipple.

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Speaker 1: Of course, the nipple surrounded by the areola, which is

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Speaker 1: that dark tissue around the nipple at the front of

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Speaker 1: the breast. And there you have it. It's breast one

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Speaker 1: on one. That's the breast, and then behind it you've

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Speaker 1: got the pectoral muscles, the major and the minor pictorialis

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Speaker 1: uh and then the rib cage behind that. So that's

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Speaker 1: the anatomy of a breast. That's right, got it? Yeah,

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Speaker 1: they are since we're talking size. Obviously with augmentation UM

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Speaker 1: it is not a scientific thing, but you generally go

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Speaker 1: by brass eyes. How they're manufactured is by a diameter

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Speaker 1: and inches around the rib cage under the breast, and

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Speaker 1: then the old letter indicating the cup size. So in

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Speaker 1: other words like uh a A or double A all

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Speaker 1: the way up to it says in the article double

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Speaker 1: D and beyond like some fantastical like alright, so now

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Speaker 1: I understand the breast ambrass eyes. Yeah, and by the way,

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Speaker 1: it's hereditary. Probably if you look at your mom and

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Speaker 1: your grandmm, it's probably what you're what you're heading towards

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Speaker 1: um later in life. Right, there are things that you

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Speaker 1: can do to to impact your breast size, positively or negatively,

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Speaker 1: depending on your opinion. Sure, weight yeah, um, some things

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Speaker 1: that you can control like um, menstruation, menopause, pregnancy, all

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Speaker 1: effect breast eyes and guys hear a lot about and

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Speaker 1: actually girls to hear a lot about this if you

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Speaker 1: have a girlfriend or a wife. Yeah, but just becomes

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Speaker 1: a common topic of conversation when you live with somebody

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Speaker 1: for long enough. Breasts. Yeah, I mean there're a thing.

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Speaker 1: They're there, they are there. Um, that's a T shirt,

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Speaker 1: it's a movie. So check. Now that we have the

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Speaker 1: anatomy of the breast, um, let's talk about breast implants themselves. Yeah,

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Speaker 1: the actual thing that has implanted. Some people might not

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Speaker 1: know this. I thought everyone knew, you know, has has

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Speaker 1: seen them before. But it's not has felt them, has

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Speaker 1: slept with them on their pillow. It's not. Uh, it's

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Speaker 1: not just like an an injection or something. It is

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Speaker 1: and there's not a pill you take. It's an actual

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Speaker 1: physical Who thought it was a pill. There's one dude

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Speaker 1: out there that thinks it's a Bill Todd. It's not

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Speaker 1: a pill. Uh. It is an actual uh sack. It

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Speaker 1: is an elastomer shell, which is an elastic polymer shell

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Speaker 1: and it is uh generally these days they are empty

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Speaker 1: at first and it's in in they're not full, although

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Speaker 1: it depends, well, it depends on what you're after all. Well,

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Speaker 1: you have the empty kind that they usually roll up

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Speaker 1: when inserting, which we'll get into, or you have the

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Speaker 1: um pre filled, which are not pre filled to their

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Speaker 1: final destination. Yeah, and they're there. Um, they're like a

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Speaker 1: certain size. They can get to a certain size. I

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Speaker 1: think those have fallen out of favor somewhat, but I'm sure. Well, yeah,

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Speaker 1: mostly they're they're not pre filled these days. Well there's

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Speaker 1: a lot of benefits to not having pre filled again,

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Speaker 1: which we'll get into a little bit. But okay, um,

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Speaker 1: the size then would not have to do with what

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Speaker 1: they're already filled with, but what they're finally going to

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Speaker 1: be filled with. And it's usually mentored measured in cubic

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Speaker 1: center leaders right, Yeah ccs ccs and one cup size

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Speaker 1: um for every hundred and seventy five to two hundred ccs.

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Speaker 1: And I guess this is where we should talk about

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Speaker 1: the rice test. Okay, um, if you want to know

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Speaker 1: what your breasts are gonna look like, or if you're

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Speaker 1: a man who always wanted to know what it would

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Speaker 1: look like if you have breasts you style, you can

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Speaker 1: um do something called the rice test. That's right, they

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Speaker 1: apparently this is the best way to tell um. You

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Speaker 1: cut a twelve inch length of panty hose, although they

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Speaker 1: say you can use like baggies or whatever, but panty

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Speaker 1: hose is probably the most realistic. Tie not in one end,

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Speaker 1: and then use a chart um which you can find online,

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Speaker 1: to basically fill with rice to estimate what you will

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Speaker 1: look and feel like. For instance, about a half a

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Speaker 1: cup is a d c cs of volume. About point

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Speaker 1: six is a D fifty season on up and you

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Speaker 1: can find the chart online. Just under three cups seven ccs.

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Speaker 1: That's a lot. That's three cups of rice um. And

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Speaker 1: remember it doubles in your stomach so you'll feel full.

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Speaker 1: Uh So they say they recommend to like, uh, put

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Speaker 1: in a sports bra where that wear it around, exercise

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Speaker 1: in it, run errands, do whatever you normally might do

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Speaker 1: to get the look in the feel of like, hey,

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Speaker 1: this is what I'm gonna look and feel like? And

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Speaker 1: you know, should I continue? Should I not? As too big?

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Speaker 1: Are they too small? As the grocery store clerk who's

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Speaker 1: checking you out. They're fine, ma'am everybody. Well, they also

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Speaker 1: say you can use water, um, instant mashed potatoes and

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Speaker 1: oatmeal instead of rice. I could see instant mashed potatoes

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Speaker 1: being really good, because aren't they like flaky it's flaky potatoes.

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Speaker 1: I could see that rice is that's I mean, that's hard. Yeah,

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Speaker 1: that's true, but you should call it the instant mashed

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Speaker 1: potato test. I think that's why they didn't. So anyway,

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Speaker 1: that's apparently how you uh, and it's obviously you want

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Speaker 1: to work with your doctor two um kind of like singles.

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Speaker 1: Remember that movie when Bridget find It goes in for

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Speaker 1: breast implants and Bill Pullman essentially talks her out of it.

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Speaker 1: I forgot that part. Yeah, but you're gonna do that.

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Speaker 1: You're gonna work with your doctor on appropriate sizing. Yeah,

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Speaker 1: it's not gonna be like weird science, you know, where

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Speaker 1: you just like click on the mouth until tremendous and large,

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Speaker 1: um with some eighties graph behind it. But you want it.

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Speaker 1: You just want an appropriate size for your frame basically,

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Speaker 1: because not only just for looks, but for you know,

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Speaker 1: can you support it with your body frame? Well? Yeah,

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Speaker 1: that weight, not just that, I mean not just like

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Speaker 1: the extra pressure that's gonna be put on your back

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Speaker 1: and shoulders and all that, but I mean like your

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Speaker 1: your skin itself may have trouble supporting the breast implants,

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00:21:24,400 --> 00:21:26,919
Speaker 1: which is definitely something to consider as well. Yeah, and

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Speaker 1: this article says generally they come in three sizes, but

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Speaker 1: there that's just not true. There's like four and fifty sizes. Well,

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Speaker 1: I like this article is right, and I think in

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Speaker 1: two thousand three or four, and I mean it's definitely

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Speaker 1: breast implant breast augmentation surgery has increased by leaps and

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Speaker 1: bounds since then. Um, I've seen up to four and

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00:21:44,840 --> 00:21:49,440
Speaker 1: fifty different varieties and I think that's combinations of shape, size,

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00:21:49,560 --> 00:21:51,639
Speaker 1: that kind of thing. But yeah, there's a lot of

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Speaker 1: different sizes. Um, mainly the sizes again it has to

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Speaker 1: do it's measured in ccs. The shape. There's still typically

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00:22:01,520 --> 00:22:04,600
Speaker 1: just two shapes that I ran across. Yeah, there's round

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00:22:05,000 --> 00:22:08,880
Speaker 1: and then there's a tear drop, which is also called contour. Yeah. Yeah,

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00:22:08,880 --> 00:22:12,040
Speaker 1: and basically one the round. I guess it depends when

377
00:22:12,040 --> 00:22:13,879
Speaker 1: you're talking to They can be more popular in that

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00:22:13,920 --> 00:22:19,480
Speaker 1: there fuller and uh, there's more cleavage and there's more lift,

379
00:22:19,960 --> 00:22:23,359
Speaker 1: but they don't look as real. The tear drop shape

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Speaker 1: mimic the anatomy of a natural woman's breast. More so,

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00:22:27,640 --> 00:22:29,920
Speaker 1: some women might favor those if you want to look

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00:22:29,920 --> 00:22:34,000
Speaker 1: more natural. Right, Um, but round is the most commonly used,

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Speaker 1: I believe. Well, I don't know if it still is.

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Speaker 1: I take an issue with that, Okay, I think that's

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00:22:40,280 --> 00:22:44,440
Speaker 1: a two thousand three statement. Um. Again, though it has

386
00:22:44,480 --> 00:22:49,399
Speaker 1: to do with what what shape you choose, you know,

387
00:22:49,840 --> 00:22:52,760
Speaker 1: not just what you want how you wanted to look.

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00:22:52,800 --> 00:22:55,159
Speaker 1: But I mean the surgeon needs to have some input

389
00:22:55,200 --> 00:22:57,080
Speaker 1: here too. Yeah. And if you get a good surgeon,

390
00:22:57,080 --> 00:22:59,440
Speaker 1: they're gonna guide you in the right direction. You know that.

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00:22:59,440 --> 00:23:01,920
Speaker 1: That's their part of the job. It's not just to

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00:23:01,960 --> 00:23:05,200
Speaker 1: perform the surgery. It's the consultation and advice and all

393
00:23:05,200 --> 00:23:08,800
Speaker 1: that good stuffy um. And since they're plastic surgeons, to

394
00:23:08,960 --> 00:23:11,520
Speaker 1: look good doing it. Yeah, And if they're not doing that,

395
00:23:11,520 --> 00:23:13,920
Speaker 1: that means it's a bad plastic surgeon. Did you see

396
00:23:14,000 --> 00:23:19,119
Speaker 1: Rob Low in Liberacia? Man? Well is there are some

397
00:23:19,359 --> 00:23:23,720
Speaker 1: real decisions made for his character and his look and

398
00:23:23,800 --> 00:23:26,760
Speaker 1: this well that's what that guy looked like, Is that right? Yeah, yeah,

399
00:23:26,760 --> 00:23:29,160
Speaker 1: I look at my ps. He was creepy looking. I will,

400
00:23:29,200 --> 00:23:31,200
Speaker 1: I will is he still alive? Because I'm so sorry

401
00:23:31,200 --> 00:23:34,800
Speaker 1: for what Chuck just said. I don't know, um, but

402
00:23:34,880 --> 00:23:38,000
Speaker 1: yeah that was plastic surgery. Gon'm bad for sure. Yeah. Uh.

403
00:23:38,119 --> 00:23:40,800
Speaker 1: Texture is another decision that you're going to have to

404
00:23:40,800 --> 00:23:44,160
Speaker 1: make in addition to shape and size and um. Basically

405
00:23:44,160 --> 00:23:48,200
Speaker 1: there's smooth and there's textured and um. Each has their

406
00:23:48,280 --> 00:23:52,200
Speaker 1: pros and their cons um textured implants. We should say

407
00:23:52,200 --> 00:23:55,440
Speaker 1: when you when you have breast surgery, something UM that's

408
00:23:55,440 --> 00:23:58,000
Speaker 1: gonna happen is scar tissue is going to develop no

409
00:23:58,040 --> 00:24:01,119
Speaker 1: matter what. Anytime you introduce foreign object into your body,

410
00:24:01,160 --> 00:24:04,520
Speaker 1: your body basically defends the rest of your body against

411
00:24:04,600 --> 00:24:09,159
Speaker 1: it by forming scar tissue around it and basically compartmentalizing it. UM.

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00:24:09,240 --> 00:24:12,040
Speaker 1: And in the case of breast augmentation surgery, this is

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00:24:12,080 --> 00:24:15,919
Speaker 1: called a capsular contracture. And it's gonna happen. Don't be

414
00:24:16,000 --> 00:24:18,480
Speaker 1: freaked out if it happens, because it's gonna happen. It's

415
00:24:18,520 --> 00:24:21,840
Speaker 1: just the degree to which it happens could become problematic. Right.

416
00:24:21,880 --> 00:24:26,560
Speaker 1: And there's there's post post implant surgeries that can take

417
00:24:26,600 --> 00:24:29,679
Speaker 1: place to remove some of the excess scar tissue if

418
00:24:29,680 --> 00:24:31,840
Speaker 1: too much happens or your breasts become too hard as

419
00:24:31,840 --> 00:24:34,439
Speaker 1: a result. But you're right, it is going to happen.

420
00:24:34,800 --> 00:24:38,080
Speaker 1: And um, some implants have been created to I guess,

421
00:24:38,119 --> 00:24:42,240
Speaker 1: make the most out of this. Textured implants are designed

422
00:24:42,240 --> 00:24:44,679
Speaker 1: so that the scar tissue basically grips the implant and

423
00:24:44,720 --> 00:24:47,600
Speaker 1: holds it in place. Yeah. And I also got the

424
00:24:47,640 --> 00:24:50,800
Speaker 1: idea too that less scar tissue will form because it

425
00:24:50,960 --> 00:24:54,679
Speaker 1: sticks to the implant. I guess the body just thinks, Okay,

426
00:24:54,760 --> 00:24:59,080
Speaker 1: this is working. My job is done exactly. Um. There

427
00:24:59,080 --> 00:25:02,199
Speaker 1: are some drawback the texture and implants. Apparently they're not

428
00:25:02,280 --> 00:25:05,800
Speaker 1: quite as realistic in their movement. Look feel that kind

429
00:25:05,800 --> 00:25:08,639
Speaker 1: of thing, yea, and they're more likely to rupture too, yes,

430
00:25:08,840 --> 00:25:13,480
Speaker 1: which is not good. Smooth implants. Um. They actually will

431
00:25:13,560 --> 00:25:19,280
Speaker 1: move around inside the capsular contractor the scar tissue sac

432
00:25:19,520 --> 00:25:24,960
Speaker 1: that um that develops um, which is good for look field.

433
00:25:24,960 --> 00:25:28,600
Speaker 1: It's much more natural. The problem is is that since

434
00:25:28,640 --> 00:25:30,879
Speaker 1: they can move around, if you have something like a

435
00:25:31,160 --> 00:25:34,600
Speaker 1: if you choose a contour or tear drop shape breast implant,

436
00:25:35,040 --> 00:25:37,680
Speaker 1: if that thing flips upside down, your breast looks to

437
00:25:37,800 --> 00:25:40,520
Speaker 1: forb Now you have a problem, yeah, or it can

438
00:25:40,560 --> 00:25:43,360
Speaker 1: cause something called rippling, which we'll get into the problems

439
00:25:43,400 --> 00:25:46,520
Speaker 1: that can arise later on. Um, And there's this lady

440
00:25:46,520 --> 00:25:49,720
Speaker 1: in Akron actually, Ohio, it's probably good time to mention

441
00:25:49,760 --> 00:25:53,320
Speaker 1: that she is trying to develop a breast implant that actually,

442
00:25:54,320 --> 00:25:57,359
Speaker 1: um well, it can accomplish a lot of things. Is

443
00:25:57,400 --> 00:25:59,280
Speaker 1: she calls it the breast implant of the future. It

444
00:25:59,320 --> 00:26:03,720
Speaker 1: can emit basically the drugs that they give people, orally

445
00:26:04,240 --> 00:26:07,960
Speaker 1: she is trying to build into the implant itself to

446
00:26:08,080 --> 00:26:13,240
Speaker 1: emit these drugs naturally. And she thinks one day breast

447
00:26:13,280 --> 00:26:18,359
Speaker 1: implants can be can actually detect cancer cells if her researches.

448
00:26:18,560 --> 00:26:20,919
Speaker 1: You know, if she gets to that point, if I

449
00:26:20,960 --> 00:26:24,280
Speaker 1: have the funding, especially she's looking too many but the

450
00:26:24,280 --> 00:26:26,320
Speaker 1: breast implant in the future, I just need the fund

451
00:26:26,720 --> 00:26:29,360
Speaker 1: But um yeah, she's she's she's working hard to try

452
00:26:29,359 --> 00:26:33,040
Speaker 1: and reduce things like the inflammatory response and scar tissue,

453
00:26:33,480 --> 00:26:36,200
Speaker 1: building it into the breast implant itself, which is pretty cool,

454
00:26:36,240 --> 00:26:38,359
Speaker 1: I think. And then Chuck, we kind of already talked

455
00:26:38,359 --> 00:26:40,280
Speaker 1: about it. But another choice is whether you're gonna have

456
00:26:40,400 --> 00:26:48,040
Speaker 1: pre filled or unfilled or also known as expandable that's right, umpt. Yeah.

457
00:26:48,080 --> 00:26:51,359
Speaker 1: The spectrum Expandable is sort of like a test drive

458
00:26:51,400 --> 00:26:55,560
Speaker 1: almost where you have the implant put in, there is

459
00:26:55,640 --> 00:27:01,199
Speaker 1: a three part valve system in your armpit where you

460
00:27:01,280 --> 00:27:06,119
Speaker 1: actually can fill and release and extract some of the

461
00:27:06,160 --> 00:27:08,280
Speaker 1: sailing or I guess silicone. I don't know if they

462
00:27:08,320 --> 00:27:12,600
Speaker 1: can do that for silicone. I know they can, can

463
00:27:12,600 --> 00:27:15,400
Speaker 1: it's Joel, I think you can. Yes, Well, basically it's

464
00:27:15,400 --> 00:27:16,920
Speaker 1: like a test drive. They put it in and they

465
00:27:16,920 --> 00:27:20,240
Speaker 1: can make them larger or smaller through your armpit until

466
00:27:20,280 --> 00:27:22,840
Speaker 1: you're satisfied. It's kind of like doing the rice test,

467
00:27:22,960 --> 00:27:25,600
Speaker 1: but a couple of steps further more than a couple

468
00:27:25,640 --> 00:27:29,080
Speaker 1: because you're out there walking around saying what do you think? Yeah,

469
00:27:29,080 --> 00:27:31,000
Speaker 1: and you've got a port in your armpit right, But

470
00:27:31,080 --> 00:27:33,320
Speaker 1: then after you say this is it? This is the

471
00:27:33,440 --> 00:27:36,440
Speaker 1: right size, they removed the port. So obviously there's a

472
00:27:36,440 --> 00:27:39,720
Speaker 1: bunch of choices, and you, the patient, the person who

473
00:27:39,880 --> 00:27:42,760
Speaker 1: is getting the breast implant, have a lot of things

474
00:27:42,800 --> 00:27:45,600
Speaker 1: to decide. But then once you've decided all that, it's

475
00:27:45,680 --> 00:27:49,440
Speaker 1: up to the surgeon to make some another series of decisions.

476
00:27:49,840 --> 00:27:59,119
Speaker 1: And we'll get into the procedure right after this message. Alright,

477
00:27:59,160 --> 00:28:04,160
Speaker 1: so back to it. Let's talk surgery. Huh yes, UM,

478
00:28:04,160 --> 00:28:07,359
Speaker 1: all right. The most important thing they say with the

479
00:28:07,400 --> 00:28:10,520
Speaker 1: breast implant is not all the other decisions you've made

480
00:28:10,560 --> 00:28:14,960
Speaker 1: up into this point. It really is. It's the skill

481
00:28:15,040 --> 00:28:18,120
Speaker 1: of your surgeon with the placement of the implant. Yeah,

482
00:28:18,160 --> 00:28:20,560
Speaker 1: because that's where things will generally go wrong. And there

483
00:28:20,560 --> 00:28:26,960
Speaker 1: are three choices, uh, subglandular, sub pectoral, and submuscular. And again,

484
00:28:27,080 --> 00:28:32,520
Speaker 1: like with everything else, their advantages and disadvantages to all three. Um.

485
00:28:32,680 --> 00:28:35,399
Speaker 1: Sub glandular is behind the mammary gland in front of

486
00:28:35,400 --> 00:28:38,280
Speaker 1: the muscle. Um, it's the least complicated. You're going to

487
00:28:38,360 --> 00:28:41,360
Speaker 1: get out of there and recover quicker. Um. It's if

488
00:28:41,400 --> 00:28:45,520
Speaker 1: you're athletic. It's probably has some advantages, but um, you

489
00:28:45,560 --> 00:28:48,720
Speaker 1: have an increased chance for that capsular contractor we're talking about.

490
00:28:49,320 --> 00:28:51,240
Speaker 1: You might be able to see it sometimes, which is

491
00:28:51,240 --> 00:28:55,280
Speaker 1: not good. Yeah. And it's more vulnerable because it's just

492
00:28:55,400 --> 00:28:58,720
Speaker 1: kind of right there behind the skin. Plus also there's um,

493
00:28:59,320 --> 00:29:02,360
Speaker 1: very little besides the ada post the fatty tissue holding

494
00:29:02,400 --> 00:29:06,400
Speaker 1: it in place. UM, so it can produce that rippling thing,

495
00:29:06,400 --> 00:29:11,600
Speaker 1: which is a sagging that produces basically UM what's that called,

496
00:29:11,960 --> 00:29:15,440
Speaker 1: like on your skin when you when you gain weight

497
00:29:15,480 --> 00:29:18,360
Speaker 1: and then lose it. I don't know, stretch marks. Oh yeah,

498
00:29:18,440 --> 00:29:21,200
Speaker 1: it looks kind of like that, but I think they're deeper, okay.

499
00:29:21,880 --> 00:29:26,520
Speaker 1: Um sub pectrol's next subpectrol is so you remember at

500
00:29:26,560 --> 00:29:31,800
Speaker 1: the back between the ada posts, uh and the chest wall,

501
00:29:31,880 --> 00:29:35,160
Speaker 1: you've got your two pectoral muscles. Um, the one in

502
00:29:35,200 --> 00:29:39,640
Speaker 1: front the bigger the two. The pectorialis major um is

503
00:29:40,080 --> 00:29:43,720
Speaker 1: goes in front of the implant, and the pectorialis minor

504
00:29:43,880 --> 00:29:46,000
Speaker 1: goes behind it. So it's sort of sandwiched in the

505
00:29:46,000 --> 00:29:48,959
Speaker 1: middle there. Yeah. You you have to cut the muscle,

506
00:29:49,320 --> 00:29:51,200
Speaker 1: put the implant in between them, and then lay it

507
00:29:51,240 --> 00:29:54,680
Speaker 1: back down. Yeah, and it is. Um. It's gonna reduce

508
00:29:54,800 --> 00:29:58,760
Speaker 1: the risk of that capsular contractor and the rippling, which

509
00:29:58,800 --> 00:30:01,320
Speaker 1: is good. Uh, but of course your recovery time is

510
00:30:01,320 --> 00:30:02,840
Speaker 1: gonna be a little bit longer. It's gonna be a

511
00:30:02,840 --> 00:30:06,840
Speaker 1: little more painful. Anytime they're manipulating muscle, it's gonna be

512
00:30:07,200 --> 00:30:11,800
Speaker 1: pretty painful. There's gonna be more swelling and stuff like that. Um.

513
00:30:11,960 --> 00:30:14,080
Speaker 1: The implant can also kind of droop. There's still a

514
00:30:14,160 --> 00:30:18,560
Speaker 1: risk that it's gonna pull down because there's it's held

515
00:30:18,560 --> 00:30:21,920
Speaker 1: in place more than it is with the subglandular um,

516
00:30:22,000 --> 00:30:25,200
Speaker 1: but less than the submuscular. This is if you want

517
00:30:25,200 --> 00:30:28,480
Speaker 1: your implant to not sag, you want to go with

518
00:30:28,520 --> 00:30:32,360
Speaker 1: the submuscular. The third type, Yeah, that is behind fully

519
00:30:32,400 --> 00:30:35,920
Speaker 1: behind the chest muscle wall and um. It has some

520
00:30:36,000 --> 00:30:39,640
Speaker 1: great advantages, like it doesn't get in the way of mammograms,

521
00:30:39,760 --> 00:30:42,320
Speaker 1: which is a big deal. It's a big consideration for sure. Yeah,

522
00:30:42,320 --> 00:30:45,880
Speaker 1: silicone and salien implants um placed in front of or

523
00:30:46,000 --> 00:30:49,640
Speaker 1: between the muscles can mess with mammograms. And you need

524
00:30:49,680 --> 00:30:51,920
Speaker 1: to tell by the way. I'm sure you probably know

525
00:30:51,960 --> 00:30:53,840
Speaker 1: this if you have breast implants, but you should always

526
00:30:53,880 --> 00:30:57,600
Speaker 1: tell your doctor, you know, if they don't know when

527
00:30:57,640 --> 00:30:59,680
Speaker 1: you go to get a mammogram, because they have different

528
00:31:00,000 --> 00:31:03,000
Speaker 1: eaters and techniques that they can like work around and stuff. Yes,

529
00:31:04,280 --> 00:31:08,760
Speaker 1: so those are the three types of three implant locations. Yeah,

530
00:31:08,800 --> 00:31:10,880
Speaker 1: and the recovery for the last one is even longer,

531
00:31:11,120 --> 00:31:14,000
Speaker 1: but has the same complications as a subpect rule, anytime

532
00:31:14,040 --> 00:31:19,560
Speaker 1: you have to in size muscle and manually adjust it,

533
00:31:20,160 --> 00:31:23,480
Speaker 1: you're gonna have a recovery time involved. That's true. Man,

534
00:31:23,480 --> 00:31:28,440
Speaker 1: it's gotta hurt. Um should we talk about. We've got

535
00:31:28,480 --> 00:31:31,720
Speaker 1: to talk about the polypropylene real quick, just because even

536
00:31:31,760 --> 00:31:34,800
Speaker 1: though it's not around anymore, the string implant, Yeah yeah,

537
00:31:35,120 --> 00:31:39,640
Speaker 1: it was developed by a guy, a doctor named Dr

538
00:31:39,720 --> 00:31:43,680
Speaker 1: Gerald W. Johnson. And um, the quote from this article

539
00:31:43,720 --> 00:31:47,400
Speaker 1: says it was designed to yield extreme, almost cartoonish breast sizes.

540
00:31:48,520 --> 00:31:54,240
Speaker 1: And um it basically the pop polypropylene um absorbed fluid

541
00:31:54,320 --> 00:31:58,040
Speaker 1: over like constantly over time, and the breast never stopped growing.

542
00:31:58,800 --> 00:32:02,240
Speaker 1: And um it has been banned since two thousand one

543
00:32:02,400 --> 00:32:05,360
Speaker 1: by the f d A. And although they say it

544
00:32:05,400 --> 00:32:09,640
Speaker 1: was very popular among adult entertainers for a while. And um,

545
00:32:09,760 --> 00:32:12,400
Speaker 1: yeah it's this is where I get a little judge.

546
00:32:12,880 --> 00:32:18,160
Speaker 1: It's really weird looking. Oh you saw pictures. Yeah, and uh,

547
00:32:18,240 --> 00:32:21,640
Speaker 1: I don't get it at all. Is it cartoonish? Yeah,

548
00:32:22,120 --> 00:32:27,920
Speaker 1: very much? So yeah, um it's okay. That's my only judgment. Yeah,

549
00:32:27,960 --> 00:32:30,560
Speaker 1: recent judgment is I don't get that one. Researching this article,

550
00:32:30,600 --> 00:32:32,840
Speaker 1: I wanted to be like, I'm researching breast implants. I'm

551
00:32:32,840 --> 00:32:36,800
Speaker 1: not agreed. People walk by your desk. Um, so chuck,

552
00:32:36,880 --> 00:32:40,960
Speaker 1: let's talk. Let's talk procedure. We're we're in the operating room.

553
00:32:41,000 --> 00:32:44,840
Speaker 1: All the decisions have been made. Uh, preop has been done,

554
00:32:44,920 --> 00:32:48,120
Speaker 1: prep um, and the surgeon is going to start by

555
00:32:48,360 --> 00:32:53,560
Speaker 1: making an incision. And um, there's really basically four types

556
00:32:53,600 --> 00:32:59,800
Speaker 1: of incisions that are favored among breast on augmentation procedures. Yeah,

557
00:33:00,040 --> 00:33:03,880
Speaker 1: you've got the peri areolar, which is apparently one of

558
00:33:03,880 --> 00:33:07,840
Speaker 1: the most common ones. But to me, it's seems spectacularly

559
00:33:09,720 --> 00:33:13,480
Speaker 1: has It's like there's a lot of room for complications.

560
00:33:13,720 --> 00:33:16,560
Speaker 1: You think, yeah, what they're doing, I look this up.

561
00:33:17,080 --> 00:33:20,200
Speaker 1: The the article isn't through this justice. The incision is

562
00:33:20,240 --> 00:33:23,840
Speaker 1: made at where the areola, which is where the it's

563
00:33:23,880 --> 00:33:28,880
Speaker 1: the brown tissue that surrounds the nipple. Okay, so um,

564
00:33:28,920 --> 00:33:33,520
Speaker 1: it's it's where the areola meets the regular um colored

565
00:33:33,760 --> 00:33:39,320
Speaker 1: pigmented skin of the breast um. But the whole areola

566
00:33:39,560 --> 00:33:44,160
Speaker 1: is cut and pulled out and then the um the

567
00:33:44,400 --> 00:33:48,320
Speaker 1: using a sterile sleeve wrapped around it. The implant is

568
00:33:48,360 --> 00:33:50,680
Speaker 1: put in through that hole in the front of the

569
00:33:50,720 --> 00:33:55,520
Speaker 1: breast and then unrolled in the sleeve is removed. Um.

570
00:33:55,560 --> 00:33:59,760
Speaker 1: But you're going around the milk ducks and the all

571
00:33:59,800 --> 00:34:03,640
Speaker 1: of the epithelial system of the breast. It just seems

572
00:34:03,640 --> 00:34:07,680
Speaker 1: like you're you're exposing some really important stuff. Um to

573
00:34:07,800 --> 00:34:12,000
Speaker 1: a lot of potential damage, you know, either mechanical or

574
00:34:12,000 --> 00:34:14,920
Speaker 1: through infection or whatever. It just don't see much reason

575
00:34:15,239 --> 00:34:18,720
Speaker 1: aside from the fact that it uh it's very difficult

576
00:34:18,719 --> 00:34:20,640
Speaker 1: to see the scar because you're doing it where the

577
00:34:21,000 --> 00:34:25,320
Speaker 1: pigmentation changes, so it's hard to see that difference in

578
00:34:25,400 --> 00:34:28,319
Speaker 1: that that scar. Yeah. Well it also allows for more

579
00:34:28,360 --> 00:34:32,200
Speaker 1: precise placement of the implant. I see that, and um,

580
00:34:32,239 --> 00:34:35,560
Speaker 1: I think it's you know, there's there surge surgeons doing this.

581
00:34:35,640 --> 00:34:38,279
Speaker 1: It's not you, So I know it freaks you out,

582
00:34:38,320 --> 00:34:42,040
Speaker 1: but I think it's the most common for a reason. Um,

583
00:34:42,239 --> 00:34:46,600
Speaker 1: that's one. Yeah, but that allows for subglandular, subpectral uh,

584
00:34:46,640 --> 00:34:50,080
Speaker 1: and submuscular placement. So that's the other advantages. You have

585
00:34:50,120 --> 00:34:54,560
Speaker 1: all your options open. Yeah. Um, there's also the inframamary

586
00:34:54,640 --> 00:34:58,840
Speaker 1: fold incision. This one makes sense. Yeah. That also allows

587
00:34:58,840 --> 00:35:02,279
Speaker 1: for all three um placement types. And that is that

588
00:35:02,440 --> 00:35:07,200
Speaker 1: is just under the breast, So the scarring is you know,

589
00:35:07,360 --> 00:35:10,319
Speaker 1: not as visible obviously. Yeah. Usually it's where the creases. Yeah.

590
00:35:10,560 --> 00:35:12,879
Speaker 1: The big disadvantage to this one is if you are

591
00:35:12,920 --> 00:35:18,160
Speaker 1: going up so much in in cup size. Um, if

592
00:35:18,160 --> 00:35:19,880
Speaker 1: you're going up a lot, the surgeon is going to

593
00:35:19,960 --> 00:35:22,920
Speaker 1: have to create a new crease for your breast, and

594
00:35:22,920 --> 00:35:26,080
Speaker 1: when making that incision, since you want the incision underneath

595
00:35:26,120 --> 00:35:31,239
Speaker 1: the breast, the breast hidden by the breast um, he

596
00:35:31,320 --> 00:35:33,640
Speaker 1: has to guess where that breast is going to hang

597
00:35:33,680 --> 00:35:37,120
Speaker 1: now and make the initial incision accordingly. Yeah, that's when

598
00:35:37,120 --> 00:35:41,440
Speaker 1: it's work there, well, not guess work, but because that

599
00:35:41,480 --> 00:35:45,000
Speaker 1: makes it sound like well education, that looks good. Well

600
00:35:45,000 --> 00:35:46,640
Speaker 1: now he has to be like, where is this going

601
00:35:46,719 --> 00:35:53,800
Speaker 1: to forecasting? Yeah? Educated, yeah, very educated, guess so. Um.

602
00:35:53,920 --> 00:35:57,600
Speaker 1: Then there's transaxilary incision, which is through the armpit. Yeah,

603
00:35:57,640 --> 00:36:00,520
Speaker 1: there's no breast scarring at all obviously. Um, it's more

604
00:36:00,560 --> 00:36:05,520
Speaker 1: of a challenge because placement is pretty difficult. Um, they

605
00:36:05,640 --> 00:36:10,640
Speaker 1: use an endo scope and that is not the most Uh,

606
00:36:10,640 --> 00:36:13,759
Speaker 1: that's not the strangest place. No strange places. Through the

607
00:36:13,760 --> 00:36:16,839
Speaker 1: old belly button, the TUBA incision, you can actually get

608
00:36:16,840 --> 00:36:19,160
Speaker 1: a breast implant through your belly button. Yeah, and apparently

609
00:36:19,200 --> 00:36:21,280
Speaker 1: you can get a lot of surgeries through your belly button.

610
00:36:21,320 --> 00:36:25,359
Speaker 1: I think maybe that's why it's there. Um, maybe that's

611
00:36:25,360 --> 00:36:29,320
Speaker 1: it's the new port. Yeah. Um. TUBA stands for transumbilical

612
00:36:29,400 --> 00:36:33,800
Speaker 1: breast augmentation. Then that's a tuba incision, the belly button incision,

613
00:36:34,239 --> 00:36:38,680
Speaker 1: and um, basically they cut into the navel at the

614
00:36:38,719 --> 00:36:41,759
Speaker 1: top at the ridge and then go they burrow all

615
00:36:41,800 --> 00:36:43,920
Speaker 1: the way up to each breast, so it makes a

616
00:36:44,000 --> 00:36:47,759
Speaker 1: V through your subcutaneous fat like Charles Bronson in The

617
00:36:47,760 --> 00:36:52,520
Speaker 1: Great Escape. Yeah, and then yes, and then they use

618
00:36:52,760 --> 00:36:57,400
Speaker 1: um uh an end of scope to basically tunnel their

619
00:36:57,440 --> 00:36:59,120
Speaker 1: way through and see that they're going the right way,

620
00:36:59,120 --> 00:37:04,000
Speaker 1: and they push the implant up through there and inflated. Yeah. Yeah,

621
00:37:04,040 --> 00:37:07,440
Speaker 1: that sounds like guesswork. Yes, but apparently that's the one

622
00:37:07,480 --> 00:37:10,960
Speaker 1: that has the least complications. Yeah. There are a lot

623
00:37:11,000 --> 00:37:16,240
Speaker 1: of limitations though, Um it requires an inflatable implant. Obviously,

624
00:37:16,280 --> 00:37:17,920
Speaker 1: you can't go through the belly button with one that's

625
00:37:17,920 --> 00:37:21,600
Speaker 1: already inflated. Um. It can only be used for subpectrol

626
00:37:21,600 --> 00:37:27,000
Speaker 1: and submuscular And if there are complications, and it seems

627
00:37:27,040 --> 00:37:29,600
Speaker 1: like there are, I don't want I don't know if

628
00:37:29,600 --> 00:37:33,319
Speaker 1: I should say often, but it's not rare to have

629
00:37:33,480 --> 00:37:36,560
Speaker 1: complications and have to go back and have um what

630
00:37:36,600 --> 00:37:41,680
Speaker 1: they call a revision surgery. You cannot reuse that incision. No,

631
00:37:41,840 --> 00:37:49,000
Speaker 1: they're gonna have to make um transaxillary, periariolar or inframamary fold. Yeah,

632
00:37:49,840 --> 00:37:52,320
Speaker 1: if they need to go back in again. And um,

633
00:37:52,360 --> 00:37:55,160
Speaker 1: apparently it's pretty rare, Like, not a lot of plastic

634
00:37:55,160 --> 00:37:57,400
Speaker 1: surgeons even try this one. I think it takes a

635
00:37:57,440 --> 00:38:00,600
Speaker 1: lot of skill. And even though the comp occasions, the

636
00:38:00,640 --> 00:38:04,360
Speaker 1: post stop complications are minimal compared to the others because

637
00:38:04,400 --> 00:38:09,840
Speaker 1: you're subcutaneous fat and your abdomen apparently heals very easily. Um,

638
00:38:09,880 --> 00:38:13,439
Speaker 1: just getting there is kind of a problem. So let's

639
00:38:13,440 --> 00:38:18,000
Speaker 1: say your doctor's ready, you got the first incision. Um,

640
00:38:18,120 --> 00:38:20,880
Speaker 1: what's up next? Uh, well, you've got your incision, and

641
00:38:20,920 --> 00:38:25,320
Speaker 1: so they have to cut a path through that tissue um,

642
00:38:25,360 --> 00:38:27,279
Speaker 1: depending on which one you use. They're either gonna work

643
00:38:27,280 --> 00:38:30,400
Speaker 1: with the muscle or they're not. And they need to

644
00:38:30,560 --> 00:38:32,400
Speaker 1: separate and create a little pocket for it to sit in.

645
00:38:32,800 --> 00:38:35,000
Speaker 1: You know, they don't just stuff it in there. They

646
00:38:35,000 --> 00:38:37,240
Speaker 1: need to create a space and they have to figure

647
00:38:37,239 --> 00:38:40,160
Speaker 1: out where that pocket is best going to be, depending

648
00:38:40,200 --> 00:38:43,440
Speaker 1: on the size, shape, everything of the breast implant. Again

649
00:38:43,440 --> 00:38:48,080
Speaker 1: an educated guess, yes, And you've seen some surgery nightmares

650
00:38:48,120 --> 00:38:51,120
Speaker 1: with breast augmentation, and that's like Dr Quack, you know,

651
00:38:52,080 --> 00:39:00,760
Speaker 1: Dr Nick it's good about there. UM. Sometimes UM mast

652
00:39:00,880 --> 00:39:05,320
Speaker 1: up master PEXI, which is a breast lift, is performed

653
00:39:05,440 --> 00:39:07,040
Speaker 1: at the same time, or you can just have that

654
00:39:07,120 --> 00:39:09,399
Speaker 1: on its own if you just want a breast lift.

655
00:39:09,960 --> 00:39:13,239
Speaker 1: But sometimes it's used with augmentation in order to get

656
00:39:13,239 --> 00:39:16,040
Speaker 1: everything in the right position and you want, you know,

657
00:39:17,120 --> 00:39:18,920
Speaker 1: the breast to be pointing in the right way, and

658
00:39:18,960 --> 00:39:21,400
Speaker 1: you want the nipples in the arrow aerial is to

659
00:39:21,440 --> 00:39:24,759
Speaker 1: be in the proper place and not looking off to

660
00:39:24,840 --> 00:39:27,400
Speaker 1: the left and the right up or down. Some surgeries

661
00:39:27,440 --> 00:39:30,400
Speaker 1: require that you reposition the nipple depending on how big

662
00:39:30,640 --> 00:39:32,759
Speaker 1: the implant is going to be. Yeah, and man I

663
00:39:32,800 --> 00:39:36,120
Speaker 1: saw with some mastectomy surgery. Sometimes they can completely remove

664
00:39:36,640 --> 00:39:41,920
Speaker 1: the areola and nipple and replace it onto a uh

665
00:39:42,760 --> 00:39:46,839
Speaker 1: augmentation or yeah, I guess with a periolar incision, if

666
00:39:46,840 --> 00:39:50,160
Speaker 1: you're taking that whole thing off, you know, I guess

667
00:39:50,160 --> 00:39:53,560
Speaker 1: you could move it to another place. What they can

668
00:39:53,600 --> 00:39:57,279
Speaker 1: do UM sizers can aid in positioning, and that's sort

669
00:39:57,320 --> 00:40:00,640
Speaker 1: of like it's attached to a tube. It's an implant

670
00:40:00,680 --> 00:40:03,960
Speaker 1: attached to tube, and that's that's almost like a live

671
00:40:04,080 --> 00:40:06,960
Speaker 1: rice test, Like you don't go home with that. They

672
00:40:07,000 --> 00:40:09,719
Speaker 1: just put it in there. And mid operation. Yeah, and

673
00:40:09,760 --> 00:40:12,440
Speaker 1: see what it looks like, not the final implanted, temporary

674
00:40:12,560 --> 00:40:14,600
Speaker 1: and then they pull that out once they say all right,

675
00:40:14,640 --> 00:40:16,680
Speaker 1: that's a good placement for this, so just let me

676
00:40:16,719 --> 00:40:20,560
Speaker 1: do it for real. Um. And then so if you

677
00:40:20,600 --> 00:40:23,600
Speaker 1: have pre filled implants, you have to make a larger

678
00:40:23,640 --> 00:40:26,680
Speaker 1: incision of course, and then you fill those up to

679
00:40:26,760 --> 00:40:31,680
Speaker 1: their full um volume. And I think prefilled textures textured

680
00:40:31,800 --> 00:40:34,279
Speaker 1: is even the largest. That's the biggest incision you're gonna

681
00:40:34,760 --> 00:40:36,879
Speaker 1: because you know, yeah, you also have to make room

682
00:40:36,920 --> 00:40:41,239
Speaker 1: for this ridged implant that's already pre filled um. And

683
00:40:41,320 --> 00:40:43,640
Speaker 1: either way you're gonna have to either top off or

684
00:40:43,680 --> 00:40:46,439
Speaker 1: totally fill up this the implant once it's in there,

685
00:40:46,600 --> 00:40:49,759
Speaker 1: top it off. That's pretty much what it is, So

686
00:40:49,880 --> 00:40:54,440
Speaker 1: chuck um, we're talking augmentation. It's elective surgery, plastic surgery.

687
00:40:54,800 --> 00:40:57,320
Speaker 1: And a lot of people think like plastic surgery is

688
00:40:57,360 --> 00:41:01,919
Speaker 1: called plastic surgery because it's artificiality, right, But actually it's

689
00:41:01,960 --> 00:41:08,239
Speaker 1: derived from the original Greek plastic hosts, which means uh, artificiality.

690
00:41:08,920 --> 00:41:12,720
Speaker 1: It means to mold or shape something's plastic, it's pliable. Yeah,

691
00:41:12,800 --> 00:41:16,040
Speaker 1: and that's what that's what plastic surgeons do say, mold

692
00:41:16,120 --> 00:41:20,319
Speaker 1: or shape things, including breasts. It's it's like you said,

693
00:41:20,360 --> 00:41:23,640
Speaker 1: it's not just making the cut and jamming the thing

694
00:41:23,680 --> 00:41:29,040
Speaker 1: in there. They have to um, basically reconfigure what the

695
00:41:29,040 --> 00:41:33,760
Speaker 1: the anatomy of the breast to to accept this new um.

696
00:41:34,200 --> 00:41:37,680
Speaker 1: Yeah yeah, um. And it does take a certain amount

697
00:41:37,680 --> 00:41:40,919
Speaker 1: of skill, but that's that destruct me as interesting. Yeah.

698
00:41:41,320 --> 00:41:43,480
Speaker 1: They call it plastic surgery, and it's not all just

699
00:41:43,600 --> 00:41:49,279
Speaker 1: augmentation doesn't always mean you're making your breast larger. There's

700
00:41:49,360 --> 00:41:54,239
Speaker 1: also reduction mammoplastic, which is breast reduction. If you feel

701
00:41:54,239 --> 00:41:56,800
Speaker 1: like you're too big and you have back problems or

702
00:41:56,920 --> 00:42:00,440
Speaker 1: for any other reason, you can get breast reduction. We

703
00:42:00,440 --> 00:42:03,080
Speaker 1: already talked about the mast aplexi, which is the breast lift,

704
00:42:03,640 --> 00:42:07,120
Speaker 1: and that's when they actually remove skin and rejoin it

705
00:42:07,280 --> 00:42:10,600
Speaker 1: to lift it up. It's pretty simple. Actually, I wouldn't

706
00:42:10,640 --> 00:42:15,359
Speaker 1: want to perform it, I'm saying, but in uh, what's

707
00:42:15,360 --> 00:42:18,759
Speaker 1: the word concept, it's pretty simple, right, um. And then

708
00:42:18,800 --> 00:42:22,640
Speaker 1: breast reconstruction UM. A lot of times, if your breasts

709
00:42:22,680 --> 00:42:26,120
Speaker 1: have been removed for mostectomy or damaged and you know,

710
00:42:26,360 --> 00:42:29,640
Speaker 1: because of some accident or something, they can actually reconstruct

711
00:42:29,640 --> 00:42:32,840
Speaker 1: your breasts in a realistic fashion, right, and uh, we

712
00:42:33,160 --> 00:42:36,360
Speaker 1: said women aren't the only are the only um humans

713
00:42:36,400 --> 00:42:40,680
Speaker 1: that have breasts, But there are um electric procedures for

714
00:42:40,880 --> 00:42:45,759
Speaker 1: men who want to bulk up their pecks called pectoral implants.

715
00:42:45,840 --> 00:42:50,560
Speaker 1: And what did you watch Entourage? Johnny dropped like, I

716
00:42:50,600 --> 00:42:52,800
Speaker 1: don't think he got him, but he wanted caffeine plants

717
00:42:52,800 --> 00:42:56,440
Speaker 1: at one point. I've heard of those. Yeah, caffe implants.

718
00:42:56,680 --> 00:43:01,440
Speaker 1: Uh yeah, pec implants. Come on, Um see I can

719
00:43:01,520 --> 00:43:05,000
Speaker 1: judge guys. What are you doing dudes? So well, well,

720
00:43:05,040 --> 00:43:07,319
Speaker 1: well that's we'll see what we're doing. Um. The arm

721
00:43:07,440 --> 00:43:09,799
Speaker 1: it's done with an armpin incision. It's a lot like

722
00:43:09,840 --> 00:43:13,279
Speaker 1: the trans axillary breast implant, thank for women. And they

723
00:43:13,320 --> 00:43:15,360
Speaker 1: go in there and lodge it behind the peck muscles

724
00:43:15,360 --> 00:43:17,120
Speaker 1: to just kind of bulk them up to stick them

725
00:43:17,120 --> 00:43:20,120
Speaker 1: out further. Um, and there you go, all of a sudden,

726
00:43:20,160 --> 00:43:22,880
Speaker 1: you are Charles Atlas. Yeah. Or you can have reduction

727
00:43:22,880 --> 00:43:26,359
Speaker 1: as a man too, if you're Bob from Fight Club. Yeah, yeah,

728
00:43:26,400 --> 00:43:31,920
Speaker 1: that's right. Um kind of because because maastia, um, it's

729
00:43:32,560 --> 00:43:35,160
Speaker 1: usually hereditary. It can be as a result of your diet,

730
00:43:35,200 --> 00:43:38,200
Speaker 1: but basically it's when guys end up feeling like they

731
00:43:38,200 --> 00:43:42,080
Speaker 1: have boobs and I feel like or do yeah, and

732
00:43:42,160 --> 00:43:44,239
Speaker 1: it's it's an embarrassing thing. I'm sure. So you can

733
00:43:44,280 --> 00:43:48,359
Speaker 1: get that removed. It's basically um bypo suction just under

734
00:43:48,360 --> 00:43:50,680
Speaker 1: the nipple, right, And if it's the result of a

735
00:43:50,800 --> 00:43:54,000
Speaker 1: glandular disorder, they'll probably just take the glands out while

736
00:43:54,040 --> 00:43:56,640
Speaker 1: they're there. And usually it takes more than one surgery,

737
00:43:56,680 --> 00:43:59,799
Speaker 1: but it can be corrected. What if insurance covers that?

738
00:44:02,120 --> 00:44:05,520
Speaker 1: I don't know. Does insurance cover any kind of plastic surgery?

739
00:44:06,360 --> 00:44:08,759
Speaker 1: I don't know, I don't I bet you wouldn't cover

740
00:44:08,760 --> 00:44:12,880
Speaker 1: that because it's still cosmetic, you know, I don't know.

741
00:44:14,160 --> 00:44:15,440
Speaker 1: I mean, I think you probably have to show the

742
00:44:15,800 --> 00:44:18,799
Speaker 1: medical problem, right, but I think you can if you

743
00:44:18,880 --> 00:44:22,160
Speaker 1: show that you're suffering from it psychologically, it might fall

744
00:44:22,280 --> 00:44:25,799
Speaker 1: under it. I don't know. We'll find out, because I'll

745
00:44:25,800 --> 00:44:29,400
Speaker 1: bet you an insurance claims adjuster writes in and tells

746
00:44:29,480 --> 00:44:32,120
Speaker 1: us that's my prediction. And you know what, I was

747
00:44:32,200 --> 00:44:36,200
Speaker 1: judging on the peck implants for there maybe uh cases

748
00:44:36,200 --> 00:44:38,120
Speaker 1: I don't know about where guys have sort of like

749
00:44:38,200 --> 00:44:40,879
Speaker 1: malform chest or something and they just want to look normal. Yeah,

750
00:44:41,280 --> 00:44:47,239
Speaker 1: I was talking about the guys who are like still

751
00:44:47,360 --> 00:44:51,880
Speaker 1: judging hit the gym man, do h some bench press?

752
00:44:51,920 --> 00:44:56,000
Speaker 1: You know, you want to increase your packs. So yeah,

753
00:44:57,239 --> 00:44:59,600
Speaker 1: push ups. Let's talk. Let's give me sit on your

754
00:44:59,600 --> 00:45:03,320
Speaker 1: back and do pushops one one handed mershell walker style. Yeah.

755
00:45:03,520 --> 00:45:06,719
Speaker 1: Supposedly he never lifted weights. Did you never know that? No? Yeah,

756
00:45:06,760 --> 00:45:09,560
Speaker 1: he never lifted weights in his life. Everything he had

757
00:45:09,600 --> 00:45:12,200
Speaker 1: people sit on and do push like two thousand push

758
00:45:12,280 --> 00:45:14,400
Speaker 1: ups a day and stuff like that. It was all

759
00:45:14,920 --> 00:45:18,239
Speaker 1: either isometrics or like chin ups, push ups, pull ups. Uh,

760
00:45:19,160 --> 00:45:24,960
Speaker 1: rolling a attractive tire exactly old school. Let's talk risks, man,

761
00:45:25,000 --> 00:45:27,520
Speaker 1: because this is uh, this is first of all, it's surgery.

762
00:45:27,560 --> 00:45:29,640
Speaker 1: So there's always an attendant risk with any kind of

763
00:45:29,640 --> 00:45:33,000
Speaker 1: surgery where general anesthesia is used. Right, it sounds like

764
00:45:33,040 --> 00:45:37,480
Speaker 1: a disclaimer. Well, it's true. I mean surgeries. Surgery is risky. Um. Well,

765
00:45:37,520 --> 00:45:43,480
Speaker 1: anesthesia is risky. Um. There's also infection. Anytime you're cut open,

766
00:45:43,600 --> 00:45:47,760
Speaker 1: there's a risk of infection. But then breast augmentation surgery

767
00:45:47,880 --> 00:45:51,520
Speaker 1: comes with its own attendance set of risks that are um,

768
00:45:51,640 --> 00:45:57,279
Speaker 1: they vary from definitely gonna happen, like the capsule contractor Yeah,

769
00:45:57,400 --> 00:46:05,120
Speaker 1: this scar tissue to extraordinarily rare like semastia. Yes, did

770
00:46:05,120 --> 00:46:07,600
Speaker 1: you see this? I did? It was I had no

771
00:46:07,640 --> 00:46:10,680
Speaker 1: idea that it could happen. Semastia is basically where your

772
00:46:11,640 --> 00:46:15,480
Speaker 1: breasts joined together as the result of an augmentation surgery

773
00:46:15,480 --> 00:46:19,200
Speaker 1: and you have one mega breast. Yeah. Um, I have

774
00:46:19,280 --> 00:46:22,280
Speaker 1: seen something that make braziers now, like post surgical braziers

775
00:46:22,280 --> 00:46:26,319
Speaker 1: and try and yeah that try and prevent that. Um.

776
00:46:26,360 --> 00:46:28,200
Speaker 1: But yeah, I've never heard of that either. I guess

777
00:46:28,200 --> 00:46:31,680
Speaker 1: they so after surgery, do they just kind of gravitate

778
00:46:31,920 --> 00:46:36,520
Speaker 1: towards one another? Um? Actually, I'm not sure. It just

779
00:46:36,560 --> 00:46:39,680
Speaker 1: says it. It's it's a mistake. So it's not like

780
00:46:40,080 --> 00:46:44,000
Speaker 1: some just bad you know, bad fortune. It's actual surgical mistake.

781
00:46:44,280 --> 00:46:48,440
Speaker 1: You get to own a portion of the doctor's office

782
00:46:48,520 --> 00:46:52,560
Speaker 1: that But yeah, the implants lift off the tournam and

783
00:46:52,600 --> 00:46:55,600
Speaker 1: grow together. So um, I guess the scar tissue grows

784
00:46:55,640 --> 00:46:57,640
Speaker 1: together in that case. That's my guess. It's kind of

785
00:46:57,680 --> 00:47:01,440
Speaker 1: like a unibrow made of breasts. But apparently it's fairly

786
00:47:01,520 --> 00:47:06,080
Speaker 1: hard to correct, is the big problem. Yeah, that's that's

787
00:47:06,120 --> 00:47:07,960
Speaker 1: pretty sad when you go in to try and make

788
00:47:07,960 --> 00:47:09,960
Speaker 1: yourself look better. And you feel bad about yourself already

789
00:47:10,000 --> 00:47:12,239
Speaker 1: maybe and then you end up like with something like this.

790
00:47:13,040 --> 00:47:14,600
Speaker 1: But these are risk you need to know about, you know.

791
00:47:14,719 --> 00:47:17,520
Speaker 1: And that is the opposite of the total recall, which

792
00:47:17,560 --> 00:47:21,799
Speaker 1: is three breasts. Yeah, remember that I forgot about that man.

793
00:47:21,840 --> 00:47:23,480
Speaker 1: That was a great movie. I wonder if they put

794
00:47:23,520 --> 00:47:25,759
Speaker 1: that in the remake because that was one of the

795
00:47:25,800 --> 00:47:29,480
Speaker 1: sort of goofy signature moments of that goofy movie. Yeah,

796
00:47:29,800 --> 00:47:32,960
Speaker 1: that was you know, it's a Philip K. Dick novel. Yeah,

797
00:47:33,320 --> 00:47:37,080
Speaker 1: I wrote like all sci fi basically. Yeah, pretty much

798
00:47:37,239 --> 00:47:39,520
Speaker 1: any sci fi movie ever was written by Philip K. Dick.

799
00:47:39,640 --> 00:47:42,040
Speaker 1: Did you know that he believes he was possessed by

800
00:47:42,040 --> 00:47:45,000
Speaker 1: an angel later on in his life? Really, yeah, he

801
00:47:45,120 --> 00:47:48,919
Speaker 1: came to he he believed that he was possessed by

802
00:47:49,040 --> 00:47:53,040
Speaker 1: a benevolent spirit that basically took him from being like

803
00:47:53,080 --> 00:47:58,439
Speaker 1: a complete shlub, drug addict loser who still wrote great

804
00:47:58,480 --> 00:48:02,920
Speaker 1: novels to just becoming like a person with a fairly normal,

805
00:48:03,160 --> 00:48:07,480
Speaker 1: orderly life. Uh, he cleaned himself up. He attributed it,

806
00:48:07,520 --> 00:48:10,760
Speaker 1: all of it to this possession that said, this happened

807
00:48:10,880 --> 00:48:13,160
Speaker 1: and that was the rest of his life. They should

808
00:48:13,200 --> 00:48:15,279
Speaker 1: make a movie about that guy. I'm just kind of

809
00:48:15,280 --> 00:48:18,279
Speaker 1: surprised they haven't, but someone does. Eventually he's here and

810
00:48:18,280 --> 00:48:21,719
Speaker 1: then because it was my idea. Yeah, you can't just

811
00:48:21,760 --> 00:48:25,840
Speaker 1: say that every time. It's got to be like your idea,

812
00:48:25,920 --> 00:48:31,600
Speaker 1: a good idea, not obvious memories. And I know everyone

813
00:48:31,640 --> 00:48:34,120
Speaker 1: agrees with shark, but that's like saying they should make

814
00:48:34,160 --> 00:48:37,319
Speaker 1: a modern movie on Charles Darwin. Right, I made that

815
00:48:37,440 --> 00:48:39,480
Speaker 1: up right, you can't do that. I'm not going to

816
00:48:39,560 --> 00:48:42,480
Speaker 1: support your lawsuit against two ever makes the Philip K.

817
00:48:42,640 --> 00:48:50,359
Speaker 1: Dick movie because now you're having a depressing effect on innovation. Yeah,

818
00:48:50,400 --> 00:48:54,439
Speaker 1: you're right, I apologize everyone, alright. So bottoming out, let's

819
00:48:54,440 --> 00:48:58,319
Speaker 1: get back to the risks. Um. Bottoming out is when

820
00:48:58,520 --> 00:49:02,200
Speaker 1: the implants sit too low, the nipple rides too high,

821
00:49:02,320 --> 00:49:06,640
Speaker 1: and that is a result of another mistake. Basically, they

822
00:49:06,640 --> 00:49:08,839
Speaker 1: cut out too large of a pocket, so it sits

823
00:49:08,840 --> 00:49:11,600
Speaker 1: down too low. It is correctible though again with a

824
00:49:11,680 --> 00:49:16,240
Speaker 1: revision surgery. Yeah, there's a humatoma, which is basically blood

825
00:49:16,280 --> 00:49:18,960
Speaker 1: collecting and pulling around it um. It can be painful,

826
00:49:19,560 --> 00:49:24,319
Speaker 1: requires drainage, sometimes can be lumpy. Yeah, we talked about

827
00:49:24,360 --> 00:49:29,160
Speaker 1: mammography being interfered with by breast implants, which is a problem,

828
00:49:29,239 --> 00:49:32,000
Speaker 1: but I guess they're kind of there is technology then

829
00:49:32,040 --> 00:49:35,920
Speaker 1: that you came across that, Yeah, as long as they know,

830
00:49:36,080 --> 00:49:39,120
Speaker 1: but it can you know, it can hide cancer growths

831
00:49:39,160 --> 00:49:43,040
Speaker 1: and X rays and you know, it's uh, it definitely

832
00:49:43,080 --> 00:49:45,719
Speaker 1: has something to consider, especially if that's something that runs

833
00:49:45,719 --> 00:49:50,120
Speaker 1: in your family. Yeah, um necrosis, which anytime you hear

834
00:49:50,520 --> 00:49:55,280
Speaker 1: that word necros in anywhere, you're headed for bad times.

835
00:49:56,160 --> 00:49:59,120
Speaker 1: That is tissue death. That is pretty rare, but it's

836
00:49:59,160 --> 00:50:03,760
Speaker 1: really serious and it usually results in removal of the implant.

837
00:50:03,800 --> 00:50:07,520
Speaker 1: And like sorry, sorry, you know you can't have breast

838
00:50:07,560 --> 00:50:12,840
Speaker 1: implants large large scars, permanent scars. It's bad news. Um. Again,

839
00:50:12,960 --> 00:50:18,080
Speaker 1: the breast implant canter rupture. Apparently most implant manufacturers offer

840
00:50:18,440 --> 00:50:23,560
Speaker 1: warranties for the breast uh, the implants themselves. You gotta

841
00:50:23,560 --> 00:50:27,480
Speaker 1: fill out your little card right and you also mentioned

842
00:50:27,480 --> 00:50:31,040
Speaker 1: like what magazines do you like exactly? Um, but there

843
00:50:31,080 --> 00:50:32,720
Speaker 1: are a lot of things you can do to void

844
00:50:32,800 --> 00:50:36,720
Speaker 1: said warranty. Yeah, probably, like leaning on fences is against

845
00:50:36,800 --> 00:50:40,560
Speaker 1: the warranty. Just things like that, like you you have

846
00:50:40,680 --> 00:50:43,200
Speaker 1: to once you get your warranty from what this article.

847
00:50:43,200 --> 00:50:46,880
Speaker 1: As this article paints it, you. Um, basically, you have

848
00:50:46,960 --> 00:50:49,719
Speaker 1: breast implants down. You have to be cognizant of that

849
00:50:50,200 --> 00:50:52,879
Speaker 1: or else you they are at risk of rupturing. Yeah,

850
00:50:52,880 --> 00:50:57,760
Speaker 1: they're not indestructible. Um. Did we talk about s roma?

851
00:50:57,960 --> 00:51:00,680
Speaker 1: That is just a collection of fluid, pretty minor and

852
00:51:00,719 --> 00:51:04,360
Speaker 1: they can usually just drain that with a needle. Yeah,

853
00:51:04,440 --> 00:51:09,640
Speaker 1: and then uh, we covered both semastia and rippling, and

854
00:51:09,680 --> 00:51:12,720
Speaker 1: those are the risks and you've got to consider all

855
00:51:12,800 --> 00:51:17,960
Speaker 1: that stuff because it happens, and it's probably your worst nightmare.

856
00:51:18,120 --> 00:51:21,200
Speaker 1: Some of that bad stuff happens. So I think you

857
00:51:21,400 --> 00:51:25,800
Speaker 1: kind of hit upon it pretty well earlier. Um, he said,

858
00:51:26,400 --> 00:51:27,920
Speaker 1: if you're gonna do this, you need to know all

859
00:51:27,920 --> 00:51:30,719
Speaker 1: the risks. You should be fully informed if you're gonna

860
00:51:30,760 --> 00:51:33,520
Speaker 1: make a decision like this. But if you make that decision,

861
00:51:34,480 --> 00:51:38,839
Speaker 1: go for it. And in singles, Bill Pullman completely talks

862
00:51:38,920 --> 00:51:41,640
Speaker 1: right of it. And basically it's like tells her how

863
00:51:41,680 --> 00:51:43,879
Speaker 1: beautiful she is and how she doesn't need that kind

864
00:51:43,880 --> 00:51:46,320
Speaker 1: of thing, and it's like the sweet camera and chrome moment.

865
00:51:47,000 --> 00:51:49,680
Speaker 1: He wasn't into each his own. He was turning down

866
00:51:49,719 --> 00:51:53,239
Speaker 1: money and a potential client trying to get a date,

867
00:51:53,280 --> 00:51:55,600
Speaker 1: which he did not get well. I imagine Bill Pullman

868
00:51:55,680 --> 00:52:00,920
Speaker 1: is pretty well off. Uh yeah, he probably was. Uh

869
00:52:01,120 --> 00:52:03,759
Speaker 1: what do you think Secret Life of Walter Mintie is

870
00:52:03,800 --> 00:52:06,360
Speaker 1: gonna be good? Or no? The trailer looks awesome. It

871
00:52:06,400 --> 00:52:09,040
Speaker 1: does look also, it looks really really cool. But I mean,

872
00:52:09,080 --> 00:52:11,440
Speaker 1: I've been fooled by trailers before, Chuck. I know, I've

873
00:52:11,440 --> 00:52:13,640
Speaker 1: been waiting for this movie for a long time. They

874
00:52:13,680 --> 00:52:15,719
Speaker 1: were gonna make it with Jim Carey, like fifteen years ago.

875
00:52:16,080 --> 00:52:17,920
Speaker 1: I could see that he would work one of my

876
00:52:17,960 --> 00:52:21,040
Speaker 1: favorite stories. So I'm a little bit apprehensive. But it

877
00:52:21,080 --> 00:52:25,720
Speaker 1: looks good. Who wrote it? It's right there? Man, jeez,

878
00:52:25,719 --> 00:52:27,879
Speaker 1: I can't even think of it. It's not It wasn't. Oh,

879
00:52:27,920 --> 00:52:30,960
Speaker 1: Henry wasn't it was Why did you bring this up?

880
00:52:31,040 --> 00:52:33,840
Speaker 1: What led you to that? Uh? You're talking about singles

881
00:52:34,560 --> 00:52:37,839
Speaker 1: and I thought that Ben still Head directed singles. Yeah,

882
00:52:37,880 --> 00:52:42,840
Speaker 1: those reality bites. Yes, yeah, yeah. And it's taken me

883
00:52:42,920 --> 00:52:46,560
Speaker 1: like a lot to remind myself you're not talking about swingers.

884
00:52:47,360 --> 00:52:54,160
Speaker 1: Oh right, so all those movieses? What a waste? Um,

885
00:52:54,200 --> 00:52:56,879
Speaker 1: if you you got anything else, I don't have anything else.

886
00:52:56,920 --> 00:52:59,640
Speaker 1: Oh I have one more thing. Apparently, um. Breast implants

887
00:52:59,760 --> 00:53:04,120
Speaker 1: were linked to suicide and increased risk of suicide, um

888
00:53:04,160 --> 00:53:07,080
Speaker 1: after a certain amount of years of having them. But

889
00:53:07,440 --> 00:53:09,520
Speaker 1: this it just popped up in two thousand seven and

890
00:53:09,560 --> 00:53:11,799
Speaker 1: it was found in one study and everybody it made

891
00:53:11,800 --> 00:53:14,040
Speaker 1: the news cycle and then just went away. Yeah, and

892
00:53:14,040 --> 00:53:16,000
Speaker 1: that's all. I didn't get a real accurate stat but

893
00:53:16,040 --> 00:53:19,440
Speaker 1: the woman, an accurant acron that's still in the breastand

894
00:53:19,480 --> 00:53:23,520
Speaker 1: Plan of the Future, estimated that about fifty thousand out

895
00:53:23,520 --> 00:53:26,480
Speaker 1: of four hundred thousand that are performed per year do

896
00:53:26,640 --> 00:53:31,239
Speaker 1: require like half complications and require revision surgery. So that's

897
00:53:31,560 --> 00:53:36,520
Speaker 1: an eighth that's probably significant surgically speaking. I want to

898
00:53:36,560 --> 00:53:39,120
Speaker 1: say also about the suicide think, just based on my

899
00:53:39,239 --> 00:53:43,040
Speaker 1: knowledge of news and journalism and stuff like that, if

900
00:53:43,080 --> 00:53:45,560
Speaker 1: it just popped up once and you can't find anything else,

901
00:53:45,840 --> 00:53:49,280
Speaker 1: and all the reports on it or stories on anything

902
00:53:49,840 --> 00:53:53,919
Speaker 1: are all within a week of one another, five years ago,

903
00:53:54,200 --> 00:53:57,240
Speaker 1: six years ago there, and there's no follow up whatsoever.

904
00:53:57,320 --> 00:54:02,520
Speaker 1: It wasn't a thing. Uh okay, Well, let's breast implants.

905
00:54:02,520 --> 00:54:05,239
Speaker 1: If you want to learn more, there's a really extensive

906
00:54:05,320 --> 00:54:08,920
Speaker 1: in depth article on the site, including flash animations of

907
00:54:08,960 --> 00:54:13,120
Speaker 1: the different types of incisions. Yeah, you can type breast

908
00:54:13,480 --> 00:54:16,200
Speaker 1: implant into the search bart how stuff works dot com

909
00:54:16,239 --> 00:54:17,960
Speaker 1: and it will bring that up. And since I said

910
00:54:17,960 --> 00:54:26,320
Speaker 1: search bar, it's time for message break. Uh and Chuck

911
00:54:26,560 --> 00:54:29,799
Speaker 1: take us out with some listener mail. Hum all right,

912
00:54:29,880 --> 00:54:33,960
Speaker 1: James Thurber by the way Secret Life nice. Um, all right,

913
00:54:34,600 --> 00:54:37,520
Speaker 1: this is from Todd and okay, see and this is

914
00:54:37,560 --> 00:54:41,760
Speaker 1: about vulture vomit. Hey, guys and Jerry. I just finished

915
00:54:41,800 --> 00:54:43,680
Speaker 1: listening to the podcasts and Vultures. It reminded me of

916
00:54:43,719 --> 00:54:45,759
Speaker 1: the story. A couple of my buddies were going to

917
00:54:45,800 --> 00:54:49,160
Speaker 1: college at in m s u Go Aggies, that's New

918
00:54:49,200 --> 00:54:51,960
Speaker 1: Mexico State. They were driving through the desert north of

919
00:54:52,000 --> 00:54:55,920
Speaker 1: Las Crucis. I've been there myself actually, when they came

920
00:54:55,920 --> 00:54:58,399
Speaker 1: across a small wake of vultures eating some road kill.

921
00:54:58,800 --> 00:55:00,840
Speaker 1: Two of the vultures flew away the truck approach, but

922
00:55:00,840 --> 00:55:03,279
Speaker 1: the third was just a little too slow. The poor

923
00:55:03,360 --> 00:55:07,640
Speaker 1: bird cannonballed into the windshield, which instantly shattered into tiny

924
00:55:07,680 --> 00:55:11,959
Speaker 1: glass cubes. The vulture's head punched through the windshield while

925
00:55:11,960 --> 00:55:15,080
Speaker 1: the rest of them stayed outside. The vulture instantly puked

926
00:55:15,120 --> 00:55:17,720
Speaker 1: all over the inside of the truck while my buddy

927
00:55:17,800 --> 00:55:19,719
Speaker 1: screamed in the truck. Fish tale to a halt in

928
00:55:19,719 --> 00:55:22,520
Speaker 1: the middle of the highway. Will that guy painted one

929
00:55:22,560 --> 00:55:26,000
Speaker 1: heck of a picture just now? When they jumped out

930
00:55:26,000 --> 00:55:27,920
Speaker 1: of the truck, the vultures wings were covering most of

931
00:55:27,920 --> 00:55:29,920
Speaker 1: the wind shield. As it struggled to get free, they

932
00:55:29,960 --> 00:55:31,440
Speaker 1: ended up having to pry it's head out of the

933
00:55:31,440 --> 00:55:34,400
Speaker 1: windshield the handle of a shovel, and believe it or not,

934
00:55:34,480 --> 00:55:36,920
Speaker 1: it managed to fly away. Aside from a leg that

935
00:55:37,000 --> 00:55:40,520
Speaker 1: was dangling and apparently injured, it appeared to be okay.

936
00:55:40,960 --> 00:55:43,680
Speaker 1: I don't know if that Thanks for the ride, lady.

937
00:55:43,800 --> 00:55:46,080
Speaker 1: Uh Now, I wasn't there, so I can't promise that

938
00:55:46,120 --> 00:55:47,840
Speaker 1: the story happened exactly as it was told to me,

939
00:55:47,920 --> 00:55:50,600
Speaker 1: but I can confirm that the interior the truck smelled

940
00:55:50,760 --> 00:55:53,840
Speaker 1: like a buzzard barth two months later. Keep up the

941
00:55:53,840 --> 00:55:56,480
Speaker 1: great work. You're one of my favorite shows. Always happy

942
00:55:56,560 --> 00:55:58,680
Speaker 1: when the episodes pop up on my phone, which is

943
00:55:58,680 --> 00:56:01,160
Speaker 1: every Tuesday and Thursday. He hasn't He's not good at

944
00:56:01,200 --> 00:56:04,799
Speaker 1: recognizing pattern. He should not be surprised. Oh there's another one.

945
00:56:05,239 --> 00:56:07,400
Speaker 1: It seems like this happens every two days. I'll let

946
00:56:07,440 --> 00:56:10,399
Speaker 1: my card down and it's Thursday. Hey, uh so that's

947
00:56:10,400 --> 00:56:13,840
Speaker 1: Todd from Okay. See, thanks Todd, you were not the

948
00:56:13,880 --> 00:56:16,560
Speaker 1: Todd that I was talking to earlier about the pill.

949
00:56:17,000 --> 00:56:20,279
Speaker 1: That was a fictional Todd. But how crazy would that

950
00:56:20,320 --> 00:56:24,120
Speaker 1: be if that Todd did think that breast augmentation surgery

951
00:56:24,960 --> 00:56:27,960
Speaker 1: was carrying out by PILs. Weird. Weird right back and

952
00:56:28,040 --> 00:56:30,919
Speaker 1: let us know what you're Todd from Okay, se agreed. Uh.

953
00:56:30,960 --> 00:56:33,360
Speaker 1: You know, we always love to hear follow ups about

954
00:56:33,640 --> 00:56:39,120
Speaker 1: our episodes. You can tweet them to us on Twitter.

955
00:56:39,440 --> 00:56:43,160
Speaker 1: Our Twitter handle is at s y s K podcast.

956
00:56:43,719 --> 00:56:47,480
Speaker 1: On Facebook, we're at Facebook dot com slash Stuff you

957
00:56:47,520 --> 00:56:50,120
Speaker 1: Should Know. UM. You can always send us an email

958
00:56:50,160 --> 00:56:54,360
Speaker 1: to Stuff Podcast at Discovery dot com, or, like we

959
00:56:54,440 --> 00:56:57,279
Speaker 1: say in the beginning of episodes, now join us at

960
00:56:57,280 --> 00:57:05,759
Speaker 1: our home on the web, Stuff you Should Know dot com.

961
00:57:05,760 --> 00:57:08,319
Speaker 1: For more on this and thousands of other topics, visit

962
00:57:08,360 --> 00:57:17,120
Speaker 1: how Stuff Works dot com