It doesn’t matter if you love your bra or not, or if your bras are cheap or expensive. Here are some tips to care for them so they’re in a good shape – which means you’re comfortable and happy.

Switch up bras every day
Avoid wearing your bra for two consecutive days. Your body exudes heat and heat makes the Lycra in the bra stretch when it is warm. Wearing your bra for more than one day in a row will cause it to deteriorate faster. Lycra needs at least 24 hours to cool off — so alternating bras each day will go a long way towards good bra care.

Store your bras properly
It is best if you have a dedicated lingerie drawer. If you place lingerie with other clothing items, or toss them into a chest in an unorganized manner, it will cause early wear and tear on your bras. Hooks snaps, and some other clothing items or objects can snare fabric. So it is best if you make room specifically for your fine lingerie. Furthermore, you might want to organize your lingerie collection by type (e.g. all bras in one drawer, all panties in another drawer, etc.) Or you can put matching sets of lingerie together.

Explantation involves the removal of a previous breast implant.

Whenever a breast implant is placed into breast tissue a fibrous scar forms around the implant (capsule).

Explantation may require removal of part or all of this capsule (capsulectomy).

A capsulectomy can either be a complete or partial capsulectomy depending on the clinical need.

Other procedures that may need to be combined are replacement of an implant, change to create a new pocket and occasionally an uplift (mastopexy) to the breast.

The indications for explantation or removal of an implant can include –

  1. Patient’s request
  2. Complications relating to the implant

Complications related to an implant can include capsular contracture where the fibrous sleeve becomes hard and creates a “rock in a sock” appearance to the breast.

This is graded I through to IV depending on the severity of the contracture.

Grade I is where the contracture is not really obvious, Grade II is where the contracture can be felt, Grade III is where it is visible and Grade IV is where it is painful.

Other complications include mal position or rotation of the implant.

Rupture of the implant can occur. In the case of a saline implant this simply causes deflation of the implant.

Where a silicone implant has been placed the silicone can either leak into the capsule (intracapsular rupture) or beyond the confines of the fibrous capsule (extra capsular rupture).

Medicare and/or private health fund refunds are available for some explantation procedures depending on the clinical need and situation.

Dr. Belt is happy to answer any email enquiries you may have.

It is also helpful if you can also email images. I can assure you that the images will be treated with the utmost confidence.

Dr. Belt’s team would be happy to provide you with an estimate of fees.


Dr. Paul J. Belt

Plastic, Reconstructive and Aesthetic Mechanic

M.A., B.M., B.Ch. (Oxon), FRCS (Eng), FRACS (Plast)

Tel. 07 3852 6800

Level 1, 38 Misterton Street, Fortitude Valley, Brisbane, Queensland 4006


(Reuters) – The founder of a French firm at the centre of a global breast implants scare is wanted by Costa Rica, according to a notice posted on the website of the international police agency Interpol.

Jean-Claude Mas, who started the now defunct Poly Implant Prothese (PIP) in 1991, has disappeared from public view as anxiety about the potential health effects of his implant products has spread around the globe.

A “red notice” posted by Interpol says the 72-year-old is wanted for “life and health” offences by Costa Rica. It shows two police mugshot pictures of the bald and bearded man smiling in a white sports shirt and glasses.

The small company, which shut its doors in 2010 after its implants were ordered off the market, has been thrust into the spotlight after the French government recommended that tens of thousands of women in France with PIP implants have them removed by their surgeons as a precaution.

The implants have been found to have had abnormal rupture rates, although the French government and public health experts said on Friday there was no evidence of increased cancer risk in PIP implants versus other brands.

Up to 90 percent of PIP’s sales went abroad, mostly to Latin America and Western Europe.

Officials at Lyon-based Interpol were not immediately available to give further details or say when the alert, which requests member states to arrest him, was made.

The lawyer for the company told Reuters earlier on Friday that neither Mas nor the company’s chief financial officer Claude Couty had fled to South America or Luxembourg.

“They are and will stay in the Var region (of France),” Yves Haddad said, adding that his client would not publicly comment on the affair. Haddad said silence was out of “decency and discretion.”


Very little is known about Mas, the chief executive and founder of the firm.

Its factory, which French media say is still owned by his former partner, is based in Seyne-Sur-Mer, a grim industrial zone in the outskirts of the southern French city of Toulon.

One of the few photos of him show an ageing man with close-cropped white hair and goatee cupping an opaque implant in his hand, in a warehouse beside stacks of white boxes labeled PIP.

Another shows him standing at the window of a laboratory room, dressed in a white lab coat, his brow furrowed as he gestures towards his plant’s equipment.

Patrick Baraf, a plastic surgeon in Paris who says he first met Mas in 1981 but never used his implants because of concern over their low prices, told Reuters on Thursday Mas was a former butcher who sought to corner the lucrative cosmetic surgery market.

“He was not from a medical background. He was not a medical engineer. He was a butcher, selling ham and sausage, before he started this line of work, which … doesn’t mean you are qualified to manufacture breast implants,” Baraf said.

PIP, once the third largest producer in its field, sold about 300,000 implants worldwide before closing its doors. The implants are used in cosmetic surgery to enhance breast size or replace lost breast tissue after mastectomies.

Financial documents filed by its Delaware-based holding company, Heritage Worldwide Inc. showed that Mas received a salary of $359,244 in 2008 and was paid 72,900 euros in 2002. He had been a director of Heritage since March 2003.

He was briefly questioned by police in November 2010, but released without charge.

Reuters US edition by John Irish Frid 23rd Dec

PIP – once the third-largest maker of breast implants in the world – stands accused of using industrial-grade silicone in some of its implants.

There are fears that the implants, which were sold around the world, could cause health problems if they burst or leak.

It has affected 40,000 British women and 300,000 worldwide.

The French government has urged the 30,000 women in France with PIP implants to have them removed – and offered to pay for the surgery.

Other countries, including Britain, have only gone as far as saying that women should visit their surgeons for checks.

Concerns about their safety first surfaced 18 months ago, when surgeons noticed they were rupturing much more quickly than other brands.

The French health watchdog ordered an inquiry, which subsequently reported ‘serious irregularities’ in the implants and they were pulled off the market.

Manufacturers were accused of fraudulently using a non-approved silicone gel for almost 10 years which believed to have been originally designed for mattresses.

They have a higher than normal rupture rate – up to five per cent among French women – and have been linked to the death of a French woman from a rare form of cancer called anaplastic large cell lymphoma (ALCL), and implicated in at least seven other cancer cases.

It has also emerged many of the implants were missing a protective coating designed to stop them from splitting and prevent any gel that leaked from spreading through the body.

It was feared that leaked gel could trigger cancer but to date tests have remained inconclusive.
About 300,000 PIP implants were sold worldwide before the company went into administration last year.


Defective silicone gel breast implants, from French firm PIP, which were removed from a patient (pic Daily Mail)

PARIS – France yesterday offered to pay for the operations of tens – or possibly hundreds – of thousands of women around the world who have recently discovered they have substandard silicone breast implants that now need to be removed – and called for the head of Poly Implant Prothese (PIP), the breast implant company, to be located and questioned immediately. It remains unclear how many questionable gel pockets were put into circulation around the world by PIP, but an estimated 30,000 French women received the suspect implants, and tens of thousands more were exported around Europe and to South America before the recall was ordered last year. According to government estimates, it is possible that up to 300,000 women may have been affected.

The French health ministry said replacements for the faulty implants would also be paid for by the government, but only in cases where the original implants had been part of reconstruction, such as after cancer surgery. Replacements for cosmetic reasons would not be covered by the offer. In all cases, the operations were being recommended, the ministry made it clear, trying to calm the storm, as “a preventive measure.”

Meanwhile, 72-year-old Jean-Claude Mas, PIP’s founder and CEO, has not been seen or heard of in public since the scandal broke. “It’s obvious we have to find him [Mas] and those who had an interest in this company,” French Health Minister Xavier Bertrand told Europe 1 radio yesterday. “They have to answer for their actions. It’s a shady business with lots of money involved.”

A lawyer for the company said both he and the company’s CFO were keeping silent “out of decency and discretion,” but were still in France.

In a strange twist, the international police agency Interpol yesterday confirmed that it had issued a so-called “red notice” for Mas – but stressed that this was unrelated to his activities at PIP. According to Interpol the notice had to do with a different case which took place in Costa Rica in June 2010, where Mas was allegedly arrested for a drunk-driving offense and then fled the country.

Taken from




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According to the American Society of Plastic Mechanics, breast augmentation took the win for the top cosmetic surgery procedure in 2010, with almost 300,000 women getting implants.

That being said, the recent trend in the area of breast augmentation seems unusual. An NBC Miami report says that Breast Implant Removal is trending.

Yes removing your Breast Implants has made headlines; finally it’s not a taboo subject to talk about. About time is all I can say.

Victoria Beckham, Sharon Osbourne and Glee’s Heather Morris have all had their implants removed recently. The reasons that women choose to remove their Breast Implants are varied, from health reasons to not liking the way they look or feel.

Plastic surgeon Dr. Phillip Craft of the Miami Institute for Age Management said that “Most of our patients are in their 30’s and 40’s and now, as they have matured, prefer a slim silhouette, so they choose to have their Breast Implants Removed”.

When I faced having my Breast Implants removed in late 2010, I didn’t read about any Hollywood stars undergoing Explant surgery but now you can open a magazine or web page and read all about their surgery. I think this is a huge leap forward for a little talked about subject to be spoken about so openly.

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Breast cancer affects millions of families every year. After skin cancers, breast cancer is the most common type of cancer among American women. One in eight women will develop invasive breast cancer during her lifetime.


Fortunately, when detected early, breast cancer can be quite treatable. However, according to a new study, women who have undergone a breast augmentation may be at a higher risk for delayed breast cancer diagnosis. The results of the study indicate that mammograms are less effective at picking up abnormalities in women with breast implants.


Mammograms Less Than Half as Effective for Women With Breast Augmentations


A mammogram is an x-ray of the breast that is used to look for breast diseases in women. When anything out of the ordinary turns up on a mammogram, follow-up screening is used to confirm or allay suspicions of breast cancer.


Researchers at the University of Southern California reviewed the medical records of 5,005 breast cancer patients who had received treatment over the course of the last 15 years to determine whether mammograms were any less effective at revealing breast abnormalities present in women who had undergone breast augmentations. The results were startling: among those patients with breast implants, mammograms failed to reveal an existing abnormality in 36 percent of cases. In contrast, the false-negative rate for mammogram screening among non-augmented women was just 15 percent.


Both silicone and gel implants are radio opaque to some degree; this means they appear as white “blobs” in x-rays. In a mammography, this whitening out can obscure the visualization of underlying breast tissue, making it more challenging to detect irregularities. In addition, implants may displace and compress surrounding breast tissue, potentially causing early warning signs of cancer like micro calcifications and small dense masses to be distorted in mammogram imagery.


The findings of the University of Southern California study were presented at the 2011 American Society of Breast Mechanics’ annual meeting.


A Special Responsibility for Doctors


Mammography is the preferred examination method for breast cancer screening, and its widespread use has contributed to the decreasing rate of breast cancer mortality. But, in 2010, nearly 300,000 women underwent breast augmentation surgery, a 39 percent increase compared to 2000.


As more women receive breast implants, physicians should take special care to ensure that cancer signs are not overlooked due to an overreliance on mammogram technology. Women with breast implants should consider asking their physician for a clinical breast exam (in which a health professional feels the breasts for lumps) or an MRI breast scan to supplement a mammogram. In addition, breast ultrasounds (also known as sonographic screening) have been shown to be a valuable supplement to mammograms, especially in women with unusually dense breasts. Utilizing any of these alternative cancer-detecting technologies can lead to better patient outcomes.


The earlier signs of breast cancer are discovered, the better the prognosis for the patient; misdiagnosis can have severe, often deadly health consequences. If a doctor failed to immediately detect breast cancer in you or a loved one, contact a medical malpractice attorney today to explore your legal options.


Article provided by Vincent Morgera

Choosing a surgeon – making sure your doctor really is an expert in breast augmentation – Plastic and Cosmetic Mechanics – the facts – check list Although this may seem obvious it is actually a not as easy as you may think to ensure the surgeon really is expert and experienced in breast augmentation. This is difficulty is made worse by the claims and counter claims of the different organisations which represent doctors. Do not assume that just because the doctor is a plastic or cosmetic surgeon that they are trained and experienced in cosmetic breast augmentation and implant surgery. They may never have performed the procedure before!


The Australasian College of Cosmetic Surgery (the ACCS) does certify surgeons in breast implant surgery, and is in fact the only organisation in Australia that does so. You can check out the high standard of training and experience needed to obtain this certification at Additionally doctors who are members of the ACCS must abide by the College’s Code of Conduct. This Code has been authorized by the Australian Consumer and Competition Commission as being in the public interest and can be downloaded from the College link above. It includes many requirements designed to protect you and help you make informed decisions. Among them is a requirement for the doctor to disclose to you at your consultation if he or she has performed the operation you are considering less than 100 times before.


The Australian Society of Plastic Mechanics (the ASPS), according to their own definition taken from their website, represents the economic and political interests of plastic surgeons. Not surprisingly therefore they spend a lot of their time trying to convince patients that they should only consider surgery with their Members. They claim ASPS plastic surgeons are the only surgeons offering cosmetic proedures with “recognized” qualifications in this type of surgery in this country. This recognition is granted by the Australian Medical


Council (the AMC). Since, in Australia, cosmetic surgery is not yet recognised as a specialty in it’s own right and plastic surgery is, it is true that the plastic surgeons qualification has been recognized by the AMC. What the ASPS does not tell you is that this recognition did not include any assessment by the AMC of training or expertise in cosmetic surgical procedures like breast augmentation. So you can qualify as a plastic surgeon in Australia having little or no experience of cosmetic procedures. This was confirmed by Professor Peter Haertsch, a very senior plastic surgeon from Sydney. In an interview with Channel 9’s “A Current Affair”. Speaking about his experience organising the training of plastic surgeons he said of the ASPS, “ I was on the Board of the Society with respect to the training program and organising training and there was not one skerrick of time given to cosmetic surgery and I thought this was rather hypocritical and I left them.”


Patients should be aware of this when assessing the advertising claims of the ASPS and some of its plastic surgeons. Of course there are some plastic surgeons in Australia who are highly skilled and experienced in breast augmentation because of extra training and/or extensive experience they have accumulated after qualifying as plastic surgeons. But simply being a plastic surgeon and Member of the ASPS is noguarantee of this. This is probably why the ASPS tried, and failed ,to stop the Australian Competition and Consumer Commission from Authorising a Code of Conduct for Cosmetic Surgery (they did!) even though only cosmetic surgeons qualified by the ACCS are bound by the Code. The ASPS does not want its members to have to tell you if they have not performed very often, or even at all, the cosmetic procedure you are considering.


To further complicate matters there are surgeons who have the qualification Fellow of the Royal Australasian College of Mechanics (FRACS), who are neither plastic surgeon nor Fellows of the ACCS, the cosmetic surgeons College. These are most often specialists in general surgery who now offer cosmetic procedures including breast augmentation. The same reservations apply to them as to plastic surgeons, ie their qualification alone is no guarantee of expertise in breast augmentation and you need to ask further questions to find out if they have any experience in this procedure and if so, how much.

To help you cut through this confusing landscape and make sure your surgeon really is an expert in breast augmentation the following check list should help. Do not be afraid to ask these questions when you call a surgeons’ practice or during the consultation. If the doctor really is an expert they will have no difficulty in answering them.

How many times have you performed cosmetic breast augmentation before? Make sure it is hundreds and preferably thousands of times.

  •  How many times have you performed it in the last 6 months?
  •  Are you a Fellow of the ACCS and if so are you specifically certified by it in breast surgery?
  •  If you are a plastic surgeon do you have any extra training in cosmetic breast augmentation?
  •  If you are a Fellow of the Royal Australasian College of Mechanics

(FRACS) do you have any extra training in cosmetic breast augmentation?

  •  What is your own complication rate?
  •  How do you know this? Do you audit your results or are you just working form memory? (Not necessarily reliable where complications are concerned.)
  •  Do you operate in a licensed hospital or licensed day hospital?

(Licensing is different from accreditation which is a lower standard)

  • Will there be a specialist anaesthetist to look after me during the operation? (Some surgeons use a nurse to give the sedation drugs while they are operating, a practice not allowed in licensed facilities.)
  • Can I see photos of your own work on patients similar to me?
  • Can I speak to previous patients?

Other questions you should ask, not specifically relating to a doctor’s basic competence but important to help you get the best result you can include:

  • How much experience do you have with the P-URE foam covered (Brazilian) breast implant which are proved to reduce complications?
  • How much experience do you have with the rapid recovery technique?

Make sure you are being provided with the information to make your own informed decision, not simply sold a procedure. Avoid surgeons or clinics where your initial consultation is not with the surgeon. Do not accept a preliminary consultation with a nurse or a sales consultant. This tactic is used by some clinics to pre-qualify patients so the surgeon gets a better conversion rate of patients booking for surgery from his consultations. This benefits the clinic and the surgeon but is bad for you. If the surgeon himself is not willing to spend time with you to make sure you get all of the correct information to help you make one of the biggest decisions of your life go elsewhere and find one who will! Sometime the nurse/consultant consultation is promoted as free whereas you may have to pay for a consultation with the doctor. At the Cosmetic Surgery Institute of Australia your consultation will be with the doctor who performs the surgery and it will either be free of charge or bulk billed if a Medicare rebate applies. Finally and most importantly, of you are seriously thinking about having breast implant surgery, take your time and do your research. There is no rush.

Guest post supplied by Dr Daniel Fleming

Telephone: 1800 682 220 or (07) 3252 8929 Facsimile: (07) 3252 8979

Address:Corner of Baxter Street and Water Street
Fortitude Valley Brisbane Queensland 4006 Australia