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Today, here, and around the world, many people have considered having Cosmetic Surgery, or Plastic Surgery performed. Many more have had plastic surgery done, some with multiple procedures. Plastic Surgery, by definition, is a broad term for operative manual and instrumental treatment which is performed for functional or aesthetic reasons. Medical treatment for Facial injuries dates back over 4,000 years. The word "plastic" is a derivative of the Greek word plastikos meaning to mould or shape; however, contrary to common belief, the term “plastic surgery” is not related to modern plastics at all. Cosmetic Surgery was first known to have been performed in Roman times. The Romans had the ability to perform simple procedures such as repairing damaged ears, in modern times referred to as Otoplasty, this is one of the most simple of procedures. One report discusses a patient getting his earlobes repaired after years of wearing heavy earrings. The excess lobes were trimmed and the hole sewn together. One of the more expensive plastic surgeries performed at the time, the removal of branding and scars, was a commonly executed procedure. Freed slaves paid a high price indeed for this type of surgery. It was felt that this common practice reduced the stigma of having been a slave in this ancient times. In ancient India physicians were able to use skin graft reconstruction techniques as early as 800 B.C. From ancient times to the early nineteenth century, we find a living tradition of plastic operations of the nose, ear and lip. The Kangra (correctly pronounced as 'Kangada') district in Himachal Pradesh was most famous for its plastic surgeons. Some scholars are of the opinion that the word 'Kangada' is made from 'Kana + gadha' (ear repair). The British archaeologist Sir Alexander Cunningham (1814-93) had written about the tradition of Kangra plastic surgery procedures. We also have information that in the reign of Akber ,a Vaidya named Bidha used to carry out plastic operations in Kangra. The Charaka-Sanhita and the Sushruta-Sanhita are among the oldest known manuscripts on Ayurveda (the Indian science of medicine). Chronologically speaking, the Charaka-Sanhita is believed to be the earliest work, and deals with medicine proper and containing a few passages on surgery. The Sushruta-Sanhita, a work of the early centuries of the Christian era, mainly deals with surgical knowledge rather than medicine. The extant Sushruta-Sanhita is, according to its commentator Dalhanacharya (of twelth century AD), a amendment by Nagarjuna. The original Sushruta-Sanhita was based on a series of lectures between Kashiraj Divodas (or Dhanvantari) and his disciples, Sushruta and others. In 15th Century Europe, a man by the name of Heinrich von Pfolspeundt , a German physician and a member of the Teutonic Order of Knights was one of the first known Europeans to have performed cosmetic surgery. Dr. Pfolspeundt was one of the first doctors of the late medieval and early Renaissance period to take medical practices beyond the very crude conditions that had existed through much of the Middle Ages. During his time, a good number of German physicians, especially those in Strasbourg, helped to serve the advancement of the study of medicine. Dr. Pfolspeundt described a procedure to make a new nose for a person who lacks one. He stated that by removing skin from the back of the arm and suturing it into place a new nose could be created. From Italy we have records that would indicate that in the year 1442, Branca, a surgeon of Catania in Sicily, carried out plastic surgery of the nose, Also known as rhinoplasty, using a skin flap from the face. This procedure was very similar to the one described in the Sushruta-Sanhita, an Ayurvedic compendium composed in the early centuries of the Christian era. His son Antonio continued his work and was the first known to use a skin flap from the arm for reconstructing the nose. The Boinias family carried on with his work. The plastic operations carried out by the Boinia brothers are described in a book published in 1568 by Fioravanti, a doctor of Bologna, Italy. At the hands of Gasparo Tagliacozzi (1546-99), a professor of surgery and of anatomy at the Bologna University, that plastic surgery attained wide fame in Europe. His book De curtorum chirurgia per insitionem (The surgery of defects by implantation), printed in 1597, was the first scientific composition on plastic surgery. Tagliacozzi had described a method of substitution of the nose by skin from the arm and of replacement of the ears and lips, demonstrating his work throughout his manuscript by way of a large number of illustrations. The Church dignitaries of the time regarded cosmetic surgery as an interference in the affairs of the Almighty. After his death they not only excommunicated Tagliacozzi, but also had his corpse exhumed from its church grave, and placed it in unconsecrated ground. The great Voltaire (1694-1778) wrote a satirical poem on Tagliacozzi and his operation on the nose, using flap from the buttocks. However, due to the many dangers of surgery in those times, cosmetic surgery was rarely performed until around the 1900’s. The United States first plastic surgeon was Dr. John Peter Mettauer, born in Virginia in 1787, who in 1827 performed the first cleft palate surgery on record with instruments he himself designed. There are two very broad fields of aesthetic surgery, Cosmetic Surgery and Reconstructive Surgery. Reconstructive surgery, including microsurgery, focuses on undoing or masking the destructive effects of trauma, previous surgery or disease. Examples of such operations are the rebuilding of amputated or damaged arms or legs; repairing cleft palates or lips, badly formed noses, and ears; and reconstructing a breast after mastectomy. Reconstructive surgery may include moving tissue from other parts of the body to the affected area. Cosmetic surgery however, is an elective surgery, usually done more for aesthetic reasons rather than to repair an injured area. In many cases, however, there are medical reasons for having some procedures done, such as breast reduction (for back pain relief) and Mastopexy (also known as a “breast lift). Cosmetic Surgery includes, but is not limited to, Abdominoplasty, or “tummy tuck”, Blepharoplasty, or “eyelid surgery”, Augmentation Mammaplasty, or "breast enlargement”, and Rhytidectomy, or "face lift". There are many more procedures not listed here that are commonly performed as well. The top five surgical procedures in 2004 Liposuction (325,000), nose reshaping (305,000), breast augmentation (264,000), eyelid surgery (233,000), and facelift (114,000). As you can see, Plastic Surgery has a longstanding history across the ages. It has helped not only in the reconstructive plastic surgery field but also has allowed people to feel more comfortable with their bodies and more confident about themselves. pnis enlargement vimax penis enlargement forum herbal penile enlargement does pnis enlargement work penis enhancement surgery picture pennis enlargement testimonials natural penis enargement pills pnis enlargement patch penis enlagement pill pro solution

What could possibly be worse than struggling with a painful condition and feeling ashamed to discuss the problem because of its intimate nature? Such is the case for many suffering with pudendal neuralgia, a little known disease that affects one of the most sensitive areas of the body. This area is innervated by the pudendal nerve, named after the Latin word for shame. Due to the location of the discomfort combined with inadequate knowledge, some physicians make reference to the pain as psychological. But nothing could be further from the truth. Unfortunately, discussing the condition with gynecologists, urologists and neurologists often proves fruitless since most know nothing about the condition and therefore cannot diagnose it. Pudendal neuralgia is a chronic and painful condition that occurs in both men and women, although studies reveal that about two-thirds of those with the disease are women. The primary symptom is pain in the genitals or the anal-rectal area and the immense discomfort is usually worse when sitting. The pain tends to move around in the pelvic area and can occur on one or both sides of the body. Sufferers describe the pain as burning, knife-like or aching, stabbing, pinching, twisting and even numbness. These symptoms are usually accompanied by urinary problems, bowel problems and sexual dysfunction. Because the pudendal nerve is responsible for sexual pleasure and is one of the primary nerves related to orgasm, sexual activity is extremely painful, if not impossible for many pudendalites. When this nerve becomes damaged, irritated, or entrapped, and pudendal neuralgia sets in, life loses most of its pleasure. So, where exactly is the pudendal nerve? It lies deep in the pelvis and follows a path that comes from the sacral area and later separates into three branches, one going to the anal-rectal area, one to the perineum, and one to the penis or clitoris. Since there are slight anatomic variations with each person, a patient’s symptoms can depend on which of the branches are affected, although often all three branches are involved. The fact that the pudendal nerve carries sensory, motor, and autonomic signals adds to the variety of symptoms that can be exhibited. Because pudendal neuralgia is uncommon and can be similar to other diseases, it is often misdiagnosed, leading some to have inappropriate and unnecessary surgery. Early in the diagnosis process, it is crucially important to undergo an MRI of the lumbar-sacral and pelvic regions to determine that no tumors or cysts are pressing on the nerve. In addition, the patient should be screened for possible infections or immune diseases, as well as having an evaluation by a pelvic floor physical therapist to determine the health of the pelvic floor muscles and to uncover whether skeletal alignment abnormalities exist. An accurate patient history is needed to assess whether there has been a trauma or an injury to the nerve from surgery, childbirth, or exercise. Tests that offer additional diagnostic clues include sensory testing, the pudendal nerve motor latency test, and electromyography. A nerve block that provides several hours of relief is another tool that helps to determine if the pudendal nerve is the source of pain. One of the most common symptoms that accompanies pudendal neuralgia is severe depression. Some people with the disease have committed suicide due to the intractable pain. For that reason, it is important to consider antidepressants, as they can help lessen the hypersensitivity of the genital area in addition to relieving bladder problems. Certain anti-seizure drugs reportedly help to alleviate neuropathic pain while anti-anxiety drugs provide substantial relief of muscle spasms and assist with sleeping. Uninformed physicians are reluctant to prescribe opiates for an illness that shows no visible abnormality, yet the desperate nature of genital nerve pain requires that opiates be prescribed for these patients. While medications are not always satisfactory, they do help take the edge off of the pain for many people. Until the correct treatment is determined, it is imperative that patients with pudendal neuralgia receive adequate pain management since the pain associated with this illness can be intense. Treatment depends on the cause of distress to the nerve. When the cause is not obvious patients are advised to try the least invasive and least risky therapies initially. Physical therapy that includes myofascial release and trigger point therapy internally through the vagina or rectum assists with relaxing of the pelvic floor, especially if pelvic floor dysfunction is the cause of nerve irritation. If no improvement is found after six to twelve sessions, nerve damage or nerve entrapment might be considered.Botox is now used in medical settings to relax muscles and shows promise when injected into pelvic floor muscles; though finding a physician adept at this treatment is difficult.Pudendal nerve blocks using a long-acting analgesic and a steroid can reduce the nerve inflammation and are usually given in a series of three injections four to six weeks apart. If physical therapy, Botox, and nerve injections fail to provide adequate relief, some patients opt for pudendal nerve decompression surgery. There are three published approaches to pudendal nerve decompression surgery but there is debate among members of the pudendal nerve entrapment community as to which approach is the best. Since there are advantages and disadvantages to each approach, patients face considerable confusion when deciding which type of surgery to choose. Because there are only a handful of surgeons in the world who perform these surgeries, most patients have to travel long distances for help. Moreover, the recovery period is often painful and takes anywhere from six months to several years since nerves heal very slowly. Unfortunately, early statistics indicate that only 60 to 80 percent of surgeries are successful in offering at least a 50 percent improvement. Patients whose surgeries are not successful or who do not wish to pursue surgery have the option of trying an intrathecal pain pump which delivers pain medication locally and helps to avoid some of the side effects of oral medications. Others pursue the option of a neurostimulator either to the sacral area or directly to the pudendal nerves. These are relatively new therapies for pudendal neuralgia so it is difficult to predict success rates. Some pudendalites have devised ingenious contraptions for pain relief ranging from u-shaped cushions cut from garden pads all the way to balloons filled with water, frozen, and inserted into the vagina. Most have a favorite cushion for sitting and many have special computer set-ups for home and office use in order to avoid sitting. Generally speaking, jeans are a no-no, so patients revise their wardrobes to include baggy pants and baggy underwear – if they are able to tolerate wearing underwear. Clearly more research is required to find effective methods to better manage the pain and debilitation of pudendal neuralgia. But in the meantime, friends and family close to those who have this devastating illness play a huge role in helping patients cope, thereby maintaining the best quality of life possible. Support, love and understanding are of primary importance for those suffering with this affliction. best elargement exercise penis medical pennis enlargement top penis enlargment pills penile enlargment secret prosolution penis enlargement pills do penile enlargment pills really work penis enlargement exercise penile enlargment photo penis enlagement pill pro solution

By far the most common way for a woman to regularly reach orgasm is through direct or indirect clitoral stimulation. Before we just into that subject, I think it may help to share with you some information about the clitoris. The clitoris is located just by the vaginal entrance and behind the labia minora. In most women, it is a small nub of flesh which contains a high concentration of nerve endings which make it highly sensitive. It is often covered by a clitoral hood. Many people don't realize that only a small portion of the clitoris is actually visible. The remainder of the organ is surrounded by the rest of the reproductive system and extends all the way to the bottom of the pubic bone. Two things are particularly interesting about the clitoris. First, all female mammals have a clitoris. This is interesting because the sole purpose, at least according to biologists, of the clitoris is sexual pleasure. That would seem to mean that humans aren't the only ones who enjoy the way sex feels. Second, the clitoris is made from the same material as the penis. In fact, in men the clitoris becomes a full-fledged penis after the embryo is exposed to testosterone in the womb. Just like the penis, the clitoris fills with blood and becomes erect during sexual arousal. The clitoral hood is essentially the same as the foreskin of a penis. The only real difference between a clitoris and a penis – besides location in the body – seems to be that the penis is also used for urination while the clitoris is not. What many people don't realize about the clitoris is that the penis alone usually cannot stimulate it. Because of its position in the woman's body, the ability of the penis to provide rhythmic stimulation to the clitoris is extremely difficult. That means traditional intercourse usually needs to be coupled with clitoral stimulation. With that said, its important to realize that the clitoris is really similar in size to the penis, even though most of it cannot be seen. Vibrations through the pelvic region caused by intercourse could stimulate the nerve endings in the unseen part of the clitoris as well and this can also cause orgasms. The question is how does one engage in clitoral stimulation. Some male partners take the approach that the women should be responsible for the stimulation themselves, which has always seemed a bit unfair to me since the woman is providing him with the stimulation he needs to reach orgasm. However, this is one way to deal with it. Another method is by, what I like to call multi-tasking. Multi-tasking basically means the man does more than one thing at the same time. For example, he may be penetrating the vagina while also stimulating the clitoris in one way or another (we'll discuss those ways a little later). If the couple wants to achieve orgasm at or near the same time, this is clearly the best option. Other couples I've met with have resorted to an alternative approach. One person reaches orgasm at a time. Depending on how each person best reaches orgasm, this may be a possibility but it's usually not the most satisfactory approach. The best thing about clitoral orgasms is that they can be achieved in many different ways. Because the entire area is highly sensitive, experimenting with these types of orgasms can also add some interest and spice to sexual relationships which may have become less enthusiastic over time. And the key is experimenting because different women prefer different types of clitoral stimulation. While some prefer direct stimulation, others find it uncomfortable and prefer to have the area around the clitoris stimulated instead. Women who have masturbated will generally have a much better idea of what type of stimulation they prefer than women who have not. As I mentioned, the clitoris feels up with blood and becomes erect like a penis. This means its usually easier to spot when a woman is aroused. Because the clitoris does not need to be erect for sexual intercourse to occur, clitoral orgasms will only happen if the woman is aroused properly. That means some type of foreplay is generally a requirement. When the clitoris is stimulated repeatedly, it becomes more engorged with blood and this further heightens its sensitivity. With another stimulation a point is reached when all of the tension in the area must be released and this point is considered the orgasm. penis enlargment photo penis enlarement pic before and after permanent penis elargement real pnis enlargement homemade penis enlagement vimax penis enlargement before and after cheapest penis enlargement pills penis enlargement information penis enlagement pill pro solution

There are three stages of pregnancy. These are the first, second and third trimesters. The first trimester runs from week one to week fourteen, the second covers weeks 15 – 26, then the third is weeks 27 – 40. Week 1+2: This is actually before you get pregnant. It’s the stage where your body prepares itself by ovulating. And it’s in these 14 days that the egg is fertilized by the sperm Week 3: The fertilized egg now moves down the fallopian tubes, fluid passes into the ball of cells, dividing them into two. The inner cells will form your baby and the outer cells will form the placenta. Your body, at this stage, is still unaware that it is pregnant. The implantation begins as the cell ball reaches the wall of the uterus. In this process the cells actually bury into the uterus wall, which can sometimes lead to you having spotting. The implanted cell ball now becomes an embryo. Week 4: This is a week of rapid development, and your body now realises it is pregnant. The amniotic sac and cavity begin to develop and also the Yoke sac appears (this will later form the baby’s digestive system). The placenta now starts to form where implantation took place and blood from you will now go into the placenta. It is usually about day 27 that we start to feel the morning sickness. Week 5: The primitive streak (the fore runner of the brain and spinal cord) is now developing. Through this primitive streak the cells will develop into three layers: The endoderm: the bottom layer – develops the glands, lung linings, tongue, bladder, digestive tract, tonsils, urethra and associated glands. The mesoderm: the middle layer – forms the muscles, bones, heart, lungs, spleen, blood cells, and the reproductive and excretory systems. The ectoderm: the top layer – forming the skin, nails, hair, eye lens, nose, mouth, anus, tooth enamel, pituitary gland, mammary glands, and all parts of the nervous system. Other cells will be starting to develop the spine (called the notochord). The first steps towards forming the embryos head, and the first formation of the babies blood cells happen this week. Week 6: The first few days of this week is when your baby’s heart starts beating. The aorta (the largest artery in the whole body) will be starting to form at around day 40. By mid week many organs are starting to form: eyes, arm buds, liver, gall bladder, stomach and intestines, lungs and pancreas. Week 7: This is a busy week for your growing baby. During this week your baby will double in size. The lenses of the eyes are developing and there is also a recognisable tongue. The legs and arms are developing into paddles, the jaws are now visible. Week 8: The cerebellum starts to form this week. That’s the part of the brain responsible for the movement of muscles. Also hand and foot plates, elbow and wrist areas are forming. Towards the end of the eight week the hand plate has formed ridges where the fingers will be. There is further development of the eye; pigment is now appearing on the retina. Teeth buds are now forming within the gums, along with the wind pipe, bronchi, and voice box. The heart is now starting to develop the four chambers. Week 9: Your baby is now starting to form cartilage and bones. During this week the ovaries will develop into the sex organ determining whether you’re having a boy or a girl. The fingers and thumbs are now taking shape. Also the baby is now becoming more active. Week 10: It’s now that your embryo has become a baby, all be it on a rather small scale. There is a fully formed upper lip. The development of the heart now slows as it is past the critical stage. By mid week the earlobes are fully formed. Toes start to develop on the foot plate. As the bones of the palate (roof of the mouth) start to fuse together, the tongue starts to develop taste buds. Week 11: as the morning sickness starts to subside, you may feel your appetite increase. Your baby’s body starts to straighten. In males the penis is now distinguishable and in females the vagina is beginning to develop. This stage is where the baby starts to show individuality, as the muscle structure varies in each baby. Week 12: Your baby will start to develop fingernails over the next three weeks. The brain is now the same structure as it will be at birth. By the end of the week, the gall bladder and pancreas will be fully developed. Also the baby will now be opening and closing its mouth. Week 13: This week vocal chords will form in the larynx. Also the intestines will move from the umbilical cord into the abdomen, and will start to form folds and become lined with villi. Week 14: You may have noticed some changes to the areola (the area around your nipple); it may be getting larger and darker. Your baby’s heart beat will now be able to be heard using a Doppler. Breathing, sucking and swallowing motions will be being practised. The breathing practises will take the amniotic fluid in and out of the lungs. Baby’s hand also becomes more functional. Week 15: The baby’s neck is now defined, with the head now resting on the neck rather than the shoulders. The hair pattern of the baby will be defined by the 102nd day of the pregnancy your baby will now be able to turn its head, open its mouth, kick, press its lips together and turn its feet. Week 16: This week the baby’s toe nails will start to grow. The muscles will be growing stronger and the neck and head are growing straighter. As the uterus starts moving upwards you may start showing more, but this does mean less pressure on your bladder, making you feel like urinating less. Week 17: Your baby will be working on more reflexes this week; blinking, sucking, and swallowing. Development is carrying on with all the existing structures. Through the course of this month your baby’s weight will increase 6 times. Week 18: By mid week your baby’s eyes and ears will now be in the right places. The finger tips and toes will develop pads, and toe and finger prints will start to develop later in the week. Myelinization, a process of coating the nerves with a fatty substance called myelin which speeds up nerve cell transmission and insulates nerves, will start happening this week. Also by the second day of this week meconium (faecal waste) will start developing in the baby’s bowels. Week 19: A creamy looking substance that covers the baby’s body, vernix coseosa, will start to form. This protects the baby and its developing glands and sensory cells. If you’re having a baby girl primitive egg cells are now developed in the ovaries, in fact females are born with all the eggs their ovaries will ever have. Week 20: Most of the major development has now taken place, and the danger zone of the first three months is now over. Your baby will be waking and sleeping, just as newborns do. Also the formation of fine scalp hair and eyebrows will begin. Week 21: Your body is replacing the amniotic fluid very three hours at this stage of your pregnancy. Baby’s leg and arm movements increase as the muscles and bones become stronger. By the end of the week a stethoscope will be able to detect the baby’s heart beat. Week 22: If the baby is a boy, the testes will start to move from the pelvic area into the scrotum. The hair on the head and eyebrows is now visible as white and short. Week 23: The bones in the middle ear start hardening making the conduction of sound possible. The baby will start to gain some considerable weight between now and next month. The size of the baby’s body will start to get into proportion though the head will remain larger than the rest of the body. Week 24: The skin of your baby is wrinkled, but will smooth out as fat is deposited. Also by the end of this week the baby’s heart beat is so strong it is some times possible to hear it by placing an ear on your stomach. Week 25: Baby’s skin is now turning a reddish/pink as capillaries start to develop. The nostrils will now start to open, as they have been plugged unto now. The lungs will start developing blood vessels and the finger and toe nails will now be covering half the nail bed. Week 26: with the nostrils now open, muscular breathing will start. By the end of the week the lungs will be secreting surfactant, a substance which prevents the lung tissue sticking together. Also with the formation of blood vessels in the lungs, they will now also be developing air sacks. Brain wave activity starts this week for auditory and visual activity. Week 27: Bumping and thumping is becoming stronger as your baby grows stronger, you should be feeling around 10 kicks in a two hour period. Baby’s lungs are growing rapidly and there is continual development with brain patterns. Week 28: This is when the eyelids un-fuse and open up. Muscle tone is improving, and the lungs are capable of breathing air. The chances of a baby being born premature from now on, has a greatly improved chance of surviving. Week 29: Eye lashes have now grown, and although still unable to focus, baby’s eyes are now sensitive to dark and light. At this stage of pregnancy the senses of sound, smell and taste are developing. By the end of the week your baby will be able to move its eyes in their sockets. Week 30: Baby is now storing up nutrients taken in by you. Calcium for skeletal development, protein for growth and iron for blood cells. By the end of the week the languno (the small hairs that covered the baby’s body), is nearly all gone apart from some patches on the shoulders and back. Week 31: As the actual growth starts to slow down, the internal organs are still maturing, so make sure your still getting enough folic acid, iron and calcium. Should your baby be born this week they would have the ability to breath, see, listen learn and remember. Week 32: The baby’s iris is now reacting to light. All five senses are now registering with your baby, although smell is limited as baby can’t breathe air in the uterus. Week 33: your baby may now be sucking its fingers. Constipation could be starting for you as your uterus puts more and more pressure on your bowels. Week 34: The pigment of the eyes is not quite fully developed yet, this leaves the eyes looking blue regardless of final colour. And this week your baby will start to develop its own immune system. Week 35: In baby boys the decent of the testes will complete any time now. Your baby may now shift into your pelvis in a head down position, but not all babies’ do this before birth. Week 36: Dimples on the elbows and knees will be forming as well as creases in the neck area due to continual deposits of fat. Also this fat will help baby maintain its body temperature. Week 37: Around 85% are born within two weeks of their actual due date (either before or after), so as you enter this stage be aware for signs of labour. The baby is practising being more aware of its surroundings; this is the ‘orientating response’. This is where the baby will turn towards any source of light. The end of this week marks the end of development, growth will now slow down. Week 38: Meconium is accumulating in the intestines. Meconium is a dark green mass of waste product and cells from the gall bladder, liver and pancreas. Although shortly after birth this will all come out. Week 39: as the baby is settling into your pelvis, you maybe feeling clumsy and off balance. This is because your centre of gravity shifts. Make sure you’re prepared for your trip to the hospital. Week 40: welcome to the final week, that’s if you have not given birth already. Your body will be giving the baby antibodies so it can protect its self from many diseases. The baby will finish dropping into its resting place before birth. So congratulations and welcome to your new born child.