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Procedure Performed

Augmentation Mammoplasty(Breast Augmentation )

Body image is an important part of feeling good, desirable and normal. Most women compare themselves to a cultural idea of beauty. Having a cosmetic breast procedure can greatly improve self-esteem for many women. It can make a woman feel more like the ideal and can drastically improve the way she views herself. There is great variation in the size of "normal breasts." For women who, for personal reasons, feel their breasts are too small, too large, or not properly contoured, cosmetic breast surgery is possibly the answer.

Breast enhancement or augmentation is one of the most frequently performed cosmetic procedures in the West today. It can dramatically improve the appearance of a woman's breasts. The enhancement procedure is used to enlarge small breasts, underdeveloped breasts, or breasts that have decreased in size after a woman has had children.

TYPES OF IMPLANTS AND IMPLANT CONTROVERSY

A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline.

In the year 1992, because of concerns that there is insufficient information demonstrating the safety of silicone gel-filled breast implants, the U.S. Food & Drug Administration (FDA) placed certain restrictions on the use of silicone gel filled implants. They could only be used in patients requiring breast reconstruction or in patients who required replacement of their previous implants. Use of gel filled implant in cosmetic surgery patients was restricted to those who were part of research study, or required implants for post mastectomy reconstruction. Saline-filled implants continued to be available to breast augmentation patients, without restrictions, pending further FDA review. The gel filled breast implants however continued to be used in Europe and other countries of the world.  

In response to this concern, several leading manufacturers of silicone implants, with the support of American Society of Plastic Surgeons, initiated a major study and research about the safety of gel filled silicone implants. Studies have been conducted by the Institute of Medicine and experts from all over the world and have found no connection between implants and the diseases claimed by so many women. Some prominent manufacturers of breast implants have recently received preliminary recommendation from FDA for approval of their new generation of gel filled implants.

These implants are filled with a high strength cohesive form of silicone, which very much resemble a Gummi bear or Jell-O jigglers. These high-strength gel implants are soft and natural-feeling. Unlike liquid-filled implants (saline and liquid silicone), a high-strength gel implant maintain its shape and upright position, which decreases the incidence of the implant shell folding and the development of rippling. Also unlike liquid-filled implants, high-strength gel implants do not leak if the implant shell is broken. Unlike saline breast implants, silicone gel breast implants are pre-filled.  Surgeons order them in the requested size and they cannot be changed in size during surgery. Somewhat longer incisions is required to place a silicone gel filled implant than a saline filled breast implant, all other things being equal.   

The alternative to silicone is saline, and for many women, saline implants simply aren't good enough. Overfilled, they're hard; under filled, they wrinkle. Saline implants may also make a sloshing sound and rupture easily. If a woman has scant tissue left after a mastectomy, a saline implant is harder to camouflage.
 

THE PROCEDURE

Breast augmentation can be performed with general anesthesia. You also have the choice of local anesthesia, combined with deep sedation.

The method of inserting and positioning your implant will depend on your anatomy and your surgeon's recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, a pocket is created, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then appropriately inserted. The surgery usually takes one to two hours to complete.

Your surgeon will thoroughly discuss your implant and incision options with you prior to your surgery in order to determine which choices are right for you.


WHAT WILL MY RECOVERY BE LIKE?

Stitches following breast augmentation are removed in seven days. Your surgeon will advise you to wear a surgical compression bra for 4-6 weeks following the procedure. You should be able to return to work in 8-10 days and normal activity and sports in 5-6 weeks.

YOUR NEW LOOK

For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance. Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you've met your goals, then your surgery is a success.


 
 

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