Work: Methodology Behind Diagnosis and Treatment

Immediate result of breast augmentation by injection of silicones

N = 36

Very good

8.3

Good

72.2

Intermediate (neither good nor poor)

16.6

Poor

2.7

Almost two out of every five (38.8%) injections were performed by a transexual individual. However, strikingly, 55.4% were performed by health personnel: 30.5% by nurses; 16.6% by false doctors; and 8.3% by doctors. A further 2.7% were performed by friends of the patient and 2.7% by cosmetologists. Two thirds of the injections (66.6%) were carried out in the operator’s house, while 33.3% were performed in offices. More than half of the patients (55.5%) did not know the volume injected, and no patient knew the origin or characteristics of the injected material, since it had been provided by the operator.

More than half (55.5%) of the patients reported knowing at least one other person who had undergone silicone injections (Table 3.2).

Table 3.2

Procedural data

Patient number	Patient age (years)	Injection/consultation interval (years)	Operator	Where was the procedure done?	Injected volume (cm³)	Immediate postprocedural result	Do you know other people who have been injected?
1	31	12	Physician	Office	?	Good	Yes
2	34	2	Transexual	House	500	Very good	Yes
3	32	5	Nurse	House	500	Good	Yes
4	43	11	Nurse	Office	500	Good	Yes
5	48	20	Nurse	House	500	Good	No
6	49	14	Nurse	House	?	Good	Yes
7	30	4	Physician	Office	300	Intermediate	Yes
8	37	3	Friend	Office	40	Good	Yes
9	23	3	Transexual	House	?	Good	Yes
10	40	10	Transexual	House	?	Good	Yes
11	30	6	Transexual	House	500	Intermediate	Yes
12	40	20	Physician	House	?	Intermediate/poor	Yes
13	31	1	Nurse	Office	?	Good	No
14	36	10	Transexual	House	?	Intermediate	No
15	31	4	Nurse	House	?	Good	No
16	52	5	False doctor	Office	?	Good	No
17	43	6	False doctor	House	?	Good	No
18	56	5	Transexual	House	250	Good	Yes
19	44	3	Transexual	House	500	Good	No
20	56	19	Transexual	House	300	Good	Yes
21	24	5	Nurse	House	?	Good	No
22	23	5	Transexual	House	?	Very good	Yes
23	49	10	Physician	Office	250	Good	No
24	50	5	Physician	Office	?	Good	No
25	38	19	Nurse	House	?	Good	No
26	40	12	Transexual	House	?	Intermediate	No
27	56	18	Nurse	House	1000	Good	No
28	27	3	Transexual	House	?	Good	No
29	32	7	False doctor	Office	?	Good	No
30	33	10	Physician	Office	?	Intermediate	No
31	24	2	Transexual	House	150	Good	No
32	45	8	Transexual	House	1000	Intermediate	No
33	53	5	Cosmetologist	Office	150	Good	No
34	37	10	Transexual	House	?	Good	No
35	63	20	Nurse	House	?	Good	No
36	40	17	Nurse	Office	225	Good	Yes