What Is Breast Augmentation Surgery?
Also known as augmentation mammaplasty, breast augmentation surgery involves using breast implants to fulfill your desire for fuller breasts (breast enlargement) or to restore breast volume lost after weight reduction or pregnancy (breast enhancement).
Augmentation of the breast consists of insertion of a silicone bag (prosthesis) under the breast (submammary) or under the breast and chest muscle (subpectoral) and then filling the bag with saline (salt water). This prosthesis expands the breast area to give a fuller breast (increased cup size), give a better contour, and give more cleavage.
What Are Smooth And Textured Implants?
The smooth surface implant requires a large pocket and is associated with a 10% incidence of capsule contracture (tightening of the scar around the implant causing firmness or hardness). The smooth implant has only an occasional occurrence of rippling or wrinkling which gives the overlying skin a wavy appearance.
A textured (roughened surface) implant is associated with a 3% incidence of capsule contracture but has a 7-9% occurrence of rippling.
What are the choices of implant positions? The easiest surgical placement of the implant is under the breast tissue (submammary).
A slightly more difficult surgical placement is under the chest muscle (submuscular or subpectoral) but this position is associated with a lower incidence of capsule contracture and slightly less occurrence of rippling. There is more pain postoperatively than with a submammary placement.
Who Should Get Breast Augmentation?
Women who desire to enhance their figure or who feel their breast size is too small may be good candidates for breast implants. Breast augmentation can also correct slightly sagging breasts or breasts that have lost volume due to pregnancy. Women that have uneven breasts or who have undergone a previous mastectomy may also be considered for breast augmentation.
Breast augmentation will not improve uneven nipples, move your breasts closer together, lift droopy breasts, or remove stretch marks. If your breasts are seriously sagging, you may want to consider a breast lift.
Breast Augmentation Before And After
If you are dissatisfied with your breast size, breast augmentation surgery (either breast enhancement or breast enlargement) is a choice to consider. Breast augmentation can:
- Increase fullness and projection of your breasts
- Improve the balance of your figure
- Enhance your self-image and self-confidence
Also known as augmentation mammaplasty, the procedure involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy.
Implants also may be used to reconstruct a breast after mastectomy or injury.
Breast enlargement by means of implants is a very effective procedure. It is suitable for women with insufficiently developed breasts or when the mammary gland system is shrinking, as may be the case following breast feeding or a significant weight loss.
Implant under the muscleThe optimal age limit for surgery varies. It is generally done after the development of the mammary glands is complete, which is usually after the age of 16.
It is certainly better to insert the implants into breasts that won’t change by potential breast feeding. Although it doesn’t eliminate the possibility to undergo breast augmentation before pregnancy; you have to take into account that lactation and pregnancy will change the size and quality of the mammary gland and therefore the surgery will probably need to be redone. It is better to undergo breast augmentation at least one year after the delivery and breast feeding.
Breast implants have no influence on the fetus and they do not expose it to any danger. The presence of implants does not hinder the ability to breast-feed. Studies done worldwide have not found an increased content of silicone in breast milk.
Some women request the implants to be placed as close to each other as possible to create a sexy line between the breasts. Unfortunately this effect is caused by the body's constitutionand by the distance between the mammary glands therefore it is not possible to create it on demand.
If you are physically healthy and realistic in your expectations, you may be a good candidate for breast augmentation.
Preparing For Breast Augmentation SurgeryAfter researching the basics about breast enhancement or breast enlargement, many patients want to know what to expect before breast augmentation surgery.
Prior To Breast Surgery, Your ASPS Member Surgeon May Ask You To:
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue
- Stop smoking well in advance of your breast augmentation surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special Instructions You Receive Will Cover : -
- What to do on the day of surgery
- Post-operative care and follow-up
- Breast implant registry documents (when necessary)
Your plastic surgeon will also discuss where your procedure will be performed. Breast augmentation surgery may be performed in an accredited office-based surgical center, outpatient ambulatory surgical center or a hospital.
What Are Risks And Complications Of Breast Augmentation?
1. Infection : -Although infection is rare (1-3%) it can be a very distressing problem. Signs of infection are fever, redness, swelling, and discomfort. If the infection does not respond rapidly to antibiotic treatment, the implant must be removed and the implant can be replaced three (3) months after the wound is completely healed.
2. Bleeding : - If bleeding occurs into the implant pocket after surgery, the implant must be surgically removed, the bleeding controlled, the wound washed out, and the implant replaced. Signs of bleeding include marked swelling, increasing pain, and bruising.
3. Capsule contracture : - Hardening of the breast with distortion and sometime pain may require surgical incision of the fibrous scar capsule around the implant (capsulotomy) or partial or total removal of the scar capsule (capsulectomy).
4. Asymmetry : - Sometimes the implant will slip out of the position in which it was initially placed and appear too high, too low, or to one side. Most of the time this requires surgical repair.
5. Problems with Mammography : - The implant will block some areas of the breast from being visualized on mammography. This is usually less if the implant is placed under the muscle.
Because breast implants might affect the clarity of the mammogram, patients who have multiple close family members with breast cancer probably should not have breast implants.
6. Autoimmune Disease : -
With all the confusion in the newspaper, magazines and on the T.V. or radio, there has been a fear that silicone implants may cause autoimmune disease. At this time there is no scientific evidence that silicone causes autoimmune disease.
7. Cancer : - There is no evidence that silicone implants cause cancer.
8. Calcifications : -
Implants that have been in a patient for many years may cause calcifications in the scar capsule around the implant. These calcifications can almost always be distinguished from the calcifications which may indicate breast cancer.
9. Deflation : -
An implant may leak from weakness in the patch or valve area, a hole from incomplete inflation, or other factors.
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