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A woman's breasts are one of the focal points of sexual attention. Both fashion and society in general combine to dictate the acceptable appearance of the breasts, and, naturally, a large segment of the female population will not be within these norms.
As with the face, a sense of balance is important with the breasts. With surgery, what nature has done either through time or by accident of birth can be corrected, and results can be dramatic.
Women want to alter the shape and size of their breasts for many reasons and should tell their physician what they desire before embarking on surgical procedures. The reason for a breast change will play an important role in whether or not the outcome will be satisfactory. It is unrealistic to expect a breast change to maintain or establish an interpersonal relationship, obtain a job promotion, save a marriage, or change a lover's behavior. The decision to change the breasts should be well thought out and should be self-motivated.
Women typically seek breast enlargement to improve their self-image and to look better both in and out of clothing.
Saline implants are currently the most popular type of implant. A saline implant is made of a salt and water solution encased in a bag made of silicone elastomer. The saline can leak through the silastic bag but will not harm the body because the salt and water are simply absorbed. The only concern with the leak is that the implant may decrease in size over time.
Size is determined by the woman's desires and surgical possibilities. The size of the pocket in which the implant is placed is determined by the size of the breast and chest wall.
The incision for breast enlargement may be made in the inframammary fold under the breast, around the nipple, the outer edge of the armpit or directly across the nipple areola. The most common incision is a cut 4 centimeters in length along the inframammary fold. This makes it easy to create the implant pocket under the muscle, does not disturb the breast tissue too much and the resulting scar is inconspicuous.
Once the implant is in place, the incision is usually closed with absorbable sutures and skin tapes. It is then covered with a light dressing, and a soft elastic bra is placed over the breasts.
Some surgeons ask their patients to massage the breasts 3 to 4 times a day during the postoperative period.
After one week most swelling and bruising of the breast has subsided. It is not advisable to purchase a new bra in a larger size for at least 3 weeks after surgery to ensure that all swelling has disappeared. A final check of the breast is made at 6 weeks.
Augmentations of the breast take approximately two hours. The patient returns home with a responsible adult on the day of the surgery.
Some discomfort may be experienced over the breast and the front of the armpit for approximately 3 or 4 days. This discomfort gradually subsides and by the seventh day most discomfort disappears, although occasional shooting pains may be felt in the breast area. This might occur for up to 6 months following surgery, but the frequency gradually decreases as the breasts heal.
All surgery has potential complications. The degree of risk must be weighed with the desired outcome. A breast augmentation can cause the following problems:
Breast hematoma, when blood collects in the implant pocket. One or both breasts swell and marked pain and tightness is felt as well. If a hematoma is present, the blood is drained. As drainage occurs the breast becomes soft again.
Capsular contracture, occasionally, excess scar tissue develops around the implant resulting in a hard, often tender breast. This may progress to the point where a second operation through the same incision, to remove the fibrous tissue, is necessary.
Decreased breast sensation may occur for the first 3 to 6 weeks following surgery. Usually, normal sensation returns.
Infection is such a rare complication of breast surgery that most surgeons do not place their patients on pre- or post- operative antibiotics.
There is a scar approximately 4 cm long in the inframammary fold, around the nipple or in front of the armpit.
Most women increase one or two breast sizes, that is, from a 34A to a 34B or C or from a 36A to a 36B or C. A larger breast may be made, if so desired.
Normal activity is possible soon after a breast augmentation, provided it does not cause discomfort and pain. A car may be driven the day following surgery, although a standard shift is often uncomfortable. The rule of thumb is: if it hurts, do not do it!
Both submuscular and subglandular breast implants are behind the breast tissue, which means they are out of the way of the breast's most important function, that of nurturing a baby. The breast responds to pregnancy induced hormones and enlarges and produces milk. With the increased volume and stretching of the breast during pregnancy, some loss of breast posture may occur, just is it does in the breast which is not augmented.
Currently, there is no scientific evidence to suggest that the incidence of cancer increase with the introduction of implants into the breasts.
The only alternative to breast augmentation is to wear a padded bra. Exercise will not increase the breast size itself. The muscle beneath the breast will enlarge with certain types of exercises, which, in effect, increases breast projection but not breast size. Any other external techniques to increase the breast size is advertised in some magazines are a hoax and not valid.
Board certified cosmetic surgeons with a background in plastic surgery perform breast augmentations. |