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Breast Augmentation

The indications

Breast augmentation is a common procedure sought by women to improve the shape, size, and symmetry of their breasts. “Optimal breast size” is very subjective; however, your body type, chest configuration and density of the breast tissue will all be factors in determining the best implant for you. Although it is difficult to visualize the final result, and maneuvers such as putting implants in a bra and wearing them are helpful (but also sometimes misleading) we can be very successful in accomplishing our goals in breast augmentation. The implants are made of a silicone rubber shell and can have various filler materials (such as salt water or saline, and silicone gel). These implants may also come with a smooth surface or a roughened (textured) surface. Moreover, there are various implants shapes such as round high or moderate profile, contoured, etc. The nuances of these various types of implants will be discussed during the consultation. As of September 2006, only saline has been approved by the FDA for first time breast augmentation. Although the silicone controversy has ended in the United States and the FDA gave conditional approval to one type of silicone implant in April of 2005, formal approval status remains pending. The fact that the FDA has finally approved silicone implants indicates that the controversy over autoimmune diseases and cancer and breast implants has no scientific basis.

Breast implants can, to a limited extent, lift the breasts. However, if there is significant sagging due to breast feeding, weight loss or genetic factors, other procedures may be required such as a breast lift. During the initial consultation and evaluation, the various treatment modalities will be discussed.

The procedure

Breast enlargement is performed by placing an implant under the breast tissue (subglandular) or under the pectoralis major muscle (submuscular). This can be accomplished by either making an incision around the areola (periareolar incision) or in the fold of the breast (inframammary fold incision). The decision as to the best implant location and incision placement for your procedure will be discussed as part of your physical examination and consultation.

Breast augmentations are done on an outpatient basis and the anesthesia is either intravenous sedation or general anesthesia. The surgery typically takes one hour and fifteen minutes and requires you to recover in our facility for an additional hour before going home.

You can expect

You will wake up wearing a sports bra and probably a bandeau bra to help the implant stay in position. You will experience discomfort for the first few days and ice, pain medication and muscle relaxants will be required. Sleeping with your head elevated on two pillows helps decrease the discomfort and swelling. We require that someone stay with you for at least the first 24 hours. Most of our patients are up and around the next day. However, the more you limit your activities the faster you heal and the less the risk of complications. A post operative visit is scheduled for the day after surgery and one week following surgery for suture removal. Breast massage will be started two weeks after surgery to help lessen the risk of scar tissue contracture (capsule). You can anticipate returning to a sedentary job or school after one week. Exercise can be safely resumed 3-4 weeks after surgery.

Since implants are a man-made product and therefore do not last forever, they can deflate or rupture. Because of this, a limited warranty on the implant is available. You need to check with our office about the specifics. Also, this implies that whenever you have breast implants, there is always a possibility of another surgery in the future.

A word about financing

Breast augmentation can be made very affordable through our partners at CareCredit (www.carecredit.com). Patty will be happy to assist you in completing the necessary paperwork for approval.

Insurance notes

Breast augmentation is not considered an insurable procedure.



 

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