Top Ten Breast Replacement Questions

Top Ten Breast Replacement Questions 1. How do I avoid implant replacement? The best means of avoiding a breast implant replacement is breast massage, meticulous compliance with post-surgical instructions and selecting a well qualified plastic and reconstructive surgeon. Avoiding trauma to the chest or other high risk activities will minimize the risk for implant rupture. With these factors optimized, some patient's predisposition for capsular contracture (implant hardening), implant rupture, infection or other causes for implant replacement can not be avoided. 2. How do I select a surgeon to perform the procedure? Selection of an experienced plastic and reconstructive surgeon who is a diplomat of the American Board of Plastic Surgery is imperative when deciding on a breast implant replacement. You should be sure you are able to establish rapport with the Board-certified surgeon in order to assure your ideal implant is chosen for replacement. 3. How do I diagnose implant rupture? Ruptured saline implants are easy to diagnose as one breast simply deflates or shrinks over a period of a few days. Ruptured silicone implants are more difficult to diagnose particularly with the new cohesive or “gummy bear" implants. Hardening of a silicone implant or change in breast shape can be indications for a ruptured implant. A physical examination by a plastic and reconstructive surgeon along with possible ultrasound or MRI can typically diagnose a ruptured implant. Some ruptures are simply not definitely documented prior to a breast implant replacement. Breast implant replacement is an option if clinical suspicion is high enough, or there is prior trauma to the breast such as in an abnormally painful mammogram. 4. How often do breast implants have to be replaced? Unless your implants are causing a problem such as uneven breast size, change in breast shape or hardening of the implant, then breast implant replacement does not definitely have to be performed within a specific time period. 5. What is the best approach or incision to replace a breast implant? If the prior breast implant surgery or breast augmentation was performed through an incision on the breast, then the same incision can be used for implant replacement. If incisions at the underarm or belly button were used to insert the implants, then a new incision on the breast is necessary for implant replacement. Either an incision around the areola or under the breast can be used I such cases. 6. Does a breast implant replacement increase my chances for requiring another breast implant replacement? Breast implant replacement shortly after surgery does predict that you have a higher likelihood of requiring another implant replacement than a woman with no such surgery. 7. Should I entirely remove my breast implant versus having a breast implant replacement? Typically a new implant is necessary for implant replacement. If a breast implant replacement is being performed for infection, then a new implant is absolutely necessary. In those with capsular contracture, the implant replacement should be made with a new implant. Other causes for implant replacement such as rippling, rupture, or animation deformity are also replaced with a new implant. 8. What are the risks of breast implant replacement? Implant replacement risks resemble risks for breast augmentation. Though rare, risks include capsular contracture (hardening of the implant), loss of sensation at the breast or nipples, new scars, wound healing problems, unevenness (asymmetry) and another need for implant replacement among other risks. 9. What is the recovery period for breast implant replacement? Recovery from breast implant replacement can be shorter than breast augmentation, or longer if other associated procedure are necessary. Associated procedures which make implant replacement recovery longer include capsulectomy (removal of the tight scar tissue) and extending the implant pocket. 10. What can I do to make my breast appear more natural now that I am replacing my breast implants? The most important factor in determining a natural outcome is selection of the appropriate breast implant. This includes a proportional breast implant size and ideal breast implant shape. If breasts become droopy over time, breast lift or mastopexy may be necessary at the time of implant replacement. Changing the implant pocket from over the muscle to under the pectoralis muscle can improve flow of the breast and produce a natural transition from the chest to the breast. Lastly, revision of the implant pocket to move the implant to the correct position can yield more youthful breasts.

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Mental Health Professional

A mental health professional is a health care practitioner who offers services for improving an individual's mental health or to treat mental illness. This broad category includes psychiatrists, clinical psychologists, clinical social workers, psychiatric nurses, mental health counselors as well as many other professionals. These professionals often deal with the same illnesses, disorders, conditions, and issues; however, their scope of practice differs. The most significant difference between mental health professionals are the laws regarding required education and training across the various professions. Mental health professionals exist to improve the mental health of individuals, couples, and families. Because mental health covers a wide range of elements, the scope of practice greatly varies between professionals. Some professionals may enhance relationships while others treat specific mental disorders and illness. Often, as with the case of psychiatrists and psychologists, the scope of practice may overlap. Most qualified mental health professionals will refer a patient or client to another professional if the specific type of treatment needed is outside of their scope of practice. Additionally, many mental health professionals may sometimes work together using a variety of treatment options such as concurrent psychiatric medication and psychotherapy. Additionally, specific mental health professionals may be utilized based upon their cultural and religious background or experience. Psychiatrists are physicians and one of the few professionals in the mental health industry who specialize and are certified in treating mental illness using the biomedical approach to mental disorders including the use of medications. Psychiatrists may also go through significant training to conduct psychotherapy and cognitive behavioral therapy; however, psychologists and clinical psychologists specialize in the research and clinical application of these techniques. The amount of training a psychiatrist holds in providing these types of therapies varies from program to program and differs greatly based upon region. A clinical psychologist studies and applies psychology for understanding, preventing, and relieving psychologically based distress or dysfunction and to promote subjective well-being and personal development. In many countries, a regulated profession addresses moderate to more severe or chronic psychological problems, including diagnosable mental disorders. Clinical psychology includes a wide range of practices, such as research, psychological assessment, teaching, consultation, forensic testimony, and program development and administration. Central to clinical psychology is the practice of psychotherapy, which uses a wide range of techniques to change thoughts, feelings, or behaviors in service to enhancing subjective well-being, mental health, and life functioning. Unlike other mental health professionals, psychologists are trained to conduct psychological assessment. Clinical psychologists can work with individuals, couples, children, older adults, families, small groups, and communities. Counseling generally involves helping people with what might be considered "normal" or "moderate" psychological problems, such as the feelings of anxiety or sadness resulting from major life changes or events.[16][17] As such, counseling psychologists often help people adjust to or cope with their environment or major events, although many also work with more serious problems as well. One may practice as a counseling psychologist with a PhD or EdD, and as a counseling psychotherapist with a Masters degree. Compared with clinical psychology, there are fewer counseling psychology graduate programs (which are commonly housed in departments of education), counselors tend to conduct more vocational assessment and less projective or objective assessment, and they are more likely to work in public service or university clinics (rather than hospitals or private practice). Despite these differences, there is considerable overlap between the two fields and distinctions between them continue to fade. 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