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Kate Lister
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Ruth Holliday
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Vikram Devaraj
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Kate Lister: 探讨了隆胸手术的历史,从早期技术到现代技术,以及手术技术的演变。关注点在于手术的起源、首例手术以及手术技术的改进。 Ruth Holliday: 详细阐述了隆胸手术的历史,从19世纪末20世纪初的早期技术,如液体石蜡注射和自体脂肪移植,到现代的硅胶植入物。她分析了不同时期乳房审美标准的变化,以及这些变化对隆胸手术的影响。她还探讨了乳房在不同文化中的象征意义,以及社会对乳房的性化认知。此外,她还分析了赴海外进行隆胸手术的现象,指出并非所有海外手术都是低质量的,许多患者对手术结果感到满意。她还强调了进行充分的术前研究的重要性,以及对医疗信息进行甄别和判断的能力。 Vikram Devaraj: 从外科手术的角度解释了隆胸手术和缩胸手术的具体操作过程,包括硅胶植入物的位置选择、自体脂肪移植的原理和风险,以及乳房重建手术的技术细节。他强调了术前咨询的重要性,以及医生在手术过程中应该遵循的原则,包括根据患者的实际情况和需求,为其提供合适的建议和手术方案,以及拒绝那些不合理或存在风险的手术要求。他还详细解释了隆胸手术的风险,包括植入物破裂、感染、包膜挛缩、BIA-ALCL等,以及术后护理和注意事项。

Deep Dive

Key Insights

When was the first breast augmentation performed using silicone implants?

The first breast augmentation using silicone implants was performed in 1962 on Timmy Jean Lindsay. The silicone implants were developed by Thomas Cronin and Frank Jones.

What were some early methods of breast augmentation before silicone implants?

Before silicone implants, early methods included liquid paraffin injections in the 1890s and autologous fat transfer in the 1920s and 1930s. These methods often led to complications such as migration, lumps, and misshapen breasts.

Why did breast augmentation become popular in the 1950s?

Breast augmentation became popular in the 1950s due to the post-war cultural shift towards a more voluptuous look, inspired by figures like Marilyn Monroe and Diana Dors. This trend fueled demand for larger breasts in both the US and the UK.

What were the risks associated with early liquid paraffin injections for breast augmentation?

Liquid paraffin injections, used in the 1890s, were highly risky as the paraffin could migrate, irritate surrounding tissue, and cause lumps, sores, and misshapen breasts. Additionally, paraffin is flammable, posing further dangers.

What was the PIP breast implant scandal?

The PIP breast implant scandal involved the use of non-medical grade silicone, similar to mattress filler, in breast implants. These implants were prone to rupture, leading to liquid silicone leaking into the body, causing severe health issues such as silicone migration to lymph nodes, soreness, and even cancer.

How has fat transfer technology evolved for breast augmentation?

Modern fat transfer for breast augmentation involves removing fat through a procedure similar to liposuction, then using a centrifugal machine to separate fat cells from stem cells. The fat is recombined with a higher ratio of stem cells, which helps anchor the fat and prevent it from being reabsorbed or becoming necrotic.

What are the risks associated with breast implants today?

Risks include capsular contraction (scar tissue hardening around the implant), implant rupture, infection, and a rare condition called BIA-ALCL (breast implant-associated anaplastic large cell lymphoma). Patients also face potential changes in nipple sensation and scarring.

Why do some women opt for breast reduction surgery?

Women often choose breast reduction surgery to alleviate physical discomfort such as backache, neck pain, and skin irritation under the breasts. Additionally, large breasts can make exercise difficult and limit clothing options.

What is the future of breast augmentation technology?

The future of breast augmentation may involve advancements in fat transfer techniques using stem cells to improve fat retention and reduce risks. Innovations to prevent capsular contraction and improve implant longevity are also being explored.

How has the perception of breast augmentation changed over time?

Breast augmentation has shifted from being a procedure primarily associated with celebrities and high-status individuals to a more accessible and mainstream option. Advances in technology, financing options, and cultural acceptance have contributed to its democratization.

Shownotes Transcript

Cosmetic procedures are a huge part of (most of our) worlds.

With new ones seemingly cropping up all the time, the boob job feels like an old classic.

What are the origins of the boob job? Who had the first ever one? And how has it changed over time?

Today we're revisiting a conversation Kate had with Professor Ruth Holliday and cosmetic surgeon Professor Vikram Devaraj, to find out more about this bumpy history.

This episode was edited by Annie Coloe & Tom Delargy. The producer was Sophie Gee. The senior producer was Charlotte Long.

All music from Epidemic Sounds/All3 Media.

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