Treatment Provider

Lu-Jean Feng, MD
Board Certified Plastic Surgeon
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Has anyone used Pambra's Bra Liners?

I am getting reading to switch over from my ace wrap and bra compression mode to a sports bra tomorrow! I'm so happy ~ my body has been "fluffing" for weeks from inactivity, now maybe the fluff fairy can visit my girls! :)

I purchased a 3-pack of Pambra's Bra Liners (http://pambras.com/products/original-bra-liner/) online. The pack contains a black, beige and white liner. They arrived today and they are in the wash now, getting ready for my upcoming transition to the sports bra. They are designed to wick the perspiration for between and under the breasts and I thought it would provide a protective padding for my incisions.

Just curious if anyone else has just these and if they were happy with them ~ ?? I will give them a try and report back after a few days of use.

Have a great day!!

Tips if you are travelling to Cleveland for an explant by Dr. Feng's office

I responded to another RS user with some of the travel advice based on my trip. I am reposting what I shared with her here and adding in more information that came to mind. I hope you find this helpful. Please feel free to let me know if you have any questions:

We stayed at the Homewood Suites in Beachwood and it really worked out well. I upgraded our suite from the standard one, which had one queen bed and one sofa sleeper, to one with two queen beds. It was spacious with a kitchen, living room area, bedroom with the two queen beds, and a large flat screen TV in the bedroom.

Having a kitchen was really a great perk. We loaded up the fridge with a case of water and having the cold water available really upped my water consumption both pre- and post- surgery. It is also handy to store the salad and soup that Dr. Feng sends you home with post-surgery as the portions are really generous and you will not be able to eat it all. The kitchen also has bowls and a microwave for reheating the soup.

Homewood Suites provides a morning breakfast, but I will say the coffee isn't the best. I may be a coffee snob, though. :) In any event, I bought a Starbucks card and my sister did coffee runs for us on those first couple of mornings post-surgery. Starbucks is close by in a car, just over the freeway, but not close enough for walking if you want hot coffee. :)

I loaded a lot of movies on my computer for the trip. If you don't have the ability to do that, you can bring a few DVD's. We watched a movie on the plane, using a headphone splitter so we could both hear the audio. It made the travel go by so much quicker. I also brought along an HDMI cable and connected my computer to the TV at the hotel to play the movies on the flat screen TV. You will need to change the input setting to HDMI via the TV remote to make this work.

While at Costco, I bought restaurant gift cards for Fleming's Prime Steakhouse ~ $80 for $100 worth of gift cards. We don't have any Fleming's near us and it was a very good meal. We went there the night before my surgery and somehow it came up in our conversation with the waitress that we were in Ohio for surgery. We were sent home with a gold gift box filled with 4 DECADENT creamy chocolate truffles. Such a nice touch! They were delicious ~ we both had one that night and then saved one for when I got the drains out. Since I had been focusing on eating healthy, that little splurge was really enjoyable!!

We also enjoyed Mitchell's Fish Market ~ eating there once pre- surgery and once post- surgery. We went in the day after my surgery for dinner and explained that we would prefer a corner table in the back. I didn't want to bring much attention to myself in my post surgery, covering the drains mode! They were very accommodating to our request. I mentioned in another post (somewhere) that this is the restaurant where my sister and I both ordered the DELICIOUS pecan crusted trout dish and my sister cut the fish and veggies (asparagus and green beans) on her plate, then switched plates with me. A perfect solution.

We didn't book our plane flight until after the drains were out as we didn't know how long that would take or if I might have complications from surgery. My drains were removed on Friday, so we wandered around Ohio on Saturday and then flew home Sunday. The Homewood Suites has a business center available with both a computer and printer that I was able to use to print off our boarding passes.

I set up my rental car in advance from Avis, using the AARP Avis worldwide discount code (A359807). Using the AARP benefits, we were able to get a free car upgrade, the second driver fee waived, along with more benefits listed here: http://discounts.aarp.org/offer/index/offerId/77203/uSource/PSRV2/categoryId/174/pandaLog/%7B%22term%22:%22Avis%20Rent%20A%20Car%22,%22type%22:%22Autocomplete%22,%22pageNumber%22:0,%22position%22:%220%22,%22entityType%22:%22Store%22,%22entityId%22:77203,%22categoryIdFilter%22:174,%22clickLocation%22:%22panda-list-item-%7Bid%7D%22%7D

If you using a rental car (or are driving in from another area in your own car), the Google Maps app for the iPhone or Android is very helpful. It shouts out directions in a timely manner in advance of the turns, lane changes, etc., that you need to make. The directions were accurate and got us to where we wanted to go.

Be sure to get to the Cleveland Clinic early for your meeting with Dr. Kahn. This was the only part of the trip that didn't go smoothly. You need to call in prior to your appointment to begin the registration process. I had done so, and I was fortunate enough to have the 17 minute phone call to show them in my phone history. I thought I was set up properly after all the delays and holding I went through with that initial phone call. Well, there was some snafu that I still don't understand and it delayed me for quite awhile, which caused me a delay in meeting my appointment time with Dr. Kahn. This wasn't a reflection on Dr. Kahn or his office, but on the part of the hospital that handles the registration/insurance processes. Bring your medical insurance card (as they request in their paperwork package) AND a charge card or check book. My insurance did not cover the cost of the ultrasound, so I had to charge the $960 fee. Fortunately, I had two charge cards with me as my one charge card was maxed out due to the payment processing date and new charges I had accrued.

As Dr. Feng indicates in her paperwork, she will need two CERTIFIED checks, one for the surgery fee and the other for the facility fee. Although it wasn't required, I provided Dr. Feng with copies of all the paperwork I had on my implants from 1990, so she knew the exact size, brand, etc., that she would be working with. I also brought along copies of my recent labs so she knew my baseline health (which is quite good) and could do a comparison if there were any unusual results that were encountered in the labs done there.

You do not need to bring along a compression bra ~ Dr. Feng's office will provide one. We did purchase some Hibiclens Antiseptic/Antimicrobial Skin Cleanser that we used to ensure our hands were sanitary every time we had to deal with the drains.

When the drains are removed, steri-strips will be placed over the sutures, then gauze, then Tegaderm bandages (which are clear and thick, reminding me of mailing tape). Following that, you will be wrapped in an ace bandage, then the compression bra.

You can/should take off the ace bandage and compression bra to sponge bath and just air out your skin daily, then put them back on.

At the one week point from the drain removal (yesterday for me!!), the Tegaderm bandages and gauzes can be removed and the first full shower can take place, which is heaven! Then you have to gently dry under your breasts where the steri-strips are and reapply the ace bandage and compression bra.

In one more week, the ace bandage and compression bra come off for good and a sports bra can be worn. The steri-strips stay on until they fall off.

The ace bandage is held on by a couple of clips that are not meant to have a long life span. One of mine got bent at the edges, was not holding the bandage on well, and was poking me. In desperation of finding a replacement clip (which looked to be mail order through Amazon), I found a much better solution thanks to the internet...DUCT TAPE! :)

Anyway, hope this helps and I will be checking in if you have any questions.

A couple questions for those on the "other side"

I went in to update my profile with the surgeon review, cost, etc., but I don't see where I can change my rating from "Not Sure" to "Worth It". I'd sure like to do that, so if anyone can advise me on how to do so, I'd appreciate it!

Also, at the two week point from having my drains removed, I will be able to remove the ace bandage and surgical bra, and begin using a sports bra. Since that is just one week from today, I am now considering what type of sports bra is best. I'd love a front zip one, but comfort is most important. I think at this point I will need less compression so that the fluffing can begin. :) Any recommendations? Thank you in advance!!

Provider Review

Board Certified Plastic Surgeon
31200 Pinetree Road, Pepper Pike, Ohio
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I am so grateful to Dr. Lu-Jean Feng and her staff for the way they took care of me each step of the way. I had done my research on Dr. Feng and felt she was the best choice for me. I travelled from California to Ohio to have this procedure done, meeting Dr. Feng the afternoon before my surgery. As soon as I met with her, I knew I was in the right hands. She was kind, caring, compassionate, knowledgeable, thorough and holistic. She spent so much time with me, not rushed at all, getting to know my health background and lifestyle, describing the upcoming surgery and recovery, etc. I also appreciate that she works with Dr. Leonard Kahn at the Cleveland Clinic and had him complete a thorough ultrasound workup on me prior to meeting with her. I felt she took every step possible to thoroughly understood me and my body as a whole, instead of just going in and removing the implants and sending me on my way. Another draw to Dr. Feng's practice was that she has her own surgical suite and dedicated surgical staff. The anesthesiologists she employs are doctors and not nurse anesthesiologists. They report a 0% infection rate, which was another important factor in my decision. Additionally, she uses a 72-hour nerve block and a method of anesthesia, developed by her office, which is very easy to come out of. I awoke without nausea or grogginess, which had not been my prior experience. Additionally, Dr. Feng's pre- and post- surgery protocols were very specific and I followed them exactly as she described. She laid out a time line prior to surgery of what medications, supplements, and foods to avoid and provided pre- and post surgery support vitamins and supplements. Coming out of surgery, she sent me home with her huge signature salad consisting of a large variety of fresh veggies, fruits, and nuts, which was delicious and full of nutrients. In addition, she also included a large container of a wonderful vegetable soup. These foods were perfect for post surgery. I had a very rapid recovery, which I feel is in part because of all the pre- and post- guidelines that I followed. My surgery was on a Wednesday, drains were removed Friday and I flew home on Sunday. Things didn't end there, however. Dr. Feng's nurse, Megan, called me the following Monday to ensure I got home OK and answered the questions I had about post surgical care. I would have no hesitation to call if I had any questions, but the thoroughness and experience of this office already ensured that most of my possible questions have already been addressed, either verbally or in the paperwork that I was sent home with. Dr. Feng herself sent me my pre, intra and post surgery photos and responded quickly and thoroughly to a question I had posed in my response to her. One last thing that Dr. Feng's office does that sets her aside from the others is that she sends every thing that is removed from you during surgery off to biopsy. In my case, that was the implants, the scar tissue from the en bloc removal, and the scar line skin from under my breast fold as she went in through the same entry point. Making the decision to fly to Ohio for this procedure was worth every penny to me ~ you can't put a price on feeling secure and confident going into surgery that you have done everything you can to have ensured the best possible outcome. To paraphrase what my friend said when I described my experience with the Feng Clinic in it's entirety to her: "As strange as it seems when talking about something so invasive and serious, the whole thing almost sounds like a delightful experience." "Dr. Feng's clinic should be commended for turning something that could be so frightening and emotionally charged into a transformation where a brighter future is the main focus." Many grateful thanks from me to Dr. Feng and her team!