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I have been recommended subglandular and submuscular placement at two different consults. I hope to attain a full lower pole, a more centered nipple and cleavage through saline implants since my left breast is smaller than my right. Is saline better for me than silicone? And are my expectations realistic? Would I also need another procedure to release the constricted inferior pole?
With my Anatomy Can I Realistically Achieve a Full Lower Pole with a Centered Nipple?
Doctor Answers 8
Breast Augmentation / Lower Pole Fullness
I agree with Dr Rand. I think you can obtain a beautiful result with subpectoral implants but you will need a nipple lift. Without the lift (NipplePexy) you will see much of the lower pole of your breast.
Correction of ptotic, constricted breast
Your expectations are realistic. You can obtain a full lower pole and a more centered nipple. Cleavage is determined by your body and can only be enhanced somewhat. From your pictures, I would use sub-glandular implants after releasing the lower pole and deep breast tissue. However, pictures can only go so far. What you need is a consult with a surgeon who does a lot of different shaped breasts. Ask for experience and qualifications before making the appointment. Once you have had the appointment, if what you are told makes sense and he/she seems to have adequate experience and you are comfortable, go with what you are told. You could have many consults with a number of very qualified surgeons, all of which could do a great job, and still get differences of opinion. That does not mean that one is any better than another, just that everyone has a slightly different way of achieving the same thing.
Questions regarding the potential postoperative appearance of the breasts
You should be able to obtain a very satisfactory result from breast augmentation surgery but don't expect full symmetry and perfection. Silicone implants would afford you a much better opportunity to obtain the outcome you are seeking. I would also recommend that they are placed behind the muscle versus in front of the muscle.
You best bet would be to seek out a reputable board certified plastic surgeon in your area who performs a lot of breast augmentation procedures.
Learn more: http://www.arizonabreast.com
You might also like...
Full Lower Pole With Augmentation
I do not feel that you should have a problem achieving the result that you desire (full lower pole, symmetry, etc.) if you are operated on by a qualified and well trained surgeon. Seek a consultation with a board-certified plastic surgeon (preferably one who is a member of the American Society of Aesthetic Plastic Surgeons (ASAPS). It is generally more difficult to achieve upper pole than lower pole fullness. I feel that your minor asymmetry can be adressed with silicone implants which are (I think) always preferable to saline implants.
Repeat question
Dear Kristina,
You asked this same question yesterday when you wondered if you had "severe tuberous breasts." Again, you need a periareolar lift to move the nipples up, a slight lowering of the crease to gain length below the nipple, and an implant placed below the muscle in my opinion. You would look as though you could have a nice result.
Subglandular vs. Submuscular placement of breast implants
I think you can get a very nice result but I don't usually recommend sub-glandular (over the muscle) placement. With a surgeon who has experience, you can achieve a rounded out look with better areola placement. Do your research regarding the surgeon's you visit - make sure to choose a surgeon who is certified by the American Board of Plastic Surgery (not cosmetic surgery) and a member of the American Society of Plastic Surgeons. From here, you know you are selecting from qualified surgeons. Most board certified plastic surgeons would suggest sub-muscular placement for better long term results.
Learn more: http://www.poustiplasticsurgery.com/Procedures/procedure_breastaugmentation.htm
Can I achieve my desired breast augmentation results?
Your expectations are realistic and your desired results attainable. A full consultation and exam are required to make the best recommendation. From your pictures I would recommend a silicone implant over the muscle with a circumareolar lift. It is possible that you may require more than a circumareolar lift, but this can only be determined after examination and discussion of your expectations. Always choose a Board Certified Plastic Surgeon who is a member of the American Society of Plastic Surgery.
Learn more: http://www.elpasoplasticsurgery.com/about/dr-agullo/
Correction of constricted lower pole
Learn more: http://drjdallasplasticsurgeon.com/breast/breast-augmentation
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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January 15, 2013 BY Brendan Dunne
At the moment the Asics Gel Lyte III is a little bit MIA in terms of inline pairs. Promising that the drought won't be too long is this preview from the Fall/Winter 2013 range as seen from the floor of Bred and Butter Berlin that's going down over in Germany at the moment. The releases included get plenty creative in terms of the blocking, with each pair letting the little 'Gel Lyte III' inscription along the back end pop. Continue reading for this Asics Gel Lyte III preview (with a few Asics GT-II pairs thrown in for good measure) and let us know which pair you're looking forward to the most.
via EU Kicks
Filed under: Asics Upcoming Sneakers

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I was so impressed by how in sync these performers were. When Miss Berdick told me they put together this entire show in 6 weeks, I was stunned. Not many people realize how much work goes into a theatrical performance and I applaud the entire cast!
Today I had the opportunity to watch the Fermilab Physics Slam second period. Going into Writer's Week today, I was expecting a very fun, quick explanations of physics, maybe from some young science guys. I was taken aback by the two very established and professional looking Physicians that I heard from today. It was clear that they were physicians, not performance speakers, because of their often monotonous and scientific monologues. I enjoy the male physician's monologue a little better then the womens, beause he used some props that helped explain his point to me. Though it was kind of the Fermilab physicians to take their time to come and speak to us today, I feel as thought their speeches went over our heads a bit.


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2011 FG F6 with Nizpro mods. Makes around 360rwkw on pump 98. This vid was about trying to show how good a system the stainless 4" is & doesn't drone at all. Partly filmed with phone, so i do apologise for some of the audio quality! Really doesn't sound the same in real life, it's much better!
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text: [ The Pina Colada Song By Eric Meier December 29, 2010 It's called "Escape" and it's Rupert Holmes singing. This Spotlite video is from 1979 from The Midnight Special Category: Music, Videos Tags: escape, midnight special, rupert holmes, spotlite video, the pina colada song Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


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Christopher and Phyllis Rae (Bishop) Barnett Family
From: Bishop, Ken To: 'phyllis barnett' Cc: 'William F Bishop' Sent: Sunday, June 18, 2006 6:41 AM Subject: RE: George W Jr and Phyllis Jane (Dunn) Bishop Family Phyllis, Wow, family stories do have their unusual turns. It is possible that the Fulton Insane Asylum (now Fulton State Hospital) still has the records regarding George W. Bishop and the suicide. Since there was an investigation, I imagine there was a considerable file. I doubt that there was much of an inheritance as the plat maps that I have found indicate the Bishops of that generation were all small farmers. It is also possible that your grandfather was told his father was kicked in the head rather than the truth since he was so young, and it is true that at that time people with head injuries could end up in the insane asylum. I have always been told that Bill Bishop's branch of the family was related to ours, but so far I cannot find the hard evidence to put it together. The circumstantial evidence that the all came to the same area of Missouri at the same time from Virginia and that they talked of being "cousins" is all that I have to work on. It now appears possible that Frederick (I have seen it spelled several ways) K. Bishop was in Missouri as early as 1834 or before. He is mentioned in court paper in Warren County in 1834. Frederick is the earliest in our linage that I have been able to document but I have gotten some evidence that may help identify his father. In the court documents a Jonathan Bishop was deceased in 1834 and Jefferson and FK Bishop are mentioned. A farmer recently found a headstone with Jefferson Bishop on it near the area of Frederick's farm. I suspect it might be the long lost Bishop burial ground. The "drinkers and ruffians" description of our line of Bishops has to be taken into context. Missouri was a very active state in the civil war. It appears that most of the Bishops in the Montgomery, Warren, Lincoln and St. Charles counties were loyal to the confederacy and were "scrappers". I love the story where the "Bishop" boys rode into Audrain County and pulled down the union flag causing quite a fight. Also, our line married into the Ernst family that supposedly rode with some of the guerilla gangs that fought for the south and whose activities included bank robbery. While the Alaska line might have become more gentile, some of your kin in Missouri may still be up to that description...HA. Incidentally, it is great to see your pictures. Most of the Bishop in my lineage that I have seen are very dark with black hair which is characteristic of the Lail family the John Bishop married into, however I see a real resemblance between your dad and my great uncle Charles Bishop (who would have been your Dad's first cousin). I will try to locate an early picture of him and of my great grandfather (your grandfather's brother). Oh, you asked where I was in Alaska last year. I spoke at a conference in Anchorage and took a few days extra. I stayed within probably 60 miles of Anchorage, but took a boat cruise to see some glaciers. It was beautiful. Great to hear from you! Ken
From: phyllis barnett Sent: Saturday, June 17, 2006 11:53 PM To: Bishop, Ken Subject: Re: George W Jr and Phyllis Jane (Dunn) Bishop Family Well, I have to tell you . . . the sum total of family history from my father's side as he told us: His father was kicked in the head by a horse and died when he was 9. His mother, who was much younger than his father, "ran off" with another man, and an Aunt and Uncle finished raising him and stole his inheritance. "None of them were any good except one nephew that was a pretty good guy." I'm piecing things together and so far I have established that his father did indeed die when he was 9, from suicide in a mental institute - could it have been the result of a head wound? If my grandmother "ran off" she didn't get far, she is listed as living with the children in 1920 on the farm around Montgomery City. In 1930, two years after her daughter, Sarah, married, she is listed as housekeeper in the household of a bachelor of her own age and a younger man as boarder-? The Stevens folks I have spoken to don't remember anything like that happening. Although, they also said something about "the older folks drank back then." I am a bit curious, as I mentioned to you, Bill, who acquired the farm after my grandmother left / lost it. I strongly suspect my father's version of family history was part truth and perhaps part justification for his "running off," leaving his mother and sister and making a new life for himself. My guess is that his mother turned to her family after being left alone with the two children - they owned the adjoining farm and had less contact with the Bishops - seem reasonable? Although, it seems the Bishops are who he made contact with. And the documents from the early 1800's??? Ken, have you attempted to research the Bishop family in Virginia? I noticed a Fredrick K. Bishop mentioned as a descendent of Samuel Bishop, the namesake of Bishop, California - the newspaper article Bill sent. Wasn't it a Fredrick K. Bishop that moved to Missouri from Virginia in 1836? Phyllis
From: Bishop, Ken To: 'William F Bishop' ; Phyllis Barnett (Bishop) Sent: Saturday, June 17, 2006 7:17 PM Subject: RE: George W Jr and Phyllis Jane (Dunn) Bishop Family Bill, Just wanted you and Phyllis to know that I have been reading all of these emails. It is very exciting to discover Phyllis and the long lost "Alaska branch" of our family. Phyllis asked me how I heard about the "Alaska branch", and I have been racking my brain. I really believe that I was having a conversation with Nattie and Thelma Bishop (my wonderful great aunts) shortly before they passed. They were showing me some old pictures and I think that in that conversation they told me that some of our kin had gone to Montana (I have since found them) and Alaska. George W's brother, my great grandfather lived with Nattie and Thelma for the last years of his life...so I don't know if he and George had contact or what. I have been so busy the past five years or so because of my job, teaching cops, and serving as national chair of the CPA exam, that I have not spent any time doing family research. The same week that we heard from Phyllis, my niece in Texas wrote me of her interest in learning about our family history. They have really peaked my desire to get back into the hunt. I recently read several emails that you wrote me (Bill) back in 2001 and 2002 with some very good theories about my branch of the family, and our discussion about how our branches may be linked. My brother is the Deputy Assessor for Lincoln County and has uncovered some documents from the very early 1800s. Bests to you both! Ken
From: Bishop, Ken Sent: Monday, June 12, 2006 9:19 AM To: Phyllis Barnett (Bishop) Subject: Family Phyllis, When I emailed you yesterday I didn't have access to my archived emails that contained a copy of your May 21, 2006 letter to Bill Bishop. When I read it this morning, I realized that your grandfather must be the George W. Bishop who died tragically by suicide soon before your late father left for Alaska. It might be of interest to you that I recently purchased two lots in the Liberty Church Cemetery (for my wife and I) that are in "Bishop Row" and are adjacent to George W. and Mrs. George W. Bishop's graves. So...someday I will be lying right next to your grandfather for eternity! FYI, George W's headstone gives his date of death as 1/2/15 (which is 3 days later than the newspaper article about his suicide). I noticed the date as my birthday is 1/2/51. Your grandmother, Annie Sarah Bishop died on 12/19/1951. Your Dad and my grandfather, Claud Adniram Bishop, would have been first cousins. My dad, your second cousin, Glen Gail Bishop (9/5/26) is still doing well and lives in Troy, Missouri (within 10 miles or so of the original Bishop farm from the 1830s). Dad's sister Lou Eva (Bishop) Seale lives in Albequerque, NM. It's nice to know who the "Alaska Bishops" are...and that you are still there. You mention you have a brother, what is his name? I was in Alaska last year for a week...it is beautiful country! Your Missouri Cousin! Ken
From: Bishop, Ken To: 'William F Bishop' ; Phyllis Barnett (Bishop) Sent: Sunday, June 11, 2006 4:22 PM Subject: RE: Hello from Homer Hello Bill, Phyllis and everyone, I was in California for a business trip followed by some down time (vacation) in the wine country and I am just now trying to catch up on some emails. Phyllis, I enjoyed reading about your experiences in Alaska. In my research of the Bishop family, I have discovered cousins in several states. I actually had someone tell me that part of the family homesteaded in Alaska....so I am wondering if that is your branch of the family. As Bill indicated I have done quite of bit of research, but I have been so busy that I haven't written much in several years. I just opened the "Our family" document that Bill attached (typos and all) and enjoyed re-reading and thinking about things I wrote several years ago. I will try to look at some of your questions (in the earlier email) in the near future. Bests to all!! Ken
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One UND student in critical but stable condition after fire at rental unit near campus
Two UND male students were injured, one critically, in an early-morning Sunday fire at their rental house that is two blocks east of campus.
According to Eric Plummer, UND police chief, one of the student occupants arrived home at the 2029 First Ave. N. residence about 2:40 a.m., to find the house in flames.
"He went into the house and pulled the other occupant out," Plummer said. "The other occupant was unconscious, but breathing, at the scene."
One resident was treated and released at Altru Hospital and the other was airlifted to Hennepin County Medical Center, where he was listed in critical but stable condition. Names are expected to be released Monday.
The cause of the fire is under investigation.
Mike Opp of Oxford Apartments, the owner of the rental property, said he didn't know which of the tenants were involved in the fire. Opp said the house has four occupants, with two of them out of town because of UND's spring break.
"We just hope and pray everyone will be OK," Opp said.
The damage to the house and contents was estimated at $80,000. Battalion Chief Chad Cutshaw said the fire department will maintain a presence at the site into Monday "to make sure it doesn't rekindle."
According to neighbors, the four occupants moved into the house last fall.


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1946 CC Station Wagon: eBay.
Expand Messages
- In Wichita, Kansas, USA.
Verbatim description:
Vehicle Description
1946 Crosley Station Wagon.
-NO Gas tank
-NO Keys
Starts and runs with remote fuel supply. Have NOT driven mainly due
to missing gas tank. Car has been sitting inside for quite a while.
There is only surface rust on the floors- No rust through. 1855
showing on Odometer. Has been repainted at some point but will need
it again. Will need to be trailered home. A Kansas title can be
furnished for an additional $100 otherwise only a bill of sale is
included. An excellent candidate for restoration due to lack of rust.
Please ask any questions before you bid and I will be happy to help
in any way I can. 10% deposit required within 10 days of auction end
and remaining due at time of pickup. Thanks!
Cash or Money order only at time of pickup! No exceptions!
Click our New Photos link on the Homepage for photos.
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WASHINGTON (Jan. 10)
Abba Eban, chairman of the Knesset's Foreign Affairs and Security Committee, has been urging that the United States needs to play a more active mediation role in the Middle East peace process.
"There is no alternative to the United States as an agent of reconciliation in the region," the former Israeli Labor Foreign Minister wrote in the current issue of the quarterly, Foreign Policy.
"The Soviet Union has disqualified itself by its blatant anti-Israel bias, reflected in its continued refusal since 1968 to maintain diplomatic relations with Israel. Western Europe is too vulnerable to Arab economic pressures to play a balanced role in its own right. The voting system of the United Nations is under the command of the Arab-Moslem-Communist group, so no decisions that are respectful of Israeli interests can be expected from international agencies, although as the start of Israeli-Lebanese military talks on an Israeli pullout shows, the Secretary General may be able to play a helpful role."
Middle East policymakers in the Reagan Administration would probably not argue with Eban's assessment. But as for his conclusion, President Reagan been urged to take an activist role in the Mideast throughout the four years of his first term, to no avail. As Reagan prepares to begin his second term January 20, no change is expected.
First of all, the Administration has made it clear that it will be occupied most of this year with the budget deficit and tax reform and with efforts to seek some type of agreement on nuclear weapons with the Soviet Union. As was demonstrated during its first term, the Reagan Administration prefers to concentrate on one or two major issues at a time.
This is coupled with a belief in the Administration that little or no progress can be made, although the Administration still publicly affirms that the President is behind his Sept. 1, 1982 initiative as the basis for peace negotiations in the Mideast. Reagan has shown no desire to involve himself in the peace process as did his predecessor Jimmy Carter although many believe this is the only way progress can be achieved. As his aides have pointed out since his re-election, 73-year-old men do not change their ways.
Secretary of State George Shultz, who as a former economics professor and dean does have the background and temperment for mediation, did try his hand as a Mideast mediator, successfully helping Israel and Lebanon reach an agreement for Israeli withdrawal on May 17, 1983.
Shultz involved himself personally in the negotiations because State Department officials were either misled or over-optimistic that once Israel agreed to withdraw there would be no problem obtaining a Syrian withdrawal of troops from Lebanon.
But, instead, Syria not only refused to negotiate a withdrawal but forced Lebanese President Amin Gemayel last March to abrogate the agreement with Israel. When later in the month King Hussein of Jordan rejected Mideast negotiations under U.S. auspices, Shultz appeared to wash his hands of any mediating role. "It is up to the parties in the region to find their way to security, peace and for that matter, better quality of life goals that everyone seeks," Shultz told a State Department press conference last March 20.
"You have to get out of this notion that everytime things don't go just to everybody's satisfaction in the Middle East, it's the fault of the U.S., or it's up to the U.S. to do something about it. We are active, we will help and in the end any solution that works will work primarily because the parties to it are out there, are involved in it and are determined to make it work."
This philosophy is behind the position the U.S. is taking in the current Israeli-Lebanese talks and apparently, for the present, will govern the Administration's attitude toward the overall Mideast peace process. This is why Richard Murphy, Assistant Secretary of State for Near Eastern and South Asian Affairs, is playing a behind-the-scenes role in the Israeli-Lebanese talks rather than being the mediator as was Philip Habib.
All this does not mean the Administration is ignoring the Mideast. The U.S. is trying to be "helpful" in the effort for an Israeli withdrawal which it has stressed must be coupled with guarantees for the security of Israel's northem borders.
The Reagan Administration is expected to continue the growing strategic cooperation with Israel and both military and economic aid to Israel will increase, although not without a dispute between the two countries on how much Israel needs.
The Administration will also continue to closely monitor the war between Iraq and Iran which has the potential for not only disrupting the oil flow to the West and Japan but could at any time erupt into a wider conflict.
The Reagan Administration will use the conflict as an excuse, as it has done previously, to seek to supply sophisticated arms to what it calls moderate Arab states, particularly Jordan and Saudi Arabia. This will result in ill feelings in Israel and a battle with Congress.
But, on the whole, the Administration hopes to keep the Mideast on the backburner for 1985 unless the unexpected occurs. Unfortunately, the Mideast is a place where the unexpected is the norm.
This is why many here fault this policy. They believe that unless the U.S. continually pursues an active policy aimed at bringing about an Arab-Israel peace, events may occur that will endanger the progress that has already been made.


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Margaret Terrace, Rowlands Gill, Tyne and Wear, NE39
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Dear Hyapatia,
I love sex, especially when I'm high. My man and I are very happy together, so it's very disturbing to both of us that sometimes I cry after sex. I come really hard and then the tears just flow. What's wrong with me? – Bet
Dear Bet,
Nothing! It's not unusual at all for tears to come after a really good sex session, whether you're high or not. An orgasm is a release of endorphins and crying is another way we release pent up frustrations and emotions that we hold inside. Your boyfriend should feel honored that you're comfortable enough with him to be able to experience such a release. It's a testament to your mutual lovemaking abilities and what sounds like a great relationship.
Dear Hyapatia,
When I'm real high and have sex, my orgasm just goes on and on. It's like it lasts five or six times longer than when I'm not high. Is this normal? – Dave
Dear Dave,
Absolutely! Having sex while high can have this effect, but not always. Other common experiences involve the sensation sex while of floating and melting into each other. Cannabis can allow your linear thoughts to dissipate, inducing a hyper-relaxed state of mind, helping you to focus more on the physical connection with your partner.
Dear Hyapatia,
I've had it with my wife and am ready to file for divorce. It seems that we cannot get along, except in the bedroom. We fight all the time. She destroys my stuff while I'm at work to get back at me. I'm done! My only hesitation is that I won't have anyone to have sex with. Do you think there's a way we could get divorced, but still turn to each other for sex on a regular basis? – Tommy
Dear Tommy,
I don't think that will work at all. You say you've had it and you're "done," so why would want you to continue seeing someone you seem to loathe? If she's constantly as angry at you as you say, I can't see her wanting to have sex with you either. Even if it did work for a while, what happens when she finds another partner? You may have to take matters into your own hand. There's nothing wrong with that. It can be nice to only have yourself to worry about until you've found someone special to share your bed with. There are plenty of options to make your single time more enjoyable. Try to look at it as an opportunity to get to know yourself better as a person. Enjoy it as much as possible. And don't sell yourself short either. She's not the only sex partner in the world!
Dear Hyapatia,
My lady and I are having money problems. We're torn between what we should do and what we want to do. We have debts we have to pay and we know we should be saving for the future, but working 60-hour weeks is killing us. We never have time for each other or to do the things we want to do. We've had many discussions about money and it's gotten to the point where it's affecting our sex life. When we work this much, there's no time or energy left for sex. I have tried to explain that maintaining our quality of life is important, but she says she can't enjoy time off knowing how deep we are in debt. – Chuck
Dear Chuck,
The thing about life is that you can't just work it; you have to live it! The purpose of money is to give you power. If you can't enjoy life, let alone each other, you're shortchanging yourselves. You are a human being, not a human doing. Take time to get high and enjoy the sunsets. Walk in beauty or life becomes very difficult and ugly. Believe me, I understand having large debts and you're certainly not alone in this shaky economy. The thing to remember is that this, too, shall pass. Sometimes it's hard to see the light at the end of the tunnel, but it's there! You're working on paying off your debts, so you've already made the decision to improve your quality of life. One of the best pieces of advice I've ever heard is to pay yourself first! Shave 10 percent off every bit of income you earn and put in a special account for yourselves, so you can take advantage of your time together. Give yourselves permission to take at least one day off a week. Even God did that! Use it for rest and relaxation. Don't catch up on household chores, but focus instead on each other and having fun!