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Denver Breast Augmentation Surgery
Dr. Murphy presents, Questions and Answers about Breast Augmentation. Tell us a little about yourself, Dr. Murphy. So I'm Doctor Terry Murphy, I'm a boardcertified plastic surgeon. I'm Chief of Plastic Surgery at the Swedish Medical Center and I am a member of the American Society of Aesthetic Plastic Surgery. I have been in practice for about 15 years, and now my practice is limited to cosmetic surgery. I have performed thousands of cosmetic surgery procedures and over two thousand breast augmentations. So during the consultation process, which takes about 45 minutes, with me and my nurses,.
We talk about incisions, placement of the implant, and implant choices. You do have your choice of an incision in the fold or partway around the nipple. I like those two incisions in particular because I can look right in there, create the pocket as I want it, and get the implant where I want it to be. The choice is kind of your choice, it's kind of my choice, it kind of depends on your anatomy and depends on which kind of implant we're going to use. Usually I place the implant partially underneath the muscle of your chest wall as well as.
The breast tissue. Helps make the implant look and feel more natural and probably less likely to get hard over time. We spend ten, fifteen minutes doing sizing. Sizing should also be done at home. It's the most important decision you are going to make and we'll work with you and help you get going in that direction. Implants come in low, medium and high profile. We most commonly use the medium and the high profile depending on the the width of your breasts and overall size you select. I like to look at the ratio of breast tissue to.
Breast implant. As you have less breast tissue and somewhat of a larger implant probably the benefits of silicone are significant and you should think about that. But there's also the group with more breast tissue, maybe a smaller implant who do just as well with saline and silicone. The procedure's done as an outpatient. You come in, have it done, go home the same day. Takes about an hour and 15 minutes. I operate in my own, nationallyaccredited private surgical suite. It's very safe, very clean. Most patients ask me, of course, about the recovery,.
And it's very painful procedure, so for the first few days there's some pain medication to help you get through things. But within three or five days most people are driving, getting around, doing their errands. At 10 days you can go back to the gym and start with lighter, nonimpact cardiotype exercises, and you work your way back up so that by four to six weeks you're pretty well doing everything. Most people are able to take care of a smaller child within five to seven days, of course with larger kids it's not such a big issue.
Portal Vein Embolization PVE for Contralateral Liver Hypertrophy
MUSIC Portal Vein Embolization for Contralateral Liver Hypertrophy. The liver is functionally divided into anatomical left and right lobes based on their relationship to the main trunk of the portal vein. For patients with right lobe tumors, surgical removal of this lobe, or right hepatic lobectomy, may be the best course of action. And segments remain after surgery called the Future Remnant Liver, or FRL, is too small to support the body, preoperative corrections must be made. In such cases, Portal Vein Embolization, or PVE, offers a minimally invasive procedure that enlarges the FRL.
By utilizing the liver's natural regenerative ability. For this procedure, the portal vein Is accessed by a direct course through the liver with the needle and guide wire to protect the sheath. Using sonagraphic and flouroscopic guidance, a catheter is advanced to each portal branch to be resected. Embolization is then performed through medicalgrade radiopaque glue, which sets immediately, clogging the blood flow into the vessel. This is repeated for each branch until complete declusion is achieved. This procedure is well tolerated although some patients may experience mild discomfort or slight fever for.
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