Breast augmentation

Some women feel that small breasts not only limit their fashion choices, but can also cause dissatisfaction with body image. Breast augmentation to increase fullness and projection of the breasts improves the balance in a woman’s figure and can enhance her self-image and self-confidence.

What is breast augmentation?

Breast augmentation is the surgical placement of breast implants to increase fullness and projection of the breasts or to improve symmetry of the breasts. Clinically referred to as augmentation mammaplasty, the procedure is used cosmetically to:

  • Enlarge a naturally small breast;
  • Restore breast volume lost following pregnancy, as a result of breast-feeding or due to weight loss;
  • Achieve better symmetry when breasts are moderately disproportionate in size and shape.

Breast augmentation does not however correct sagging breasts. In cases where a woman desires to enhance breast fullness and at the same time improve the position and shape of sagging breasts, a breast lift may be performed in conjunction with breast augmentation.

Breast implants may also be used for breast reconstruction after mastectomy or injury.

Adult woman of any age can benefit from breast augmentation, however, the breasts should be fully developed prior to the surgery. Breast augmentation does not generally interfere with a woman ability to breastfeed.

The first step

The medical appointment is the first step and it is the time to discuss why you want to have this surgery, your expectations and the desired outcome.

At this stage the patient should report his health history, previous surgeries, current medications and the use of alcohol or tobacco. Family history of breast cancer should be informed for better counseling and surgical planning.

It’s important to understand all aspects of your breast augmentation surgery. It’s natural to be nervous about it, whether it’s excitement for your anticipated new look or a bit of preoperative stress.

Types of Breast Implants

There is a wide variety of formats (round, anatomical, lower pole), covers (textured, polyurethane) and sizes of breast implants.

During the medical consultation, it is possible to evaluate the patient’s desire and to examine their anatomical characteristics. In addition with their clinical history, it is possible to choose the best type of implant, the best incision to be used and the location of the implant (above or below the pectoral muscle) for each patient.

Procedure steps

The surgery may be performed under general anesthesia or intravenous sedation. Each case is individually analyzed to recommend the best choice.

Incisions are made in inconspicuous areas to minimize visible scarring. In the medical consultation it will be defined which incision option is appropriate for your desired outcome.

Incision options include: along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (axillary incision).

After the incision is made, a breast implant is inserted into a pocket either: Under the pectoral muscle (a submuscular placement); or directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement).

The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired and your body type.

Although it is a very satisfying procedure, there are some risks, which are infrequent and are usually divided into early term and late term complications. The main problems that can arise shortly after the inclusion of breast implants are bleeding, poor healing and infection with possibility of implants removal. The long term complications include capsular contracture (formation of tight scar tissue around the implant) and implant leakage or rupture.

While a breast augmentation yields larger breasts right away, the final results may take a few weeks as the swelling subsides and the skin stretches.

Other important considerations:

  • Breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants;
  • Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of a lifetime;
  • Breast augmentation requires regular examinations of the breasts’ health and to evaluate the condition of the breast implants.

Source: www.plasticsurgery.org

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