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To start the feed, hold baby so her chest is touching your chest; her nose should be in line with your nipple. When her mouth is wide open, bring baby to your breast keeping your hands across her back and shoulders.
When baby is not correctly attached and just sucks the nipple, feeding is painful, nipples can become damaged and the breast wona€™t be properly drained. Ita€™s normal to feel a 'stretching sensation' when baby starts sucking, but if breastfeeding hurts it may mean that baby is not correctly attached. Breast reconstruction can utilise your own tissues, implants of some kind or a combination of the two. The deep inferior epigastric perforator (DIEP) and transverse rectus abdominis myocutaneous (TRAM) flaps make use of any excess skin and fat from your lower abdomen to create a new breast mound. We endeavour not to harvest any rectus muscle with the flap (DIEP flap) thus practically eliminating weakness, bulging or herniation of the abdominal wall. DIEP breast reconstruction is, however, a major surgical operation with a number of risks and a prolonged recovery period. Previous multiple abdominal surgery: A valid contraindication for abdominal flap breast reconstruction? Latissimus dorsi flap breast reconstruction creates a new breast mound using the back muscle, fat and skin, often with an implant or expander.
In terms of size this operation is intermediate between expander-implant reconstruction and the use of the abdominal flap (see comparative table above). Because the skin and muscle from your back are usually quite thin, this method is often (90% of the time) used along with a breast implant or expander to give a fuller more natural shape. During LD flap breast reconstruction, a section of your skin and muscle is removed from your back, tunnelled through the axilla and brought to the front of the chest through the mastectomy defect where it is reconstruct the breast. Principles of Reconstructive Breast Surgery.Book Chapter in Early Breast Cancer - From Screening to Multidisciplinary Management.
General complications of surgery: blood clots (DVT, PEa€™s), chest infection, wound infections, etc. Flap shrinkage with radiotherapy: LD fat resists radiotherapy shrinkage better than pedicled flaps and DIEPs. Breast reconstruction with expanders or implants is also known as prosthetic breast reconstruction or implant-based breast reconstruction. The scar from this type of operation is identical to that after a mastectomy alone and is horizontal and located in the centre of the reconstructed breast.
Implant breast reconstruction is mainly used for small to moderate sized breasts (usually a C cup or less). Where a temporary expander is used a 2nd operation is necessary to replace it with the definitive breast implant (or fixed-volume breast implant).
During the mastectomy, the surgeon removes skin and breast tissue, leaving the breast tissues flat and tight. To view the before and after photos in some of Professor Malataa€™s publications on implant-based breast reconstruction please click below. For patients who do not have enough tissues on their abdomen or back Professor Malata sometimes used the lower or upper buttock tissue (gluteal perforator flaps or GAP flaps) or rarely used the upper inner (TUG) or upper outer thigh (LTTF) flaps.
To view a GAP flap in Professor Malataa€™s publications please click here (Perforator flaps in Breast Reconstruction).
A breast augmentation process should be followed by the right breast massage techniques which will help to create the right kind of results.
However, those who recommend it feel that it helps remove scar tissues around the areas of the implant. First and foremost we have to find out the reason for such massage and the main objective should be to avoid forming of scar tissue. Coming to the various types of massage the lymph drainage massage decreased puffiness and helps accelerate the process of healing. The massage has to be in circular motions and you have to ensure that you cover the entire breast tissues from the edges to the nipples. This will help your skin to become calm and make it look smoother and warmer.  You will be able to feel more profound tissues over a period of time.
Once this is done you should cover your entire hand with your breast and compress and shift the implant to it pouch. You should always keep your surgeon in the loop when you are performing these post-breast-augmentation massages. Many implants are done with the objective of keeping them near the next tissues and hence massaging and trying to change locations of the implant could be counterproductive.
At the end of the day if you feel that your breasts are not as stable as they ought to be, you should massage more profoundly and focus should be on the higher breast area to make it fall in line with the lower breast area.
Although you wouldn’t guess by comparing the breasts of a full-grown man to those of a full-grown women, male breast tissue is biologically very similar to female breast tissue.
You’ll find outlined here the best male breast enlargement techniques, complete with their pros and cons. This option is a popular way of instantly getting bigger breasts for both men and for women, but unlike the other male breast enlargement techniques – this one does not work as well for men as it does for women. Because most men go into the operation with very little breast tissue, it makes it difficult for the plastic surgeon to find a comfortable nook in which to place the silicone inserts.
Breast enlargement surgery also comes with all the risks and complications that are inherent in surgery. Even better, they can easily be used as a powerful complement to any other male breast enlargement technique. Herbal breast enhancement is another great option for men who want to grow breasts, but keep their male libido and reproductive powers intact. Herbal breast enhancement is a rather broad term for a huge array of herbs that are used for a wide variety of breast enhancing reasons from increasing estrogen to decreasing testosterone to balancing hormone production in the body. Overall, herbs are a very effective and safe way to grow male breasts while keeping your male libido and the ability to keep an erection intact. If you decide to opt for a herbal breast enlargement regimen, we strongly recommend Natureday.
Pueraria mirifica is a plant so it may technically fall under the broad category of breast enhancing herbs, yet it deserves its own column because it contains way more phytoestrogens than any other phytoestrogenic herb known to man. The potency of pueraria mirifica can be attributed to the kind of phytoestrogen that it contains. You see, estrogen is not a single hormone, it’s more of a conveniently broad term that covers a group of chemically similar hormones – namely, estrone, estradiol, and estriol. The thing about pueraria mirifica, though, is that in order to see results, you must use only farmed cultivar pueraria mirifica root.
For men, bovine ovary pills have the effect of feminizing the body’s hormone production. As you might already know, women also naturally produce testosterone but the female body automatically converts around 80% of the testosterone into estrogen through a process called aromatose. For this reason, it is very important to make sure you want to completely transition to a female before taking bovine ovary.
Since bovine ovary is basically animal by-products, please make sure you purchase it from a company that uses the best ingredients. However, it is common to see that many mothers have many questions and concerns regarding breastfeeding.
Another important question most mothers seem to ask is, ‘what are the best breastfeeding techniques?’ So, here are some helpful tips and techniques you could use.


Latching means, you make sure that your baby is able to hold onto the nipple and areola properly so that milk is transferred to baby. If the baby has not latched on properly it tends to cause pain to the mother and babies on the other hand do not get milk properly. In some ways breastfeeding is a unique skill that can be improved only with time and patience by both mother and baby.
Finding the right way to hold your baby while breastfeeding, will make both of you feel comfortable. Gently but carefully hold the baby in your lap so that the baby lies comfortably on the side with face, knees and stomach directly facing you. Make sure to extend your forearm and hand down your baby’s back to support the spine, bottom, and neck.
This position is different from the cradle hold, as you do not support your baby’s head with the crook of your arm. In the cross cradle holding position, your arms will switch roles. If you are nursing from your right breast, use your left hand to hold your baby and if you are nursing from your left breast use your right arm to hold your baby. In this position, you have to tuck your baby under your arm like a football and it is done on the same side that you are nursing from.
This breastfeeding holding position is best for moms who have had a Caesarean section as this would avoid having your new-born rest and add weight directly on your stomach. Many first time breastfeeding moms think this is unsafe and that the baby will find it difficult to swallow in while being in this position. In fact, it is much better than sitting in a chair and falling asleep while the baby is in your hands. Use a few pillows to support your back, head, and shoulders and both you and your baby will feel more comfortable nursing this way.
In case you need your baby to be closer and higher to your breast, keep a small and soft pillow underneath the baby’s head.
Most mothers today would prefer to breastfeed their new-born in a way that their breasts are not overly exposed while being at a public place. This may happen if your baby is not latched on properly and within a few minutes the baby may lose interest and fall asleep.
A baby is a big decision between a couple, and most couples often plan before having a baby to suite the lifestyle of the family.
It is important to eat healthy during pregnancy, and to make sure you are not gaining too much weight. A pregnancy is between two people, and often fathers are just as scared about pregnancy as mothers are.
Content provided on this site is for or general informational purposes only and should not be construed or relied on as medical or healthcare, safety, legal or financial advice, or in substitution thereof. Women's breast tissue gets in the way of working some of the pectoral muscles of the chest, but massage therapists have no trouble working on men.
The chest effleurage is a basic massage stroke to spread oil on the chest and begin working on the area. Percussion refers to a massage technique were you tap or chop the body lightly to increase blood flow. A foam roller is a self-massage tool that may be used on your back, chest, buttocks and most areas of your legs.
Once youa€™ve got the hang of it, most feeds take 20 minutes or so, however, in the early days and weeks they may take up to an hour.
Gently brush your nipple from her nose to her upper lip a€“ this will encourage her to open her mouth wide. When she attaches, most of the areola will be in her mouth and her chin will be tucked into the breast. If baby hasna€™t attached correctly, stop, take her off the breast as shown below and try again.
Instead, break her attachment by inserting your little finger into the corner of her mouth, between her gums, and gently remove her from the breast.
A comparison of the different types of breast reconstruction in terms of the size of the operation, hospital stay and recovery periods is shown below. This abdominal flap technique is indicated when the reconstructed breast needs to be large or droopy enough to match the opposite side. It can be performed at the same time as the mastectomy (immediate or years later (delayed). It creates a new scar on the back (whose length depends on whether this is a delayed or immediate breast reconstruction). In suitably built patients it can be used without an implant (totally autologous LD or Extended LD).
In this technique a breast mound is created by inserting an implant, a temporary expander, or permanent expander (expandable-implant) under the front chest wall muscle (the pectoralis major muscle). This implant is made of or filled with a€?liquida€? silicone gel, saline or cohesive silicone gel depending on your preference. Before a permanent implant can be inserted the skin of the breast needs to be stretched to make a space for the implant.
These operations are performed as free tissue transfers and in terms of size and complexity are similar to the use of abdominal free flaps (see comparative table above). However, there are many who question the benefits of such breast massage after a surgical procedure. It would therefore be useful to have a closer look at the various breast massage techniques to be followed immediately after a breast augmentation procedure.
This is important because our body’s reaction is to form scar tissues the moment it encounters any foreign object.
It involves a smoother circular rub over the skin right to the place where most of the lymph vessels are situated.
Any doubt about solidifying of the implant should be taken seriously and you should visit your doctor. Because of this, many of the breast enlargement techniques that work for women work just as well for men. If you are willing to go down this path anyway, we highly recommend that you build up breast tissue using some of the other techniques involved before opting for breast implants.
These pumps work just as well for men as they do on women and they are safe, easy, affordable, and have no side effects.
Pumps are totally non hormonal and they will not affect your moods or your sexual functions in any way.
Their products contain a mixture of the most potent breast enhancement herbs and on their site you can find as many – if not more – testimonials from male users than female users. For example, analysis has shown that the pueraria mirifica plant has approximately 3,000 times the estrogenic activity of soy isoflavones.
Currently, it is the only plant containing Miroestrol and Deoxymiroestrol, which have been tested to be stronger than the strongest estrogen hormone, estradiol.
The pills work by stimulating the body’s pituitary gland to activate increased hormonal production. It will not only increase your breast size, but will also round out your hips, change the way your body stores fat, reduce hair growth, cause infertility and even change the way you smell. Proper latching is important to a positive breastfeeding experience for both you and your baby.
The baby’s chin should touch the breast and the baby’s mouth should be open wide covering the areola and not only onto the nipple.


Try to rest your feet on a stool, as this will avoid you from leaning down toward your baby.
With your fingers and thumb behind your baby’s head, gently direct the baby’s mouth to your breast.
Make sure that you always support your baby’s neck, head, and shoulders with your hand. However, it will take some time and practice before you can really feel comfortable with this position. The best way is to drape a shawl or a blanket over your shoulder to hide the breast as well as the baby’s head.
You can stroke the baby’s legs, tickle the baby’s feet or jiggle your legs so that the baby stays awake and will not stop sucking. The BabySpace Community is made for you to meet other mothers just like you, and share views, ideas and to help each other out. Although going to a massage therapist to have an oil massage done is one option, you can also work on yourself. You can fan the pectorals on a man, but it wouldn't work on a woman, although you can fan the area above the breasts on a woman.
By stopping any time you feel pain and letting the weight of your body press into the foam, you can release adhesions. The basic routine is to feed from one breast, have a break and change baby's nappy, then offer the other breast. It permits the formation of a more naturally shaped, fuller and larger breast than any other method of reconstruction, and in the way the new breast looks, feels and moves. Rarely a small piece of muscle around the blood vessels is harvested with the skin and fat of flap (muscle-sparing free TRAM flap). The chance of complications following a DIEP or free TRAM flap depends on the type of operation and other factors such as your general health. The additional tissue brought from the back to the front of the chest wall permits the formation of a more naturally shaped, fuller and larger breast (than could be created by simple implant placement or tissue expansion alone). The chance of complications following latissimus dorsi breast reconstruction depends on the type of operation and other factors such as your general health. Breast reconstruction with prostheses can be performed at the time of the mastectomy (immediate) or later (delayed). Permanent expanders (also called expandable-implants) do not need to be exchanged as they serve both as expanders and implants.
A temporary tissue expander (usually breast shaped) is placed underneath the pectoralis major muscle. Professor Malata prefers to use the tear-drop or breast shaped type of expandable-implants namely the Mentor Becker 35 expander or the McGhan style 150 device). The chance of complications following implant-based breast reconstruction depends on the type of operation and other factors such as your general health.
The buttock flaps can be harvested from the lower part (inferior gluteal perforator flap) or the upper part (superior gluteal perforator flap). This would certainly depend on the kind of implant that has been used and what the doctor feels about such massaging techniques. Without the support of breast tissue, men with silicone breast implants face difficulties suddenly supporting large breasts. This makes it a huge plus for men who would like female breasts but do not want to make the full transition into being a female. Besides massage techniques that are done by one person to another, working on yourself with a foam roller is another option. To perform this technique, stand to the left side of a man who is lying on a massage table after performing a couple of chest effleurages. Tap the chest with your fingertips in a point like a beak, quickly hitting the left and right side alternatively.
To use the foam roller on your chest, basically follow the same line as the pectoral fan, but with the foam roller compressing the pecs instead of another person's fingers.
It is also the procedure of choice in patients who will require postoperative radiotherapy. Although Professor Malata is trained in all the numerous techniques of breast reconstruction utilizing the excess soft tissues of the abdomen, he does not use pedicled TRAM flap because of their inferior blood supply and suboptimal cosmesis compared to DIEP flaps and free TRAM flaps.
This extra tissue also enables breast reconstruction in patients with a tight chest wall, for instance, after radiotherapy.
Over a period of weeks the expander is filled with saline causing the skin to gradually stretch and grow to make room for the implant as it expands. These devices has a small fill tube and dome that is placed under the skin a short distance away from the implant. Her career in the fitness industry begin in 2000 as a martial arts, yoga and group exercise instructor.
To effleurage a man's chest, have him lie face up on a massage table and stand facing his head. Using your thumbs, begin on the side of the sternum opposite where you are standing and work your way up diagonally toward his right shoulder, following the line of the pecs.
To do this, lie face down on the floor and place the foam roller to the right side of your sternum, positioned diagonally with the top end pointing at your left shoulder. Theoretically a pedicled TRAM might be used if during surgery the blood vessels in the rectus muscle were found not suitable for microsurgery. Detailed postoperative instructions will be discussed during consultation and a procedure-specific handout given to you by Professor Malata. The expander or expandable implant is gradually inflated in Professor Malataa€™s outpatient clinic with saline starting 2 a€“ 3 weeks following surgery. Once the right size has been reached the expander is then replaced with a permanent silicone implant in a second operation; usually after a 3-month wait. Use your arms and legs to propel you forward so the foam roller moves up toward your right shoulder. When the desired size is reached the fill tube and port can be removed while leaving the implant in place or can be left in situ indefinitely. After a 3 month waiting period for maturation of the capsule, the expander is then replaced with a permanent breast implant at a 2nd operation. Bring your thumbs back to the sternum and slightly above the place you started, repeating the fan motion parallel to the diagonal line you just fanned. Rarely a a€?direct-to-implanta€? breast reconstruction is possible but only for very small breasts (A or B cup) unless strattice, alloderm or matriderm is used.
Turn your fingers outward and slide your hands down to touch the massage table next to his hips.
These dermal matrix equivalents improve the aesthetics and the safety of prosthetic breast reconstruction and also extend the range or size of breasts that the implant-based reconstructions can be applied to.
Turn your hands again so that your fingers point downward again and slide your hands up his sides, across the chest and back up to where you started.




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