Wednesday, June 7, 2023

Shoulder Reduction Surgery Before And After

How Long Will The Shoulder Replacement Surgery Last

Recovery After Shoulder Surgery – Phase 1 – Physical Therapy Exercises at Home

The surgery will last approximately two hours. It will be longer for your family members because it takes about an hour after your say goodbye to them for surgery to start and it will be approximately one to two hours after surgery for you to completely recover from general anesthesia and be able to see them again.

Recovering From Clavicle Surgery

Due in part to the orthopedic nature of the surgery, recovering from clavicle surgery is a lengthy process. There is, however, relatively little pain and full range of motion returns almost immediately after surgery. It takes about one to three weeks before the soreness resolves and about three months total for the bone to attain full strength, Dr. Rogers says.

While a complete return to exercise and function takes about three months, normal activity excluding weight-bearing and heavy lifting is possible just a few days after the procedure. It is important to not get lulled into a false sense of security. Patients have a tendency to return to full activity too soon because the area is virtually always pain-free after three weeks, he warns. The bone is not healed at this point and issues can arise if the bone is stressed too early. Patients must allow the full three months to heal before returning to full activity.

Scarring from the procedure is also minimal. The incisions are placed just above the clavicle on either side, in the hollow between the collarbone and the neck. The skin in that area tends to form very nice scars, Dr. Rogers explains. However, some patients may tend to form thicker scars genetically. If that were to happen, there are therapies to improve the appearance of scars.

Answer: Reducing Upper Body Width

Bone structure is contributing but so is body fat. Reducing your weight can help to some degree. Liposuction of your arms making sure that the Liposuction is well done over the deltoids can reduce your shoulder with to some degree. You can also have liposuction of your torso making sure the treatment includes all of the under arm area and goes all the way up on your back to the top of your shoulders.Liposuction results vary immensely as does the approach. I would definitely look around for providers who seem to get the concept youre looking for and have lots and lots of impressive before and after pictures to show that they can walk the walk and not just talk the talk.After having cosmetic surgery you may still feel your shoulders are wide and whether this is all justified is another question. I suggest starting with trying to reduce your own weight to the lowest fat level you can get on your own.Best,Mats Hagstrom MD

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How Do I Get Ready For A Reverse Total Shoulder Replacement

Talk with your provider about how to prepare for your surgery.

  • Tell your provider about all the medicines you take. This includes over-the-counter medicines such as aspirin and all prescription medicines. It also includes herbs, vitamins, and other supplements.
  • Ask if you need to stop taking some medicines before the surgery, such as blood thinners.
  • Dont eat or drink after midnight the night before your surgery.
  • Follow any other instructions from your healthcare provider.

Before your surgery, you may need imaging tests. These will give your provider more information about your shoulder. These might include:

  • CT scan to see the bones in more detail
  • MRI to see the soft tissue around the bones in more detail

Align The Results With Your Expectations

Comparisons of shoulder function after treatment of floating shoulder ...

While its important that a plastic surgeon has proven, consistent and beautiful results, do they align with your expectations? Its good to approach breast reduction before and after photos with healthy scepticism. After all, its your body, and you want to do the best thing for yourself. Its crucial that you have realistic expectations of the procedure.

However, its okay if your expectations dont align with your surgeons results. The results may not fit your ideal, and its important that you share this with your potential surgeon, so they can provide the best advice possible.

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Which Patients Could Benefit From Areola Reduction

For most patients, the size of the areola has a diameter of 4.5 to 4.7 centimetres. Naturally, this diameter may vary according to the size of the under bust. In some cases, the areola is disproportionate with the rest of the breast this is usually a patient who is an ideal candidate for this type of procedure.

To determine if you are a good candidate for the procedure, you must meet with an experienced cosmetic surgery first. By speaking to a surgeon, you can ensure you have realistic expectations of the areola reduction. You can also find out if this surgical procedure is a suitable option for you.

What Will Be Discussed During A Consultation For An Areola Reduction Procedure?

During your initial consultation, you can learn more about the surgery itself and its suitability for the problem you are dealing with. Therefore, Dr Lanzer will discuss what you can expect before, during, and after your procedure. He will also elaborate on the risks that accompany the procedure and provide you with a detailed overview of cost and payment information.

Before you visit our clinic for your initial consultation, we ask patients to bring some key information that will be necessary for our surgical team this includes your medical history and a list of medications you are currently taking. When creating a list of medications, dont forget to include any herbal remedies you might be taking too.

How Is The Procedure Executed?

What Is A Reverse Total Shoulder Replacement

A reverse total shoulder replacement is a special type of shoulder surgery. During the surgery, your surgeon removes the damaged parts of the shoulder and replaces them with artificial parts.

The shoulder joint is made up of the upper arm bone and the shoulder blade . The rounded end of the upper arm bone moves inside a shallow socket in the shoulder blade. Because of this, your shoulder normally has a very wide range of motion. Cartilage, tendon, and ligaments around the joint also provide support and help the joint move smoothly.

In a reverse total shoulder replacement, a surgeon removes the rounded head of the upper arm bone. Using screws and special tools, he or she attaches a plastic socket to the remaining bone. The surgeon also removes part of the socket of the shoulder blade. This is then replaced with a metal ball. The metal ball can then move around inside the socket that attaches to the upper arm bone.

This is different from a standard total shoulder replacement. In a standard surgery, the metal ball attaches to the upper part of the humerus. The new socket attaches to the shoulder blade. This more closely follows a persons real anatomy.

Healthcare providers advise reverse total shoulder replacements for certain types of shoulder injuries. The most common type is arthritis with a large rotator cuff tear.

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What Happens During A Clavicle Fracture Open Reduction And Internal Fixation

Your doctor can help explain the details of your particular surgery. The details of your surgery will depend on the location and severity of your injury. An orthopedic surgeon and a team of specialized healthcare professionals will do the procedure. The whole operation may take a couple of hours. In general, you can expect the following:

  • You will receive general anesthesia to make you sleep through the operation so that you wont feel any pain or discomfort.
  • A healthcare professional will carefully monitor your vital signs, such as your heart rate and blood pressure, during the operation. You may have a breathing tube placed down your throat during the operation to help you breathe.
  • After cleaning the affected area, your surgeon will make an incision through the skin and muscle near your clavicle.
  • Your surgeon will bring the pieces of your clavicle back into alignment .
  • Next, your surgeon will secure the pieces of clavicle to each other . To do this, he or she may use screws, metal plates, wires, and pins.
  • Your doctor may make other necessary repairs.
  • After the team has secured the bone, your surgeon will surgically close the layers of skin and muscle around your clavicle.

How A Clavicle Shortening Procedure Works

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There are two primary methods that can be used to achieve the desired results both of which are carried out under general anesthesia. As Dr. Rogers explains, shortening of the collarbone is performed by creating a 1.5-inch incision in the skin above the clavicle on each side. A portion of bone is removed measuring up to two centimeters . In the first fixation method, the two ends are brought together and fixed using a metal plate and screws. The scar that results has been very thin in all patients to date, he says.

In the second technique, an intramedullary screw is used instead of a plate. It can be done through a smaller incision, but it requires an additional puncture near the end of the clavicle, Dr. Rogers shares. The advantage is the hardware is never palpable through the skin.

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What Is Breast Reduction Surgery

Breast reduction is a cosmetic surgery procedure that reduces the size and weight of large, heavy breasts, helping to create a more aesthetically pleasing breast contour that is better proportioned to a patients body. By removing excess breast tissue, fat, and sagging, stretched skin, a cosmetic surgeon can not only make the breasts smaller, lighter, and firmer, but also improve breast symmetry and eliminate sagging.

While many patients choose breast reduction to alleviate physical symptoms such as back, neck or shoulder pain, shoulder grooves, or discomfort while exercising, the cosmetic benefits of breast reduction should not be overlooked:

  • Your breast will be lifted and firmer, helping you look more youthful
  • Bras will fit more comfortably and attractively
  • With better proportioned breasts, your overall silhouette will be more balanced and attractive
  • Stretched areolas and/or large nipples can be reduced during the same procedure, helping you look better in and out of clothing
  • Swimsuits, sports bras, and form-fitting clothes will look and feel better, helping boost your confidence during activity

Life After Breast Reduction

Because it both alleviates physical and emotional discomfort and enhances a patients appearance, breast reduction can be one of the most rewarding cosmetic surgery procedures. Patients note an increase in self-confidence as well as a renewed sense of freedom to wear the clothes they want to wear and participate in physical activities they had previously avoided.

While many patients experience an immediate relief from back and shoulder pain after breast reduction, it is important to understand that it will take some time for your final results to settle in. Swelling, soreness, and tingling are typical after breast reduction, so your new smaller breasts may appear a little larger than you had expected while initial swelling is present. Additionally, the breasts often heal at a different rate, so you may notice some asymmetry during the first few months of your recovery.

After about 2-3 months, your final results will be more or less in place and you can shop for new bras with confidence. However, you may notice subtle changes for the first 6 to 12 months.

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Shoulder Width Reduction Surgery

I found this. You’ll see with that link a fellow trans girl asking a surgeon about it.

I still some days dream of what life would have been like as a surgeon if I had stayed in BME and gone MD/PHD instead of going back to math. So I like to google-fu topics and learn about surgery, albeit, surgeons are doomed to have their surgeries done probably 100% by robotic incisions in the next 20 years

So here I am thinking tho, how do we get this to happen? I know among us are dozens, if not hundreds of us, who would be like “pick me! pick me! pick me!” if asked to be the first test patients. And even tho I do pass with my shoulders, they’re definitely a source of dysphoria and I’m always dreaming of a future when surgeons can do something about this. Hopefully maybe with 3D printed bones. Which are also on the cusp of happening mainstream.

Extra: I know in Korea they’re developing femininizing hip surgery.

So… how do we get orthopedic and/or plastic surgeons to do this for us, thoughts?

Bonus Question: Does anyone know of any Orthotic group that works on helping rib changes? There has to be a better way to do this than with old school tight lacing – not that I don’t love my semi-pricey corsets, I do. But it’d be cool to have an orthotic brace designed to exactly do this for us.

EDIT: Thanks to /u/transalt418 I now know Dr. Kimura in Japan does this. His page is in Japanese tho. The cost from a Susan’s Thread seems to be about 9k.

Well… I’m grinning ear-to-ear now. =)

How To Dress After Shoulder Surgery

Shoulder joint is the most flexible and versatile of all joints in the ...

In the early phase of your recovery, you should wear loose-fitting clothing you can easily put on and that fit over your sling. Wear shirts with a zipper or easy-to-use buttons, rather than having to pull them over your head. Shirts that dont require you putting your arm above shoulder level will be best.

Wear bras that close in the front to make them easier to put on during your early post-operative phase. If you dont have or cant purchase a bra like this, put the bra on backward where the clasp is in the front, and then twist it around to your back once clasped.

Wear shoes you can put on easily with one hand, preferably with no laces, since trying to tie shoelaces with a single hand could be a big challenge. Velcro or slip-on shoes are best.

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What Should You Do

The treatment for shoulder dislocation varies depending on the symptoms, extent of the injury, and risk of recurrent dislocation. Often, its recommended that young athletes who play contact sports have a surgical repair after a first dislocation since the chance of repeat dislocation is high without surgery.

Most of the time, however, when theres a lower risk of recurrent dislocation, it is reasonable to try nonsurgical treatments as an initial step to manage these injuries. If a second dislocation occurs, then surgery is generally considered.

Do All Shoulder Dislocations Need Surgery

Some dislocations are unable to be reduced in the emergency department and need an urgent general anaesthetic to put the shoulder back into joint. After this assessments need to be done to determine the cause and severity of the dislocation.

Most atraumatic and muscle patterning dislocations do not require surgery and are best treated with physiotherapy.

Most first time dislocations do not require surgery and they can be managed with physiotherapy, however recurrent dislocations may require surgery to stabilise the shoulder and prevent further damage. The risk of recurrent dislocation after a first time traumatic anterior dislocation depends on age, bony damage, rotator cuff injury.

In patients under the age of 30 with a simple, first time shoulder dislocation, the risk of recurrent dislocation is 90% and this increases to almost 100% if the patient is under 20. In elderly patients recurrent dislocation can occur if there is a massive tear of the rotator cuff muscles. If there is significant bony damage to the socket there may be recurrent instability regardless of age.

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Why Is Cosmetic Clavicle Surgery So Uncommonly Performed

For one thing, clavicle surgery is, perhaps quite obviously, not a casual procedure. As opposed to addressing concerns with Botox injections or implants, the patient seeking treatment has to be seriously committed, have a support system in place, and be prepared for any drawbacks. I have performed consultations and surgical work for patients who are in the LGBTQIA+ community, says Dr. Kevin Debiparshad, a board-certified orthopedic surgeon in Henderson, Nevada, who specializes in limb-lengthening procedures. In general, I feel that these patients are motivated and have good satisfaction with the results of surgery that help them realize the image they are pursuing. Overall, these patients seem to have an improvement in quality of life as successful surgical outcomes are achieved.

As is the case with all aesthetics procedures, its important to weigh the benefits against the disadvantages and consult with a highly skilled provider when considering such an intensive procedure. Dr. Debiparshad also recommends physical therapy and muscle rehabilitation after clavicle surgery, to optimize the outcome.

Know Recovery Times Can Vary

How long are you sore and stiff after dislocating your shoulder?

Because people have different health conditions, full recovery time will be different for everybody.

You might not require a sling if youve had a minor repair, and your strength might come back after a short period of rehabilitation. In cases like these, you might be able to go back to work or school within a few days of your surgery.

More complicated procedures will take longer to recover. Complete recovery might take a few months with arthroscopic shoulder surgery. Although recovery can be a slow process, following your doctors instructions and your rehabilitation plan is crucial for a successful outcome.

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What Is Clavicle Fracture Open Reduction And Internal Fixation

Open reduction and internal fixation is a type of surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken collarbone .

The clavicle is a long thin bone located between your ribcage and the shoulder blade. Different kinds of injury can damage this bone, causing it to fracture into two or more pieces. Most often, this happens along the middle of the bone. Occasionally, the bone breaks near where it attaches to the ribcage, or near where it attaches to the shoulder blade.

In certain types of clavicle fractures, your clavicle has broken, but its pieces still line up correctly. In other types of fractures , the injury moves the bone fragments out of alignment.

If you fracture your clavicle, you might need ORIF to bring your bones back into place and help them heal. During an open reduction, orthopedic surgeons reposition your bone pieces surgically back into their proper alignment. In a closed reduction, a doctor physically moves the bones back into place without surgically exposing the bone.

Internal fixation refers to the method of physically reconnecting the bones. This method uses special screws, plates, wires, or nails to position the bones correctly. This prevents the bones from healing abnormally. The entire operation usually takes place while you are asleep under general anesthesia.

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