About Breast Augmentation
Breast augmentation, also known as augmentation mammoplasty,
is a surgical procedure designed to improve the size and shape
of woman's breast. A woman may desire this procedure for several
reasons:
· To enhance the body shape and contour of a woman who feels
that her breasts are too small
· To correct a reduction in breast size, as often occurs after
pregnancy
· To correct any differences in size between the breasts of
a woman
· The procedure involves placing a saline implant behind each
breast in order to increase a woman's breast size by one or
two cup sizes.
Is breast augmentation for you?
Breast augmentation can enhance your appearance, and by doing
so, improve your self-confidence and can have a very positive
effect on your life. Thus, if you are physically healthy and
are looking for an improvement in your appearance, breast
augmentation may be for you.
Breast Augmentation Possible risks or side effects
Breast augmentation has been done extensively and is now
a relatively straightforward procedure. Although as with any
type of surgery it does carry some uncertainty most of the
problems are minor and easily treated.
The most common problem occurs if the scar tissue around
the implant starts to tighten, causing the implant to feel
hard to the touch. This is known as capsular contracture and
can be treated by removal of the scar tissue or replacement
of the implant. Other less common side effects include: excessive
bleeding, infection, and numbness or tingling in the breasts.
The latest technology in breast augmentation ensures that
such side-effects are kept to a minimum. There is no evidence
that breast implants will affect fertility, pregnancy, your
ability to nurse or cause breast cancer.
A common concern among women considering breast augmentation
is the possibility of the implant breaking. Rupture or leak
of the implant can occur as a result of an injury, or less
commonly, after normal compression and movement of your breast.
If a saline-filled implant were to break, the implant will
deflate in a few hours and the salt water will be harmlessly
absorbed by your body.
Again it is important to be aware of the possibility of these
side-effects and to discuss them with your physician to make
sure you understand them. However, the majority of women do
not experience any of these complications and go on to have
positive and rewarding experiences.
Breast Augmentation Planning and preparing for the surgery
Before the day of your procedure, you will have a consultation
with your surgeon who will evaluate your general health and
explain which surgical techniques are most appropriate for
you, based on your body characteristics. During this evaluation,
your doctor may also recommend a breast lift to address any
sagging of your breasts. It is during this initial consultation
that you should discuss your expectations with your surgeon.
Your surgeon will discuss with you the risks and alternatives
to each procedure you are considering. He or she will explain
the type of anesthesia that will be us during the surgery
and answer any questions you may have about the type of facility
where the surgery will be performed, and the costs involved.
Breast augmentation can be performed either with a general
anesthetic - whereby you will sleep through the entire operation
- or local anesthetic combined with a sedative to make you
drowsy but awake during the surgery.
Before your surgery, your surgeon will give you strict instructions
that you are to follow with respect to eating, drinking, smoking
and taking medications. Your surgeon will also explain the
need to arrange for someone to drive you home after your surgery
and to help you out for a few days.
Breast Augmentation Surgery
The procedure itself can be performed in the surgeon's office
facility, a surgery center, or a hospital outpatient facility.
After administration of the anesthetics the doctor can proceed
with the surgery. The initial incision is usually made in
one of three possible places:
1. the crease where the breast meets the chest
2. around the areola (the dark skin surrounding the nipple)
3. in the armpit
Which of the three locations your surgeon uses depends upon
your anatomy and on minimizing any resulting scars.
After the incision is made, the surgeon will elevate the breast
tissue in order to form a pocket where the implant can be
placed. The pocket is made either directly behind the breast
tissue or underneath the chest wall muscles (the pectoral
muscles). Some surgeons believe that placing the implants
behind your pectoral muscles may reduce the potential for
capsular contracture after the surgery and interfere less
with breast examination by mammogram than if the implant is
placed directly behind the breast tissue. Placement behind
the pectorals however, can be more painful for a few days
after surgery than placement directly behind the breast tissue.
You should discuss these alternatives with your surgeon and
decide together which placement is right for you.
Upon insertion of the implants, the surgeon will ensure that
the implants are properly centered beneath your nipples. The
incisions are closed off with stitches and may also be taped
with gauze bandage for greater support. The entire procedure
usually takes one or two hours.
After Breast Augmentation Surgery
Most people feel slightly tired and sore for a few days following
the surgery; however most of your discomfort should be gone
by one to two days. You may experience a burning sensation
in your nipples for about two weeks, but this will subside
as bruising fades. Also, your doctor may be able to prescribe
you with medication to control pain that lingers for more
than a couple of days.
After a couple of days, your doctor will make an appointment
for you to have your gauze dressings removed. At this point
you may be given a surgical bra to wear as directed by your
physician. One to two weeks after your surgery your stitches
will be removed. After this, the swelling in your breasts
will begin to disappear. Your breasts should be at their proper
size by three to five weeks.
Returning to Normal Activities after Breast Augmentation
Depending on the level of activity required for your work,
you should be able to return within a few days of your surgery.
However, since your breasts will probably be extra sensitive
to direct stimulation for two to three weeks, you should avoid
much physical contact and exercise at first. After that, exercise
and breast contact is fine as long as your breasts are no
longer sore.
Although your scars will never disappear completely, you
will notice that they will begin to fade after a few months.
At the beginning they may be firm and pink but will fade soon
after.
If you are in the age group for whom routine mammograms are
done, you should continue with these even after breast augmentation.
The only difference is that the technician may have to use
a different technique to ensure a reliable reading is received.
Maintaining regular examinations by your surgeon as well as
continuing with your routine mammograms will ensure that any
potential complications can be detected and treated early.
The New You
It is important to remember that your decision to have this
procedure is a personal one; one that not everyone will agree
with. The most important thing is that it is what you need
to help you meet your goals. You will probably find that you
feel very satisfied and exhilarated with your new fuller appearance.
If you feel better about how you look, and you probably will,
then your surgery was a success.
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