Herbs and foods with antiplatelet or anticoagulant effects

• Alfalfa/// Garlic
• Anise/// Ginger
• Arnica///Ginko
• Aspen///Ginseng
• Black cohosh/// Horse chestnut
• Borage seed oil/// Licorice
• Bromelain/// Onion
• Capsicum/// Papain
• Celery/// Safflower
• Clove Sweet clover
• Dong Quai/// Turmeric
• Fenugreek///Vitamin E
• Fish oils (omega-3 fatty acids)/// Wild lettuce

SMOKE IS THE ENEMY

Whether you quit recently or not.

Smoking “anything” has certain serious adverse effects on everything about the surgeries. Ideal is to quit smoking 2 months before your operation and never start again.

PRIMARY BREAST AUGMENTATION

Breasts are the major secondary sex character for women. Full and perky breasts with a well defined cleavage build up a complete self-esteem and a good body perception for women. Also it increases self confidence in most of the social settings.

Primary breast augmentation when performed appropriately and meets the patients expectations, is a highly satisfactory operation for women.

I occasionally perform subfascial pocket dissection technique with an incision at the fold on anatomies that are favorable to do. This technique has a fast recovery- patients are able to turn back to their daily lives with in 2- 3 days. It is mostly painless and it is the only technique that mimics the natural breast look. I also perform submuscular pocket dissection (dual plane techniques) & hybrid breast augmentation techniques when there is neccesity.

I don’t prefer to use drains on breast augmentation patients – rarely I do only when there is a need.

Patients uses a surgical bra for 3 weeks after surgery which controls the swelling and the infra-mammary fold location. After 3 weeks they are recommended to use silicone gels over the incisions for a smoother and faster healing. Scars are mostly inconspicuously hidden at or just above the infra-mammary fold and quite not visible after 12 months.

BREAST LIFT/ REDUCTION (MASTOPEXY/ REDUCTION MAMMOPLASTY)

Depending on the genetical factors some women might develop gigantic breasts during their adolescence. Big breasts are actually a burden for women. Firstly its hard to dress with them and conceal them, secondly and not the least the weight of the breasts cause discomfort on spine an shoulders. Also during the pregnancy periods with the effect of hormones, breasts enlarge and after the breast feeding is complete they deflate quite fast and mostly doesn’t turn back to their pre- pregnancy state. This causes the need for breast lift for whom wants to restore the look of their pre pregnancy breasts.

These two operations are mostly the same – technically, the only difference is that when surgeon excises more than 400-500 grams of tissue from breast its called “breast reduction” if less than that or if that excess tissue gets used to auto-augment the breasts then its called “breast lift”.

Both these operations leave scars around the areolar perimeter (for certain), a vertical component right middle at the breast (mostly) and a scar that lies at the infra-mammary fold (mostly). With the scar placements surgeries are named as “Circumareolar (Donut) breast lift” , “Vertical Scar (Lollipop) breast lift” or “Inverted T (Wise pattern) breast lift”. Those techniques are not decided according to patients scar expectations but to the tissue quality and excess. Even it may seem like it’s too much scar for an aesthetic procedure on non smokers scars heal quite well and are nearly invisible around 12 months post op with appropriate scar management therapies.