WEBVTT - SYSK Selects: How Breast Implants Work

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<v Speaker 1>Hey there, it's your old pal Josh. This week's curator

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<v Speaker 1>of s Y s K selects, and this week I've

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<v Speaker 1>selected how breast implants Work. Uh. It's a pretty great

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<v Speaker 1>vintage episode. Has it all science, pop culture, history, surgery,

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<v Speaker 1>all sorts of weird stuff. And this episode is the

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<v Speaker 1>origin of when I realized that Chuck says the word

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<v Speaker 1>tattoo really oddly. So enjoy it. Take care to two.

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<v Speaker 1>Welcome to Stuff you Should Know Reroomhouse Stuff Works dot Com. Hey,

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<v Speaker 1>and welcome to the podcast. I'm Josh Clark, and there's

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<v Speaker 1>Charles W Chuck Bryant, and Jerry's over there. So you

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<v Speaker 1>got the three MUCHA shows together was well, Chaos and Muchacha.

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<v Speaker 1>Is that right? Is Muchacha a girl? It makes sense

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<v Speaker 1>to be probably that's generally how worths right, Yeah, but

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<v Speaker 1>I also may have just made up a word in

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<v Speaker 1>Spanish that it could be a snack food. Anyway, this

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<v Speaker 1>is stuff you should know, and we want to extend

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<v Speaker 1>a extra hearty welcome to all the additional twelve year

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<v Speaker 1>old boys who are listening to this one. We want

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<v Speaker 1>to apologize in advance for disappointing you, because you're going

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<v Speaker 1>to be sorely disappointed, and I would like to insert

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<v Speaker 1>a quick c a okay for myself. Um, we're gonna

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<v Speaker 1>be talking about breast implants, and I'm gonna try not

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<v Speaker 1>pepper the show with my own opinions because we have

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<v Speaker 1>the to each his own decree here, And I'm just

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<v Speaker 1>gonna go ahead and say out front, I'm not into it.

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<v Speaker 1>I wish people would just learn to love themselves. But

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<v Speaker 1>I get it, And if someone feels better to do

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<v Speaker 1>something like this, then then that's fine. No judgment here. Yeah, Um,

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<v Speaker 1>who are we to judge? Yeah, it's gonna be tough

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<v Speaker 1>in the parts about like the string Uh what was

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<v Speaker 1>that one called the string implant? It's dead and gone, yeah,

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<v Speaker 1>but still we got to cover it. Well, you might

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<v Speaker 1>hear some derision in my voice, a little like, but again,

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<v Speaker 1>if a string implant is what uh, those women wanted

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<v Speaker 1>to feel better than, then you have to go to

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<v Speaker 1>an underground doctor to get it. Now, Well you do now, Yeah,

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<v Speaker 1>And of course we're gonna you know, it's not just

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<v Speaker 1>like just augmentation, like you know, mastectomes and men can

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<v Speaker 1>get breast in plants. So we're gonna cover the whole gamut. Yeah,

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<v Speaker 1>you're given a lot away here. People know the whole

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<v Speaker 1>the whole farm. People know. People are gonna they're not

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<v Speaker 1>gonna want to buy the cow because you just gave

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<v Speaker 1>them all the milk. Hey, this, this milk and the

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<v Speaker 1>cow are both free anyway, so let's do it. That's

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<v Speaker 1>my little c o A. That was good chick. Thanks. Um.

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<v Speaker 1>We are talking breast implants, and we are going to

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<v Speaker 1>explain everything there is to know about breast plants. Breast

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<v Speaker 1>same plants, not breast plants. That's a it's a subtropical

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<v Speaker 1>species of carnivorous plant um that looks like a breast.

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<v Speaker 1>Oh is that where it gets his name? Um? Anyway,

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<v Speaker 1>I want to have I have a little intro. So, um,

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<v Speaker 1>have you ever heard that in France the perfect breast

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<v Speaker 1>fits into champagne glass? I have not heard that. So

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<v Speaker 1>you told me this and I was like, what are

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<v Speaker 1>you talking about? I thought that at first two And

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<v Speaker 1>she's like, no, we're not a flute, you dummy, a coupe.

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<v Speaker 1>Because I was, I was saying that very odd of banana.

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<v Speaker 1>It's a weird. Yes, it would be a little weird

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<v Speaker 1>if that were the case, but as champagne coup. So

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<v Speaker 1>she looked it up and was showing it to me.

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<v Speaker 1>And while we were UM, while we were looking at that,

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<v Speaker 1>we found another axiom that was possibly even more true

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<v Speaker 1>that in America. Somebody commented underneath this, in America, the

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<v Speaker 1>of a breast cloggs a toilet doesn't fit into a

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<v Speaker 1>champagne coop. It cloggs a toilet. That's an axiom, it

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<v Speaker 1>is according to this comment or who made it up.

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<v Speaker 1>I did not know that. I I think the commenter

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<v Speaker 1>made it up as a joke, okay, and it was

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<v Speaker 1>a pretty funny joke if you ask me. I thought

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<v Speaker 1>I was going to get a bigger response from you,

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<v Speaker 1>but I'll live with what I got. Um. The point

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<v Speaker 1>is is, if in America that is the standard breast

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<v Speaker 1>so big that they clogged toilets, that's a pretty high

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<v Speaker 1>bar to set, especially naturally, which is probably why some

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<v Speaker 1>women turned to breast implants. Yeah, and speaking of America,

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<v Speaker 1>it seems like a good place for that. Um. They

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<v Speaker 1>topped the list in the number total number of breast

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<v Speaker 1>implant operations. UM. But if you want to go per capita,

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<v Speaker 1>there number five and the first four are Brazil, Greece, Italy,

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<v Speaker 1>and Colombia. Per capita, which is to me, what matters

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<v Speaker 1>per capita. Sure, obviously we have the most because we

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<v Speaker 1>have more people, right than in those other countries. I

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<v Speaker 1>am surprised that we're number five. I would think we'd

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<v Speaker 1>be higher than that. You know, it's number ten per capita.

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<v Speaker 1>Of course, what is that, right? Yeah, they're like comfortably

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<v Speaker 1>in the middle. Although no, that's still pretty high towards

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<v Speaker 1>the top. Although I guess it would be about in

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<v Speaker 1>the middle if you just did industrialized countries. So anyway,

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<v Speaker 1>there's my stat that's a great stat. I've got another

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<v Speaker 1>one for you, Chuck Um. Breast implants was the number

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<v Speaker 1>one elective surgery in two thousand twelve in the United States.

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<v Speaker 1>In two thousand eleven it was LiPo, but breast implants

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<v Speaker 1>breast augmentation. Um beat it out in two thousand twelve.

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<v Speaker 1>I don't know how many, probably by a nose, because

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<v Speaker 1>in two thousand eleven it was three hundred thousand and

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<v Speaker 1>change LiPo sections, and in two thousand and twelve there

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<v Speaker 1>are three hundred and thirty thousand, six hundred and eighty

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<v Speaker 1>one breast augmentation surgeries. In two thousand twelve, according to

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<v Speaker 1>the Wall Street Journal, you know that was a rhino

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<v Speaker 1>plastic sat that would have been a great joke by

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<v Speaker 1>knows By. You know, yeah, I bet that's on the

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<v Speaker 1>top five. Oh, I guess so sure. In fact, I

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<v Speaker 1>bet that's number three. There's several ways to find out,

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<v Speaker 1>should we know, Man, this thing is all too a

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<v Speaker 1>rocky start. I'm just guessing. Okay, So let's talk breast implants.

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<v Speaker 1>For before we talked implants, Chuck, we should probably talk

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<v Speaker 1>about well, you want to talk about the history of him. Yeah,

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<v Speaker 1>that's a good place to start. So apparently a guy,

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<v Speaker 1>a doctor named two doctors named Frank Garrow and Thomas

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<v Speaker 1>cronin Um came up with the idea. And Garrel specifically

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<v Speaker 1>squeezed a plastic blood bag one day and remarked how

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<v Speaker 1>much it felt like a breast, right, and that was

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<v Speaker 1>um circu Yeah, And so he had the That apparently

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<v Speaker 1>was the quote unquote aha moment like, hey, we should

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<v Speaker 1>do this. So they tried it out on a dog

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<v Speaker 1>named Esmerelda and uh and not obviously, you know, they

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<v Speaker 1>were just inserting it into a body. They weren't like, hey,

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<v Speaker 1>let's give this dog boobs. You know, they have always

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<v Speaker 1>wanted to see what boobs look like kind of dogs.

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<v Speaker 1>So they wanted to just see if it worked, and

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<v Speaker 1>it apparently it took enough to where they're like, hey,

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<v Speaker 1>I think we can try this on a person. Yeah,

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<v Speaker 1>Esmerelda chewed at our stitches, so they had to remove

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<v Speaker 1>it after a couple of weeks. But I mean that

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<v Speaker 1>they were they were. It was definitely an improvement on um,

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<v Speaker 1>what had been an innovation among Japanese prostitutes during World

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<v Speaker 1>War Two because American gis again boobs that calged a

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<v Speaker 1>toilet um. They apparently the Japanese prostitute said, Hey, these

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<v Speaker 1>guys like big boobs, let's give him big boobs. Let's

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<v Speaker 1>steal some medical grade silicone from the docks of Yokohama.

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<v Speaker 1>I thought it was sponges that that was something. They

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<v Speaker 1>also they self injected silicone directly into their breasts, which

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<v Speaker 1>apparently worked, but it also gave them things like gang

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<v Speaker 1>Green thinks the silicone rot At the side of injection.

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<v Speaker 1>There was a lot of hematomas, very bad news stuff,

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<v Speaker 1>but there was a It showed this desire to increase

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<v Speaker 1>breast size, and these guys in the early sixties came

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<v Speaker 1>in to deliver that's right. Uh, and they did it

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<v Speaker 1>in it's sort of a weird way. There was this

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<v Speaker 1>woman named Timmy Jean Lindsay in nine two, a mother

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<v Speaker 1>of six in Houston, Texas, and she had to too

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<v Speaker 1>of a rose vine on her breasts that her boyfriend

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<v Speaker 1>talked her into. Broke up with a boyfriend and was like,

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<v Speaker 1>I kind of really don't want this anymore. Went in

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<v Speaker 1>to get the two two removed and she had to

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<v Speaker 1>change to wino forever exactly, And um, why are you

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<v Speaker 1>saying to huh? I always said that it's tattoo to too.

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<v Speaker 1>No not I mean no, okay I And if you

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<v Speaker 1>say it like that again to each his own, if

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<v Speaker 1>you want breast implants, fine, if you want to say

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<v Speaker 1>to too, fine, But I couldn't just sit here and

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<v Speaker 1>pretend like I didn't notice that you were saying too.

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<v Speaker 1>I've said that plenty of times and be ignored me.

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<v Speaker 1>So are you sure? Yeah? Alright, alright. So anyway, she

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<v Speaker 1>went in to get the tattoo removed. No, no, go back,

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<v Speaker 1>go back to to two. I feel too guilty when

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<v Speaker 1>you say tattoo to get it removed and umo, and

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<v Speaker 1>she said that, Um, they said, hey, we got this

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<v Speaker 1>new thing called breast implants. Would you like to try it?

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<v Speaker 1>And she said, well, my ears stick out too much.

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<v Speaker 1>If you if you pin my ears back some, I'll

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<v Speaker 1>let you use me as a guinea pig. Basically, she

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<v Speaker 1>knows how to bargain. Yeah, and that's what happened. That's

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<v Speaker 1>the first breast implants were sort of a bargain like that.

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<v Speaker 1>She went from a bead cup to a seat cup.

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<v Speaker 1>That is correct. And um, this is at a time

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<v Speaker 1>when women wore pointy cone braws and stuff like that.

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<v Speaker 1>It was there was a big emphasis on big boobs.

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<v Speaker 1>Maryland was big. They had false ease, even like the

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<v Speaker 1>padded braws. Yeah, so there was, I mean, this desire

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<v Speaker 1>to increase your bus size and to do it permanently.

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<v Speaker 1>It was there and it just kind of took off

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<v Speaker 1>like a rocket ever since then, ever since that the

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<v Speaker 1>first procedures. The problem is there were all sorts of

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<v Speaker 1>lawsuits associated with it too, especially because they were using

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<v Speaker 1>medical grade silicone. Uh that's derived from silicon, which is

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<v Speaker 1>a mineral that apparently makes up about four of Earth's crust,

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<v Speaker 1>mixed with oxygen to create silicone, which is was originally

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<v Speaker 1>a trade name of this medical grade silicon gel um

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<v Speaker 1>created by GE and the early implants would rupture, and

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<v Speaker 1>there were a lot of lawsuits against some of the manufacturers,

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<v Speaker 1>specifically DOAO, who shell out like three billion in UM

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<v Speaker 1>in payouts in just like the course of a decade. Yeah,

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<v Speaker 1>and well, so you might as well go ahead and

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<v Speaker 1>let the cat out of the bag. They finally FDA said,

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<v Speaker 1>actually they they put a voluntary moratorium. They were like

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<v Speaker 1>basically asked, can you stop making them in doctors? Can

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<v Speaker 1>you stop using them? Except in certain cases? Yeah, Like

0:11:16.320 --> 0:11:19.160
<v Speaker 1>there was inconclusive studies. Basically they never found like hard

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<v Speaker 1>proof that it could cause illness, but um, it was enough,

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<v Speaker 1>I guess in conclusion to say maybe we shouldn't push

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<v Speaker 1>on with us. Yeah, because the when the when the

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<v Speaker 1>implant ruptures and it's silicone, the body absorbs the silicone,

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<v Speaker 1>and they're like, just there, Well, what happens to the

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<v Speaker 1>body after it absorbs the silicone will happen, right, So,

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<v Speaker 1>since no one knew, they created that moratorium. In two

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<v Speaker 1>thousand and six, the FDA finally said, there's no evidence

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<v Speaker 1>that this is bad, so you can go back to silicone.

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<v Speaker 1>And now silicone implants make up of the you can

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<v Speaker 1>get them without any special cases. Now, even in two

0:11:56.640 --> 0:11:59.319
<v Speaker 1>thousand six they lifted the moratorium. Got you because for

0:11:59.360 --> 0:12:01.520
<v Speaker 1>a while it was just like, um, if you had

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<v Speaker 1>a mastectomy or um, if you were willing to if

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<v Speaker 1>you're willing to be part of a study going on

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<v Speaker 1>five to ten years um. And the reason why silicone

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<v Speaker 1>was so popular, and the reason actually they looked at

0:12:14.840 --> 0:12:17.079
<v Speaker 1>the band ultimately, aside from the fact that they never

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<v Speaker 1>found any, um, real provable medical problems from it, is

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<v Speaker 1>that it's apparently far superior to the alternative, which is

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<v Speaker 1>sailing filled bags. Yeah, they say, apparently the silicone feels better,

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<v Speaker 1>looks better. It's just look, it's more natural looking. Apparently

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<v Speaker 1>it moves. Oh my god, I can't believe I just

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<v Speaker 1>did that. Uh, the in the sailing is just kind

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<v Speaker 1>of like a water filled implant. Yeah. Should we tell

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<v Speaker 1>everybody Josh just talking with his hands, that's all. Um. Yeah,

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<v Speaker 1>so this is not a video podcast, So that's okay. Alright,

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<v Speaker 1>So silic is back. I don't I don't think I

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<v Speaker 1>knew that back in a big way. Se Man. That's

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<v Speaker 1>a that's that's a significan again, amount of three hundred

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<v Speaker 1>and thirty thousand. Um. So let's talk about before we

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<v Speaker 1>get into like how breast implants work and how they're

0:13:09.800 --> 0:13:12.440
<v Speaker 1>inserted and all that kind of stuff, let's talk about

0:13:12.440 --> 0:13:16.560
<v Speaker 1>the breast itself. Um, the anatomy of the breast as

0:13:16.559 --> 0:13:21.400
<v Speaker 1>it Well, apparently you can break a breast down into

0:13:21.440 --> 0:13:24.400
<v Speaker 1>two different and by the way, only women have breasts.

0:13:24.840 --> 0:13:28.360
<v Speaker 1>Men don't have breasts. Um, But you can break a

0:13:28.360 --> 0:13:33.439
<v Speaker 1>breast down into two separate parts. There's the structural component

0:13:34.400 --> 0:13:37.480
<v Speaker 1>and then there's the epithelial component. That's right, and that

0:13:37.520 --> 0:13:44.200
<v Speaker 1>produces the milk. Uh. Structural component is um ligaments, fatty tissue. Um.

0:13:44.240 --> 0:13:47.160
<v Speaker 1>There are there is muscle, but not actually as a

0:13:47.200 --> 0:13:50.319
<v Speaker 1>part of the breast. It's behind the breast exactly. Yeah.

0:13:50.400 --> 0:13:52.560
<v Speaker 1>And there's a there's a ligament that kind of works

0:13:52.600 --> 0:13:57.960
<v Speaker 1>to to keep the breasts suspended supported called the Cooper's ligament. Yeah.

0:13:58.200 --> 0:14:00.520
<v Speaker 1>I looked into that guy, by the way, what is

0:14:00.559 --> 0:14:03.280
<v Speaker 1>he like? He was He was just very big on

0:14:03.480 --> 0:14:07.440
<v Speaker 1>describing anatomy in the you know, mid eighteen hundreds, and

0:14:07.440 --> 0:14:09.480
<v Speaker 1>he's got a lot of stuff named after him, a

0:14:09.520 --> 0:14:12.120
<v Speaker 1>lot of diseases, a lot of body parts, Cooper's ankle,

0:14:12.320 --> 0:14:15.320
<v Speaker 1>Cooper's ligament is one of them. It's just the ankle,

0:14:15.440 --> 0:14:20.000
<v Speaker 1>but he pointed it out exactly. Um, But yeah, that

0:14:20.160 --> 0:14:23.240
<v Speaker 1>is is They kind of called these muscles in the

0:14:23.280 --> 0:14:26.560
<v Speaker 1>ligaments sort of like a natural brazier to help keep

0:14:26.560 --> 0:14:29.920
<v Speaker 1>the breast up. UM. And then there's the milk producing

0:14:29.920 --> 0:14:33.160
<v Speaker 1>in delivery system. Milk production and delivery system, it's the

0:14:33.240 --> 0:14:38.360
<v Speaker 1>epithelial component. You've got UM. Apparently fifteen to twenty five

0:14:38.560 --> 0:14:42.400
<v Speaker 1>lobes are what they're called um and they're arranged kind

0:14:42.440 --> 0:14:45.480
<v Speaker 1>of like a flower around the center of the breast.

0:14:46.120 --> 0:14:48.960
<v Speaker 1>So if someone says your breasts are like a flower,

0:14:49.600 --> 0:14:54.720
<v Speaker 1>they're they're complimenting your lobes exactly, and that's anatomically correct. UM.

0:14:54.880 --> 0:14:56.840
<v Speaker 1>You can still smack them in the face though if

0:14:56.880 --> 0:15:00.320
<v Speaker 1>you want to. Yeah. The lobes can further be broken

0:15:00.360 --> 0:15:03.680
<v Speaker 1>down into lobules, which are kind of like clusters of grapes,

0:15:03.720 --> 0:15:07.800
<v Speaker 1>and there's a lot of these um per lobe, right uh.

0:15:07.840 --> 0:15:10.960
<v Speaker 1>And then at the end of the lobules there's dozens

0:15:11.120 --> 0:15:14.520
<v Speaker 1>Each lobule has dozens of bulbs and that's where milk

0:15:14.640 --> 0:15:18.440
<v Speaker 1>is produced. That's right. They're connected to ducks called the

0:15:18.520 --> 0:15:21.360
<v Speaker 1>lactiferrous sinus, and that carries the milk to the nipple.

0:15:21.880 --> 0:15:24.560
<v Speaker 1>Of course, the nipple surrounded by the areola, which is

0:15:24.600 --> 0:15:28.880
<v Speaker 1>that dark tissue around the nipple at the front of

0:15:28.880 --> 0:15:32.080
<v Speaker 1>the breast. And there you have it. It's breast one

0:15:32.080 --> 0:15:34.360
<v Speaker 1>on one. That's the breast, and then behind it you've

0:15:34.400 --> 0:15:39.080
<v Speaker 1>got the pectoral muscles, the major and the minor pictorialis

0:15:39.920 --> 0:15:42.640
<v Speaker 1>uh and then the rib cage behind that. So that's

0:15:42.680 --> 0:15:45.440
<v Speaker 1>the anatomy of a breast. That's right, got it? Yeah,

0:15:45.480 --> 0:15:50.520
<v Speaker 1>they are since we're talking size. Obviously with augmentation UM

0:15:50.560 --> 0:15:52.560
<v Speaker 1>it is not a scientific thing, but you generally go

0:15:52.640 --> 0:15:56.640
<v Speaker 1>by brass eyes. How they're manufactured is by a diameter

0:15:56.680 --> 0:15:59.840
<v Speaker 1>and inches around the rib cage under the breast, and

0:16:00.040 --> 0:16:04.200
<v Speaker 1>then the old letter indicating the cup size. So in

0:16:04.200 --> 0:16:08.440
<v Speaker 1>other words like uh a A or double A all

0:16:08.440 --> 0:16:10.640
<v Speaker 1>the way up to it says in the article double

0:16:10.720 --> 0:16:16.600
<v Speaker 1>D and beyond like some fantastical like alright, so now

0:16:16.640 --> 0:16:19.520
<v Speaker 1>I understand the breast ambrass eyes. Yeah, and by the way,

0:16:19.520 --> 0:16:22.320
<v Speaker 1>it's hereditary. Probably if you look at your mom and

0:16:22.360 --> 0:16:25.840
<v Speaker 1>your grandmm, it's probably what you're what you're heading towards

0:16:26.640 --> 0:16:29.280
<v Speaker 1>um later in life. Right, there are things that you

0:16:29.320 --> 0:16:34.120
<v Speaker 1>can do to to impact your breast size, positively or negatively,

0:16:34.160 --> 0:16:37.360
<v Speaker 1>depending on your opinion. Sure, weight yeah, um, some things

0:16:37.360 --> 0:16:41.760
<v Speaker 1>that you can control like um, menstruation, menopause, pregnancy, all

0:16:41.760 --> 0:16:44.120
<v Speaker 1>effect breast eyes and guys hear a lot about and

0:16:44.120 --> 0:16:46.760
<v Speaker 1>actually girls to hear a lot about this if you

0:16:47.360 --> 0:16:50.240
<v Speaker 1>have a girlfriend or a wife. Yeah, but just becomes

0:16:50.240 --> 0:16:53.240
<v Speaker 1>a common topic of conversation when you live with somebody

0:16:53.280 --> 0:16:56.280
<v Speaker 1>for long enough. Breasts. Yeah, I mean there're a thing.

0:16:56.320 --> 0:17:00.480
<v Speaker 1>They're there, they are there. Um, that's a T shirt,

0:17:02.640 --> 0:17:06.199
<v Speaker 1>it's a movie. So check. Now that we have the

0:17:06.280 --> 0:17:10.840
<v Speaker 1>anatomy of the breast, um, let's talk about breast implants themselves. Yeah,

0:17:10.880 --> 0:17:14.720
<v Speaker 1>the actual thing that has implanted. Some people might not

0:17:14.760 --> 0:17:17.840
<v Speaker 1>know this. I thought everyone knew, you know, has has

0:17:17.840 --> 0:17:21.560
<v Speaker 1>seen them before. But it's not has felt them, has

0:17:21.600 --> 0:17:25.200
<v Speaker 1>slept with them on their pillow. It's not. Uh, it's

0:17:25.200 --> 0:17:28.000
<v Speaker 1>not just like an an injection or something. It is

0:17:28.080 --> 0:17:30.000
<v Speaker 1>and there's not a pill you take. It's an actual

0:17:30.040 --> 0:17:33.840
<v Speaker 1>physical Who thought it was a pill. There's one dude

0:17:33.840 --> 0:17:37.000
<v Speaker 1>out there that thinks it's a Bill Todd. It's not

0:17:37.080 --> 0:17:40.440
<v Speaker 1>a pill. Uh. It is an actual uh sack. It

0:17:40.840 --> 0:17:43.960
<v Speaker 1>is an elastomer shell, which is an elastic polymer shell

0:17:44.680 --> 0:17:49.240
<v Speaker 1>and it is uh generally these days they are empty

0:17:49.760 --> 0:17:53.159
<v Speaker 1>at first and it's in in they're not full, although

0:17:53.240 --> 0:17:55.520
<v Speaker 1>it depends, well, it depends on what you're after all. Well,

0:17:55.560 --> 0:17:57.520
<v Speaker 1>you have the empty kind that they usually roll up

0:17:57.520 --> 0:18:00.040
<v Speaker 1>when inserting, which we'll get into, or you have the

0:18:00.200 --> 0:18:03.280
<v Speaker 1>um pre filled, which are not pre filled to their

0:18:03.320 --> 0:18:08.639
<v Speaker 1>final destination. Yeah, and they're there. Um, they're like a

0:18:08.640 --> 0:18:11.159
<v Speaker 1>certain size. They can get to a certain size. I

0:18:11.160 --> 0:18:14.760
<v Speaker 1>think those have fallen out of favor somewhat, but I'm sure. Well, yeah,

0:18:14.880 --> 0:18:18.120
<v Speaker 1>mostly they're they're not pre filled these days. Well there's

0:18:18.119 --> 0:18:20.040
<v Speaker 1>a lot of benefits to not having pre filled again,

0:18:20.080 --> 0:18:22.800
<v Speaker 1>which we'll get into a little bit. But okay, um,

0:18:22.840 --> 0:18:26.760
<v Speaker 1>the size then would not have to do with what

0:18:27.160 --> 0:18:29.720
<v Speaker 1>they're already filled with, but what they're finally going to

0:18:29.760 --> 0:18:33.119
<v Speaker 1>be filled with. And it's usually mentored measured in cubic

0:18:33.200 --> 0:18:38.000
<v Speaker 1>center leaders right, Yeah ccs ccs and one cup size

0:18:38.240 --> 0:18:40.920
<v Speaker 1>um for every hundred and seventy five to two hundred ccs.

0:18:41.760 --> 0:18:43.200
<v Speaker 1>And I guess this is where we should talk about

0:18:43.200 --> 0:18:47.560
<v Speaker 1>the rice test. Okay, um, if you want to know

0:18:48.440 --> 0:18:51.520
<v Speaker 1>what your breasts are gonna look like, or if you're

0:18:51.520 --> 0:18:53.720
<v Speaker 1>a man who always wanted to know what it would

0:18:53.720 --> 0:18:58.560
<v Speaker 1>look like if you have breasts you style, you can

0:18:58.800 --> 0:19:02.159
<v Speaker 1>um do something called the rice test. That's right, they

0:19:02.200 --> 0:19:04.040
<v Speaker 1>apparently this is the best way to tell um. You

0:19:04.080 --> 0:19:07.239
<v Speaker 1>cut a twelve inch length of panty hose, although they

0:19:07.240 --> 0:19:09.240
<v Speaker 1>say you can use like baggies or whatever, but panty

0:19:09.240 --> 0:19:12.160
<v Speaker 1>hose is probably the most realistic. Tie not in one end,

0:19:12.240 --> 0:19:15.680
<v Speaker 1>and then use a chart um which you can find online,

0:19:15.720 --> 0:19:22.240
<v Speaker 1>to basically fill with rice to estimate what you will

0:19:22.280 --> 0:19:25.560
<v Speaker 1>look and feel like. For instance, about a half a

0:19:25.600 --> 0:19:30.879
<v Speaker 1>cup is a d c cs of volume. About point

0:19:30.960 --> 0:19:33.560
<v Speaker 1>six is a D fifty season on up and you

0:19:33.600 --> 0:19:37.560
<v Speaker 1>can find the chart online. Just under three cups seven ccs.

0:19:38.600 --> 0:19:42.520
<v Speaker 1>That's a lot. That's three cups of rice um. And

0:19:42.600 --> 0:19:44.880
<v Speaker 1>remember it doubles in your stomach so you'll feel full.

0:19:46.280 --> 0:19:49.720
<v Speaker 1>Uh So they say they recommend to like, uh, put

0:19:49.760 --> 0:19:53.200
<v Speaker 1>in a sports bra where that wear it around, exercise

0:19:53.240 --> 0:19:55.439
<v Speaker 1>in it, run errands, do whatever you normally might do

0:19:55.600 --> 0:19:58.920
<v Speaker 1>to get the look in the feel of like, hey,

0:19:58.920 --> 0:20:00.600
<v Speaker 1>this is what I'm gonna look and feel like? And

0:20:00.960 --> 0:20:04.760
<v Speaker 1>you know, should I continue? Should I not? As too big?

0:20:04.800 --> 0:20:07.600
<v Speaker 1>Are they too small? As the grocery store clerk who's

0:20:07.640 --> 0:20:12.880
<v Speaker 1>checking you out. They're fine, ma'am everybody. Well, they also

0:20:12.920 --> 0:20:15.879
<v Speaker 1>say you can use water, um, instant mashed potatoes and

0:20:15.960 --> 0:20:19.960
<v Speaker 1>oatmeal instead of rice. I could see instant mashed potatoes

0:20:20.000 --> 0:20:23.000
<v Speaker 1>being really good, because aren't they like flaky it's flaky potatoes.

0:20:24.240 --> 0:20:28.600
<v Speaker 1>I could see that rice is that's I mean, that's hard. Yeah,

0:20:28.640 --> 0:20:31.320
<v Speaker 1>that's true, but you should call it the instant mashed

0:20:31.320 --> 0:20:34.320
<v Speaker 1>potato test. I think that's why they didn't. So anyway,

0:20:34.320 --> 0:20:37.560
<v Speaker 1>that's apparently how you uh, and it's obviously you want

0:20:37.600 --> 0:20:41.119
<v Speaker 1>to work with your doctor two um kind of like singles.

0:20:41.160 --> 0:20:43.639
<v Speaker 1>Remember that movie when Bridget find It goes in for

0:20:43.680 --> 0:20:46.679
<v Speaker 1>breast implants and Bill Pullman essentially talks her out of it.

0:20:47.680 --> 0:20:50.480
<v Speaker 1>I forgot that part. Yeah, but you're gonna do that.

0:20:50.480 --> 0:20:53.200
<v Speaker 1>You're gonna work with your doctor on appropriate sizing. Yeah,

0:20:53.359 --> 0:20:55.880
<v Speaker 1>it's not gonna be like weird science, you know, where

0:20:55.680 --> 0:21:00.160
<v Speaker 1>you just like click on the mouth until tremendous and large,

0:21:00.680 --> 0:21:05.159
<v Speaker 1>um with some eighties graph behind it. But you want it.

0:21:05.200 --> 0:21:07.480
<v Speaker 1>You just want an appropriate size for your frame basically,

0:21:07.480 --> 0:21:10.760
<v Speaker 1>because not only just for looks, but for you know,

0:21:10.880 --> 0:21:13.720
<v Speaker 1>can you support it with your body frame? Well? Yeah,

0:21:13.760 --> 0:21:16.000
<v Speaker 1>that weight, not just that, I mean not just like

0:21:16.080 --> 0:21:18.280
<v Speaker 1>the extra pressure that's gonna be put on your back

0:21:18.359 --> 0:21:20.680
<v Speaker 1>and shoulders and all that, but I mean like your

0:21:21.240 --> 0:21:24.360
<v Speaker 1>your skin itself may have trouble supporting the breast implants,

0:21:24.400 --> 0:21:26.919
<v Speaker 1>which is definitely something to consider as well. Yeah, and

0:21:26.960 --> 0:21:29.399
<v Speaker 1>this article says generally they come in three sizes, but

0:21:29.480 --> 0:21:32.800
<v Speaker 1>there that's just not true. There's like four and fifty sizes. Well,

0:21:32.840 --> 0:21:34.200
<v Speaker 1>I like this article is right, and I think in

0:21:34.240 --> 0:21:37.120
<v Speaker 1>two thousand three or four, and I mean it's definitely

0:21:37.359 --> 0:21:41.760
<v Speaker 1>breast implant breast augmentation surgery has increased by leaps and

0:21:41.800 --> 0:21:44.840
<v Speaker 1>bounds since then. Um, I've seen up to four and

0:21:44.840 --> 0:21:49.440
<v Speaker 1>fifty different varieties and I think that's combinations of shape, size,

0:21:49.560 --> 0:21:51.639
<v Speaker 1>that kind of thing. But yeah, there's a lot of

0:21:51.680 --> 0:21:57.399
<v Speaker 1>different sizes. Um, mainly the sizes again it has to

0:21:57.440 --> 0:22:01.280
<v Speaker 1>do it's measured in ccs. The shape. There's still typically

0:22:01.520 --> 0:22:04.600
<v Speaker 1>just two shapes that I ran across. Yeah, there's round

0:22:05.000 --> 0:22:08.880
<v Speaker 1>and then there's a tear drop, which is also called contour. Yeah. Yeah,

0:22:08.880 --> 0:22:12.040
<v Speaker 1>and basically one the round. I guess it depends when

0:22:12.040 --> 0:22:13.879
<v Speaker 1>you're talking to They can be more popular in that

0:22:13.920 --> 0:22:19.480
<v Speaker 1>there fuller and uh, there's more cleavage and there's more lift,

0:22:19.960 --> 0:22:23.359
<v Speaker 1>but they don't look as real. The tear drop shape

0:22:23.480 --> 0:22:27.560
<v Speaker 1>mimic the anatomy of a natural woman's breast. More so,

0:22:27.640 --> 0:22:29.920
<v Speaker 1>some women might favor those if you want to look

0:22:29.920 --> 0:22:34.000
<v Speaker 1>more natural. Right, Um, but round is the most commonly used,

0:22:34.040 --> 0:22:36.080
<v Speaker 1>I believe. Well, I don't know if it still is.

0:22:37.920 --> 0:22:40.280
<v Speaker 1>I take an issue with that, Okay, I think that's

0:22:40.280 --> 0:22:44.440
<v Speaker 1>a two thousand three statement. Um. Again, though it has

0:22:44.480 --> 0:22:49.399
<v Speaker 1>to do with what what shape you choose, you know,

0:22:49.840 --> 0:22:52.760
<v Speaker 1>not just what you want how you wanted to look.

0:22:52.800 --> 0:22:55.159
<v Speaker 1>But I mean the surgeon needs to have some input

0:22:55.200 --> 0:22:57.080
<v Speaker 1>here too. Yeah. And if you get a good surgeon,

0:22:57.080 --> 0:22:59.440
<v Speaker 1>they're gonna guide you in the right direction. You know that.

0:22:59.440 --> 0:23:01.920
<v Speaker 1>That's their part of the job. It's not just to

0:23:01.960 --> 0:23:05.200
<v Speaker 1>perform the surgery. It's the consultation and advice and all

0:23:05.200 --> 0:23:08.800
<v Speaker 1>that good stuffy um. And since they're plastic surgeons, to

0:23:08.960 --> 0:23:11.520
<v Speaker 1>look good doing it. Yeah, And if they're not doing that,

0:23:11.520 --> 0:23:13.920
<v Speaker 1>that means it's a bad plastic surgeon. Did you see

0:23:14.000 --> 0:23:19.119
<v Speaker 1>Rob Low in Liberacia? Man? Well is there are some

0:23:19.359 --> 0:23:23.720
<v Speaker 1>real decisions made for his character and his look and

0:23:23.800 --> 0:23:26.760
<v Speaker 1>this well that's what that guy looked like, Is that right? Yeah, yeah,

0:23:26.760 --> 0:23:29.160
<v Speaker 1>I look at my ps. He was creepy looking. I will,

0:23:29.200 --> 0:23:31.200
<v Speaker 1>I will is he still alive? Because I'm so sorry

0:23:31.200 --> 0:23:34.800
<v Speaker 1>for what Chuck just said. I don't know, um, but

0:23:34.880 --> 0:23:38.000
<v Speaker 1>yeah that was plastic surgery. Gon'm bad for sure. Yeah. Uh.

0:23:38.119 --> 0:23:40.800
<v Speaker 1>Texture is another decision that you're going to have to

0:23:40.800 --> 0:23:44.160
<v Speaker 1>make in addition to shape and size and um. Basically

0:23:44.160 --> 0:23:48.200
<v Speaker 1>there's smooth and there's textured and um. Each has their

0:23:48.280 --> 0:23:52.200
<v Speaker 1>pros and their cons um textured implants. We should say

0:23:52.200 --> 0:23:55.440
<v Speaker 1>when you when you have breast surgery, something UM that's

0:23:55.440 --> 0:23:58.000
<v Speaker 1>gonna happen is scar tissue is going to develop no

0:23:58.040 --> 0:24:01.119
<v Speaker 1>matter what. Anytime you introduce foreign object into your body,

0:24:01.160 --> 0:24:04.520
<v Speaker 1>your body basically defends the rest of your body against

0:24:04.600 --> 0:24:09.159
<v Speaker 1>it by forming scar tissue around it and basically compartmentalizing it. UM.

0:24:09.240 --> 0:24:12.040
<v Speaker 1>And in the case of breast augmentation surgery, this is

0:24:12.080 --> 0:24:15.919
<v Speaker 1>called a capsular contracture. And it's gonna happen. Don't be

0:24:16.000 --> 0:24:18.480
<v Speaker 1>freaked out if it happens, because it's gonna happen. It's

0:24:18.520 --> 0:24:21.840
<v Speaker 1>just the degree to which it happens could become problematic. Right.

0:24:21.880 --> 0:24:26.560
<v Speaker 1>And there's there's post post implant surgeries that can take

0:24:26.600 --> 0:24:29.679
<v Speaker 1>place to remove some of the excess scar tissue if

0:24:29.680 --> 0:24:31.840
<v Speaker 1>too much happens or your breasts become too hard as

0:24:31.840 --> 0:24:34.439
<v Speaker 1>a result. But you're right, it is going to happen.

0:24:34.800 --> 0:24:38.080
<v Speaker 1>And um, some implants have been created to I guess,

0:24:38.119 --> 0:24:42.240
<v Speaker 1>make the most out of this. Textured implants are designed

0:24:42.240 --> 0:24:44.679
<v Speaker 1>so that the scar tissue basically grips the implant and

0:24:44.720 --> 0:24:47.600
<v Speaker 1>holds it in place. Yeah. And I also got the

0:24:47.640 --> 0:24:50.800
<v Speaker 1>idea too that less scar tissue will form because it

0:24:50.960 --> 0:24:54.679
<v Speaker 1>sticks to the implant. I guess the body just thinks, Okay,

0:24:54.760 --> 0:24:59.080
<v Speaker 1>this is working. My job is done exactly. Um. There

0:24:59.080 --> 0:25:02.199
<v Speaker 1>are some drawback the texture and implants. Apparently they're not

0:25:02.280 --> 0:25:05.800
<v Speaker 1>quite as realistic in their movement. Look feel that kind

0:25:05.800 --> 0:25:08.639
<v Speaker 1>of thing, yea, and they're more likely to rupture too, yes,

0:25:08.840 --> 0:25:13.480
<v Speaker 1>which is not good. Smooth implants. Um. They actually will

0:25:13.560 --> 0:25:19.280
<v Speaker 1>move around inside the capsular contractor the scar tissue sac

0:25:19.520 --> 0:25:24.960
<v Speaker 1>that um that develops um, which is good for look field.

0:25:24.960 --> 0:25:28.600
<v Speaker 1>It's much more natural. The problem is is that since

0:25:28.640 --> 0:25:30.879
<v Speaker 1>they can move around, if you have something like a

0:25:31.160 --> 0:25:34.600
<v Speaker 1>if you choose a contour or tear drop shape breast implant,

0:25:35.040 --> 0:25:37.680
<v Speaker 1>if that thing flips upside down, your breast looks to

0:25:37.800 --> 0:25:40.520
<v Speaker 1>forb Now you have a problem, yeah, or it can

0:25:40.560 --> 0:25:43.360
<v Speaker 1>cause something called rippling, which we'll get into the problems

0:25:43.400 --> 0:25:46.520
<v Speaker 1>that can arise later on. Um, And there's this lady

0:25:46.520 --> 0:25:49.720
<v Speaker 1>in Akron actually, Ohio, it's probably good time to mention

0:25:49.760 --> 0:25:53.320
<v Speaker 1>that she is trying to develop a breast implant that actually,

0:25:54.320 --> 0:25:57.359
<v Speaker 1>um well, it can accomplish a lot of things. Is

0:25:57.400 --> 0:25:59.280
<v Speaker 1>she calls it the breast implant of the future. It

0:25:59.320 --> 0:26:03.720
<v Speaker 1>can emit basically the drugs that they give people, orally

0:26:04.240 --> 0:26:07.960
<v Speaker 1>she is trying to build into the implant itself to

0:26:08.080 --> 0:26:13.240
<v Speaker 1>emit these drugs naturally. And she thinks one day breast

0:26:13.280 --> 0:26:18.359
<v Speaker 1>implants can be can actually detect cancer cells if her researches.

0:26:18.560 --> 0:26:20.919
<v Speaker 1>You know, if she gets to that point, if I

0:26:20.960 --> 0:26:24.280
<v Speaker 1>have the funding, especially she's looking too many but the

0:26:24.280 --> 0:26:26.320
<v Speaker 1>breast implant in the future, I just need the fund

0:26:26.720 --> 0:26:29.360
<v Speaker 1>But um yeah, she's she's she's working hard to try

0:26:29.359 --> 0:26:33.040
<v Speaker 1>and reduce things like the inflammatory response and scar tissue,

0:26:33.480 --> 0:26:36.200
<v Speaker 1>building it into the breast implant itself, which is pretty cool,

0:26:36.240 --> 0:26:38.359
<v Speaker 1>I think. And then Chuck, we kind of already talked

0:26:38.359 --> 0:26:40.280
<v Speaker 1>about it. But another choice is whether you're gonna have

0:26:40.400 --> 0:26:48.040
<v Speaker 1>pre filled or unfilled or also known as expandable that's right, umpt. Yeah.

0:26:48.080 --> 0:26:51.359
<v Speaker 1>The spectrum Expandable is sort of like a test drive

0:26:51.400 --> 0:26:55.560
<v Speaker 1>almost where you have the implant put in, there is

0:26:55.640 --> 0:27:01.199
<v Speaker 1>a three part valve system in your armpit where you

0:27:01.280 --> 0:27:06.119
<v Speaker 1>actually can fill and release and extract some of the

0:27:06.160 --> 0:27:08.280
<v Speaker 1>sailing or I guess silicone. I don't know if they

0:27:08.320 --> 0:27:12.600
<v Speaker 1>can do that for silicone. I know they can, can

0:27:12.600 --> 0:27:15.400
<v Speaker 1>it's Joel, I think you can. Yes, Well, basically it's

0:27:15.400 --> 0:27:16.920
<v Speaker 1>like a test drive. They put it in and they

0:27:16.920 --> 0:27:20.240
<v Speaker 1>can make them larger or smaller through your armpit until

0:27:20.280 --> 0:27:22.840
<v Speaker 1>you're satisfied. It's kind of like doing the rice test,

0:27:22.960 --> 0:27:25.600
<v Speaker 1>but a couple of steps further more than a couple

0:27:25.640 --> 0:27:29.080
<v Speaker 1>because you're out there walking around saying what do you think? Yeah,

0:27:29.080 --> 0:27:31.000
<v Speaker 1>and you've got a port in your armpit right, But

0:27:31.080 --> 0:27:33.320
<v Speaker 1>then after you say this is it? This is the

0:27:33.440 --> 0:27:36.440
<v Speaker 1>right size, they removed the port. So obviously there's a

0:27:36.440 --> 0:27:39.720
<v Speaker 1>bunch of choices, and you, the patient, the person who

0:27:39.880 --> 0:27:42.760
<v Speaker 1>is getting the breast implant, have a lot of things

0:27:42.800 --> 0:27:45.600
<v Speaker 1>to decide. But then once you've decided all that, it's

0:27:45.680 --> 0:27:49.440
<v Speaker 1>up to the surgeon to make some another series of decisions.

0:27:49.840 --> 0:27:59.119
<v Speaker 1>And we'll get into the procedure right after this message. Alright,

0:27:59.160 --> 0:28:04.160
<v Speaker 1>so back to it. Let's talk surgery. Huh yes, UM,

0:28:04.160 --> 0:28:07.359
<v Speaker 1>all right. The most important thing they say with the

0:28:07.400 --> 0:28:10.520
<v Speaker 1>breast implant is not all the other decisions you've made

0:28:10.560 --> 0:28:14.960
<v Speaker 1>up into this point. It really is. It's the skill

0:28:15.040 --> 0:28:18.120
<v Speaker 1>of your surgeon with the placement of the implant. Yeah,

0:28:18.160 --> 0:28:20.560
<v Speaker 1>because that's where things will generally go wrong. And there

0:28:20.560 --> 0:28:26.960
<v Speaker 1>are three choices, uh, subglandular, sub pectoral, and submuscular. And again,

0:28:27.080 --> 0:28:32.520
<v Speaker 1>like with everything else, their advantages and disadvantages to all three. Um.

0:28:32.680 --> 0:28:35.399
<v Speaker 1>Sub glandular is behind the mammary gland in front of

0:28:35.400 --> 0:28:38.280
<v Speaker 1>the muscle. Um, it's the least complicated. You're going to

0:28:38.360 --> 0:28:41.360
<v Speaker 1>get out of there and recover quicker. Um. It's if

0:28:41.400 --> 0:28:45.520
<v Speaker 1>you're athletic. It's probably has some advantages, but um, you

0:28:45.560 --> 0:28:48.720
<v Speaker 1>have an increased chance for that capsular contractor we're talking about.

0:28:49.320 --> 0:28:51.240
<v Speaker 1>You might be able to see it sometimes, which is

0:28:51.240 --> 0:28:55.280
<v Speaker 1>not good. Yeah. And it's more vulnerable because it's just

0:28:55.400 --> 0:28:58.720
<v Speaker 1>kind of right there behind the skin. Plus also there's um,

0:28:59.320 --> 0:29:02.360
<v Speaker 1>very little besides the ada post the fatty tissue holding

0:29:02.400 --> 0:29:06.400
<v Speaker 1>it in place. UM, so it can produce that rippling thing,

0:29:06.400 --> 0:29:11.600
<v Speaker 1>which is a sagging that produces basically UM what's that called,

0:29:11.960 --> 0:29:15.440
<v Speaker 1>like on your skin when you when you gain weight

0:29:15.480 --> 0:29:18.360
<v Speaker 1>and then lose it. I don't know, stretch marks. Oh yeah,

0:29:18.440 --> 0:29:21.200
<v Speaker 1>it looks kind of like that, but I think they're deeper, okay.

0:29:21.880 --> 0:29:26.520
<v Speaker 1>Um sub pectrol's next subpectrol is so you remember at

0:29:26.560 --> 0:29:31.800
<v Speaker 1>the back between the ada posts, uh and the chest wall,

0:29:31.880 --> 0:29:35.160
<v Speaker 1>you've got your two pectoral muscles. Um, the one in

0:29:35.200 --> 0:29:39.640
<v Speaker 1>front the bigger the two. The pectorialis major um is

0:29:40.080 --> 0:29:43.720
<v Speaker 1>goes in front of the implant, and the pectorialis minor

0:29:43.880 --> 0:29:46.000
<v Speaker 1>goes behind it. So it's sort of sandwiched in the

0:29:46.000 --> 0:29:48.959
<v Speaker 1>middle there. Yeah. You you have to cut the muscle,

0:29:49.320 --> 0:29:51.200
<v Speaker 1>put the implant in between them, and then lay it

0:29:51.240 --> 0:29:54.680
<v Speaker 1>back down. Yeah, and it is. Um. It's gonna reduce

0:29:54.800 --> 0:29:58.760
<v Speaker 1>the risk of that capsular contractor and the rippling, which

0:29:58.800 --> 0:30:01.320
<v Speaker 1>is good. Uh, but of course your recovery time is

0:30:01.320 --> 0:30:02.840
<v Speaker 1>gonna be a little bit longer. It's gonna be a

0:30:02.840 --> 0:30:06.840
<v Speaker 1>little more painful. Anytime they're manipulating muscle, it's gonna be

0:30:07.200 --> 0:30:11.800
<v Speaker 1>pretty painful. There's gonna be more swelling and stuff like that. Um.

0:30:11.960 --> 0:30:14.080
<v Speaker 1>The implant can also kind of droop. There's still a

0:30:14.160 --> 0:30:18.560
<v Speaker 1>risk that it's gonna pull down because there's it's held

0:30:18.560 --> 0:30:21.920
<v Speaker 1>in place more than it is with the subglandular um,

0:30:22.000 --> 0:30:25.200
<v Speaker 1>but less than the submuscular. This is if you want

0:30:25.200 --> 0:30:28.480
<v Speaker 1>your implant to not sag, you want to go with

0:30:28.520 --> 0:30:32.360
<v Speaker 1>the submuscular. The third type, Yeah, that is behind fully

0:30:32.400 --> 0:30:35.920
<v Speaker 1>behind the chest muscle wall and um. It has some

0:30:36.000 --> 0:30:39.640
<v Speaker 1>great advantages, like it doesn't get in the way of mammograms,

0:30:39.760 --> 0:30:42.320
<v Speaker 1>which is a big deal. It's a big consideration for sure. Yeah,

0:30:42.320 --> 0:30:45.880
<v Speaker 1>silicone and salien implants um placed in front of or

0:30:46.000 --> 0:30:49.640
<v Speaker 1>between the muscles can mess with mammograms. And you need

0:30:49.680 --> 0:30:51.920
<v Speaker 1>to tell by the way. I'm sure you probably know

0:30:51.960 --> 0:30:53.840
<v Speaker 1>this if you have breast implants, but you should always

0:30:53.880 --> 0:30:57.600
<v Speaker 1>tell your doctor, you know, if they don't know when

0:30:57.640 --> 0:30:59.680
<v Speaker 1>you go to get a mammogram, because they have different

0:31:00.000 --> 0:31:03.000
<v Speaker 1>eaters and techniques that they can like work around and stuff. Yes,

0:31:04.280 --> 0:31:08.760
<v Speaker 1>so those are the three types of three implant locations. Yeah,

0:31:08.800 --> 0:31:10.880
<v Speaker 1>and the recovery for the last one is even longer,

0:31:11.120 --> 0:31:14.000
<v Speaker 1>but has the same complications as a subpect rule, anytime

0:31:14.040 --> 0:31:19.560
<v Speaker 1>you have to in size muscle and manually adjust it,

0:31:20.160 --> 0:31:23.480
<v Speaker 1>you're gonna have a recovery time involved. That's true. Man,

0:31:23.480 --> 0:31:28.440
<v Speaker 1>it's gotta hurt. Um should we talk about. We've got

0:31:28.480 --> 0:31:31.720
<v Speaker 1>to talk about the polypropylene real quick, just because even

0:31:31.760 --> 0:31:34.800
<v Speaker 1>though it's not around anymore, the string implant, Yeah yeah,

0:31:35.120 --> 0:31:39.640
<v Speaker 1>it was developed by a guy, a doctor named Dr

0:31:39.720 --> 0:31:43.680
<v Speaker 1>Gerald W. Johnson. And um, the quote from this article

0:31:43.720 --> 0:31:47.400
<v Speaker 1>says it was designed to yield extreme, almost cartoonish breast sizes.

0:31:48.520 --> 0:31:54.240
<v Speaker 1>And um it basically the pop polypropylene um absorbed fluid

0:31:54.320 --> 0:31:58.040
<v Speaker 1>over like constantly over time, and the breast never stopped growing.

0:31:58.800 --> 0:32:02.240
<v Speaker 1>And um it has been banned since two thousand one

0:32:02.400 --> 0:32:05.360
<v Speaker 1>by the f d A. And although they say it

0:32:05.400 --> 0:32:09.640
<v Speaker 1>was very popular among adult entertainers for a while. And um,

0:32:09.760 --> 0:32:12.400
<v Speaker 1>yeah it's this is where I get a little judge.

0:32:12.880 --> 0:32:18.160
<v Speaker 1>It's really weird looking. Oh you saw pictures. Yeah, and uh,

0:32:18.240 --> 0:32:21.640
<v Speaker 1>I don't get it at all. Is it cartoonish? Yeah,

0:32:22.120 --> 0:32:27.920
<v Speaker 1>very much? So yeah, um it's okay. That's my only judgment. Yeah,

0:32:27.960 --> 0:32:30.560
<v Speaker 1>recent judgment is I don't get that one. Researching this article,

0:32:30.600 --> 0:32:32.840
<v Speaker 1>I wanted to be like, I'm researching breast implants. I'm

0:32:32.840 --> 0:32:36.800
<v Speaker 1>not agreed. People walk by your desk. Um, so chuck,

0:32:36.880 --> 0:32:40.960
<v Speaker 1>let's talk. Let's talk procedure. We're we're in the operating room.

0:32:41.000 --> 0:32:44.840
<v Speaker 1>All the decisions have been made. Uh, preop has been done,

0:32:44.920 --> 0:32:48.120
<v Speaker 1>prep um, and the surgeon is going to start by

0:32:48.360 --> 0:32:53.560
<v Speaker 1>making an incision. And um, there's really basically four types

0:32:53.600 --> 0:32:59.800
<v Speaker 1>of incisions that are favored among breast on augmentation procedures. Yeah,

0:33:00.040 --> 0:33:03.880
<v Speaker 1>you've got the peri areolar, which is apparently one of

0:33:03.880 --> 0:33:07.840
<v Speaker 1>the most common ones. But to me, it's seems spectacularly

0:33:09.720 --> 0:33:13.480
<v Speaker 1>has It's like there's a lot of room for complications.

0:33:13.720 --> 0:33:16.560
<v Speaker 1>You think, yeah, what they're doing, I look this up.

0:33:17.080 --> 0:33:20.200
<v Speaker 1>The the article isn't through this justice. The incision is

0:33:20.240 --> 0:33:23.840
<v Speaker 1>made at where the areola, which is where the it's

0:33:23.880 --> 0:33:28.880
<v Speaker 1>the brown tissue that surrounds the nipple. Okay, so um,

0:33:28.920 --> 0:33:33.520
<v Speaker 1>it's it's where the areola meets the regular um colored

0:33:33.760 --> 0:33:39.320
<v Speaker 1>pigmented skin of the breast um. But the whole areola

0:33:39.560 --> 0:33:44.160
<v Speaker 1>is cut and pulled out and then the um the

0:33:44.400 --> 0:33:48.320
<v Speaker 1>using a sterile sleeve wrapped around it. The implant is

0:33:48.360 --> 0:33:50.680
<v Speaker 1>put in through that hole in the front of the

0:33:50.720 --> 0:33:55.520
<v Speaker 1>breast and then unrolled in the sleeve is removed. Um.

0:33:55.560 --> 0:33:59.760
<v Speaker 1>But you're going around the milk ducks and the all

0:33:59.800 --> 0:34:03.640
<v Speaker 1>of the epithelial system of the breast. It just seems

0:34:03.640 --> 0:34:07.680
<v Speaker 1>like you're you're exposing some really important stuff. Um to

0:34:07.800 --> 0:34:12.000
<v Speaker 1>a lot of potential damage, you know, either mechanical or

0:34:12.000 --> 0:34:14.920
<v Speaker 1>through infection or whatever. It just don't see much reason

0:34:15.239 --> 0:34:18.720
<v Speaker 1>aside from the fact that it uh it's very difficult

0:34:18.719 --> 0:34:20.640
<v Speaker 1>to see the scar because you're doing it where the

0:34:21.000 --> 0:34:25.320
<v Speaker 1>pigmentation changes, so it's hard to see that difference in

0:34:25.400 --> 0:34:28.319
<v Speaker 1>that that scar. Yeah. Well it also allows for more

0:34:28.360 --> 0:34:32.200
<v Speaker 1>precise placement of the implant. I see that, and um,

0:34:32.239 --> 0:34:35.560
<v Speaker 1>I think it's you know, there's there surge surgeons doing this.

0:34:35.640 --> 0:34:38.279
<v Speaker 1>It's not you, So I know it freaks you out,

0:34:38.320 --> 0:34:42.040
<v Speaker 1>but I think it's the most common for a reason. Um,

0:34:42.239 --> 0:34:46.600
<v Speaker 1>that's one. Yeah, but that allows for subglandular, subpectral uh,

0:34:46.640 --> 0:34:50.080
<v Speaker 1>and submuscular placement. So that's the other advantages. You have

0:34:50.120 --> 0:34:54.560
<v Speaker 1>all your options open. Yeah. Um, there's also the inframamary

0:34:54.640 --> 0:34:58.840
<v Speaker 1>fold incision. This one makes sense. Yeah. That also allows

0:34:58.840 --> 0:35:02.279
<v Speaker 1>for all three um placement types. And that is that

0:35:02.440 --> 0:35:07.200
<v Speaker 1>is just under the breast, So the scarring is you know,

0:35:07.360 --> 0:35:10.319
<v Speaker 1>not as visible obviously. Yeah. Usually it's where the creases. Yeah.

0:35:10.560 --> 0:35:12.879
<v Speaker 1>The big disadvantage to this one is if you are

0:35:12.920 --> 0:35:18.160
<v Speaker 1>going up so much in in cup size. Um, if

0:35:18.160 --> 0:35:19.880
<v Speaker 1>you're going up a lot, the surgeon is going to

0:35:19.960 --> 0:35:22.920
<v Speaker 1>have to create a new crease for your breast, and

0:35:22.920 --> 0:35:26.080
<v Speaker 1>when making that incision, since you want the incision underneath

0:35:26.120 --> 0:35:31.239
<v Speaker 1>the breast, the breast hidden by the breast um, he

0:35:31.320 --> 0:35:33.640
<v Speaker 1>has to guess where that breast is going to hang

0:35:33.680 --> 0:35:37.120
<v Speaker 1>now and make the initial incision accordingly. Yeah, that's when

0:35:37.120 --> 0:35:41.440
<v Speaker 1>it's work there, well, not guess work, but because that

0:35:41.480 --> 0:35:45.000
<v Speaker 1>makes it sound like well education, that looks good. Well

0:35:45.000 --> 0:35:46.640
<v Speaker 1>now he has to be like, where is this going

0:35:46.719 --> 0:35:53.800
<v Speaker 1>to forecasting? Yeah? Educated, yeah, very educated, guess so. Um.

0:35:53.920 --> 0:35:57.600
<v Speaker 1>Then there's transaxilary incision, which is through the armpit. Yeah,

0:35:57.640 --> 0:36:00.520
<v Speaker 1>there's no breast scarring at all obviously. Um, it's more

0:36:00.560 --> 0:36:05.520
<v Speaker 1>of a challenge because placement is pretty difficult. Um, they

0:36:05.640 --> 0:36:10.640
<v Speaker 1>use an endo scope and that is not the most Uh,

0:36:10.640 --> 0:36:13.759
<v Speaker 1>that's not the strangest place. No strange places. Through the

0:36:13.760 --> 0:36:16.839
<v Speaker 1>old belly button, the TUBA incision, you can actually get

0:36:16.840 --> 0:36:19.160
<v Speaker 1>a breast implant through your belly button. Yeah, and apparently

0:36:19.200 --> 0:36:21.280
<v Speaker 1>you can get a lot of surgeries through your belly button.

0:36:21.320 --> 0:36:25.359
<v Speaker 1>I think maybe that's why it's there. Um, maybe that's

0:36:25.360 --> 0:36:29.320
<v Speaker 1>it's the new port. Yeah. Um. TUBA stands for transumbilical

0:36:29.400 --> 0:36:33.800
<v Speaker 1>breast augmentation. Then that's a tuba incision, the belly button incision,

0:36:34.239 --> 0:36:38.680
<v Speaker 1>and um, basically they cut into the navel at the

0:36:38.719 --> 0:36:41.759
<v Speaker 1>top at the ridge and then go they burrow all

0:36:41.800 --> 0:36:43.920
<v Speaker 1>the way up to each breast, so it makes a

0:36:44.000 --> 0:36:47.759
<v Speaker 1>V through your subcutaneous fat like Charles Bronson in The

0:36:47.760 --> 0:36:52.520
<v Speaker 1>Great Escape. Yeah, and then yes, and then they use

0:36:52.760 --> 0:36:57.400
<v Speaker 1>um uh an end of scope to basically tunnel their

0:36:57.440 --> 0:36:59.120
<v Speaker 1>way through and see that they're going the right way,

0:36:59.120 --> 0:37:04.000
<v Speaker 1>and they push the implant up through there and inflated. Yeah. Yeah,

0:37:04.040 --> 0:37:07.440
<v Speaker 1>that sounds like guesswork. Yes, but apparently that's the one

0:37:07.480 --> 0:37:10.960
<v Speaker 1>that has the least complications. Yeah. There are a lot

0:37:11.000 --> 0:37:16.240
<v Speaker 1>of limitations though, Um it requires an inflatable implant. Obviously,

0:37:16.280 --> 0:37:17.920
<v Speaker 1>you can't go through the belly button with one that's

0:37:17.920 --> 0:37:21.600
<v Speaker 1>already inflated. Um. It can only be used for subpectrol

0:37:21.600 --> 0:37:27.000
<v Speaker 1>and submuscular And if there are complications, and it seems

0:37:27.040 --> 0:37:29.600
<v Speaker 1>like there are, I don't want I don't know if

0:37:29.600 --> 0:37:33.319
<v Speaker 1>I should say often, but it's not rare to have

0:37:33.480 --> 0:37:36.560
<v Speaker 1>complications and have to go back and have um what

0:37:36.600 --> 0:37:41.680
<v Speaker 1>they call a revision surgery. You cannot reuse that incision. No,

0:37:41.840 --> 0:37:49.000
<v Speaker 1>they're gonna have to make um transaxillary, periariolar or inframamary fold. Yeah,

0:37:49.840 --> 0:37:52.320
<v Speaker 1>if they need to go back in again. And um,

0:37:52.360 --> 0:37:55.160
<v Speaker 1>apparently it's pretty rare, Like, not a lot of plastic

0:37:55.160 --> 0:37:57.400
<v Speaker 1>surgeons even try this one. I think it takes a

0:37:57.440 --> 0:38:00.600
<v Speaker 1>lot of skill. And even though the comp occasions, the

0:38:00.640 --> 0:38:04.360
<v Speaker 1>post stop complications are minimal compared to the others because

0:38:04.400 --> 0:38:09.840
<v Speaker 1>you're subcutaneous fat and your abdomen apparently heals very easily. Um,

0:38:09.880 --> 0:38:13.439
<v Speaker 1>just getting there is kind of a problem. So let's

0:38:13.440 --> 0:38:18.000
<v Speaker 1>say your doctor's ready, you got the first incision. Um,

0:38:18.120 --> 0:38:20.880
<v Speaker 1>what's up next? Uh, well, you've got your incision, and

0:38:20.920 --> 0:38:25.320
<v Speaker 1>so they have to cut a path through that tissue um,

0:38:25.360 --> 0:38:27.279
<v Speaker 1>depending on which one you use. They're either gonna work

0:38:27.280 --> 0:38:30.400
<v Speaker 1>with the muscle or they're not. And they need to

0:38:30.560 --> 0:38:32.400
<v Speaker 1>separate and create a little pocket for it to sit in.

0:38:32.800 --> 0:38:35.000
<v Speaker 1>You know, they don't just stuff it in there. They

0:38:35.000 --> 0:38:37.240
<v Speaker 1>need to create a space and they have to figure

0:38:37.239 --> 0:38:40.160
<v Speaker 1>out where that pocket is best going to be, depending

0:38:40.200 --> 0:38:43.440
<v Speaker 1>on the size, shape, everything of the breast implant. Again

0:38:43.440 --> 0:38:48.080
<v Speaker 1>an educated guess, yes, And you've seen some surgery nightmares

0:38:48.120 --> 0:38:51.120
<v Speaker 1>with breast augmentation, and that's like Dr Quack, you know,

0:38:52.080 --> 0:39:00.760
<v Speaker 1>Dr Nick it's good about there. UM. Sometimes UM mast

0:39:00.880 --> 0:39:05.320
<v Speaker 1>up master PEXI, which is a breast lift, is performed

0:39:05.440 --> 0:39:07.040
<v Speaker 1>at the same time, or you can just have that

0:39:07.120 --> 0:39:09.399
<v Speaker 1>on its own if you just want a breast lift.

0:39:09.960 --> 0:39:13.239
<v Speaker 1>But sometimes it's used with augmentation in order to get

0:39:13.239 --> 0:39:16.040
<v Speaker 1>everything in the right position and you want, you know,

0:39:17.120 --> 0:39:18.920
<v Speaker 1>the breast to be pointing in the right way, and

0:39:18.960 --> 0:39:21.400
<v Speaker 1>you want the nipples in the arrow aerial is to

0:39:21.440 --> 0:39:24.759
<v Speaker 1>be in the proper place and not looking off to

0:39:24.840 --> 0:39:27.400
<v Speaker 1>the left and the right up or down. Some surgeries

0:39:27.440 --> 0:39:30.400
<v Speaker 1>require that you reposition the nipple depending on how big

0:39:30.640 --> 0:39:32.759
<v Speaker 1>the implant is going to be. Yeah, and man I

0:39:32.800 --> 0:39:36.120
<v Speaker 1>saw with some mastectomy surgery. Sometimes they can completely remove

0:39:36.640 --> 0:39:41.920
<v Speaker 1>the areola and nipple and replace it onto a uh

0:39:42.760 --> 0:39:46.839
<v Speaker 1>augmentation or yeah, I guess with a periolar incision, if

0:39:46.840 --> 0:39:50.160
<v Speaker 1>you're taking that whole thing off, you know, I guess

0:39:50.160 --> 0:39:53.560
<v Speaker 1>you could move it to another place. What they can

0:39:53.600 --> 0:39:57.279
<v Speaker 1>do UM sizers can aid in positioning, and that's sort

0:39:57.320 --> 0:40:00.640
<v Speaker 1>of like it's attached to a tube. It's an implant

0:40:00.680 --> 0:40:03.960
<v Speaker 1>attached to tube, and that's that's almost like a live

0:40:04.080 --> 0:40:06.960
<v Speaker 1>rice test, Like you don't go home with that. They

0:40:07.000 --> 0:40:09.719
<v Speaker 1>just put it in there. And mid operation. Yeah, and

0:40:09.760 --> 0:40:12.440
<v Speaker 1>see what it looks like, not the final implanted, temporary

0:40:12.560 --> 0:40:14.600
<v Speaker 1>and then they pull that out once they say all right,

0:40:14.640 --> 0:40:16.680
<v Speaker 1>that's a good placement for this, so just let me

0:40:16.719 --> 0:40:20.560
<v Speaker 1>do it for real. Um. And then so if you

0:40:20.600 --> 0:40:23.600
<v Speaker 1>have pre filled implants, you have to make a larger

0:40:23.640 --> 0:40:26.680
<v Speaker 1>incision of course, and then you fill those up to

0:40:26.760 --> 0:40:31.680
<v Speaker 1>their full um volume. And I think prefilled textures textured

0:40:31.800 --> 0:40:34.279
<v Speaker 1>is even the largest. That's the biggest incision you're gonna

0:40:34.760 --> 0:40:36.879
<v Speaker 1>because you know, yeah, you also have to make room

0:40:36.920 --> 0:40:41.239
<v Speaker 1>for this ridged implant that's already pre filled um. And

0:40:41.320 --> 0:40:43.640
<v Speaker 1>either way you're gonna have to either top off or

0:40:43.680 --> 0:40:46.439
<v Speaker 1>totally fill up this the implant once it's in there,

0:40:46.600 --> 0:40:49.759
<v Speaker 1>top it off. That's pretty much what it is, So

0:40:49.880 --> 0:40:54.440
<v Speaker 1>chuck um, we're talking augmentation. It's elective surgery, plastic surgery.

0:40:54.800 --> 0:40:57.320
<v Speaker 1>And a lot of people think like plastic surgery is

0:40:57.360 --> 0:41:01.919
<v Speaker 1>called plastic surgery because it's artificiality, right, But actually it's

0:41:01.960 --> 0:41:08.239
<v Speaker 1>derived from the original Greek plastic hosts, which means uh, artificiality.

0:41:08.920 --> 0:41:12.720
<v Speaker 1>It means to mold or shape something's plastic, it's pliable. Yeah,

0:41:12.800 --> 0:41:16.040
<v Speaker 1>and that's what that's what plastic surgeons do say, mold

0:41:16.120 --> 0:41:20.319
<v Speaker 1>or shape things, including breasts. It's it's like you said,

0:41:20.360 --> 0:41:23.640
<v Speaker 1>it's not just making the cut and jamming the thing

0:41:23.680 --> 0:41:29.040
<v Speaker 1>in there. They have to um, basically reconfigure what the

0:41:29.040 --> 0:41:33.760
<v Speaker 1>the anatomy of the breast to to accept this new um.

0:41:34.200 --> 0:41:37.680
<v Speaker 1>Yeah yeah, um. And it does take a certain amount

0:41:37.680 --> 0:41:40.919
<v Speaker 1>of skill, but that's that destruct me as interesting. Yeah.

0:41:41.320 --> 0:41:43.480
<v Speaker 1>They call it plastic surgery, and it's not all just

0:41:43.600 --> 0:41:49.279
<v Speaker 1>augmentation doesn't always mean you're making your breast larger. There's

0:41:49.360 --> 0:41:54.239
<v Speaker 1>also reduction mammoplastic, which is breast reduction. If you feel

0:41:54.239 --> 0:41:56.800
<v Speaker 1>like you're too big and you have back problems or

0:41:56.920 --> 0:42:00.440
<v Speaker 1>for any other reason, you can get breast reduction. We

0:42:00.440 --> 0:42:03.080
<v Speaker 1>already talked about the mast aplexi, which is the breast lift,

0:42:03.640 --> 0:42:07.120
<v Speaker 1>and that's when they actually remove skin and rejoin it

0:42:07.280 --> 0:42:10.600
<v Speaker 1>to lift it up. It's pretty simple. Actually, I wouldn't

0:42:10.640 --> 0:42:15.359
<v Speaker 1>want to perform it, I'm saying, but in uh, what's

0:42:15.360 --> 0:42:18.759
<v Speaker 1>the word concept, it's pretty simple, right, um. And then

0:42:18.800 --> 0:42:22.640
<v Speaker 1>breast reconstruction UM. A lot of times, if your breasts

0:42:22.680 --> 0:42:26.120
<v Speaker 1>have been removed for mostectomy or damaged and you know,

0:42:26.360 --> 0:42:29.640
<v Speaker 1>because of some accident or something, they can actually reconstruct

0:42:29.640 --> 0:42:32.840
<v Speaker 1>your breasts in a realistic fashion, right, and uh, we

0:42:33.160 --> 0:42:36.360
<v Speaker 1>said women aren't the only are the only um humans

0:42:36.400 --> 0:42:40.680
<v Speaker 1>that have breasts, But there are um electric procedures for

0:42:40.880 --> 0:42:45.759
<v Speaker 1>men who want to bulk up their pecks called pectoral implants.

0:42:45.840 --> 0:42:50.560
<v Speaker 1>And what did you watch Entourage? Johnny dropped like, I

0:42:50.600 --> 0:42:52.800
<v Speaker 1>don't think he got him, but he wanted caffeine plants

0:42:52.800 --> 0:42:56.440
<v Speaker 1>at one point. I've heard of those. Yeah, caffe implants.

0:42:56.680 --> 0:43:01.440
<v Speaker 1>Uh yeah, pec implants. Come on, Um see I can

0:43:01.520 --> 0:43:05.000
<v Speaker 1>judge guys. What are you doing dudes? So well, well,

0:43:05.040 --> 0:43:07.319
<v Speaker 1>well that's we'll see what we're doing. Um. The arm

0:43:07.440 --> 0:43:09.799
<v Speaker 1>it's done with an armpin incision. It's a lot like

0:43:09.840 --> 0:43:13.279
<v Speaker 1>the trans axillary breast implant, thank for women. And they

0:43:13.320 --> 0:43:15.360
<v Speaker 1>go in there and lodge it behind the peck muscles

0:43:15.360 --> 0:43:17.120
<v Speaker 1>to just kind of bulk them up to stick them

0:43:17.120 --> 0:43:20.120
<v Speaker 1>out further. Um, and there you go, all of a sudden,

0:43:20.160 --> 0:43:22.880
<v Speaker 1>you are Charles Atlas. Yeah. Or you can have reduction

0:43:22.880 --> 0:43:26.359
<v Speaker 1>as a man too, if you're Bob from Fight Club. Yeah, yeah,

0:43:26.400 --> 0:43:31.920
<v Speaker 1>that's right. Um kind of because because maastia, um, it's

0:43:32.560 --> 0:43:35.160
<v Speaker 1>usually hereditary. It can be as a result of your diet,

0:43:35.200 --> 0:43:38.200
<v Speaker 1>but basically it's when guys end up feeling like they

0:43:38.200 --> 0:43:42.080
<v Speaker 1>have boobs and I feel like or do yeah, and

0:43:42.160 --> 0:43:44.239
<v Speaker 1>it's it's an embarrassing thing. I'm sure. So you can

0:43:44.280 --> 0:43:48.359
<v Speaker 1>get that removed. It's basically um bypo suction just under

0:43:48.360 --> 0:43:50.680
<v Speaker 1>the nipple, right, And if it's the result of a

0:43:50.800 --> 0:43:54.000
<v Speaker 1>glandular disorder, they'll probably just take the glands out while

0:43:54.040 --> 0:43:56.640
<v Speaker 1>they're there. And usually it takes more than one surgery,

0:43:56.680 --> 0:43:59.799
<v Speaker 1>but it can be corrected. What if insurance covers that?

0:44:02.120 --> 0:44:05.520
<v Speaker 1>I don't know. Does insurance cover any kind of plastic surgery?

0:44:06.360 --> 0:44:08.759
<v Speaker 1>I don't know, I don't I bet you wouldn't cover

0:44:08.760 --> 0:44:12.880
<v Speaker 1>that because it's still cosmetic, you know, I don't know.

0:44:14.160 --> 0:44:15.440
<v Speaker 1>I mean, I think you probably have to show the

0:44:15.800 --> 0:44:18.799
<v Speaker 1>medical problem, right, but I think you can if you

0:44:18.880 --> 0:44:22.160
<v Speaker 1>show that you're suffering from it psychologically, it might fall

0:44:22.280 --> 0:44:25.799
<v Speaker 1>under it. I don't know. We'll find out, because I'll

0:44:25.800 --> 0:44:29.400
<v Speaker 1>bet you an insurance claims adjuster writes in and tells

0:44:29.480 --> 0:44:32.120
<v Speaker 1>us that's my prediction. And you know what, I was

0:44:32.200 --> 0:44:36.200
<v Speaker 1>judging on the peck implants for there maybe uh cases

0:44:36.200 --> 0:44:38.120
<v Speaker 1>I don't know about where guys have sort of like

0:44:38.200 --> 0:44:40.879
<v Speaker 1>malform chest or something and they just want to look normal. Yeah,

0:44:41.280 --> 0:44:47.239
<v Speaker 1>I was talking about the guys who are like still

0:44:47.360 --> 0:44:51.880
<v Speaker 1>judging hit the gym man, do h some bench press?

0:44:51.920 --> 0:44:56.000
<v Speaker 1>You know, you want to increase your packs. So yeah,

0:44:57.239 --> 0:44:59.600
<v Speaker 1>push ups. Let's talk. Let's give me sit on your

0:44:59.600 --> 0:45:03.320
<v Speaker 1>back and do pushops one one handed mershell walker style. Yeah.

0:45:03.520 --> 0:45:06.719
<v Speaker 1>Supposedly he never lifted weights. Did you never know that? No? Yeah,

0:45:06.760 --> 0:45:09.560
<v Speaker 1>he never lifted weights in his life. Everything he had

0:45:09.600 --> 0:45:12.200
<v Speaker 1>people sit on and do push like two thousand push

0:45:12.280 --> 0:45:14.400
<v Speaker 1>ups a day and stuff like that. It was all

0:45:14.920 --> 0:45:18.239
<v Speaker 1>either isometrics or like chin ups, push ups, pull ups. Uh,

0:45:19.160 --> 0:45:24.960
<v Speaker 1>rolling a attractive tire exactly old school. Let's talk risks, man,

0:45:25.000 --> 0:45:27.520
<v Speaker 1>because this is uh, this is first of all, it's surgery.

0:45:27.560 --> 0:45:29.640
<v Speaker 1>So there's always an attendant risk with any kind of

0:45:29.640 --> 0:45:33.000
<v Speaker 1>surgery where general anesthesia is used. Right, it sounds like

0:45:33.040 --> 0:45:37.480
<v Speaker 1>a disclaimer. Well, it's true. I mean surgeries. Surgery is risky. Um. Well,

0:45:37.520 --> 0:45:43.480
<v Speaker 1>anesthesia is risky. Um. There's also infection. Anytime you're cut open,

0:45:43.600 --> 0:45:47.760
<v Speaker 1>there's a risk of infection. But then breast augmentation surgery

0:45:47.880 --> 0:45:51.520
<v Speaker 1>comes with its own attendance set of risks that are um,

0:45:51.640 --> 0:45:57.279
<v Speaker 1>they vary from definitely gonna happen, like the capsule contractor Yeah,

0:45:57.400 --> 0:46:05.120
<v Speaker 1>this scar tissue to extraordinarily rare like semastia. Yes, did

0:46:05.120 --> 0:46:07.600
<v Speaker 1>you see this? I did? It was I had no

0:46:07.640 --> 0:46:10.680
<v Speaker 1>idea that it could happen. Semastia is basically where your

0:46:11.640 --> 0:46:15.480
<v Speaker 1>breasts joined together as the result of an augmentation surgery

0:46:15.480 --> 0:46:19.200
<v Speaker 1>and you have one mega breast. Yeah. Um, I have

0:46:19.280 --> 0:46:22.280
<v Speaker 1>seen something that make braziers now, like post surgical braziers

0:46:22.280 --> 0:46:26.319
<v Speaker 1>and try and yeah that try and prevent that. Um.

0:46:26.360 --> 0:46:28.200
<v Speaker 1>But yeah, I've never heard of that either. I guess

0:46:28.200 --> 0:46:31.680
<v Speaker 1>they so after surgery, do they just kind of gravitate

0:46:31.920 --> 0:46:36.520
<v Speaker 1>towards one another? Um? Actually, I'm not sure. It just

0:46:36.560 --> 0:46:39.680
<v Speaker 1>says it. It's it's a mistake. So it's not like

0:46:40.080 --> 0:46:44.000
<v Speaker 1>some just bad you know, bad fortune. It's actual surgical mistake.

0:46:44.280 --> 0:46:48.440
<v Speaker 1>You get to own a portion of the doctor's office

0:46:48.520 --> 0:46:52.560
<v Speaker 1>that But yeah, the implants lift off the tournam and

0:46:52.600 --> 0:46:55.600
<v Speaker 1>grow together. So um, I guess the scar tissue grows

0:46:55.640 --> 0:46:57.640
<v Speaker 1>together in that case. That's my guess. It's kind of

0:46:57.680 --> 0:47:01.440
<v Speaker 1>like a unibrow made of breasts. But apparently it's fairly

0:47:01.520 --> 0:47:06.080
<v Speaker 1>hard to correct, is the big problem. Yeah, that's that's

0:47:06.120 --> 0:47:07.960
<v Speaker 1>pretty sad when you go in to try and make

0:47:07.960 --> 0:47:09.960
<v Speaker 1>yourself look better. And you feel bad about yourself already

0:47:10.000 --> 0:47:12.239
<v Speaker 1>maybe and then you end up like with something like this.

0:47:13.040 --> 0:47:14.600
<v Speaker 1>But these are risk you need to know about, you know.

0:47:14.719 --> 0:47:17.520
<v Speaker 1>And that is the opposite of the total recall, which

0:47:17.560 --> 0:47:21.799
<v Speaker 1>is three breasts. Yeah, remember that I forgot about that man.

0:47:21.840 --> 0:47:23.480
<v Speaker 1>That was a great movie. I wonder if they put

0:47:23.520 --> 0:47:25.759
<v Speaker 1>that in the remake because that was one of the

0:47:25.800 --> 0:47:29.480
<v Speaker 1>sort of goofy signature moments of that goofy movie. Yeah,

0:47:29.800 --> 0:47:32.960
<v Speaker 1>that was you know, it's a Philip K. Dick novel. Yeah,

0:47:33.320 --> 0:47:37.080
<v Speaker 1>I wrote like all sci fi basically. Yeah, pretty much

0:47:37.239 --> 0:47:39.520
<v Speaker 1>any sci fi movie ever was written by Philip K. Dick.

0:47:39.640 --> 0:47:42.040
<v Speaker 1>Did you know that he believes he was possessed by

0:47:42.040 --> 0:47:45.000
<v Speaker 1>an angel later on in his life? Really, yeah, he

0:47:45.120 --> 0:47:48.919
<v Speaker 1>came to he he believed that he was possessed by

0:47:49.040 --> 0:47:53.040
<v Speaker 1>a benevolent spirit that basically took him from being like

0:47:53.080 --> 0:47:58.439
<v Speaker 1>a complete shlub, drug addict loser who still wrote great

0:47:58.480 --> 0:48:02.920
<v Speaker 1>novels to just becoming like a person with a fairly normal,

0:48:03.160 --> 0:48:07.480
<v Speaker 1>orderly life. Uh, he cleaned himself up. He attributed it,

0:48:07.520 --> 0:48:10.760
<v Speaker 1>all of it to this possession that said, this happened

0:48:10.880 --> 0:48:13.160
<v Speaker 1>and that was the rest of his life. They should

0:48:13.200 --> 0:48:15.279
<v Speaker 1>make a movie about that guy. I'm just kind of

0:48:15.280 --> 0:48:18.279
<v Speaker 1>surprised they haven't, but someone does. Eventually he's here and

0:48:18.280 --> 0:48:21.719
<v Speaker 1>then because it was my idea. Yeah, you can't just

0:48:21.760 --> 0:48:25.840
<v Speaker 1>say that every time. It's got to be like your idea,

0:48:25.920 --> 0:48:31.600
<v Speaker 1>a good idea, not obvious memories. And I know everyone

0:48:31.640 --> 0:48:34.120
<v Speaker 1>agrees with shark, but that's like saying they should make

0:48:34.160 --> 0:48:37.319
<v Speaker 1>a modern movie on Charles Darwin. Right, I made that

0:48:37.440 --> 0:48:39.480
<v Speaker 1>up right, you can't do that. I'm not going to

0:48:39.560 --> 0:48:42.480
<v Speaker 1>support your lawsuit against two ever makes the Philip K.

0:48:42.640 --> 0:48:50.359
<v Speaker 1>Dick movie because now you're having a depressing effect on innovation. Yeah,

0:48:50.400 --> 0:48:54.439
<v Speaker 1>you're right, I apologize everyone, alright. So bottoming out, let's

0:48:54.440 --> 0:48:58.319
<v Speaker 1>get back to the risks. Um. Bottoming out is when

0:48:58.520 --> 0:49:02.200
<v Speaker 1>the implants sit too low, the nipple rides too high,

0:49:02.320 --> 0:49:06.640
<v Speaker 1>and that is a result of another mistake. Basically, they

0:49:06.640 --> 0:49:08.839
<v Speaker 1>cut out too large of a pocket, so it sits

0:49:08.840 --> 0:49:11.600
<v Speaker 1>down too low. It is correctible though again with a

0:49:11.680 --> 0:49:16.240
<v Speaker 1>revision surgery. Yeah, there's a humatoma, which is basically blood

0:49:16.280 --> 0:49:18.960
<v Speaker 1>collecting and pulling around it um. It can be painful,

0:49:19.560 --> 0:49:24.319
<v Speaker 1>requires drainage, sometimes can be lumpy. Yeah, we talked about

0:49:24.360 --> 0:49:29.160
<v Speaker 1>mammography being interfered with by breast implants, which is a problem,

0:49:29.239 --> 0:49:32.000
<v Speaker 1>but I guess they're kind of there is technology then

0:49:32.040 --> 0:49:35.920
<v Speaker 1>that you came across that, Yeah, as long as they know,

0:49:36.080 --> 0:49:39.120
<v Speaker 1>but it can you know, it can hide cancer growths

0:49:39.160 --> 0:49:43.040
<v Speaker 1>and X rays and you know, it's uh, it definitely

0:49:43.080 --> 0:49:45.719
<v Speaker 1>has something to consider, especially if that's something that runs

0:49:45.719 --> 0:49:50.120
<v Speaker 1>in your family. Yeah, um necrosis, which anytime you hear

0:49:50.520 --> 0:49:55.280
<v Speaker 1>that word necros in anywhere, you're headed for bad times.

0:49:56.160 --> 0:49:59.120
<v Speaker 1>That is tissue death. That is pretty rare, but it's

0:49:59.160 --> 0:50:03.760
<v Speaker 1>really serious and it usually results in removal of the implant.

0:50:03.800 --> 0:50:07.520
<v Speaker 1>And like sorry, sorry, you know you can't have breast

0:50:07.560 --> 0:50:12.840
<v Speaker 1>implants large large scars, permanent scars. It's bad news. Um. Again,

0:50:12.960 --> 0:50:18.080
<v Speaker 1>the breast implant canter rupture. Apparently most implant manufacturers offer

0:50:18.440 --> 0:50:23.560
<v Speaker 1>warranties for the breast uh, the implants themselves. You gotta

0:50:23.560 --> 0:50:27.480
<v Speaker 1>fill out your little card right and you also mentioned

0:50:27.480 --> 0:50:31.040
<v Speaker 1>like what magazines do you like exactly? Um, but there

0:50:31.080 --> 0:50:32.720
<v Speaker 1>are a lot of things you can do to void

0:50:32.800 --> 0:50:36.720
<v Speaker 1>said warranty. Yeah, probably, like leaning on fences is against

0:50:36.800 --> 0:50:40.560
<v Speaker 1>the warranty. Just things like that, like you you have

0:50:40.680 --> 0:50:43.200
<v Speaker 1>to once you get your warranty from what this article.

0:50:43.200 --> 0:50:46.880
<v Speaker 1>As this article paints it, you. Um, basically, you have

0:50:46.960 --> 0:50:49.719
<v Speaker 1>breast implants down. You have to be cognizant of that

0:50:50.200 --> 0:50:52.879
<v Speaker 1>or else you they are at risk of rupturing. Yeah,

0:50:52.880 --> 0:50:57.760
<v Speaker 1>they're not indestructible. Um. Did we talk about s roma?

0:50:57.960 --> 0:51:00.680
<v Speaker 1>That is just a collection of fluid, pretty minor and

0:51:00.719 --> 0:51:04.360
<v Speaker 1>they can usually just drain that with a needle. Yeah,

0:51:04.440 --> 0:51:09.640
<v Speaker 1>and then uh, we covered both semastia and rippling, and

0:51:09.680 --> 0:51:12.720
<v Speaker 1>those are the risks and you've got to consider all

0:51:12.800 --> 0:51:17.960
<v Speaker 1>that stuff because it happens, and it's probably your worst nightmare.

0:51:18.120 --> 0:51:21.200
<v Speaker 1>Some of that bad stuff happens. So I think you

0:51:21.400 --> 0:51:25.800
<v Speaker 1>kind of hit upon it pretty well earlier. Um, he said,

0:51:26.400 --> 0:51:27.920
<v Speaker 1>if you're gonna do this, you need to know all

0:51:27.920 --> 0:51:30.719
<v Speaker 1>the risks. You should be fully informed if you're gonna

0:51:30.760 --> 0:51:33.520
<v Speaker 1>make a decision like this. But if you make that decision,

0:51:34.480 --> 0:51:38.839
<v Speaker 1>go for it. And in singles, Bill Pullman completely talks

0:51:38.920 --> 0:51:41.640
<v Speaker 1>right of it. And basically it's like tells her how

0:51:41.680 --> 0:51:43.879
<v Speaker 1>beautiful she is and how she doesn't need that kind

0:51:43.880 --> 0:51:46.320
<v Speaker 1>of thing, and it's like the sweet camera and chrome moment.

0:51:47.000 --> 0:51:49.680
<v Speaker 1>He wasn't into each his own. He was turning down

0:51:49.719 --> 0:51:53.239
<v Speaker 1>money and a potential client trying to get a date,

0:51:53.280 --> 0:51:55.600
<v Speaker 1>which he did not get well. I imagine Bill Pullman

0:51:55.680 --> 0:52:00.920
<v Speaker 1>is pretty well off. Uh yeah, he probably was. Uh

0:52:01.120 --> 0:52:03.759
<v Speaker 1>what do you think Secret Life of Walter Mintie is

0:52:03.800 --> 0:52:06.360
<v Speaker 1>gonna be good? Or no? The trailer looks awesome. It

0:52:06.400 --> 0:52:09.040
<v Speaker 1>does look also, it looks really really cool. But I mean,

0:52:09.080 --> 0:52:11.440
<v Speaker 1>I've been fooled by trailers before, Chuck. I know, I've

0:52:11.440 --> 0:52:13.640
<v Speaker 1>been waiting for this movie for a long time. They

0:52:13.680 --> 0:52:15.719
<v Speaker 1>were gonna make it with Jim Carey, like fifteen years ago.

0:52:16.080 --> 0:52:17.920
<v Speaker 1>I could see that he would work one of my

0:52:17.960 --> 0:52:21.040
<v Speaker 1>favorite stories. So I'm a little bit apprehensive. But it

0:52:21.080 --> 0:52:25.720
<v Speaker 1>looks good. Who wrote it? It's right there? Man, jeez,

0:52:25.719 --> 0:52:27.879
<v Speaker 1>I can't even think of it. It's not It wasn't. Oh,

0:52:27.920 --> 0:52:30.960
<v Speaker 1>Henry wasn't it was Why did you bring this up?

0:52:31.040 --> 0:52:33.840
<v Speaker 1>What led you to that? Uh? You're talking about singles

0:52:34.560 --> 0:52:37.839
<v Speaker 1>and I thought that Ben still Head directed singles. Yeah,

0:52:37.880 --> 0:52:42.840
<v Speaker 1>those reality bites. Yes, yeah, yeah. And it's taken me

0:52:42.920 --> 0:52:46.560
<v Speaker 1>like a lot to remind myself you're not talking about swingers.

0:52:47.360 --> 0:52:54.160
<v Speaker 1>Oh right, so all those movieses? What a waste? Um,

0:52:54.200 --> 0:52:56.879
<v Speaker 1>if you you got anything else, I don't have anything else.

0:52:56.920 --> 0:52:59.640
<v Speaker 1>Oh I have one more thing. Apparently, um. Breast implants

0:52:59.760 --> 0:53:04.120
<v Speaker 1>were linked to suicide and increased risk of suicide, um

0:53:04.160 --> 0:53:07.080
<v Speaker 1>after a certain amount of years of having them. But

0:53:07.440 --> 0:53:09.520
<v Speaker 1>this it just popped up in two thousand seven and

0:53:09.560 --> 0:53:11.799
<v Speaker 1>it was found in one study and everybody it made

0:53:11.800 --> 0:53:14.040
<v Speaker 1>the news cycle and then just went away. Yeah, and

0:53:14.040 --> 0:53:16.000
<v Speaker 1>that's all. I didn't get a real accurate stat but

0:53:16.040 --> 0:53:19.440
<v Speaker 1>the woman, an accurant acron that's still in the breastand

0:53:19.480 --> 0:53:23.520
<v Speaker 1>Plan of the Future, estimated that about fifty thousand out

0:53:23.520 --> 0:53:26.480
<v Speaker 1>of four hundred thousand that are performed per year do

0:53:26.640 --> 0:53:31.239
<v Speaker 1>require like half complications and require revision surgery. So that's

0:53:31.560 --> 0:53:36.520
<v Speaker 1>an eighth that's probably significant surgically speaking. I want to

0:53:36.560 --> 0:53:39.120
<v Speaker 1>say also about the suicide think, just based on my

0:53:39.239 --> 0:53:43.040
<v Speaker 1>knowledge of news and journalism and stuff like that, if

0:53:43.080 --> 0:53:45.560
<v Speaker 1>it just popped up once and you can't find anything else,

0:53:45.840 --> 0:53:49.280
<v Speaker 1>and all the reports on it or stories on anything

0:53:49.840 --> 0:53:53.919
<v Speaker 1>are all within a week of one another, five years ago,

0:53:54.200 --> 0:53:57.240
<v Speaker 1>six years ago there, and there's no follow up whatsoever.

0:53:57.320 --> 0:54:02.520
<v Speaker 1>It wasn't a thing. Uh okay, Well, let's breast implants.

0:54:02.520 --> 0:54:05.239
<v Speaker 1>If you want to learn more, there's a really extensive

0:54:05.320 --> 0:54:08.920
<v Speaker 1>in depth article on the site, including flash animations of

0:54:08.960 --> 0:54:13.120
<v Speaker 1>the different types of incisions. Yeah, you can type breast

0:54:13.480 --> 0:54:16.200
<v Speaker 1>implant into the search bart how stuff works dot com

0:54:16.239 --> 0:54:17.960
<v Speaker 1>and it will bring that up. And since I said

0:54:17.960 --> 0:54:26.320
<v Speaker 1>search bar, it's time for message break. Uh and Chuck

0:54:26.560 --> 0:54:29.799
<v Speaker 1>take us out with some listener mail. Hum all right,

0:54:29.880 --> 0:54:33.960
<v Speaker 1>James Thurber by the way Secret Life nice. Um, all right,

0:54:34.600 --> 0:54:37.520
<v Speaker 1>this is from Todd and okay, see and this is

0:54:37.560 --> 0:54:41.760
<v Speaker 1>about vulture vomit. Hey, guys and Jerry. I just finished

0:54:41.800 --> 0:54:43.680
<v Speaker 1>listening to the podcasts and Vultures. It reminded me of

0:54:43.719 --> 0:54:45.759
<v Speaker 1>the story. A couple of my buddies were going to

0:54:45.800 --> 0:54:49.160
<v Speaker 1>college at in m s u Go Aggies, that's New

0:54:49.200 --> 0:54:51.960
<v Speaker 1>Mexico State. They were driving through the desert north of

0:54:52.000 --> 0:54:55.920
<v Speaker 1>Las Crucis. I've been there myself actually, when they came

0:54:55.920 --> 0:54:58.399
<v Speaker 1>across a small wake of vultures eating some road kill.

0:54:58.800 --> 0:55:00.840
<v Speaker 1>Two of the vultures flew away the truck approach, but

0:55:00.840 --> 0:55:03.279
<v Speaker 1>the third was just a little too slow. The poor

0:55:03.360 --> 0:55:07.640
<v Speaker 1>bird cannonballed into the windshield, which instantly shattered into tiny

0:55:07.680 --> 0:55:11.959
<v Speaker 1>glass cubes. The vulture's head punched through the windshield while

0:55:11.960 --> 0:55:15.080
<v Speaker 1>the rest of them stayed outside. The vulture instantly puked

0:55:15.120 --> 0:55:17.720
<v Speaker 1>all over the inside of the truck while my buddy

0:55:17.800 --> 0:55:19.719
<v Speaker 1>screamed in the truck. Fish tale to a halt in

0:55:19.719 --> 0:55:22.520
<v Speaker 1>the middle of the highway. Will that guy painted one

0:55:22.560 --> 0:55:26.000
<v Speaker 1>heck of a picture just now? When they jumped out

0:55:26.000 --> 0:55:27.920
<v Speaker 1>of the truck, the vultures wings were covering most of

0:55:27.920 --> 0:55:29.920
<v Speaker 1>the wind shield. As it struggled to get free, they

0:55:29.960 --> 0:55:31.440
<v Speaker 1>ended up having to pry it's head out of the

0:55:31.440 --> 0:55:34.400
<v Speaker 1>windshield the handle of a shovel, and believe it or not,

0:55:34.480 --> 0:55:36.920
<v Speaker 1>it managed to fly away. Aside from a leg that

0:55:37.000 --> 0:55:40.520
<v Speaker 1>was dangling and apparently injured, it appeared to be okay.

0:55:40.960 --> 0:55:43.680
<v Speaker 1>I don't know if that Thanks for the ride, lady.

0:55:43.800 --> 0:55:46.080
<v Speaker 1>Uh Now, I wasn't there, so I can't promise that

0:55:46.120 --> 0:55:47.840
<v Speaker 1>the story happened exactly as it was told to me,

0:55:47.920 --> 0:55:50.600
<v Speaker 1>but I can confirm that the interior the truck smelled

0:55:50.760 --> 0:55:53.840
<v Speaker 1>like a buzzard barth two months later. Keep up the

0:55:53.840 --> 0:55:56.480
<v Speaker 1>great work. You're one of my favorite shows. Always happy

0:55:56.560 --> 0:55:58.680
<v Speaker 1>when the episodes pop up on my phone, which is

0:55:58.680 --> 0:56:01.160
<v Speaker 1>every Tuesday and Thursday. He hasn't He's not good at

0:56:01.200 --> 0:56:04.799
<v Speaker 1>recognizing pattern. He should not be surprised. Oh there's another one.

0:56:05.239 --> 0:56:07.400
<v Speaker 1>It seems like this happens every two days. I'll let

0:56:07.440 --> 0:56:10.399
<v Speaker 1>my card down and it's Thursday. Hey, uh so that's

0:56:10.400 --> 0:56:13.840
<v Speaker 1>Todd from Okay. See, thanks Todd, you were not the

0:56:13.880 --> 0:56:16.560
<v Speaker 1>Todd that I was talking to earlier about the pill.

0:56:17.000 --> 0:56:20.279
<v Speaker 1>That was a fictional Todd. But how crazy would that

0:56:20.320 --> 0:56:24.120
<v Speaker 1>be if that Todd did think that breast augmentation surgery

0:56:24.960 --> 0:56:27.960
<v Speaker 1>was carrying out by PILs. Weird. Weird right back and

0:56:28.040 --> 0:56:30.919
<v Speaker 1>let us know what you're Todd from Okay, se agreed. Uh.

0:56:30.960 --> 0:56:33.360
<v Speaker 1>You know, we always love to hear follow ups about

0:56:33.640 --> 0:56:39.120
<v Speaker 1>our episodes. You can tweet them to us on Twitter.

0:56:39.440 --> 0:56:43.160
<v Speaker 1>Our Twitter handle is at s y s K podcast.

0:56:43.719 --> 0:56:47.480
<v Speaker 1>On Facebook, we're at Facebook dot com slash Stuff you

0:56:47.520 --> 0:56:50.120
<v Speaker 1>Should Know. UM. You can always send us an email

0:56:50.160 --> 0:56:54.360
<v Speaker 1>to Stuff Podcast at Discovery dot com, or, like we

0:56:54.440 --> 0:56:57.279
<v Speaker 1>say in the beginning of episodes, now join us at

0:56:57.280 --> 0:57:05.759
<v Speaker 1>our home on the web, Stuff you Should Know dot com.

0:57:05.760 --> 0:57:08.319
<v Speaker 1>For more on this and thousands of other topics, visit

0:57:08.360 --> 0:57:17.120
<v Speaker 1>how Stuff Works dot com