New Breast Augmentation Information Chart [Interview][Transcript]

Dr_Kenneth_Hansraj_Breast_Augmentation_Information_ChartGuest: Dr. Kenneth Hansraj
Presenter: Neal Howard
Guest Bio: Kenneth K. Hansraj, M.D. is Chief of Spine Surgery at New York Spine Surgery & Rehabilitation Medicine and the author of the internationally bestselling book, Keys to an Amazing Life: Secrets of the Cervical Spine. Dr. Hansraj is also the author of Bloodless Spine Surgery: Pictures and Explanations.

Segment overview: Dr. Kenneth Hansraj, Chief of Spine Surgery at New York Spine Surgery & Rehabilitation Medicine, discusses steps and tips to offset the costs, both physical and financial, to breast augmentation.

Health Professional Radio – Breast Augmentation Information Chart

Neal Howard: Hello and welcome to Health Professional Radio. I’m your host Neal Howard, thank you for joining us today. When a woman decides to have breast augmentation, sometimes she only considers the cost of the surgery but in reality it can cost her far more in health-related costs. Our guest in studio today is Dr. Ken Hansraj, Chief of Spine Surgery at New York Spine Surgery and Rehabilitation Medicine and he’s here today to talk with us about some of the hidden health costs that are associated with added strain and stress on the spine as a result of breast augmentation or weight issues in general. Good afternoon and welcome to the program Dr. Hansraj.

Dr. Ken Hansraj: Hello Neal, thank you for having me.

N: Thank you so much for returning. When we’re talking about breast augmentation and how it affects the spine, you’ve conducted a new study where new information has come to light which is being shared with plastic surgeons, thereby sharing with their patients. Talk about this study.

H: So we did a study called Impact of Breast Forces on the Spine and so we studied the weight of each breast size, of commercial bra size and then we extrapolated using finite elements or assessments which is in my opinion the highest level mathematics. And so we were able to generate the forces on each breast size and so this is a published study and a good summary would be a woman with 36A would experience about 15 lbs. of force on her spine while a 36D would be 30 lbs. and bigger size chest for example a 36N would be a 110 lbs. of force on the spine.

N: Now I have seen body index, body mass index charts. Is there something that is very easy for the patient to look at and determine where she would like to go as far as augmentation or go there at all?

H: Certainly Neal, we have charts and I’ll make them available to you so you could probably attach them.

N: Now is it similar to body mass index chart, kind of just something to look at or is it something that you need to take a class in in order to understand?

H: You can go to my website, and look under breast forces and you will see the various breast forces per breast size. It’s very simple, extremely simple.

N: Talk a little bit about how much of our health is controlled and affected by the spine and the spine’s health.

H: The spinal health is the key driver, it is the most important part of the body. Mind you, I mean there are hundreds of jokes, even written which part of the body is most important and as a spine specialist, I’m certainly expounding the spine is the most important. No one would disagree that the spine is so critically important, the spine runs the arms, the legs and the nerves. In general it runs the entire body, so this is the electrical system of the body and so therefore it’s critical.

N: And when stress in the form of additional weight is introduced to the spine, what types of reaction are we looking at over the long term? Are we talking about compressing the spine or unnatural bending? What types of things take place as a result of added stress in the form of weight?

H: And that’s why your interview is so important Neal, to bring awareness to this humungous women’s health issue. And so when there is excessive stresses on the spine people are really even aware of the words, they don’t know what’s going on. All of a sudden they know that they’re tired, that they’re not able to as much and the day is too long and they’re not as productive and they’re thinking they have fibromyalgia and people are stressed out and inflamed and so, it’s just a feeling of malaise.

N: Now this feeling of malaise, sometimes is attributed to psychological factors. Are there psychological factors that can be affected by spinal health?

H: Absolutely. So for example the critical study of Amy Cuddy, she found that when you get into great posture, when you embrace good posture, your internal chemistry changes in two minutes, your testosterone increases 20%, your serotonin, your feel-good hormone goes up and your dopamine, your go, go, go hormone in the body goes up and your stress hormone goes down just aligning the spine and good posture is critical to changing immediately the internal chemistry of your body, the hormones that are circulating changes.

N: Is this something that a person can do on their own simply by being mindful of how they’re carrying themselves literally? Or is this something that we need counseling on in order to learn specific proper techniques in order to attain proper and good posture?

H: Good posture Neal is very simple. Does your ears above your shoulder and your angel leans back or your chest open? It’s just that simple.

N: You’re the Author of a couple of books, one book being an international best-seller, Keys to an Amazing Life: Secrets of the Cervical Spine, another being Bloodless Spine Surgery: Pictures and Explanations. Who was your audience when you penned these two works?

H: Neal, my goal is to connect with people everywhere. I was originally an academic writing for academic papers and academic works and I stopped because I felt it was a waste of my time of life and so that I started writing again and the writing is to connect with the regular person. If I could help the regular person, the farmer, butcher, the accountant, the regular person on our planet, then I’m really, really happy and that’s why I wrote these books.

N: What type of reception have you received when plastic surgeons and other specialists have been presented with your findings of the study?

H: It’s interesting Neal, just to be very a bit formal about it. I made this information available to the some of the plastic surgery societies and one of the societies responded “Thanks for this interesting article. This is something that’s good to know and intuitively makes sense.” The society said most plastic surgeons would recommend that their patients opt only for moderate augmentations, especially since large implants are associated with more problems, some women want the larger, larger breast but now the numbers are available so they can think and double think, so to speak all pun intended. They can double think about what the consequences are.

N: And with some of those long term health ramifications, I guess the increased cost in medical care, in testing or reversing a condition that she was previously unaware was gonna cause her such problems. That’s quite important and goes directly towards women’s health?

H: Yeah, it’s a…surgery and again it’s about you have these tremendously large breasts and you’re tremendously upsized and they may feel great for a bit then you realize that they carry a human strain on the spine. You have more back pain, more fatigue, less productivity and you’re not enjoying life as much. And I try to help my patients when we discuss breast sizes and breast forces because we’ve had these numbers for about a year and a half then it took a while to publish it, so we had access to the data and I certainly use it to help my patients to understand the consequences.

N: Where can our listeners get more information about you and about New York Spine Surgery and Rehabilitation Medicine?

H: My website is

N: And your books, Keys to an Amazing Life: Secrets of the Cervical Spine and also Bloodless Spine Surgery: Pictures and Explanations?

H: These are available in and they’re written about it in my website,

N: Thank you. You’ve been listening to Health Professional Radio, I’m your host Neal Howard. We’ve been in studio with Dr. Ken Hansraj, he is Chief of Spine Surgery at New York Spine Surgery and Rehabilitation Medicine, also the Author of internationally best-selling book, Keys to an Amazing Life: Secrets of the Cervical Spine and also Bloodless Spine Surgery: Pictures and Explanations. And we’ve been in studio talking about some of the health risks associated with breast augmentation among other conditions that affect the spine. It’s been great having you here with us today Doctor.

H: Thank you very much Neal. I enjoyed being with you.

N: Thank you. Transcripts and audio of this program are available at and also at and you can subscribe to this podcast on iTunes.

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