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Breast Cleanse - I A woman’s breasts are truly a symbol of her beauty and femininity. As the breasts pair is said to be the second life of all women. We do not have to be an intellect to understand the significance of the breasts to women, as they are considered as the mark of prettiness, pleasant appearance, sexuality as well as physical fitness. The breast is the upper ventral region of the torso of a primate, in left and right sides, containing the mammary gland which in a female can secrete milk used to feed infants. The Breast: 1. Chest wall 2. Pectoralis muscles 3. Lobules 4. Nipple 5. Areola 6. Milk duct 7. Fatty tissue 8. Skin Cross section of the mammary gland Both men and women develop breasts from the same embryological tissues. However, at puberty, female sex hormones, mainly estrogen, promote breast development which does not occur in men due to the higher amount of testosterone. As a result, women's breasts become far more prominent than those of men. In this cleanse we will basically deal with a woman’s breast as it has far greater significance than a man’s breast. Breast Structure: Each breast contains 14–18 lobes. The subcutaneous adipose tissue covering the lobes gives the breast its size and shape. Each lobe is composed of many lobules, at the ends of which are sacs where milk is produced in response to hormonal signals. 1 The dimensions and weight of the breast vary among women, ranging from approximately 500 to 1,000 grams each; thus, a small-to-medium-sized breast weighs 500 grams or less; and a large breast weighs approximately 750 to 1,000 grams Some breasts have greater proportions of glandular tissue than of adipose or connective tissues and vice versa; therefore the fat-to-connective-tissue ratio determines the density (firmness) of the breast. In the course of a woman's life, her breasts will change size, shape, and weight, because of the hormonal bodily changes occurred in the larche (pubertal breast development) menstruation (fertility) pregnancy (reproduction) the breast-feeding of an infant child and the climacterium (the end of fertility) The breasts overlay the pectoralis major muscles and usually extend from the level of the second rib to the level of the sixth rib in the front of the human rib cage; thus, the breasts cover much of the chest area and the chest walls. At the front of the chest, the breast tissue can extend from the clavicle (collarbone;) to the middle of the sternum (breastbone). At the sides of the chest, the breast tissue can extend into the axilla (armpit) and can reach as far to the back as the latissimus dorsi muscle, extending from the lower back to the humerus bone (the longest bone of the upper arm). As a mammary gland, the breast is an composed of layers of different types of tissue, among which predominate two types, adipose tissue and glandular tissue, which effects the lactation or breast feeding of the breasts. Morphologically, the breast is a cone with the base at the chest wall and the apex at the nipple, the center of the nipple-areola complex. The superficial tissue layer (superficial fascia) is separated from the skin by 0.5–2.5 cm of subcutaneous fat (adipose tissue). The suspensory Cooper's ligaments, fibrous-tissue prolongations, radiate from the superficial fascia to the skin envelope. The adult breast contains 14– 18 irregular lactiferous lobes that converge to the nipple, to ducts 2.0–4.5 mm in diameter; the milk ducts (lactiferous ducts) are immediately surrounded with dense connective tissue that functions as a support framework. The glandular tissue of the breast is biochemically supported with estrogen; thus, when a woman reaches menopause and her body estrogen levels decrease, the milk gland tissue then atrophies, withers, and disappears, resulting in a breast composed of adipose tissue, superficial fascia, suspensory ligaments and the skin envelope. During pregnancy, the breast is responsive to a complex interplay of hormones that cause tissue development and enlargement in order to produce milk. Three such 2 hormones are estrogen, progesterone and prolactin, which cause glandular tissue in the breast and the uterus to change during the menstrual cycle. Functions of Breast: Lactation The primary function of the breasts as mammary glands is the feeding and the nourishing of an infant child with breast milk during the maternal lactation period. The round shape of the breast helps to limit the loss of maternal body heat, because milk production depends upon a higher-temperature environment for the proper, milkproduction function of the mammary gland tissues, the lactiferous ducts. In a woman, the condition of lactation unrelated to pregnancy can occur as galactorrhea (spontaneous milk flow), and because of the adverse effects of drugs (e.g. antipsychotic medications), of extreme physical stress, and of endocrine disorders. In a newborn infant, the capability of lactation is consequence of the mother's circulating hormones (prolactin, oxytocin, etc.) in his or her blood stream, which were introduced by the shared circulatory system of the placenta. In men, the mammary glands are also present in the body, but normally remain undeveloped because of the hormone testosterone, however, when male lactation occurs, it is considered a pathological symptom of a disorder of the pituitary gland. Some common breast problems are: Skin changes, such as dimpling or puckering Nipple discharge Darkening of the area around the nipple. A nipple being drawn inward Breast sagging Any other problem that lasts more than 2 weeks Breastfeeding mothers may experience breast lumps, which can be caused by a blocked milk duct Get any painless lumps that won’t go away checked by your doctor Breast infection (mastitis) with symptoms such as: aches and pains fever feeling shivery like the flu A painful pink or red area on the breast. 3 Breast health tips: Hot compresses: Run hot water over face towels and place them on your breast for a few minutes. Re-warm when necessary. A heating pad will hold the heat longer, as will a homemade rice bag. To construct a rice bag, fill a clean, thick sock with a cup of uncooked rice, close the opening with a knot and place in the microwave for 30 seconds or so. Remove, test its normness and place on your breasts. Ice compresses: Ice packs may be a bit of a shock to delicate breasts, but a cold compress can give breasts some relief from tenderness and inflammation. To make this initially shocking but ultimately soothing remedy, fill a plastic, reclosable bag with crushed ice or use a bag of frozen peas and wrap in a towel. Lie down and place on the breast(s) for ten minutes. Note: Some women find alternating heat and cold, applying heat first for 30 minutes then cold for 10 minutes, helps minimize pain, tender firm, raised and fuller breast. Fish: The best fish for female health include such as salmon, trout and mackerel. These fish are also high in iodine, a deficiency of which may be a factor in the development of breast lumps. Eating moderate amounts of fish may help prevent lumps. Meats: Cut back on meat consumption. Meat, chicken and other livestock are often pumped full of hormones. Body doesn't need the additional influx, especially during the hormone high time of a woman’s period. Vegetables: Diuretics help flush excess fluids from the body and reduce breast swelling. The natural diuretics like parsley, cucumbers and cabbage are healthy and will keep you naturally flushed. Whole-grain foods: Increasing your intake of fiber can help control the hormonal fluctuations reason behind fibrocystic breast disease. Eat whole-wheat bread, brown rice, beans and fruits. Kelp: Kelp and other sea vegetables, such as nori and dulse, are good sources of iodine. Studies suggest that an iodine deficiency can predispose women to having breast lumps. Kelp and dulse are also available in powdered form and can be used in cooking as a salt substitute. Salt: Two weeks before your period cut down the salt intake. During the menstrual cycle, women tend to retain water, which in turn causes their breasts to feel heavy 4 and become sensitive. Salt only increases this uncomfortable bloating. Be aware of the hidden salts in processed foods. Use natural, unrefined salt instead. Essential fatty acids: Evening primrose oil is an excellent source of the essential fatty acid linolenic acid and its chemical derivative, gamma linolenic acid (GLA). Several studies have looked at the beneficial effects of evening primrose oil on fibrocystic breast disease. Typical dosages used in the studies were 1,500 mg twice a day. (This would amount to taking 6 of the 500 mg capsules). Borage oil and black currant oil are more concentrated sources of GLA, so you need to take fewer capsules. For example, 3 or 4 capsules per day of borage oil may be sufficient. Vitamin A/Beta-carotene: Some studies have shown that vitamin A can reduce breast pain in women with moderate to severe symptoms. Eat a diet high in betacarotene, the precursor to vitamin A, with yellow, orange, red, and dark green vegetables and fruits. This is because beta-carotene is water soluble not fat soluble like vitamin A supplementary so any excess intake is harmlessly excreted. Vitamin E: In several studies, vitamin E was found to be quite helpful in reducing the pain and tenderness, as well as the size, of breast lumps. Vitamin E can be found in vegetable oils, nuts, green leafy vegetables, and some fortified cereals. Wear proper fitting bra: One of the most common reasons for sagging breasts is an ill-fitted bra. It is very crucial to pick a correct size bra, as it keeps the breast in shape and enhances your overall appearance. While trying on a bra, make sure that your breasts are not bouncy or spilling out. When the straps become lose, either tighten them or replace the brassiere. If you are not aware about your proper bra size, have your size properly measured(see page ). Exercising without adequate support (particularly for those with larger breasts) can therefore lead to discomfort and pain, as well as damage to ligaments which can cause breasts to sag. To make sure your breasts are protected from the effects of exercise, make sure you purchase a well-fitting exercise bra which is sturdier than your everyday bra and can help minimize breast movement. Water intake: Drink enough glasses of water every day to keep your body hydrated. Your skin tends to become wrinkled and saggy when it is dehydrated. So, keep your skin moist and hydrated to get rid of loose and saggy skin. Other than water, you can also rely on other liquids and citrus fruits to keep yourself hydrated. Quit smoking and alcohol: Smoking has repeatedly been established as a leading cause of many serious illnesses and breast cancer is no different. The effects of drinking and smoking are cumulative, with risk increasing according to years of 5 cigarette smoking and alcohol drinking, so stopping smoking and drinking now could help cut your risk of developing the illness. Exercise regularly: Research has shown that exercising four or more hours a week can reduce the risk of breast cancer, while separate studies have suggested that weekly workouts can increase survival of those suffering from the illness. It can also help prevent sagging and improve the look of your breasts. While you may think that chest exercises are just for men, working out the pectoral muscles through exercises such as push-ups and bench presses is great for improving the firmness, lift and shape of your breasts. Improve your posture: If you want to give yourself an instant breast lift, the best thing you can do is improve your posture. The chest muscles can lose flexibility when your shoulders are hunched, causing sagging over time. Furthermore, walking with a straighter back will make your boobs look instantly bigger. Try to pay attention on how you stand and sit throughout the day and consider taking up an exercise that will improve your posture Check your bra size: More than 70% of women regularly wear the wrong bra size. This can not only lead to significant health problems including poor posture, skin irritation and breathing difficulties, but it can irreversibly damage breast ligaments, leading to breast pain and sagging. Breast size can change frequently over your lifetime due to weight changes, pregnancy or menopause so, rather than guessing your size, make sure you get measured regularly to ensure you are getting the support you need. The proper selection of a bra and its cup size. Start where the breast starts at (near the side/armpit), and measure all the way across the fullest part of the breast, i.e. the nipple. If the ribcage measurement is an odd number, add 5" to get the band width. Example: 29" ribcage + 5" = 34" band. If your ribcage measurement is an even number, add 4" to get your band width. Example: 28" ribcage + 4" = 32" band. This is because brassieres are available in even sizes only. 6 Determining Bra Size through Rice Test The ‘Rice Test’ is a ‘do it yourself’ sizing method. It is not 100% accurate, but it’s pretty close. This test is primarily used to gauge the extent of enhancement desired by a woman. A small thin plastic bag of rounded shape is filled with rice and placed under a bra that the woman is wearing. The contours of the breast that are achieved after placing these bags are indicative of the size achieved through breast enhancement surgery. The conversions below are a general indicator of the increase indicated by the ‘rice test’. 1/8 cup 1/4 cup 1/3 cup 1/2 cup 2/3 cup 3/4 cup 1 cup 30 cc 59 cc 78 cc 118 cc 156 cc 177 cc 236 cc A Cup B Cup C Cup D Cup Breast Augmentation: surgical way of Breast Enhancement The following surgical part is not part of the Breast Cleanse but has been given for informational purpose only and should be done only after proper consultation. A majority of women desire breast augmentation, because they want to increase their size and/or have their breasts more proportionate to the rest of their bodies. Some women worry about their breasts becoming too big after surgery, while others worry about not becoming big enough. The increase in size is primarily for their psychological satisfaction. Having realistic expectations regarding size is a must. Any attempt to go too large could lead to serious complications, which will result in more surgery, more recovery time and last but certainly not the least, more money. 7 Types of Breast Augmentation Three general types of breast augmentation surgery are currently available: 1) Saline Breast implants Saline breast implants are filled with sterile salt water. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body. 2) Silicone implants Silicone breast implants are filled with silicone gel. The gel feels a bit more like natural breast tissue. If the implant leaks, the gel may remain within the implant shell or may escape into the breast implant pocket. A leaking implant filled with silicone gel will not collapse. Procedure:1. Breast augmentation with saline or silicone implants is performed through skin incisions placed either under the breast (inframammary), within the areola (transareolar or periareolar) or within the armpit (axillary). Saline breast implants may also be placed through an navel incision (transumbilical breast augmentation or TUBA). 2. The space in which the breast implant is placed is known as the surgical pocket. The implants may be placed in a surgical pocket either under the chest muscles (subpectoral or dual-plane) or over the chest muscles (subglandular). With the exception of transumbilical breast augmentation, a third surgical pocket is available over the chest muscles, but under the fascia which covers the muscles – the subfascial plane. 3. Above the Muscle (Sub glandular Implant) The breast implant is placed over the pectoralis muscle and below the breast tissue. Advantages: 1. Less post-operative discomfort and swelling and 2. Lower chance that the breast will appear to move when the patient exercises the upper body. Disadvantages: 1. Greater risk of visible rippling appearance of the breast and 8 2. Worst cosmetic results are seen in women with small breasts. Beneath the Muscle (Sub pectoral Implant) The breast implant is placed under the pectoralis muscle. Advantages: 1. Less interference with a mammogram, 2. Less rippling appearance in the upper half of the breasts, 3. More cushion between the implant and the skin and 4. Ideal for thin and small-breasted women. Disadvantages: 1. Not well suitable for large breasted women, 2. Worse cosmetic result are seen in athletic women. Implant – Shape, Projection and Texture Texture The external surface of all breast implants is available in either smooth or textured varieties. Textured implants are rough, similar to sandpaper. They were developed to decrease the risk of capsular contracture. However, studies have not shown a consistent advantage over smooth implants regarding capsular contracture. They have an increased risk of rippling, have a higher deflation rate and are firmer than smooth implants. They are also more expensive. Most breast cosmetic surgeons favour smooth implants. Shape Both saline and silicone breast implants are available in two basic shapes: round and (tear drop). Round implants are shaped like jelly donuts. They are not affected by rotation and cost less than teardrop implants. Teardrop implants are shaped more like the breast. The teardrop implant may rotate, creating a distorted breast shape. It also requires a textured surface to prevent rotation. Projection Each shape is available in three different profiles or degrees of forward projection from the chest: low profile (moderate), medium profile (moderate plus) and high profile. 9 With a high profile implant, the liquid volume is the same as a standard implant but its diameter (footprint) is narrower and the projection (the amount it protrudes out and away from your body) is greater. Most women are better candidates for standard implants. If the diameter of the implant size (standard implant) selected is about the same as or smaller than the measured breast diameter, then a standard implant is the best choice. If the diameter of the desired breast implant size is larger than the breast diameter, then a high profile breast implant is best. Types of Incisions There are four types of incisions a surgeon can use when placing breast implants. They are: 1. Periareolar Incision or Areola breast argumentation:When it comes to the areola method, the incision is made around the outline of the areola, the brown or pink colored area surrounding the nipple. The surgeon’s goal is to make the incision in between the dark area of the areola and its’ surrounding skin, which helps to minimize the incision’s visibility. The drawback of the Periareolar Incision is that the 2-5% of patient loses nipple sensation and 20% are unable to breast feed. 10 2. Inframammary Incision The inframmary incision is placed along the crease or fold of the breast where the breast and skin come together. The surgeon creates the pocket to place the implant, and then slides it upward through the incision site and places it behind the nipple. It may leave a scar along the lower portion of the breast where the bra strap lies. 3. Transaxillary Incision Made in the natural fold of the armpit tissue, the transaxillary incision is created through a channel from the armpit to the breast and then the implant is placed behind the nipple. Sometimes the surgeon uses an endoscope; a small tube with surgical light and camera to guide the surgeon through the incision. One disadvantage is that 10-15 % of patients who undergo the transaxillary incision will have a greater risk of asymmetry in the breast implant’s position 4. Transumbilical Incision or TUBA Breast argumentation In this the cut is made on the rim of the navel and underneath the skin through a tunnel of fatty tissue. The endoscope helps to guide the surgeon through the pathway from navel to breast, and pocket is created which allows the breast implant to be inserted through the incision site, and placed behind the nipple. This incision is a blind procedure, has not been studied and is not recommended. Breast augmentation surgery risks include: Anesthesia risks Bleeding Infection Changes in nipple or breast sensation Poor scarring of skin Wrong or faulty position of the implant Implant leakage or rupture The formation of tight scar tissue around the implant (capsular contracture) Fluid accumulation (seroma) Wrinkling of the skin over the implant Pain, which may persist Possibility of revisional surgery Disadvantages of Breast Augmentation Each method of breast augmentation has advantages and disadvantages which must be considered before deciding to undergo painful cosmetic surgery. 11 There will be a need to have the breast implants replaced before ten years, which is often not considered. The patient needs to consider beforehand whether she will be able to afford the subsequent (second and often third) sets of surgery required. Breast implants are treated as foreign objects by the body, and the risk of rejection is high. Under these circumstances the body’s immune system will attack the implants, attempting to remove them from the body in whichever way it can. Infection is a risk for any major operation, and usually means the breast implants will have to be removed meaning the cost and risk will have been faced for nothing. After breast enlargement surgery the patient will experience loss of independence to a degree depending on her bodies reaction to the surgery. Sometimes due to pain and swelling it may be difficult to undergo simple tasks such as making meals and bathing. Breast augmentation with fat injections. This involves removing fat from one or several areas of the body by liposuction and then injecting that fat into the breast tissue to achieve a cosmetic augmentation. Modest augmentations are possible through these. Unlike saline or silicone breast augmentation, some loss of the implanted volume is typical in the first three months after surgery. In order to compensate for this effect, many women are augmented to a larger initial volume. The natural way to make your breasts larger Considering the high cost of breast enhancing surgery, both financially and in terms of high risks, it is sensible to consider natural and effective ways to get bigger breasts without surgery. Similarly lots of breast enhancing pills contain synthetic hormones which can be just as dangerous as surgery, causing hormone imbalances and an increased risk of breast cancer. However, there are natural products out there that don’t contain dangerous hormones, and offer a clinically proven way to get larger breasts. Externally applied creams work by increasing the amount of estrogen in your body, the hormone responsible for depositing stored fat to the right areas of your body, including the breasts. Massage for Breast Enlargement There are a number of breast massage techniques you can do but the Chi breast massage is one of the most popular and effective breast massage techniques 12 around for breast growth. If you don’t have time to do multiple massage techniques, you should at least try to fit the Chi Breast massage into your schedule. Breast Massage: Regular massage helps to keep breasts in finer condition. Usually, it is supposed that by doing regular breast massage will assist to build up breast. If women’s don’t have enough time and would like to have better outcome from massaging on daily basis, they can even try doing massage in cold shower while taking bath. It is because cold water stimulates faster blood circulation and maintains the health of skin in terms of softness and firmness. 1. Put your hand in your armpit and push inward and upward. Go deep into the armpit. Pump upward and release. Do this ten to twenty times. 2. Grab your entire breast and move it upward toward the armpit. If your breasts are large, this may take more than one hand position. Do this ten times. Grab your breast and pump directly inward toward the chest wall. Do this five times. 3. Holding your breast stable, pump the upper inner quadrant of your breast up toward your neck. Do this five times. 13 4. You can do the pumping more recommended number of times if you like. than the Procedure 1) Place hand over your breasts. 2) Spread your fingers out a little and apply the slightest bit of pressure on the fingertips. These are the chi points. 3) Move breast in circular rotations inward. So you would start by moving the breasts towards each other, like you are trying to create cleavage. Then down and out (away from each other) then up and back towards each other again. That would be one full rotation. 4) Do 360 inward rotations 1-2 times per day The Chi Breast massage is the best because it serves a dual purpose – massage and acupressure. The massage helps to improve circulation and increase prolactin 14 flow while working with your pressure points to help with the flow of chi (or energy) around your breast. Frequently Asked Questions Q: Does breast enlargement depends on genes. My mother was also having small breast. There was no increase during her first pregnancy but after delivery of her baby, breast size increased by almost two cup size but due to greater milk production. Whether there is any possibility that same will happen with me? And if this does not take place, what exercises and herbs etc. can I take after delivery to stimulate breast size and when (means how much time after delivery)? A: Yes, genes do determine the size of the breast. Since, you have a genetic predisposition; it is quite likely, that what happened in your mother’s case, may happen in yours. There is no need for you to be alarmed. The amount of milk produced does not depend on the breast size. Milk production takes place irrespective of their size. Q: What are the limitations of breast enlargement with implants? A: Breast augmentation with implants will not improve nipple asymmetry, move your breasts closer together, lift droopy breasts or remove stretch marks. Q: What are the possible risks and complications of breast enlargement with implants? A: Anesthesia reaction, asymmetry, bleeding, breast droop, capsular contracture (hardening of scar tissue around implant), deflation, displacement, hematoma (pooling of clotted blood), implant leak, infection (always involves removal of the implant), interference with mammography, keloid (heavy scar), nerve damage, nipple numbness, pain, permanent numbness, reactions to medications, rippling, rupture of the implant (often due to injury), seroma (pooling of watery blood), skin irregularities, sloshing, slow healing, swelling, symmastia (breasts merge into one mass) and visible scars. For best health of breasts: 1. BREAST-FEED YOUR BABY Women who breast-feed for a year over their lifetime, not necessarily continuously, likely to develop less breast problems than those who don't breast-feed at all. The longer a woman breast-feeds, the lower her chances of getting the disease. It's thought that breast-feeding lowers the levels of cancer-related hormones in the 15 mother's blood. When breast-feeding ends, the body gets rid of damaged cells that could turn cancerous. 2. AVOID UNHEALTHY CHEMICALS Don't use canned food and drinks and don't microwave food in plastic containers. They contain chemicals that behave like oestrogens, increasing breast problems. 3. STEP OUT IN THE SUN Natural sunlight is the best way of increasing stores of vitamin D, which can lower your risk of breast cancer. Breast cells can convert vitamin D to a hormone that has anti-cancer properties. This advice should, however, be balanced against the risk of developing skin cancer from sun exposure. Feeding more frequently from the affected breast may help to clear a blocked milk duct, but do continue to feed from both breasts. Changing the position you use for feeding might help too. You can also: Have a hot shower, or apply warm facecloths to the affected breast. Gently massage any lumpy areas towards the nipple. If you are suffering from a breast infection: Keep feeding your baby. The symptoms clear more quickly if the breasts don’t get too full. The milk is not harmful for your baby to drink. Get plenty of rest and try to sleep when your baby sleeps, and drink extra fluids. 16