Cosmetic surgeons and insurance companies

Insurance companies in the United States provide over 90% of the profit to breast reduction surgeons, who make more money every year on breast reductions than they do on breast implants. Early in the decade, a form of PS industry shill which disguises itself as a scientific study (an article shill) was inaugurated to demonstrate, in study after study, that large breasts cause back pain.


Although these studies were often done by reputable employees and even at reputable institutions, and were published in reputable medical journals, it was found that each one of them departed drastically from from standard scientific and statistic protocol, which is totally inexcusable. These studies were also structured in such a fashion as to allow multilevel biasing to occur, part of the radical violation of scientific fundamentals.


Likely explanation for these repeated pseudo studies that all try to prove the same thing is that the PS industry has taken every possible method to spread the idea that big breasts cause back pain, since the back pain thesis is fundamental to the medical insurance profit cooperation that finances the huge profit made by the PS industry. Primarily, they were there to convince the medical and insurance industries of this claim.


Although these studies continue to be repeated, with always the same results that they are designed to prove, the initial studies opened the door toward establishing the medical industry as the primary industry shill for the PS breast reduction profit machine. Utilizing the medical establishment has been, more than anything, responsible for the epidemic of iatrogenic illness that has been created for the purpose of maintaining PS profit margins.

Breast reduction foundation

The breast reduction foundation, on the other hand, works in completely different areas to pull in its profits. It is opposite augmentation, yet it is truly equal, pulling in every bit as much profit to the PS’s as does breast augmentation. The breast reduction industry succeeded in fully recruiting the American medical industry, members of whom now recommend breast reduction over more logical, vastly less destructive alternatives such as weight loss, proper posture, and objective information.


The major demographic of breast reduction is focussed on women that are over weight, as opposed to thin, so breast reduction and breast implants both fully exploit concepts related to female body fat. The breast reduction business also works by female self image manipulation, but in this case, the motives are negative, playing on vulnerabilities, insecurities, obsessions, catalyzing the image damage to women, doing whatever it can to encourage them to see their own breasts as undesirable, physically and emotionally, confirming and enhancing their entrenchment into the powerful medical system. Promotion by the medical establishment has supreme advantages… doctors, highly reverenced and trusted, become most powerful shills for promoting the reductions.


Furthermore, the doctors act as highly efficient facilitators of the breast reduction financing, since medical insurance, or state medical support structures, will abide by the advice of the medical professionals as a matter of faith. If a woman with large breasts who has no back problems wishes to relieve herself of the burdens of negativeness that the PS industry itself has festered upon her psyche, she need merely go to a single medical doctor and simply lie about having back pain, and she will be rewarded for her easy deception by having her insurance pay for the surgery virtually in full.


Meanwhile, as more and more women discover that they will be rewarded for their lies, with no need to fear being caught, the number of women claiming back pain related to their large breasts grows geometrically every year, as if their were some strange epidemic spreading more rapidly than AIDS. Information from the insurance companies and the doctors can then be used to promote the thesis that big breasts cause back pain, as the PS’s do over and over again in various sundry ways.

Shaping the breasts by augmentation

Cone breasts are another kind of weird breast reduction breast. In natural breasts, the size of the parts of the upper thorax, such as the fat content of the back, are proportionate to the size of the breasts. Breast reduction acts only to reduce the size of the breasts, it does not ipso facto reduce the size of anything else that is usually also large when breasts are large.


There is therefore a discontinuity, or a kind of perceived cognitive dissonance, a clash that occurs between the artificially altered breasts and the body parts like the chest that no longer appear to belong to the breasts. This gives the breasts an artificial stuck on variety. They look like they were added to the thorax rather than that they grew there naturally. They look like boob jobs, except they are different than breast implants.


So the cone breasts, that look like they are cones sitting on larger thoraxes, are one case of this. Of course there are numerous other problems that result from this discontinuity. Some breast reduction recipients also suffer from back boobs. Back boobs are masses of fatty tissue on the back. The actual mass of these blobs of fat in these deformities tend to exceed the actual mass of the remnant breasts that were left as a consequence of the surgery, so they are the dominant pillows, so to speak.


So when you look at the breast reduction recipient it looks like the most prominent masses of fatty tissue are on the back, not the front, the effect is most compelling. Back boobs can result from the same kind of apparent fat migration that is seen with lipo patients. Frequently, the overall body liposuction for men leads as a consequence to the enlargement of their breasts. This then leads to the need for male breast reduction, which the surgeon is glad to do. This makes him more money off of correcting a condition that he himself created.

Consequences of breast enhancement

The before persona pretend to be large breasted women, and use this as an excuse to freely spout everything negative about large breasts. This technique is designed to use behavioral psychology and suggestibility on women, to enhance all pain, discomfort, dissatisfaction, self image problems, whatever that they associate with large breasts. The after type shills also use behavioral psychology but they try to associate pleasure with the breast reduction surgery, and thus they pretend to be women that have had it and have nothing but great things to say about it.


The “woman” who answered your post and said that she had a breast reduction would fit the category of the after type breast reduction shill trog. Your concern was for scarring and such. Actually, the surgery leaves extensive scars, that are long, and run totally cross each breast in perpendicular directions. The scars are also deep, as if the external scarring was only the tip of the ice berg. Most meaningful here is the scar sheath, which is a large sheath of internal scar tissue that divides each breast in half, as it goes deeply through internal breast all the way down to the base.


This internal scar tissue is often less elastic than normal tissue, so if your breasts, after surgery, expand for any reason, the scar tissue can pinch the bottom of the breasts in half, leading to deformities in breast shape, most common being quad (four) breasts. The “woman” answering your posts made light of the scar tissue, as if “she” had had the surgery. This notion that scars will fade is simply a lie, but the person does not have to be responsible for lies, because this is Usenet, where anyone can be, or say, anything they want. No surgeon has been caught doing this, so surgeons can lie like this without any fear of consequence.

Breast reduction surgery for men

What about men who need breast reduction? Clearly, if a man has breasts, it can cause severe emotional handicap in this society. But he can hardly claim physical pain. So men should be denied breast reduction, and yet insurance will easily pay for over ninety percent of the women who want it? What about a woman with one breast two sizes larger than the other?


I really don’t understand why extreme chronic physical pain should be given a higher priority than extreme chronic mental pain. This is not the middle ages. Psychological treatment is as legitimate as is physical treatment, psychological disease as serious as physical disease. That is what psychiatry is about, and psychiatrists are doctors who can prescribe medicine and recommend surgery.


Psychiatrists should be trusted to diagnose the existence of psychological disability, and, if they recommend the surgery, this should be sufficient. Bear in mind that there is a big difference between *cosmetic* surgery and *reconstructive* surgery. Breast reduction is usually but not always classed as reconstructive surgery, but sometimes can be considered only cosmetic. Insurance will cover reconstructive surgery, but will seldom cover cosmetic. The breast reductions are usually done by *cosmetic* surgeons, so there is some confusion.


The disagreement is that breast augmentation is sometimes unfairly called cosmetic, when it should really be considered reconstructive. In theory, cosmetic inadequacy can be a source of emotional discomfort. But the *severity* of this does not entail it as a medical problem. If the severity of the condition reaches a level of intensity that can cause trauma and handicap, then it passes out of the realm of cosmetic and into the area of reconstructive. For example, if ones face gets scarred up in a fire.

Breast enlargement for Her

The forces of nature (including breast feeding babies) have reduced her from a former perky 34B to a 34A. She has become self-conscious about this, and it has affected her choices of wardrobe (particularly bathing suits). A couple of her friends have undergone enhancement surgery for similar reasons.


We have begun somewhat serious discussions and are considering a consultation. I want to support DW in her decision, and I emphasize “HER” because it is her body – therefore it is her decision what medical procedures to have performed. Any type of medical procedure must be taken seriously. She seems very undecided at this point in time. Selfishly, I must confess I would love for her to be a perfect 36C.


But I am not foolish enough to think that larger breasts will have any significant effect on our relationship! Her friends that have had enlargements and/or lifts both seem to carry themselves with much more self- confidence than they did prior to their surgeries. One of the ladies in particular seems to have a totally new outlook on life (or so it appears!). She is much more lively, social, and seems to present herself in a more positive light.


Have any of the couples in this group wrestled with this decision? What insight do you have to share You might also search the web for doctors in your area. There are several doctors here in Oklahoma that have web sites which contain alot of information about the procedure, any effects etc. I would also recommend talking to several doctors before deciding on one.

Consulting the doctor for breast enhancement

I went in for one consultation today and the outcome so far seems favorable. I didn’t see the surgeon this time but have another appointment for that next week. I talked with two of the assassinated about the procedure cost etc. What options I have and expected results, follow up care. I am curious about when they ask about medication. I really don’t want to lie as if their is any complication they can claim that I withheld information and then try and disassociate then themselves from responsibility.


I am currently only on 1.25mg of Premarin and I’m starting conspiratorial again but of course then the question of “why are you taking this”. How should I answer this without blatantly telling them. If I decide not to tell them I’m on estrogen supplement will this show up in the blood and urine workup they preform. The other question that came up is about pregnancy. I can of course assure them that I’m not (it would be a shock to me a very big shock, but not half as much as that of the surgeon) but they require it before performing any surgery. ‘ve been following this thread with interest.


Even though srs is not available here in Ireland there would appear o be no problem for a TS to get breast augmentation surgery. Shortly before I started HRT I went to one of the cosmetic surgery clinics in Dublin mainly to find out about cost, effects etc. in case I ever had need of it. They had no problems at all with the fact I was TS, in fact the “before and after” book had one set of pictures of someone who had obviously had no HRT treatment or very little results from HRT.

Information to be exchanged with your augmentation surgeon

On the other hand please understand that many of us try hard to be flexible and empathic. I for one would not want to project some kind of dogma or exclusivity about these issues. It is far more crucial for us all to embrace and understand the needs of everyone with gender issues, no matter what. The most well received speeches at the recent International HBGIDA Conference in Vancouver, BC Canada, stressed that very issue.


The speakers included people such as Dallas Denny as well as physicians and psychology clinicians of all sorts. So back to the issue at hand. Simply don’t tell breast augmentation surgeons about your status. They do not need to know. It isn’t any of their business. Most likely you will have surgery on an out patient basis and even if not, nobody is going to look at your genitals. Weren’t you just noting that nobody can tell in day to day life anyway? Well in this circumstance that rule probably applies. Just wear appropriate underwear. I doubt you will be asked to remove it.


They will just have you put on a hospital gown. So keep the unmentionables properly and safely tucked in and no one will be the wiser. Get your surgery from the best surgeon you can afford and get on with your life. If I may recommend a few things about breast surgery though. First look for surgeons that belong to the American Society of Plastic and Reconstructive Surgeons.


If you call their toll free referral number, they will give you a list of three surgeons to interview at little or no fee. Remember don’t say a thing about your TS status. Since cosmetic surgery must be paid for in advance, the surgeon should have nothing to discriminate over anyway.

Breast implants and cosmetic surgery

I can comment on this now because my Korean gf just returned to America from Korea and surprise, surprise, she brought with her a new pair of breasts. She had mentioned doing this in the past and we had argued about it (me arguing against it) because I personally don’t dig buxom (and I’m *not* Korean, I’m Caucasian), I appreciate people’s individual characteristics (considered by some to be “flaws”) and I don’t really dig the pursuit of physical perfection through surgery (unless you were born with some dysfunctional or really ugly feature).


But now I can’t protest, what’s done is done, and since she was apparently unhappy with her God-given bust, I have to be supportive (no pun intended :) and hope she’s happy with her decision. Personally, I don’t think her decision had anything to do with trying to approximate Western ideals of beauty. She complained she was small compared to all her Korean friends. Anyone else have comments on that aspect of external cultural pressures? Do Korean (or any Asian) women with small bustlines feel unhappy or inferior due to A)thinking that “womanly” = larger breasts, or B)Western women are prettier and therefore one should try to look like that?? As for your comment that Korean women aren’t having this done, well, I can only say that she was watching a movie in Korea and one of the pre-movie advertisements was for a local plastic surgeon, and that prompted her decision to go to his office.


Obviously, if these services are being advertised in such a way, there must be women doing the surgery. How do you know whether it’s a popular thing or not? Do you think more Asians in America are having it done? I have a friend working at a plastic surgeon’s office in America who caters mostly to Asian women AND men coming in for procedures (breasts, eyelids, facial peels, hair transplants.

Use of submuscular breast implants

This is what I can tell you from my experience working for a plastic surgeon who does hundreds of implants a year. First, the sub muscular implants work better as they tend to prevent what is called the capsule of scar tissue around the implant. Second, this procedure also avoids cutting any of the milk ducts, thus allowing breast feeding.


The implants do not really feel hard (I have touched them in real breasts) but you can feel them. It depends on the type of implant (anatomical or round) and the size you get. The larger the implant, the more the skin has to stretch around it. Sensation in the breast and nipple does tend to disappear after surgery, but returns later on as the tissue heals. In some cases the loss of sensation is permanent. Remember that the implants only have a limited warranty, 20 years max. Eventually they have to be replaced, which requires more surgery at your expense. The surgery is usually around $5000 US.


It also depends on if a mastectomy (breast lift) is needed. The doc I work for usually does a lift, to make them “perkier.” I hope this answers some of your questions. I can send you brochures that are recommended by the American Society of Plastic and Reconstructive Surgery. This surgery is not to be considered lightly. See if you can find some women who have had it done. Speak with them and find out who their doctor is. If they are happy, they will gladly give you his/her name! I have seen these sites b4 and the problem is that since they are sponsored by plastic surgeons.. critical patient feedback is non existent on these sites.. and there is no information about FEELING .


How does the implant itself feel to the woman when it’s under the muscle and over the muscle? For example, when it is under the muscle and you go to work out does it feel weird when the muscle flexes over the implant? How does it feel to the partner.. when it is squeezed… Does the muscle feel hard over the implant.? When you touch it can you feel the muscle? What consequences are there for functionality in terms of sensation and breast feeding.. I don’t want to hear the official industry approved statements on these things.. I want to hear from actual patients