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Breast implants are a popular area of plastic surgery. This leads us to the debate on the type of implants that are best and the government’s role in the decision
The debate on silicone and saline implants is a hot one. For a long period of time, silicone was dominant, but health concerns led to saline coming to the front.
Silicone first became a popular enlargement resource after World War II. Doctors would shoot silicone directly into women’s breasts to create enlargement. This direct approach resulted in numerous complications including cysts, sores and systematic illness. These complications led to the reduction of interest in silicone, but it would make a comeback.
In the early 1960s, two Houston plastic surgeons developed the first contained silicone implants with Dow Corning. To say the two plastic surgeons, Thomas Cronin and Frank Gerow, revolutionized plastic surgery would be a minor understatement. The procedure because very popular and there was practically more demand than there were plastic surgeons to satisfy it.
The implant was made of a harder silicone sack covering soft silicone gel. The implant was very popular because it held form better than saline implants. The implants, however, were not regulated at the time. As time passed, the Federal Drug Administration was given oversight and concerns started to arise regarding problems associated with leaks or complete failures of the implants. This was particularly true for second generation implants which were designed to be as soft as possible per surgeon requests, a situation that led them to be very thin and result in failures. One version had a polyurethane coating that actually degraded into a carcinogen, a product quickly pulled from the market.
The debate on silicone implants is heated, but surprisingly bereft of facts. What is clear is silicone implants leak silicone into the body. Silicone in the body is assumed to be a bad thing, but the exact correlation to specific diseases and problems are not clear. The primary reason is there has not been sufficient time to study the issue long-term and get verifiable results. Many women, however, have shown distinct negative health problems when suffering from leaking silicone implants, complaining of chronic fatigue, neurological and rheumatologic problems. While studies have found conflicting results, it is clear women who have had ruptured silicone implants removed tend to show improved health. The debate continues to this day, but the FDA restricted the use of silicone implants to medically necessary procedures as of 1992.
With the restrictions on silicone implants, saline implants have come on the scene. Originally developed in the 1960s, the implants were overshadowed by silicone until the 1992 ban. Saline implants have a rubberized surface and are filled with a saline solution. In general, they are considered safer than silicone because leaking results in fewer health risks as saline is not toxic in the body. That being said, there have been some complaints regarding saline implants. Specifically, the implants can be difficult to manipulate into the correct form, they can wrinkle and can bottom out – a situation where they sag at the bottom. While these are concerns you should discuss with your plastic surgeon, what is clear is the saline implants do not involve the risks associated with silicone implants.
There is an ongoing debate regarding implants. Since the FDA has banned silicone, it is a debate being won by saline breast implants.
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Many individuals judge the quality of their exercise session from the amount of pain they experience afterwards. These individuals are convinced by the old adage “No Pain No Gain”. Research on Delayed Onset Muscle Soreness (DOMS) has demonstrated that here may in fact be some truth to this phrase.
Recall in a previous article presented on this website dealing with Delayed Onset Muscle Soreness, we discussed the high probability that muscular pain after exercise results from actual muscle damage. This damage is viewed by the immune system as would any other injury and as a result, an inflammatory response is initiated to start the healing process. Several substances and chemicals are released during an inflammatory response and are thought to enhance the sensation of pain by excessively stimulating the nerve endings in the damaged tissue. So since pain is associated with muscle damage, in some cases it may be a fair indicator of a “good workout” or running session. The repair and healing of damaged muscle allows for hypertrophy or enlargement of the muscle fiber by the addition of myofibrils, thus increasing the cross sectional area.
Excessive muscle pain that continues for more than several days or continuously however is not desirable, as this is often an indicator of athlete overtraining or over-reaching. It must be stressed that if pain is experienced, it should be a “good” pain that is, not originating in the joints and should resolve within a couple of days. As exercise becomes more regular and the exerciser more accustomed to it, it will be noticed however that it becomes increasingly harder to elicit the same painful muscle response. The reason for this is unclear at this time but it is suggested that an exercise session that causes DOMS has a protective effect on subsequent exercise - lasting several weeks. Again it is unclear the exact mechanisms behind this protective effect.
In conclusion then, a regular exerciser should not place a high value on the “No Pain No Gain” evaluation of their workout, as their muscles will be less susceptible to the effects of DOMS. Rather it is suggested to concentrate on other factors such as strict technique and exercise variety so as to avoid undue stress on the joints and overtraining of single muscle groups.
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Define your career. If you are a doctor, you diagnose and treat peoples' ailments. If you are a hairdresser, you cut, colour, perm, and style hair. If you are a police officer, you uphold the law, investigate crimes, and in general protect the citizens of the district in which you work. Most careers can be at least briefly described by almost anyone. If you have one of those careers, you are very lucky.
Before I entered the work force and opened my own design firm, I never would have imagined that I would be getting calls to mend curtains, remove stains from carpets, find out why one bulb in a chandelier will not work... I am an interior designer -- I design interiors; but I can recommend a seamstress, carpet cleaning company, electrician... Then the dreaded question comes, "What do you mean you design interiors?"
Once-upon-a-time-ago I thought that to be an easy question to answer. Somehow, I now find it easier to explain to a child why the grass is green.
Rather than trying to define interior design, I have taken to explaining the process of designing an interior.
I analyze, ask questions, draw, review the budget, draw some more while asking more questions. Slowly, what started off as sketches develop into floor plans and other technical drawings. Some of the drawings get coloured in. I help my clients make informed decisions regarding the use of space, materials, products, colour, lighting, layout, construction methods, other professionals... The drawings/plans then go to contractors and specialty contractors. I review the submitted process with my clients -- one submission is higher, but that is not necessarily bad because the others are each missing things. A contractor is selected, the contract signed and the work begins; I'll be there routinely while the work is in progress. I basically act as a representative on my clients' behalf, as well as a protector to my own design. Time schedules are reviewed frequently, problems that arise are handled in such a way that my clients may later know the solution but not the headache involved to understand and work out the problem. The work is wrapping up, only the finishing touches are left but I am already preparing a list of things that have to be finished, repaired or touched-up.
What had been a noisy, dirty, smelly construction site has now fallen quiet and already been cleaned. I walk around looking at and examining the full-size, real thing of all the drawings I had done weeks, if not months, ago. Back at the office, I edit the deficiency list started a few days before and send it to the contractor and clients. The job is soon completely finished, but my work is still not done.
My clients call, happy with the finished space. There are some last minute questions concerning maintenance of some of the new items, where to find certain decorative things and accessories that suddenly have importance, placement of these things, and so on.
About two months later those clients are likely to call again. The voice on the other end sounds either a bit annoyed or even slightly panicked. The tile grout is crack in one area on one wall. It's probably just because everything has had the time to settle; I'll come by to see it, then contact the contractor.
Define my career. I am an interior designer. I am an analyst, an artist, an educator, an interrogator, a project manager, a site supervisor, a purchaser, a space planner, a specifier, a decorator, a technician, a draftsperson, a troubleshooter...
But can I help a client plan an outdoor project? Can I design a cabana or gazebo for a client's yard? Can I design custom furniture or lighting? Work with other professionals to provide technical drawings for things that do not fall into the scope of work of an interior designer? Work with clients and their real estate agent to help in the selection of the perfect home or commercial space to meet their needs? Provide consultation services to do-it-yourselfers? Handle the enlargement of a building? Work on new constructions as well as renovations? Plan the enlargement or relocation of a kitchen or washroom? Do I know the building code? Can I help obtain renovation permits from the municipality? Design spaces for use by people with physical disabilities?... Yes, and more.
In a rush, I sometimes describe interior design as the career that fills the gap between architect and decorator, but the accuracy in that statement is something even I have debated. So I am still left without a solid definition of my own career.
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Given the large variations in human penis sizes, discord and dissatisfaction with one's self are unavoidable. The longest erect penis recorded during the famous Kinsey surveys was a shocking ten inches. That is nothing compared to the 12" and 14" behemoths reported in "L'Ethnologie du Sens Genitale", and in Dr. David Reuben's "Everything You Always Wanted to Know About Sex", respectively. If that makes you want to cry, wait till you hear the good news - the shortest functioning erect penis measurement according to the Kinsey survey was 1 inch. There are, however, some reports in medical literature of penises that do not extend beyond 1 cm. when fully erect. Finally, just so you can know which side of the fence you are hanging from, a study by the Lifestyles Condom Co. indicated that the average erect length of a male sex organ is 5.877 inches.
Women have often been reassuring towards their mates in this regard. "Size doesn't matter", they would say. Few men really believe that. In an online poll that asked if respondents felt that penis size makes a difference in a man's ability to sexually satisfy a partner, 46% of the respondents answered "Very much: Penis size makes a big difference in a man's ability to sexually satisfy a partner". Only 13% responded "Not at all: Penis size makes no difference in a man's ability to sexually satisfy a partner". The poll did not mention how many of the respondents were women and how many were men, but the fact is - men and women believe that size still does matter!
In "The Beefcaking of America," (Psychology Today November/December 1994 issue) Jill Neimark reported the findings from a questionnaire completed by some 1500 male and female readers. The Neimark report suggests that a significant subset of women who are financially independent and rate themselves as physically attractive place a high value on male appearance. A small group unabashedly declared not only an rather unsurprising strong preference for better-looking men, they also indicated that they cared more about penis size, both width and length, than about the physical appearance of the man.
Niemark's survey results also suggests that men believe their appearance has a larger impact on women than the majority of women actually acknowledge. Men indicated they feel their specific physical features, from hairline to penis size, strongly influence their personal acceptability by women. "Size does matter". Judging by the number of sites Google.com returns on a search for "penis enlargement", that seems to be a pretty popular opinion. As long as there are men out there running around with 14" monsters, the rest of the mortals will continue to judge themselves and pray at the altar of everything that grants bigger penises. The results of penis enlargement are not always pretty, considering the various methods that are purportedly effective. Claims range from the scientific to the outrageous, and some of them can be downright nasty. Unlike lizards, men do not have the power to regenerate lost appendages, so it is highly advisable to do a little research before fooling around with Mother Nature's precious gifts.
The following is a list of some penis enlargement methods other than penis pills, followed by some general comments about each;
Enlargement creams do nothing more than increase blood flow in the penis tissue. While this may definitely assist in erection firmness (Which will cause the penis to appear and feel larger), using creams cannot enlarge your penis. There is no known medical evidence too support the claim that topical preparations can do more than increase blood flow, unlike penis pills.
Penis pumps create a vacuum and force blood to the penis tissue. According to Menstuff® Sexhealth columnist Dr. Williams, pumps are mainly used by men who suffer from chronic insulin dependent diabetes or circulatory disorders. They have such poor blood circulation overall that they cannot obtain proper blood flow in their penis area. By using a pump instead of penis pills, the skin and underlying tissues are stretched, allowing them to clamp off the blood flow and consequently trap it in the penis. With the clamp firmly in place, brief sexual encounters can occur. There is little medical evidence that penis pumps cause any actual permanent increase in the size of the penis. There is, however, bad news for "pumpers" out there - after using penis pumps over a period of time, some men claimed they were unable to get erections without the aid of a pump.
This method of penis enlargement has been around for thousands of years. Weights are suspended from the penis to stretch it. With regular use, it can increase penis length - but at a price: It makes the penis thinner, and because of the stretched tissue, lessens the ability to achieve and maintain an erection. This method can also cause a decrease in blood circulation which can lead to serious problems including tissue damage.
Penis enlargement surgery (or phalloplasty) is the Titanic of penis enlargement methods. It is huge, expensive and can end up being the worst disaster of your life. It can lead to serious complications like infection and scar tissue formation which can cause a misshapen penis.
A well known horror story is that of Ron Nance, from Monterey, Calif., who claims that following his penis enlargement surgery he contracted a severe infection at the surgery site. He returned to his doctor, who re-sutured the incision. The complications persisted, and Nance claims he flew to Los Angeles a total of nine times for repairs before turning to other surgeons for help. Nearly two years later, with $20,000 invested in the operation and repairs, Nance states that he remains not only permanently scarred, but impotent. Other enlargement surgery patients have complained of disfigurement, shortening, loss of use of his penis, pain, swelling, excessive scarring, lumpiness, shrinkage, uneven surface with what appears to be cysts, and impotence.
Many penis pills are nothing more than vitamin pills in disguise, and numerous men have been conned into popping them expecting more than what vitamins can deliver. Penis pill salesmen Michael A. Consoli, Vincent J. Passafiume, and several others have signed a consent agreement forfeiting approximately $35 million dollars in seized cash and property to settle charges that they had marketed penis enlargement pills with false claims. Operating as C.P. Direct, Inc., they claimed that their enlargement pill product "Longitude" would permanently enlarge the penis by 1-3 inches. They are not alone.
So what penis enlargement supplements do work? The problem in discovering this lies in the fact that there are approximately 5 new "amazing" penis enlargement pills that appear on the market each month. Most of these products are nothing but Vitamins mixed with a few herbal ingredients to produce a penis pill. Users see NO gains, and this leads to unhappiness and loss of faith in all enlargement supplements.
As with most things, the way to do properly choose a product is through systematic research. This will definitely take some time and effort, however if you obtain the results you desire, in the end it will definitely be worth your while. Some things to keep in mind:
Stay away from any pill which contains Yohimbe. The FDA has placed this substance on its warning list - supplements containing this herb may cause side effects. A respectable supplement site will contain a list of the ingredients that their products contain. The ingredients only tell half the story, the actual blending and quality of the ingredients also counts. This is somewhat more difficult to determine, however.
In general most penis pills are quite safe because their ingredients are non-prescriptive, consisting mostly of natural herbs. However, you should always read the ingredients and consult a doctor before purchasing or taking them. Some supplements have stated that men with diabetes or genital nerve damage should avoid taking enlargement pills.
Penis enlargement pills can be expensive. They usually cost anywhere between $40-$80 per month. If the product indicates that you need to take "booster pills", it is usually a bad sign.
If the product manufacturer claims you can have a penis so large it will make a stallion turn green with envy, you can most likely be sure they are selling you bottled scam instead of penis pills. If the promise sounds too good to be true, then you can assume it is. Sincere supplements will tell it like it is: Results may and will vary from one individual to another.
These can include stronger erections, increased sexual stamina, more intense orgasms, improvement in urinary flow, increased blood circulation to genital area, higher sex drive, increased sperm production and overall improvement in sexual function.
Most penis pill programs offer a set of free exercises with their product. These should not be cast aside - they are vital key to your enlargement process. Do them religiously along with your supplement taking and you will NOT be disappointed.
The penis inferiority complex has been documented for quite some time, and has no doubt existed since men started bathing and showering in full view of each other. Most men seem to feel their penis is small and are envious of someone else's member. This concern and dissatisfaction appears to stem from the cultural belief that larger penises give greater pleasure to women, and that women prefer a man with a huge penises.
So can you pump up with penis pills? My answer is yes. Daily exercises and supplements together can increase the size of your penis. But to do so, you have to be smart, be aware, dedicated, and PLEASE be careful.
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It is not uncommon for a woman to be upset or self-conscious about the size of her breasts. Breast enlargement surgery continues to evolve, and this procedure becomes increasingly safer and yields more predictable results. Consequently, an increasing number of women are taking advantage of breast enlargement surgery.
Many women do not consider breast enlargement surgery because they think only of the potential side effects. Women worry that the implants will break, increase their risk of breast cancer, or they will not be able to breast feed when they have children. Although these problems may have presented a small risk in the past, breast enlargement has evolved to the point where these risks are virtually eliminated.
“It is true that, in the past, it was not uncommon for breast implants to break,” comments Winter Park, Florida cosmetic surgeon Dr. Scott Greenberg, “however, the number of these occurrences are greatly exaggerated over time and, in effect, breast enlargement is generally believed to be a lot more risky than it actually is.”
Women use breast enlargement to enhance the contour of their body, to balance breasts that are unequal sizes, to correct a decrease in breast volume following pregnancy, or for reconstructive purposes following breast surgery.
Dr. Greenberg adds, “Breast enlargement does more than just increase the size of a woman’s bust line. Many women are self-conscious when their breasts are uneven or if one or both breasts have been removed as a result of cancer treatment. Breast enlargement surgery aims to give these women a better self-image.”
Breast implants are inserted through a small incision. The location of this incision depends on the woman’s preference, anatomy, and the surgeon’s recommendation. The implants are either composed of a silicone gel or saline. Both types of implants are FDA approved, however gel implants have not yet been released by the FDA for use in breast augmentation.
