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SYSK Selects: How Breast Implants Work · Stuff You Should Know

0:00
Speaker 1: Hey there, it's your old pal Josh. This week's curator
0:04
Speaker 1: of s Y s K selects, and this week I've
0:07
Speaker 1: selected how breast implants Work. Uh. It's a pretty great
0:11
Speaker 1: vintage episode. Has it all science, pop culture, history, surgery,
0:17
Speaker 1: all sorts of weird stuff. And this episode is the
0:20
Speaker 1: origin of when I realized that Chuck says the word
0:24
Speaker 1: tattoo really oddly. So enjoy it. Take care to two.
0:31
Speaker 1: Welcome to Stuff you Should Know Reroomhouse Stuff Works dot Com. Hey,
0:41
Speaker 1: and welcome to the podcast. I'm Josh Clark, and there's
0:43
Speaker 1: Charles W Chuck Bryant, and Jerry's over there. So you
0:47
Speaker 1: got the three MUCHA shows together was well, Chaos and Muchacha.
0:56
Speaker 1: Is that right? Is Muchacha a girl? It makes sense
1:01
Speaker 1: to be probably that's generally how worths right, Yeah, but
1:05
Speaker 1: I also may have just made up a word in
1:06
Speaker 1: Spanish that it could be a snack food. Anyway, this
1:15
Speaker 1: is stuff you should know, and we want to extend
1:17
Speaker 1: a extra hearty welcome to all the additional twelve year
1:21
Speaker 1: old boys who are listening to this one. We want
1:23
Speaker 1: to apologize in advance for disappointing you, because you're going
1:26
Speaker 1: to be sorely disappointed, and I would like to insert
1:30
Speaker 1: a quick c a okay for myself. Um, we're gonna
1:34
Speaker 1: be talking about breast implants, and I'm gonna try not
1:38
Speaker 1: pepper the show with my own opinions because we have
1:42
Speaker 1: the to each his own decree here, And I'm just
1:46
Speaker 1: gonna go ahead and say out front, I'm not into it.
1:48
Speaker 1: I wish people would just learn to love themselves. But
1:50
Speaker 1: I get it, And if someone feels better to do
1:54
Speaker 1: something like this, then then that's fine. No judgment here. Yeah, Um,
2:00
Speaker 1: who are we to judge? Yeah, it's gonna be tough
2:02
Speaker 1: in the parts about like the string Uh what was
2:05
Speaker 1: that one called the string implant? It's dead and gone, yeah,
2:09
Speaker 1: but still we got to cover it. Well, you might
2:12
Speaker 1: hear some derision in my voice, a little like, but again,
2:18
Speaker 1: if a string implant is what uh, those women wanted
2:21
Speaker 1: to feel better than, then you have to go to
2:23
Speaker 1: an underground doctor to get it. Now, Well you do now, Yeah,
2:26
Speaker 1: And of course we're gonna you know, it's not just
2:28
Speaker 1: like just augmentation, like you know, mastectomes and men can
2:32
Speaker 1: get breast in plants. So we're gonna cover the whole gamut. Yeah,
2:35
Speaker 1: you're given a lot away here. People know the whole
2:38
Speaker 1: the whole farm. People know. People are gonna they're not
2:41
Speaker 1: gonna want to buy the cow because you just gave
2:43
Speaker 1: them all the milk. Hey, this, this milk and the
2:45
Speaker 1: cow are both free anyway, so let's do it. That's
2:49
Speaker 1: my little c o A. That was good chick. Thanks. Um.
2:53
Speaker 1: We are talking breast implants, and we are going to
2:56
Speaker 1: explain everything there is to know about breast plants. Breast
3:00
Speaker 1: same plants, not breast plants. That's a it's a subtropical
3:04
Speaker 1: species of carnivorous plant um that looks like a breast.
3:10
Speaker 1: Oh is that where it gets his name? Um? Anyway,
3:14
Speaker 1: I want to have I have a little intro. So, um,
3:18
Speaker 1: have you ever heard that in France the perfect breast
3:22
Speaker 1: fits into champagne glass? I have not heard that. So
3:26
Speaker 1: you told me this and I was like, what are
3:29
Speaker 1: you talking about? I thought that at first two And
3:31
Speaker 1: she's like, no, we're not a flute, you dummy, a coupe.
3:35
Speaker 1: Because I was, I was saying that very odd of banana.
3:39
Speaker 1: It's a weird. Yes, it would be a little weird
3:41
Speaker 1: if that were the case, but as champagne coup. So
3:45
Speaker 1: she looked it up and was showing it to me.
3:46
Speaker 1: And while we were UM, while we were looking at that,
3:50
Speaker 1: we found another axiom that was possibly even more true
3:54
Speaker 1: that in America. Somebody commented underneath this, in America, the
4:00
Speaker 1: of a breast cloggs a toilet doesn't fit into a
4:03
Speaker 1: champagne coop. It cloggs a toilet. That's an axiom, it
4:07
Speaker 1: is according to this comment or who made it up.
4:09
Speaker 1: I did not know that. I I think the commenter
4:12
Speaker 1: made it up as a joke, okay, and it was
4:14
Speaker 1: a pretty funny joke if you ask me. I thought
4:16
Speaker 1: I was going to get a bigger response from you,
4:18
Speaker 1: but I'll live with what I got. Um. The point
4:23
Speaker 1: is is, if in America that is the standard breast
4:26
Speaker 1: so big that they clogged toilets, that's a pretty high
4:28
Speaker 1: bar to set, especially naturally, which is probably why some
4:33
Speaker 1: women turned to breast implants. Yeah, and speaking of America,
4:36
Speaker 1: it seems like a good place for that. Um. They
4:39
Speaker 1: topped the list in the number total number of breast
4:42
Speaker 1: implant operations. UM. But if you want to go per capita,
4:46
Speaker 1: there number five and the first four are Brazil, Greece, Italy,
4:50
Speaker 1: and Colombia. Per capita, which is to me, what matters
4:55
Speaker 1: per capita. Sure, obviously we have the most because we
4:59
Speaker 1: have more people, right than in those other countries. I
5:03
Speaker 1: am surprised that we're number five. I would think we'd
5:06
Speaker 1: be higher than that. You know, it's number ten per capita.
5:09
Speaker 1: Of course, what is that, right? Yeah, they're like comfortably
5:13
Speaker 1: in the middle. Although no, that's still pretty high towards
5:16
Speaker 1: the top. Although I guess it would be about in
5:18
Speaker 1: the middle if you just did industrialized countries. So anyway,
5:22
Speaker 1: there's my stat that's a great stat. I've got another
5:25
Speaker 1: one for you, Chuck Um. Breast implants was the number
5:28
Speaker 1: one elective surgery in two thousand twelve in the United States.
5:32
Speaker 1: In two thousand eleven it was LiPo, but breast implants
5:36
Speaker 1: breast augmentation. Um beat it out in two thousand twelve.
5:42
Speaker 1: I don't know how many, probably by a nose, because
5:44
Speaker 1: in two thousand eleven it was three hundred thousand and
5:47
Speaker 1: change LiPo sections, and in two thousand and twelve there
5:49
Speaker 1: are three hundred and thirty thousand, six hundred and eighty
5:52
Speaker 1: one breast augmentation surgeries. In two thousand twelve, according to
5:58
Speaker 1: the Wall Street Journal, you know that was a rhino
6:00
Speaker 1: plastic sat that would have been a great joke by
6:03
Speaker 1: knows By. You know, yeah, I bet that's on the
6:07
Speaker 1: top five. Oh, I guess so sure. In fact, I
6:10
Speaker 1: bet that's number three. There's several ways to find out,
6:14
Speaker 1: should we know, Man, this thing is all too a
6:17
Speaker 1: rocky start. I'm just guessing. Okay, So let's talk breast implants.
6:24
Speaker 1: For before we talked implants, Chuck, we should probably talk
6:27
Speaker 1: about well, you want to talk about the history of him. Yeah,
6:31
Speaker 1: that's a good place to start. So apparently a guy,
6:34
Speaker 1: a doctor named two doctors named Frank Garrow and Thomas
6:37
Speaker 1: cronin Um came up with the idea. And Garrel specifically
6:41
Speaker 1: squeezed a plastic blood bag one day and remarked how
6:45
Speaker 1: much it felt like a breast, right, and that was
6:49
Speaker 1: um circu Yeah, And so he had the That apparently
6:55
Speaker 1: was the quote unquote aha moment like, hey, we should
6:57
Speaker 1: do this. So they tried it out on a dog
7:00
Speaker 1: named Esmerelda and uh and not obviously, you know, they
7:04
Speaker 1: were just inserting it into a body. They weren't like, hey,
7:07
Speaker 1: let's give this dog boobs. You know, they have always
7:11
Speaker 1: wanted to see what boobs look like kind of dogs.
7:13
Speaker 1: So they wanted to just see if it worked, and
7:16
Speaker 1: it apparently it took enough to where they're like, hey,
7:18
Speaker 1: I think we can try this on a person. Yeah,
7:20
Speaker 1: Esmerelda chewed at our stitches, so they had to remove
7:22
Speaker 1: it after a couple of weeks. But I mean that
7:25
Speaker 1: they were they were. It was definitely an improvement on um,
7:29
Speaker 1: what had been an innovation among Japanese prostitutes during World
7:32
Speaker 1: War Two because American gis again boobs that calged a
7:37
Speaker 1: toilet um. They apparently the Japanese prostitute said, Hey, these
7:43
Speaker 1: guys like big boobs, let's give him big boobs. Let's
7:46
Speaker 1: steal some medical grade silicone from the docks of Yokohama.
7:50
Speaker 1: I thought it was sponges that that was something. They
7:53
Speaker 1: also they self injected silicone directly into their breasts, which
7:58
Speaker 1: apparently worked, but it also gave them things like gang
8:02
Speaker 1: Green thinks the silicone rot At the side of injection.
8:05
Speaker 1: There was a lot of hematomas, very bad news stuff,
8:10
Speaker 1: but there was a It showed this desire to increase
8:14
Speaker 1: breast size, and these guys in the early sixties came
8:20
Speaker 1: in to deliver that's right. Uh, and they did it
8:23
Speaker 1: in it's sort of a weird way. There was this
8:24
Speaker 1: woman named Timmy Jean Lindsay in nine two, a mother
8:28
Speaker 1: of six in Houston, Texas, and she had to too
8:33
Speaker 1: of a rose vine on her breasts that her boyfriend
8:38
Speaker 1: talked her into. Broke up with a boyfriend and was like,
8:41
Speaker 1: I kind of really don't want this anymore. Went in
8:43
Speaker 1: to get the two two removed and she had to
8:46
Speaker 1: change to wino forever exactly, And um, why are you
8:50
Speaker 1: saying to huh? I always said that it's tattoo to too.
8:56
Speaker 1: No not I mean no, okay I And if you
9:00
Speaker 1: say it like that again to each his own, if
9:02
Speaker 1: you want breast implants, fine, if you want to say
9:04
Speaker 1: to too, fine, But I couldn't just sit here and
9:07
Speaker 1: pretend like I didn't notice that you were saying too.
9:09
Speaker 1: I've said that plenty of times and be ignored me.
9:11
Speaker 1: So are you sure? Yeah? Alright, alright. So anyway, she
9:15
Speaker 1: went in to get the tattoo removed. No, no, go back,
9:19
Speaker 1: go back to to two. I feel too guilty when
9:21
Speaker 1: you say tattoo to get it removed and umo, and
9:26
Speaker 1: she said that, Um, they said, hey, we got this
9:29
Speaker 1: new thing called breast implants. Would you like to try it?
9:33
Speaker 1: And she said, well, my ears stick out too much.
9:36
Speaker 1: If you if you pin my ears back some, I'll
9:38
Speaker 1: let you use me as a guinea pig. Basically, she
9:41
Speaker 1: knows how to bargain. Yeah, and that's what happened. That's
9:43
Speaker 1: the first breast implants were sort of a bargain like that.
9:47
Speaker 1: She went from a bead cup to a seat cup.
9:50
Speaker 1: That is correct. And um, this is at a time
9:53
Speaker 1: when women wore pointy cone braws and stuff like that.
9:59
Speaker 1: It was there was a big emphasis on big boobs.
10:02
Speaker 1: Maryland was big. They had false ease, even like the
10:05
Speaker 1: padded braws. Yeah, so there was, I mean, this desire
10:08
Speaker 1: to increase your bus size and to do it permanently.
10:11
Speaker 1: It was there and it just kind of took off
10:13
Speaker 1: like a rocket ever since then, ever since that the
10:16
Speaker 1: first procedures. The problem is there were all sorts of
10:19
Speaker 1: lawsuits associated with it too, especially because they were using
10:23
Speaker 1: medical grade silicone. Uh that's derived from silicon, which is
10:30
Speaker 1: a mineral that apparently makes up about four of Earth's crust,
10:35
Speaker 1: mixed with oxygen to create silicone, which is was originally
10:39
Speaker 1: a trade name of this medical grade silicon gel um
10:43
Speaker 1: created by GE and the early implants would rupture, and
10:48
Speaker 1: there were a lot of lawsuits against some of the manufacturers,
10:51
Speaker 1: specifically DOAO, who shell out like three billion in UM
10:55
Speaker 1: in payouts in just like the course of a decade. Yeah,
10:59
Speaker 1: and well, so you might as well go ahead and
11:01
Speaker 1: let the cat out of the bag. They finally FDA said,
11:06
Speaker 1: actually they they put a voluntary moratorium. They were like
11:10
Speaker 1: basically asked, can you stop making them in doctors? Can
11:12
Speaker 1: you stop using them? Except in certain cases? Yeah, Like
11:16
Speaker 1: there was inconclusive studies. Basically they never found like hard
11:19
Speaker 1: proof that it could cause illness, but um, it was enough,
11:23
Speaker 1: I guess in conclusion to say maybe we shouldn't push
11:26
Speaker 1: on with us. Yeah, because the when the when the
11:28
Speaker 1: implant ruptures and it's silicone, the body absorbs the silicone,
11:33
Speaker 1: and they're like, just there, Well, what happens to the
11:35
Speaker 1: body after it absorbs the silicone will happen, right, So,
11:39
Speaker 1: since no one knew, they created that moratorium. In two
11:42
Speaker 1: thousand and six, the FDA finally said, there's no evidence
11:46
Speaker 1: that this is bad, so you can go back to silicone.
11:50
Speaker 1: And now silicone implants make up of the you can
11:53
Speaker 1: get them without any special cases. Now, even in two
11:56
Speaker 1: thousand six they lifted the moratorium. Got you because for
11:59
Speaker 1: a while it was just like, um, if you had
12:01
Speaker 1: a mastectomy or um, if you were willing to if
12:05
Speaker 1: you're willing to be part of a study going on
12:08
Speaker 1: five to ten years um. And the reason why silicone
12:12
Speaker 1: was so popular, and the reason actually they looked at
12:14
Speaker 1: the band ultimately, aside from the fact that they never
12:17
Speaker 1: found any, um, real provable medical problems from it, is
12:22
Speaker 1: that it's apparently far superior to the alternative, which is
12:26
Speaker 1: sailing filled bags. Yeah, they say, apparently the silicone feels better,
12:31
Speaker 1: looks better. It's just look, it's more natural looking. Apparently
12:34
Speaker 1: it moves. Oh my god, I can't believe I just
12:37
Speaker 1: did that. Uh, the in the sailing is just kind
12:40
Speaker 1: of like a water filled implant. Yeah. Should we tell
12:43
Speaker 1: everybody Josh just talking with his hands, that's all. Um. Yeah,
12:49
Speaker 1: so this is not a video podcast, So that's okay. Alright,
12:52
Speaker 1: So silic is back. I don't I don't think I
12:54
Speaker 1: knew that back in a big way. Se Man. That's
12:58
Speaker 1: a that's that's a significan again, amount of three hundred
13:01
Speaker 1: and thirty thousand. Um. So let's talk about before we
13:06
Speaker 1: get into like how breast implants work and how they're
13:09
Speaker 1: inserted and all that kind of stuff, let's talk about
13:12
Speaker 1: the breast itself. Um, the anatomy of the breast as
13:16
Speaker 1: it Well, apparently you can break a breast down into
13:21
Speaker 1: two different and by the way, only women have breasts.
13:24
Speaker 1: Men don't have breasts. Um, But you can break a
13:28
Speaker 1: breast down into two separate parts. There's the structural component
13:34
Speaker 1: and then there's the epithelial component. That's right, and that
13:37
Speaker 1: produces the milk. Uh. Structural component is um ligaments, fatty tissue. Um.
13:44
Speaker 1: There are there is muscle, but not actually as a
13:47
Speaker 1: part of the breast. It's behind the breast exactly. Yeah.
13:50
Speaker 1: And there's a there's a ligament that kind of works
13:52
Speaker 1: to to keep the breasts suspended supported called the Cooper's ligament. Yeah.
13:58
Speaker 1: I looked into that guy, by the way, what is
14:00
Speaker 1: he like? He was He was just very big on
14:03
Speaker 1: describing anatomy in the you know, mid eighteen hundreds, and
14:07
Speaker 1: he's got a lot of stuff named after him, a
14:09
Speaker 1: lot of diseases, a lot of body parts, Cooper's ankle,
14:12
Speaker 1: Cooper's ligament is one of them. It's just the ankle,
14:15
Speaker 1: but he pointed it out exactly. Um, But yeah, that
14:20
Speaker 1: is is They kind of called these muscles in the
14:23
Speaker 1: ligaments sort of like a natural brazier to help keep
14:26
Speaker 1: the breast up. UM. And then there's the milk producing
14:29
Speaker 1: in delivery system. Milk production and delivery system, it's the
14:33
Speaker 1: epithelial component. You've got UM. Apparently fifteen to twenty five
14:38
Speaker 1: lobes are what they're called um and they're arranged kind
14:42
Speaker 1: of like a flower around the center of the breast.
14:46
Speaker 1: So if someone says your breasts are like a flower,
14:49
Speaker 1: they're they're complimenting your lobes exactly, and that's anatomically correct. UM.
14:54
Speaker 1: You can still smack them in the face though if
14:56
Speaker 1: you want to. Yeah. The lobes can further be broken
15:00
Speaker 1: down into lobules, which are kind of like clusters of grapes,
15:03
Speaker 1: and there's a lot of these um per lobe, right uh.
15:07
Speaker 1: And then at the end of the lobules there's dozens
15:11
Speaker 1: Each lobule has dozens of bulbs and that's where milk
15:14
Speaker 1: is produced. That's right. They're connected to ducks called the
15:18
Speaker 1: lactiferrous sinus, and that carries the milk to the nipple.
15:21
Speaker 1: Of course, the nipple surrounded by the areola, which is
15:24
Speaker 1: that dark tissue around the nipple at the front of
15:28
Speaker 1: the breast. And there you have it. It's breast one
15:32
Speaker 1: on one. That's the breast, and then behind it you've
15:34
Speaker 1: got the pectoral muscles, the major and the minor pictorialis
15:39
Speaker 1: uh and then the rib cage behind that. So that's
15:42
Speaker 1: the anatomy of a breast. That's right, got it? Yeah,
15:45
Speaker 1: they are since we're talking size. Obviously with augmentation UM
15:50
Speaker 1: it is not a scientific thing, but you generally go
15:52
Speaker 1: by brass eyes. How they're manufactured is by a diameter
15:56
Speaker 1: and inches around the rib cage under the breast, and
16:00
Speaker 1: then the old letter indicating the cup size. So in
16:04
Speaker 1: other words like uh a A or double A all
16:08
Speaker 1: the way up to it says in the article double
16:10
Speaker 1: D and beyond like some fantastical like alright, so now
16:16
Speaker 1: I understand the breast ambrass eyes. Yeah, and by the way,
16:19
Speaker 1: it's hereditary. Probably if you look at your mom and
16:22
Speaker 1: your grandmm, it's probably what you're what you're heading towards
16:26
Speaker 1: um later in life. Right, there are things that you
16:29
Speaker 1: can do to to impact your breast size, positively or negatively,
16:34
Speaker 1: depending on your opinion. Sure, weight yeah, um, some things
16:37
Speaker 1: that you can control like um, menstruation, menopause, pregnancy, all
16:41
Speaker 1: effect breast eyes and guys hear a lot about and
16:44
Speaker 1: actually girls to hear a lot about this if you
16:47
Speaker 1: have a girlfriend or a wife. Yeah, but just becomes
16:50
Speaker 1: a common topic of conversation when you live with somebody
16:53
Speaker 1: for long enough. Breasts. Yeah, I mean there're a thing.
16:56
Speaker 1: They're there, they are there. Um, that's a T shirt,
17:02
Speaker 1: it's a movie. So check. Now that we have the
17:06
Speaker 1: anatomy of the breast, um, let's talk about breast implants themselves. Yeah,
17:10
Speaker 1: the actual thing that has implanted. Some people might not
17:14
Speaker 1: know this. I thought everyone knew, you know, has has
17:17
Speaker 1: seen them before. But it's not has felt them, has
17:21
Speaker 1: slept with them on their pillow. It's not. Uh, it's
17:25
Speaker 1: not just like an an injection or something. It is
17:28
Speaker 1: and there's not a pill you take. It's an actual
17:30
Speaker 1: physical Who thought it was a pill. There's one dude
17:33
Speaker 1: out there that thinks it's a Bill Todd. It's not
17:37
Speaker 1: a pill. Uh. It is an actual uh sack. It
17:40
Speaker 1: is an elastomer shell, which is an elastic polymer shell
17:44
Speaker 1: and it is uh generally these days they are empty
17:49
Speaker 1: at first and it's in in they're not full, although
17:53
Speaker 1: it depends, well, it depends on what you're after all. Well,
17:55
Speaker 1: you have the empty kind that they usually roll up
17:57
Speaker 1: when inserting, which we'll get into, or you have the
18:00
Speaker 1: um pre filled, which are not pre filled to their
18:03
Speaker 1: final destination. Yeah, and they're there. Um, they're like a
18:08
Speaker 1: certain size. They can get to a certain size. I
18:11
Speaker 1: think those have fallen out of favor somewhat, but I'm sure. Well, yeah,
18:14
Speaker 1: mostly they're they're not pre filled these days. Well there's
18:18
Speaker 1: a lot of benefits to not having pre filled again,
18:20
Speaker 1: which we'll get into a little bit. But okay, um,
18:22
Speaker 1: the size then would not have to do with what
18:27
Speaker 1: they're already filled with, but what they're finally going to
18:29
Speaker 1: be filled with. And it's usually mentored measured in cubic
18:33
Speaker 1: center leaders right, Yeah ccs ccs and one cup size
18:38
Speaker 1: um for every hundred and seventy five to two hundred ccs.
18:41
Speaker 1: And I guess this is where we should talk about
18:43
Speaker 1: the rice test. Okay, um, if you want to know
18:48
Speaker 1: what your breasts are gonna look like, or if you're
18:51
Speaker 1: a man who always wanted to know what it would
18:53
Speaker 1: look like if you have breasts you style, you can
18:58
Speaker 1: um do something called the rice test. That's right, they
19:02
Speaker 1: apparently this is the best way to tell um. You
19:04
Speaker 1: cut a twelve inch length of panty hose, although they
19:07
Speaker 1: say you can use like baggies or whatever, but panty
19:09
Speaker 1: hose is probably the most realistic. Tie not in one end,
19:12
Speaker 1: and then use a chart um which you can find online,
19:15
Speaker 1: to basically fill with rice to estimate what you will
19:22
Speaker 1: look and feel like. For instance, about a half a
19:25
Speaker 1: cup is a d c cs of volume. About point
19:30
Speaker 1: six is a D fifty season on up and you
19:33
Speaker 1: can find the chart online. Just under three cups seven ccs.
19:38
Speaker 1: That's a lot. That's three cups of rice um. And
19:42
Speaker 1: remember it doubles in your stomach so you'll feel full.
19:46
Speaker 1: Uh So they say they recommend to like, uh, put
19:49
Speaker 1: in a sports bra where that wear it around, exercise
19:53
Speaker 1: in it, run errands, do whatever you normally might do
19:55
Speaker 1: to get the look in the feel of like, hey,
19:58
Speaker 1: this is what I'm gonna look and feel like? And
20:00
Speaker 1: you know, should I continue? Should I not? As too big?
20:04
Speaker 1: Are they too small? As the grocery store clerk who's
20:07
Speaker 1: checking you out. They're fine, ma'am everybody. Well, they also
20:12
Speaker 1: say you can use water, um, instant mashed potatoes and
20:15
Speaker 1: oatmeal instead of rice. I could see instant mashed potatoes
20:20
Speaker 1: being really good, because aren't they like flaky it's flaky potatoes.
20:24
Speaker 1: I could see that rice is that's I mean, that's hard. Yeah,
20:28
Speaker 1: that's true, but you should call it the instant mashed
20:31
Speaker 1: potato test. I think that's why they didn't. So anyway,
20:34
Speaker 1: that's apparently how you uh, and it's obviously you want
20:37
Speaker 1: to work with your doctor two um kind of like singles.
20:41
Speaker 1: Remember that movie when Bridget find It goes in for
20:43
Speaker 1: breast implants and Bill Pullman essentially talks her out of it.
20:47
Speaker 1: I forgot that part. Yeah, but you're gonna do that.
20:50
Speaker 1: You're gonna work with your doctor on appropriate sizing. Yeah,
20:53
Speaker 1: it's not gonna be like weird science, you know, where
20:55
Speaker 1: you just like click on the mouth until tremendous and large,
21:00
Speaker 1: um with some eighties graph behind it. But you want it.
21:05
Speaker 1: You just want an appropriate size for your frame basically,
21:07
Speaker 1: because not only just for looks, but for you know,
21:10
Speaker 1: can you support it with your body frame? Well? Yeah,
21:13
Speaker 1: that weight, not just that, I mean not just like
21:16
Speaker 1: the extra pressure that's gonna be put on your back
21:18
Speaker 1: and shoulders and all that, but I mean like your
21:21
Speaker 1: your skin itself may have trouble supporting the breast implants,
21:24
Speaker 1: which is definitely something to consider as well. Yeah, and
21:26
Speaker 1: this article says generally they come in three sizes, but
21:29
Speaker 1: there that's just not true. There's like four and fifty sizes. Well,
21:32
Speaker 1: I like this article is right, and I think in
21:34
Speaker 1: two thousand three or four, and I mean it's definitely
21:37
Speaker 1: breast implant breast augmentation surgery has increased by leaps and
21:41
Speaker 1: bounds since then. Um, I've seen up to four and
21:44
Speaker 1: fifty different varieties and I think that's combinations of shape, size,
21:49
Speaker 1: that kind of thing. But yeah, there's a lot of
21:51
Speaker 1: different sizes. Um, mainly the sizes again it has to
21:57
Speaker 1: do it's measured in ccs. The shape. There's still typically
22:01
Speaker 1: just two shapes that I ran across. Yeah, there's round
22:05
Speaker 1: and then there's a tear drop, which is also called contour. Yeah. Yeah,
22:08
Speaker 1: and basically one the round. I guess it depends when
22:12
Speaker 1: you're talking to They can be more popular in that
22:13
Speaker 1: there fuller and uh, there's more cleavage and there's more lift,
22:19
Speaker 1: but they don't look as real. The tear drop shape
22:23
Speaker 1: mimic the anatomy of a natural woman's breast. More so,
22:27
Speaker 1: some women might favor those if you want to look
22:29
Speaker 1: more natural. Right, Um, but round is the most commonly used,
22:34
Speaker 1: I believe. Well, I don't know if it still is.
22:37
Speaker 1: I take an issue with that, Okay, I think that's
22:40
Speaker 1: a two thousand three statement. Um. Again, though it has
22:44
Speaker 1: to do with what what shape you choose, you know,
22:49
Speaker 1: not just what you want how you wanted to look.
22:52
Speaker 1: But I mean the surgeon needs to have some input
22:55
Speaker 1: here too. Yeah. And if you get a good surgeon,
22:57
Speaker 1: they're gonna guide you in the right direction. You know that.
22:59
Speaker 1: That's their part of the job. It's not just to
23:01
Speaker 1: perform the surgery. It's the consultation and advice and all
23:05
Speaker 1: that good stuffy um. And since they're plastic surgeons, to
23:08
Speaker 1: look good doing it. Yeah, And if they're not doing that,
23:11
Speaker 1: that means it's a bad plastic surgeon. Did you see
23:14
Speaker 1: Rob Low in Liberacia? Man? Well is there are some
23:19
Speaker 1: real decisions made for his character and his look and
23:23
Speaker 1: this well that's what that guy looked like, Is that right? Yeah, yeah,
23:26
Speaker 1: I look at my ps. He was creepy looking. I will,
23:29
Speaker 1: I will is he still alive? Because I'm so sorry
23:31
Speaker 1: for what Chuck just said. I don't know, um, but
23:34
Speaker 1: yeah that was plastic surgery. Gon'm bad for sure. Yeah. Uh.
23:38
Speaker 1: Texture is another decision that you're going to have to
23:40
Speaker 1: make in addition to shape and size and um. Basically
23:44
Speaker 1: there's smooth and there's textured and um. Each has their
23:48
Speaker 1: pros and their cons um textured implants. We should say
23:52
Speaker 1: when you when you have breast surgery, something UM that's
23:55
Speaker 1: gonna happen is scar tissue is going to develop no
23:58
Speaker 1: matter what. Anytime you introduce foreign object into your body,
24:01
Speaker 1: your body basically defends the rest of your body against
24:04
Speaker 1: it by forming scar tissue around it and basically compartmentalizing it. UM.
24:09
Speaker 1: And in the case of breast augmentation surgery, this is
24:12
Speaker 1: called a capsular contracture. And it's gonna happen. Don't be
24:16
Speaker 1: freaked out if it happens, because it's gonna happen. It's
24:18
Speaker 1: just the degree to which it happens could become problematic. Right.
24:21
Speaker 1: And there's there's post post implant surgeries that can take
24:26
Speaker 1: place to remove some of the excess scar tissue if
24:29
Speaker 1: too much happens or your breasts become too hard as
24:31
Speaker 1: a result. But you're right, it is going to happen.
24:34
Speaker 1: And um, some implants have been created to I guess,
24:38
Speaker 1: make the most out of this. Textured implants are designed
24:42
Speaker 1: so that the scar tissue basically grips the implant and
24:44
Speaker 1: holds it in place. Yeah. And I also got the
24:47
Speaker 1: idea too that less scar tissue will form because it
24:50
Speaker 1: sticks to the implant. I guess the body just thinks, Okay,
24:54
Speaker 1: this is working. My job is done exactly. Um. There
24:59
Speaker 1: are some drawback the texture and implants. Apparently they're not
25:02
Speaker 1: quite as realistic in their movement. Look feel that kind
25:05
Speaker 1: of thing, yea, and they're more likely to rupture too, yes,
25:08
Speaker 1: which is not good. Smooth implants. Um. They actually will
25:13
Speaker 1: move around inside the capsular contractor the scar tissue sac
25:19
Speaker 1: that um that develops um, which is good for look field.
25:24
Speaker 1: It's much more natural. The problem is is that since
25:28
Speaker 1: they can move around, if you have something like a
25:31
Speaker 1: if you choose a contour or tear drop shape breast implant,
25:35
Speaker 1: if that thing flips upside down, your breast looks to
25:37
Speaker 1: forb Now you have a problem, yeah, or it can
25:40
Speaker 1: cause something called rippling, which we'll get into the problems
25:43
Speaker 1: that can arise later on. Um, And there's this lady
25:46
Speaker 1: in Akron actually, Ohio, it's probably good time to mention
25:49
Speaker 1: that she is trying to develop a breast implant that actually,
25:54
Speaker 1: um well, it can accomplish a lot of things. Is
25:57
Speaker 1: she calls it the breast implant of the future. It
25:59
Speaker 1: can emit basically the drugs that they give people, orally
26:04
Speaker 1: she is trying to build into the implant itself to
26:08
Speaker 1: emit these drugs naturally. And she thinks one day breast
26:13
Speaker 1: implants can be can actually detect cancer cells if her researches.
26:18
Speaker 1: You know, if she gets to that point, if I
26:20
Speaker 1: have the funding, especially she's looking too many but the
26:24
Speaker 1: breast implant in the future, I just need the fund
26:26
Speaker 1: But um yeah, she's she's she's working hard to try
26:29
Speaker 1: and reduce things like the inflammatory response and scar tissue,
26:33
Speaker 1: building it into the breast implant itself, which is pretty cool,
26:36
Speaker 1: I think. And then Chuck, we kind of already talked
26:38
Speaker 1: about it. But another choice is whether you're gonna have
26:40
Speaker 1: pre filled or unfilled or also known as expandable that's right, umpt. Yeah.
26:48
Speaker 1: The spectrum Expandable is sort of like a test drive
26:51
Speaker 1: almost where you have the implant put in, there is
26:55
Speaker 1: a three part valve system in your armpit where you
27:01
Speaker 1: actually can fill and release and extract some of the
27:06
Speaker 1: sailing or I guess silicone. I don't know if they
27:08
Speaker 1: can do that for silicone. I know they can, can
27:12
Speaker 1: it's Joel, I think you can. Yes, Well, basically it's
27:15
Speaker 1: like a test drive. They put it in and they
27:16
Speaker 1: can make them larger or smaller through your armpit until
27:20
Speaker 1: you're satisfied. It's kind of like doing the rice test,
27:22
Speaker 1: but a couple of steps further more than a couple
27:25
Speaker 1: because you're out there walking around saying what do you think? Yeah,
27:29
Speaker 1: and you've got a port in your armpit right, But
27:31
Speaker 1: then after you say this is it? This is the
27:33
Speaker 1: right size, they removed the port. So obviously there's a
27:36
Speaker 1: bunch of choices, and you, the patient, the person who
27:39
Speaker 1: is getting the breast implant, have a lot of things
27:42
Speaker 1: to decide. But then once you've decided all that, it's
27:45
Speaker 1: up to the surgeon to make some another series of decisions.
27:49
Speaker 1: And we'll get into the procedure right after this message. Alright,
27:59
Speaker 1: so back to it. Let's talk surgery. Huh yes, UM,
28:04
Speaker 1: all right. The most important thing they say with the
28:07
Speaker 1: breast implant is not all the other decisions you've made
28:10
Speaker 1: up into this point. It really is. It's the skill
28:15
Speaker 1: of your surgeon with the placement of the implant. Yeah,
28:18
Speaker 1: because that's where things will generally go wrong. And there
28:20
Speaker 1: are three choices, uh, subglandular, sub pectoral, and submuscular. And again,
28:27
Speaker 1: like with everything else, their advantages and disadvantages to all three. Um.
28:32
Speaker 1: Sub glandular is behind the mammary gland in front of
28:35
Speaker 1: the muscle. Um, it's the least complicated. You're going to
28:38
Speaker 1: get out of there and recover quicker. Um. It's if
28:41
Speaker 1: you're athletic. It's probably has some advantages, but um, you
28:45
Speaker 1: have an increased chance for that capsular contractor we're talking about.
28:49
Speaker 1: You might be able to see it sometimes, which is
28:51
Speaker 1: not good. Yeah. And it's more vulnerable because it's just
28:55
Speaker 1: kind of right there behind the skin. Plus also there's um,
28:59
Speaker 1: very little besides the ada post the fatty tissue holding
29:02
Speaker 1: it in place. UM, so it can produce that rippling thing,
29:06
Speaker 1: which is a sagging that produces basically UM what's that called,
29:11
Speaker 1: like on your skin when you when you gain weight
29:15
Speaker 1: and then lose it. I don't know, stretch marks. Oh yeah,
29:18
Speaker 1: it looks kind of like that, but I think they're deeper, okay.
29:21
Speaker 1: Um sub pectrol's next subpectrol is so you remember at
29:26
Speaker 1: the back between the ada posts, uh and the chest wall,
29:31
Speaker 1: you've got your two pectoral muscles. Um, the one in
29:35
Speaker 1: front the bigger the two. The pectorialis major um is
29:40
Speaker 1: goes in front of the implant, and the pectorialis minor
29:43
Speaker 1: goes behind it. So it's sort of sandwiched in the
29:46
Speaker 1: middle there. Yeah. You you have to cut the muscle,
29:49
Speaker 1: put the implant in between them, and then lay it
29:51
Speaker 1: back down. Yeah, and it is. Um. It's gonna reduce
29:54
Speaker 1: the risk of that capsular contractor and the rippling, which
29:58
Speaker 1: is good. Uh, but of course your recovery time is
30:01
Speaker 1: gonna be a little bit longer. It's gonna be a
30:02
Speaker 1: little more painful. Anytime they're manipulating muscle, it's gonna be
30:07
Speaker 1: pretty painful. There's gonna be more swelling and stuff like that. Um.
30:11
Speaker 1: The implant can also kind of droop. There's still a
30:14
Speaker 1: risk that it's gonna pull down because there's it's held
30:18
Speaker 1: in place more than it is with the subglandular um,
30:22
Speaker 1: but less than the submuscular. This is if you want
30:25
Speaker 1: your implant to not sag, you want to go with
30:28
Speaker 1: the submuscular. The third type, Yeah, that is behind fully
30:32
Speaker 1: behind the chest muscle wall and um. It has some
30:36
Speaker 1: great advantages, like it doesn't get in the way of mammograms,
30:39
Speaker 1: which is a big deal. It's a big consideration for sure. Yeah,
30:42
Speaker 1: silicone and salien implants um placed in front of or
30:46
Speaker 1: between the muscles can mess with mammograms. And you need
30:49
Speaker 1: to tell by the way. I'm sure you probably know
30:51
Speaker 1: this if you have breast implants, but you should always
30:53
Speaker 1: tell your doctor, you know, if they don't know when
30:57
Speaker 1: you go to get a mammogram, because they have different
31:00
Speaker 1: eaters and techniques that they can like work around and stuff. Yes,
31:04
Speaker 1: so those are the three types of three implant locations. Yeah,
31:08
Speaker 1: and the recovery for the last one is even longer,
31:11
Speaker 1: but has the same complications as a subpect rule, anytime
31:14
Speaker 1: you have to in size muscle and manually adjust it,
31:20
Speaker 1: you're gonna have a recovery time involved. That's true. Man,
31:23
Speaker 1: it's gotta hurt. Um should we talk about. We've got
31:28
Speaker 1: to talk about the polypropylene real quick, just because even
31:31
Speaker 1: though it's not around anymore, the string implant, Yeah yeah,
31:35
Speaker 1: it was developed by a guy, a doctor named Dr
31:39
Speaker 1: Gerald W. Johnson. And um, the quote from this article
31:43
Speaker 1: says it was designed to yield extreme, almost cartoonish breast sizes.
31:48
Speaker 1: And um it basically the pop polypropylene um absorbed fluid
31:54
Speaker 1: over like constantly over time, and the breast never stopped growing.
31:58
Speaker 1: And um it has been banned since two thousand one
32:02
Speaker 1: by the f d A. And although they say it
32:05
Speaker 1: was very popular among adult entertainers for a while. And um,
32:09
Speaker 1: yeah it's this is where I get a little judge.
32:12
Speaker 1: It's really weird looking. Oh you saw pictures. Yeah, and uh,
32:18
Speaker 1: I don't get it at all. Is it cartoonish? Yeah,
32:22
Speaker 1: very much? So yeah, um it's okay. That's my only judgment. Yeah,
32:27
Speaker 1: recent judgment is I don't get that one. Researching this article,
32:30
Speaker 1: I wanted to be like, I'm researching breast implants. I'm
32:32
Speaker 1: not agreed. People walk by your desk. Um, so chuck,
32:36
Speaker 1: let's talk. Let's talk procedure. We're we're in the operating room.
32:41
Speaker 1: All the decisions have been made. Uh, preop has been done,
32:44
Speaker 1: prep um, and the surgeon is going to start by
32:48
Speaker 1: making an incision. And um, there's really basically four types
32:53
Speaker 1: of incisions that are favored among breast on augmentation procedures. Yeah,
33:00
Speaker 1: you've got the peri areolar, which is apparently one of
33:03
Speaker 1: the most common ones. But to me, it's seems spectacularly
33:09
Speaker 1: has It's like there's a lot of room for complications.
33:13
Speaker 1: You think, yeah, what they're doing, I look this up.
33:17
Speaker 1: The the article isn't through this justice. The incision is
33:20
Speaker 1: made at where the areola, which is where the it's
33:23
Speaker 1: the brown tissue that surrounds the nipple. Okay, so um,
33:28
Speaker 1: it's it's where the areola meets the regular um colored
33:33
Speaker 1: pigmented skin of the breast um. But the whole areola
33:39
Speaker 1: is cut and pulled out and then the um the
33:44
Speaker 1: using a sterile sleeve wrapped around it. The implant is
33:48
Speaker 1: put in through that hole in the front of the
33:50
Speaker 1: breast and then unrolled in the sleeve is removed. Um.
33:55
Speaker 1: But you're going around the milk ducks and the all
33:59
Speaker 1: of the epithelial system of the breast. It just seems
34:03
Speaker 1: like you're you're exposing some really important stuff. Um to
34:07
Speaker 1: a lot of potential damage, you know, either mechanical or
34:12
Speaker 1: through infection or whatever. It just don't see much reason
34:15
Speaker 1: aside from the fact that it uh it's very difficult
34:18
Speaker 1: to see the scar because you're doing it where the
34:21
Speaker 1: pigmentation changes, so it's hard to see that difference in
34:25
Speaker 1: that that scar. Yeah. Well it also allows for more
34:28
Speaker 1: precise placement of the implant. I see that, and um,
34:32
Speaker 1: I think it's you know, there's there surge surgeons doing this.
34:35
Speaker 1: It's not you, So I know it freaks you out,
34:38
Speaker 1: but I think it's the most common for a reason. Um,
34:42
Speaker 1: that's one. Yeah, but that allows for subglandular, subpectral uh,
34:46
Speaker 1: and submuscular placement. So that's the other advantages. You have
34:50
Speaker 1: all your options open. Yeah. Um, there's also the inframamary
34:54
Speaker 1: fold incision. This one makes sense. Yeah. That also allows
34:58
Speaker 1: for all three um placement types. And that is that
35:02
Speaker 1: is just under the breast, So the scarring is you know,
35:07
Speaker 1: not as visible obviously. Yeah. Usually it's where the creases. Yeah.
35:10
Speaker 1: The big disadvantage to this one is if you are
35:12
Speaker 1: going up so much in in cup size. Um, if
35:18
Speaker 1: you're going up a lot, the surgeon is going to
35:19
Speaker 1: have to create a new crease for your breast, and
35:22
Speaker 1: when making that incision, since you want the incision underneath
35:26
Speaker 1: the breast, the breast hidden by the breast um, he
35:31
Speaker 1: has to guess where that breast is going to hang
35:33
Speaker 1: now and make the initial incision accordingly. Yeah, that's when
35:37
Speaker 1: it's work there, well, not guess work, but because that
35:41
Speaker 1: makes it sound like well education, that looks good. Well
35:45
Speaker 1: now he has to be like, where is this going
35:46
Speaker 1: to forecasting? Yeah? Educated, yeah, very educated, guess so. Um.
35:53
Speaker 1: Then there's transaxilary incision, which is through the armpit. Yeah,
35:57
Speaker 1: there's no breast scarring at all obviously. Um, it's more
36:00
Speaker 1: of a challenge because placement is pretty difficult. Um, they
36:05
Speaker 1: use an endo scope and that is not the most Uh,
36:10
Speaker 1: that's not the strangest place. No strange places. Through the
36:13
Speaker 1: old belly button, the TUBA incision, you can actually get
36:16
Speaker 1: a breast implant through your belly button. Yeah, and apparently
36:19
Speaker 1: you can get a lot of surgeries through your belly button.
36:21
Speaker 1: I think maybe that's why it's there. Um, maybe that's
36:25
Speaker 1: it's the new port. Yeah. Um. TUBA stands for transumbilical
36:29
Speaker 1: breast augmentation. Then that's a tuba incision, the belly button incision,
36:34
Speaker 1: and um, basically they cut into the navel at the
36:38
Speaker 1: top at the ridge and then go they burrow all
36:41
Speaker 1: the way up to each breast, so it makes a
36:44
Speaker 1: V through your subcutaneous fat like Charles Bronson in The
36:47
Speaker 1: Great Escape. Yeah, and then yes, and then they use
36:52
Speaker 1: um uh an end of scope to basically tunnel their
36:57
Speaker 1: way through and see that they're going the right way,
36:59
Speaker 1: and they push the implant up through there and inflated. Yeah. Yeah,
37:04
Speaker 1: that sounds like guesswork. Yes, but apparently that's the one
37:07
Speaker 1: that has the least complications. Yeah. There are a lot
37:11
Speaker 1: of limitations though, Um it requires an inflatable implant. Obviously,
37:16
Speaker 1: you can't go through the belly button with one that's
37:17
Speaker 1: already inflated. Um. It can only be used for subpectrol
37:21
Speaker 1: and submuscular And if there are complications, and it seems
37:27
Speaker 1: like there are, I don't want I don't know if
37:29
Speaker 1: I should say often, but it's not rare to have
37:33
Speaker 1: complications and have to go back and have um what
37:36
Speaker 1: they call a revision surgery. You cannot reuse that incision. No,
37:41
Speaker 1: they're gonna have to make um transaxillary, periariolar or inframamary fold. Yeah,
37:49
Speaker 1: if they need to go back in again. And um,
37:52
Speaker 1: apparently it's pretty rare, Like, not a lot of plastic
37:55
Speaker 1: surgeons even try this one. I think it takes a
37:57
Speaker 1: lot of skill. And even though the comp occasions, the
38:00
Speaker 1: post stop complications are minimal compared to the others because
38:04
Speaker 1: you're subcutaneous fat and your abdomen apparently heals very easily. Um,
38:09
Speaker 1: just getting there is kind of a problem. So let's
38:13
Speaker 1: say your doctor's ready, you got the first incision. Um,
38:18
Speaker 1: what's up next? Uh, well, you've got your incision, and
38:20
Speaker 1: so they have to cut a path through that tissue um,
38:25
Speaker 1: depending on which one you use. They're either gonna work
38:27
Speaker 1: with the muscle or they're not. And they need to
38:30
Speaker 1: separate and create a little pocket for it to sit in.
38:32
Speaker 1: You know, they don't just stuff it in there. They
38:35
Speaker 1: need to create a space and they have to figure
38:37
Speaker 1: out where that pocket is best going to be, depending
38:40
Speaker 1: on the size, shape, everything of the breast implant. Again
38:43
Speaker 1: an educated guess, yes, And you've seen some surgery nightmares
38:48
Speaker 1: with breast augmentation, and that's like Dr Quack, you know,
38:52
Speaker 1: Dr Nick it's good about there. UM. Sometimes UM mast
39:00
Speaker 1: up master PEXI, which is a breast lift, is performed
39:05
Speaker 1: at the same time, or you can just have that
39:07
Speaker 1: on its own if you just want a breast lift.
39:09
Speaker 1: But sometimes it's used with augmentation in order to get
39:13
Speaker 1: everything in the right position and you want, you know,
39:17
Speaker 1: the breast to be pointing in the right way, and
39:18
Speaker 1: you want the nipples in the arrow aerial is to
39:21
Speaker 1: be in the proper place and not looking off to
39:24
Speaker 1: the left and the right up or down. Some surgeries
39:27
Speaker 1: require that you reposition the nipple depending on how big
39:30
Speaker 1: the implant is going to be. Yeah, and man I
39:32
Speaker 1: saw with some mastectomy surgery. Sometimes they can completely remove
39:36
Speaker 1: the areola and nipple and replace it onto a uh
39:42
Speaker 1: augmentation or yeah, I guess with a periolar incision, if
39:46
Speaker 1: you're taking that whole thing off, you know, I guess
39:50
Speaker 1: you could move it to another place. What they can
39:53
Speaker 1: do UM sizers can aid in positioning, and that's sort
39:57
Speaker 1: of like it's attached to a tube. It's an implant
40:00
Speaker 1: attached to tube, and that's that's almost like a live
40:04
Speaker 1: rice test, Like you don't go home with that. They
40:07
Speaker 1: just put it in there. And mid operation. Yeah, and
40:09
Speaker 1: see what it looks like, not the final implanted, temporary
40:12
Speaker 1: and then they pull that out once they say all right,
40:14
Speaker 1: that's a good placement for this, so just let me
40:16
Speaker 1: do it for real. Um. And then so if you
40:20
Speaker 1: have pre filled implants, you have to make a larger
40:23
Speaker 1: incision of course, and then you fill those up to
40:26
Speaker 1: their full um volume. And I think prefilled textures textured
40:31
Speaker 1: is even the largest. That's the biggest incision you're gonna
40:34
Speaker 1: because you know, yeah, you also have to make room
40:36
Speaker 1: for this ridged implant that's already pre filled um. And
40:41
Speaker 1: either way you're gonna have to either top off or
40:43
Speaker 1: totally fill up this the implant once it's in there,
40:46
Speaker 1: top it off. That's pretty much what it is, So
40:49
Speaker 1: chuck um, we're talking augmentation. It's elective surgery, plastic surgery.
40:54
Speaker 1: And a lot of people think like plastic surgery is
40:57
Speaker 1: called plastic surgery because it's artificiality, right, But actually it's
41:01
Speaker 1: derived from the original Greek plastic hosts, which means uh, artificiality.
41:08
Speaker 1: It means to mold or shape something's plastic, it's pliable. Yeah,
41:12
Speaker 1: and that's what that's what plastic surgeons do say, mold
41:16
Speaker 1: or shape things, including breasts. It's it's like you said,
41:20
Speaker 1: it's not just making the cut and jamming the thing
41:23
Speaker 1: in there. They have to um, basically reconfigure what the
41:29
Speaker 1: the anatomy of the breast to to accept this new um.
41:34
Speaker 1: Yeah yeah, um. And it does take a certain amount
41:37
Speaker 1: of skill, but that's that destruct me as interesting. Yeah.
41:41
Speaker 1: They call it plastic surgery, and it's not all just
41:43
Speaker 1: augmentation doesn't always mean you're making your breast larger. There's
41:49
Speaker 1: also reduction mammoplastic, which is breast reduction. If you feel
41:54
Speaker 1: like you're too big and you have back problems or
41:56
Speaker 1: for any other reason, you can get breast reduction. We
42:00
Speaker 1: already talked about the mast aplexi, which is the breast lift,
42:03
Speaker 1: and that's when they actually remove skin and rejoin it
42:07
Speaker 1: to lift it up. It's pretty simple. Actually, I wouldn't
42:10
Speaker 1: want to perform it, I'm saying, but in uh, what's
42:15
Speaker 1: the word concept, it's pretty simple, right, um. And then
42:18
Speaker 1: breast reconstruction UM. A lot of times, if your breasts
42:22
Speaker 1: have been removed for mostectomy or damaged and you know,
42:26
Speaker 1: because of some accident or something, they can actually reconstruct
42:29
Speaker 1: your breasts in a realistic fashion, right, and uh, we
42:33
Speaker 1: said women aren't the only are the only um humans
42:36
Speaker 1: that have breasts, But there are um electric procedures for
42:40
Speaker 1: men who want to bulk up their pecks called pectoral implants.
42:45
Speaker 1: And what did you watch Entourage? Johnny dropped like, I
42:50
Speaker 1: don't think he got him, but he wanted caffeine plants
42:52
Speaker 1: at one point. I've heard of those. Yeah, caffe implants.
42:56
Speaker 1: Uh yeah, pec implants. Come on, Um see I can
43:01
Speaker 1: judge guys. What are you doing dudes? So well, well,
43:05
Speaker 1: well that's we'll see what we're doing. Um. The arm
43:07
Speaker 1: it's done with an armpin incision. It's a lot like
43:09
Speaker 1: the trans axillary breast implant, thank for women. And they
43:13
Speaker 1: go in there and lodge it behind the peck muscles
43:15
Speaker 1: to just kind of bulk them up to stick them
43:17
Speaker 1: out further. Um, and there you go, all of a sudden,
43:20
Speaker 1: you are Charles Atlas. Yeah. Or you can have reduction
43:22
Speaker 1: as a man too, if you're Bob from Fight Club. Yeah, yeah,
43:26
Speaker 1: that's right. Um kind of because because maastia, um, it's
43:32
Speaker 1: usually hereditary. It can be as a result of your diet,
43:35
Speaker 1: but basically it's when guys end up feeling like they
43:38
Speaker 1: have boobs and I feel like or do yeah, and
43:42
Speaker 1: it's it's an embarrassing thing. I'm sure. So you can
43:44
Speaker 1: get that removed. It's basically um bypo suction just under
43:48
Speaker 1: the nipple, right, And if it's the result of a
43:50
Speaker 1: glandular disorder, they'll probably just take the glands out while
43:54
Speaker 1: they're there. And usually it takes more than one surgery,
43:56
Speaker 1: but it can be corrected. What if insurance covers that?
44:02
Speaker 1: I don't know. Does insurance cover any kind of plastic surgery?
44:06
Speaker 1: I don't know, I don't I bet you wouldn't cover
44:08
Speaker 1: that because it's still cosmetic, you know, I don't know.
44:14
Speaker 1: I mean, I think you probably have to show the
44:15
Speaker 1: medical problem, right, but I think you can if you
44:18
Speaker 1: show that you're suffering from it psychologically, it might fall
44:22
Speaker 1: under it. I don't know. We'll find out, because I'll
44:25
Speaker 1: bet you an insurance claims adjuster writes in and tells
44:29
Speaker 1: us that's my prediction. And you know what, I was
44:32
Speaker 1: judging on the peck implants for there maybe uh cases
44:36
Speaker 1: I don't know about where guys have sort of like
44:38
Speaker 1: malform chest or something and they just want to look normal. Yeah,
44:41
Speaker 1: I was talking about the guys who are like still
44:47
Speaker 1: judging hit the gym man, do h some bench press?
44:51
Speaker 1: You know, you want to increase your packs. So yeah,
44:57
Speaker 1: push ups. Let's talk. Let's give me sit on your
44:59
Speaker 1: back and do pushops one one handed mershell walker style. Yeah.
45:03
Speaker 1: Supposedly he never lifted weights. Did you never know that? No? Yeah,
45:06
Speaker 1: he never lifted weights in his life. Everything he had
45:09
Speaker 1: people sit on and do push like two thousand push
45:12
Speaker 1: ups a day and stuff like that. It was all
45:14
Speaker 1: either isometrics or like chin ups, push ups, pull ups. Uh,
45:19
Speaker 1: rolling a attractive tire exactly old school. Let's talk risks, man,
45:25
Speaker 1: because this is uh, this is first of all, it's surgery.
45:27
Speaker 1: So there's always an attendant risk with any kind of
45:29
Speaker 1: surgery where general anesthesia is used. Right, it sounds like
45:33
Speaker 1: a disclaimer. Well, it's true. I mean surgeries. Surgery is risky. Um. Well,
45:37
Speaker 1: anesthesia is risky. Um. There's also infection. Anytime you're cut open,
45:43
Speaker 1: there's a risk of infection. But then breast augmentation surgery
45:47
Speaker 1: comes with its own attendance set of risks that are um,
45:51
Speaker 1: they vary from definitely gonna happen, like the capsule contractor Yeah,
45:57
Speaker 1: this scar tissue to extraordinarily rare like semastia. Yes, did
46:05
Speaker 1: you see this? I did? It was I had no
46:07
Speaker 1: idea that it could happen. Semastia is basically where your
46:11
Speaker 1: breasts joined together as the result of an augmentation surgery
46:15
Speaker 1: and you have one mega breast. Yeah. Um, I have
46:19
Speaker 1: seen something that make braziers now, like post surgical braziers
46:22
Speaker 1: and try and yeah that try and prevent that. Um.
46:26
Speaker 1: But yeah, I've never heard of that either. I guess
46:28
Speaker 1: they so after surgery, do they just kind of gravitate
46:31
Speaker 1: towards one another? Um? Actually, I'm not sure. It just
46:36
Speaker 1: says it. It's it's a mistake. So it's not like
46:40
Speaker 1: some just bad you know, bad fortune. It's actual surgical mistake.
46:44
Speaker 1: You get to own a portion of the doctor's office
46:48
Speaker 1: that But yeah, the implants lift off the tournam and
46:52
Speaker 1: grow together. So um, I guess the scar tissue grows
46:55
Speaker 1: together in that case. That's my guess. It's kind of
46:57
Speaker 1: like a unibrow made of breasts. But apparently it's fairly
47:01
Speaker 1: hard to correct, is the big problem. Yeah, that's that's
47:06
Speaker 1: pretty sad when you go in to try and make
47:07
Speaker 1: yourself look better. And you feel bad about yourself already
47:10
Speaker 1: maybe and then you end up like with something like this.
47:13
Speaker 1: But these are risk you need to know about, you know.
47:14
Speaker 1: And that is the opposite of the total recall, which
47:17
Speaker 1: is three breasts. Yeah, remember that I forgot about that man.
47:21
Speaker 1: That was a great movie. I wonder if they put
47:23
Speaker 1: that in the remake because that was one of the
47:25
Speaker 1: sort of goofy signature moments of that goofy movie. Yeah,
47:29
Speaker 1: that was you know, it's a Philip K. Dick novel. Yeah,
47:33
Speaker 1: I wrote like all sci fi basically. Yeah, pretty much
47:37
Speaker 1: any sci fi movie ever was written by Philip K. Dick.
47:39
Speaker 1: Did you know that he believes he was possessed by
47:42
Speaker 1: an angel later on in his life? Really, yeah, he
47:45
Speaker 1: came to he he believed that he was possessed by
47:49
Speaker 1: a benevolent spirit that basically took him from being like
47:53
Speaker 1: a complete shlub, drug addict loser who still wrote great
47:58
Speaker 1: novels to just becoming like a person with a fairly normal,
48:03
Speaker 1: orderly life. Uh, he cleaned himself up. He attributed it,
48:07
Speaker 1: all of it to this possession that said, this happened
48:10
Speaker 1: and that was the rest of his life. They should
48:13
Speaker 1: make a movie about that guy. I'm just kind of
48:15
Speaker 1: surprised they haven't, but someone does. Eventually he's here and
48:18
Speaker 1: then because it was my idea. Yeah, you can't just
48:21
Speaker 1: say that every time. It's got to be like your idea,
48:25
Speaker 1: a good idea, not obvious memories. And I know everyone
48:31
Speaker 1: agrees with shark, but that's like saying they should make
48:34
Speaker 1: a modern movie on Charles Darwin. Right, I made that
48:37
Speaker 1: up right, you can't do that. I'm not going to
48:39
Speaker 1: support your lawsuit against two ever makes the Philip K.
48:42
Speaker 1: Dick movie because now you're having a depressing effect on innovation. Yeah,
48:50
Speaker 1: you're right, I apologize everyone, alright. So bottoming out, let's
48:54
Speaker 1: get back to the risks. Um. Bottoming out is when
48:58
Speaker 1: the implants sit too low, the nipple rides too high,
49:02
Speaker 1: and that is a result of another mistake. Basically, they
49:06
Speaker 1: cut out too large of a pocket, so it sits
49:08
Speaker 1: down too low. It is correctible though again with a
49:11
Speaker 1: revision surgery. Yeah, there's a humatoma, which is basically blood
49:16
Speaker 1: collecting and pulling around it um. It can be painful,
49:19
Speaker 1: requires drainage, sometimes can be lumpy. Yeah, we talked about
49:24
Speaker 1: mammography being interfered with by breast implants, which is a problem,
49:29
Speaker 1: but I guess they're kind of there is technology then
49:32
Speaker 1: that you came across that, Yeah, as long as they know,
49:36
Speaker 1: but it can you know, it can hide cancer growths
49:39
Speaker 1: and X rays and you know, it's uh, it definitely
49:43
Speaker 1: has something to consider, especially if that's something that runs
49:45
Speaker 1: in your family. Yeah, um necrosis, which anytime you hear
49:50
Speaker 1: that word necros in anywhere, you're headed for bad times.
49:56
Speaker 1: That is tissue death. That is pretty rare, but it's
49:59
Speaker 1: really serious and it usually results in removal of the implant.
50:03
Speaker 1: And like sorry, sorry, you know you can't have breast
50:07
Speaker 1: implants large large scars, permanent scars. It's bad news. Um. Again,
50:12
Speaker 1: the breast implant canter rupture. Apparently most implant manufacturers offer
50:18
Speaker 1: warranties for the breast uh, the implants themselves. You gotta
50:23
Speaker 1: fill out your little card right and you also mentioned
50:27
Speaker 1: like what magazines do you like exactly? Um, but there
50:31
Speaker 1: are a lot of things you can do to void
50:32
Speaker 1: said warranty. Yeah, probably, like leaning on fences is against
50:36
Speaker 1: the warranty. Just things like that, like you you have
50:40
Speaker 1: to once you get your warranty from what this article.
50:43
Speaker 1: As this article paints it, you. Um, basically, you have
50:46
Speaker 1: breast implants down. You have to be cognizant of that
50:50
Speaker 1: or else you they are at risk of rupturing. Yeah,
50:52
Speaker 1: they're not indestructible. Um. Did we talk about s roma?
50:57
Speaker 1: That is just a collection of fluid, pretty minor and
51:00
Speaker 1: they can usually just drain that with a needle. Yeah,
51:04
Speaker 1: and then uh, we covered both semastia and rippling, and
51:09
Speaker 1: those are the risks and you've got to consider all
51:12
Speaker 1: that stuff because it happens, and it's probably your worst nightmare.
51:18
Speaker 1: Some of that bad stuff happens. So I think you
51:21
Speaker 1: kind of hit upon it pretty well earlier. Um, he said,
51:26
Speaker 1: if you're gonna do this, you need to know all
51:27
Speaker 1: the risks. You should be fully informed if you're gonna
51:30
Speaker 1: make a decision like this. But if you make that decision,
51:34
Speaker 1: go for it. And in singles, Bill Pullman completely talks
51:38
Speaker 1: right of it. And basically it's like tells her how
51:41
Speaker 1: beautiful she is and how she doesn't need that kind
51:43
Speaker 1: of thing, and it's like the sweet camera and chrome moment.
51:47
Speaker 1: He wasn't into each his own. He was turning down
51:49
Speaker 1: money and a potential client trying to get a date,
51:53
Speaker 1: which he did not get well. I imagine Bill Pullman
51:55
Speaker 1: is pretty well off. Uh yeah, he probably was. Uh
52:01
Speaker 1: what do you think Secret Life of Walter Mintie is
52:03
Speaker 1: gonna be good? Or no? The trailer looks awesome. It
52:06
Speaker 1: does look also, it looks really really cool. But I mean,
52:09
Speaker 1: I've been fooled by trailers before, Chuck. I know, I've
52:11
Speaker 1: been waiting for this movie for a long time. They
52:13
Speaker 1: were gonna make it with Jim Carey, like fifteen years ago.
52:16
Speaker 1: I could see that he would work one of my
52:17
Speaker 1: favorite stories. So I'm a little bit apprehensive. But it
52:21
Speaker 1: looks good. Who wrote it? It's right there? Man, jeez,
52:25
Speaker 1: I can't even think of it. It's not It wasn't. Oh,
52:27
Speaker 1: Henry wasn't it was Why did you bring this up?
52:31
Speaker 1: What led you to that? Uh? You're talking about singles
52:34
Speaker 1: and I thought that Ben still Head directed singles. Yeah,
52:37
Speaker 1: those reality bites. Yes, yeah, yeah. And it's taken me
52:42
Speaker 1: like a lot to remind myself you're not talking about swingers.
52:47
Speaker 1: Oh right, so all those movieses? What a waste? Um,
52:54
Speaker 1: if you you got anything else, I don't have anything else.
52:56
Speaker 1: Oh I have one more thing. Apparently, um. Breast implants
52:59
Speaker 1: were linked to suicide and increased risk of suicide, um
53:04
Speaker 1: after a certain amount of years of having them. But
53:07
Speaker 1: this it just popped up in two thousand seven and
53:09
Speaker 1: it was found in one study and everybody it made
53:11
Speaker 1: the news cycle and then just went away. Yeah, and
53:14
Speaker 1: that's all. I didn't get a real accurate stat but
53:16
Speaker 1: the woman, an accurant acron that's still in the breastand
53:19
Speaker 1: Plan of the Future, estimated that about fifty thousand out
53:23
Speaker 1: of four hundred thousand that are performed per year do
53:26
Speaker 1: require like half complications and require revision surgery. So that's
53:31
Speaker 1: an eighth that's probably significant surgically speaking. I want to
53:36
Speaker 1: say also about the suicide think, just based on my
53:39
Speaker 1: knowledge of news and journalism and stuff like that, if
53:43
Speaker 1: it just popped up once and you can't find anything else,
53:45
Speaker 1: and all the reports on it or stories on anything
53:49
Speaker 1: are all within a week of one another, five years ago,
53:54
Speaker 1: six years ago there, and there's no follow up whatsoever.
53:57
Speaker 1: It wasn't a thing. Uh okay, Well, let's breast implants.
54:02
Speaker 1: If you want to learn more, there's a really extensive
54:05
Speaker 1: in depth article on the site, including flash animations of
54:08
Speaker 1: the different types of incisions. Yeah, you can type breast
54:13
Speaker 1: implant into the search bart how stuff works dot com
54:16
Speaker 1: and it will bring that up. And since I said
54:17
Speaker 1: search bar, it's time for message break. Uh and Chuck
54:26
Speaker 1: take us out with some listener mail. Hum all right,
54:29
Speaker 1: James Thurber by the way Secret Life nice. Um, all right,
54:34
Speaker 1: this is from Todd and okay, see and this is
54:37
Speaker 1: about vulture vomit. Hey, guys and Jerry. I just finished
54:41
Speaker 1: listening to the podcasts and Vultures. It reminded me of
54:43
Speaker 1: the story. A couple of my buddies were going to
54:45
Speaker 1: college at in m s u Go Aggies, that's New
54:49
Speaker 1: Mexico State. They were driving through the desert north of
54:52
Speaker 1: Las Crucis. I've been there myself actually, when they came
54:55
Speaker 1: across a small wake of vultures eating some road kill.
54:58
Speaker 1: Two of the vultures flew away the truck approach, but
55:00
Speaker 1: the third was just a little too slow. The poor
55:03
Speaker 1: bird cannonballed into the windshield, which instantly shattered into tiny
55:07
Speaker 1: glass cubes. The vulture's head punched through the windshield while
55:11
Speaker 1: the rest of them stayed outside. The vulture instantly puked
55:15
Speaker 1: all over the inside of the truck while my buddy
55:17
Speaker 1: screamed in the truck. Fish tale to a halt in
55:19
Speaker 1: the middle of the highway. Will that guy painted one
55:22
Speaker 1: heck of a picture just now? When they jumped out
55:26
Speaker 1: of the truck, the vultures wings were covering most of
55:27
Speaker 1: the wind shield. As it struggled to get free, they
55:29
Speaker 1: ended up having to pry it's head out of the
55:31
Speaker 1: windshield the handle of a shovel, and believe it or not,
55:34
Speaker 1: it managed to fly away. Aside from a leg that
55:37
Speaker 1: was dangling and apparently injured, it appeared to be okay.
55:40
Speaker 1: I don't know if that Thanks for the ride, lady.
55:43
Speaker 1: Uh Now, I wasn't there, so I can't promise that
55:46
Speaker 1: the story happened exactly as it was told to me,
55:47
Speaker 1: but I can confirm that the interior the truck smelled
55:50
Speaker 1: like a buzzard barth two months later. Keep up the
55:53
Speaker 1: great work. You're one of my favorite shows. Always happy
55:56
Speaker 1: when the episodes pop up on my phone, which is
55:58
Speaker 1: every Tuesday and Thursday. He hasn't He's not good at
56:01
Speaker 1: recognizing pattern. He should not be surprised. Oh there's another one.
56:05
Speaker 1: It seems like this happens every two days. I'll let
56:07
Speaker 1: my card down and it's Thursday. Hey, uh so that's
56:10
Speaker 1: Todd from Okay. See, thanks Todd, you were not the
56:13
Speaker 1: Todd that I was talking to earlier about the pill.
56:17
Speaker 1: That was a fictional Todd. But how crazy would that
56:20
Speaker 1: be if that Todd did think that breast augmentation surgery
56:24
Speaker 1: was carrying out by PILs. Weird. Weird right back and
56:28
Speaker 1: let us know what you're Todd from Okay, se agreed. Uh.
56:30
Speaker 1: You know, we always love to hear follow ups about
56:33
Speaker 1: our episodes. You can tweet them to us on Twitter.
56:39
Speaker 1: Our Twitter handle is at s y s K podcast.
56:43
Speaker 1: On Facebook, we're at Facebook dot com slash Stuff you
56:47
Speaker 1: Should Know. UM. You can always send us an email
56:50
Speaker 1: to Stuff Podcast at Discovery dot com, or, like we
56:54
Speaker 1: say in the beginning of episodes, now join us at
56:57
Speaker 1: our home on the web, Stuff you Should Know dot com.
57:05
Speaker 1: For more on this and thousands of other topics, visit
57:08
Speaker 1: how Stuff Works dot com