Augmentation Mammoplasty (Breast Augmentation)

Breast augmentation, or breast implants, are performed to increase the size of the breasts reshape them and also lift slightly sagging breasts. This procedure can be performed with incisions made in various areas, including the belly button, the breast fold, the armpit or the nipple-areolar region. The implants can be silicone gel implants or saline (salt water) implants. Currently, in the USA, silicone implants are not FDA approved for cosmetic surgery, therefore, the most common implants are saline. The surgery consists of creating a pocket to place the implant in. The pocket can either be subglandular, below the breast tissue, or submuscular, below the chest muscle. The preferred technique is the placement of the implant under the muscle. The result is more superior, because the breasts look more natural, feel more natural, do not sag after several years and do not develop as many complications. There are about 15 sizes of the implant with multiple shapes. However, the most common shape is a moderate profile implant. The particular size of the implant for a patient depends on several factors, including the patient’s original breast size and shape, degree of sagging, loose skin or stretch marks, the chest size, height, weight, and age. All saline implants shrink in size within 6 months to 2 years after surgery by about 25%. Therefore, the implants look bigger the first few months before they settle into place and shrink to the desired size. The short term recovery is one week. Sutures are removed after one week. The patients must wear a tight sport bra for the first month to keep the implants in place and expedite the healing process. This procedure is performed in an outpatient surgery center under general anesthesia for approximately one and a half hours. Risks and complications include bleeding, infection, implant displacement and capsular contracture which are all extremely rare especially for saline implants placed under the muscle.

 

Breast Augmentation

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