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Candidates: Women
who feel that her breasts are too small, when clothes fit well around the hips but
are too large around the bust line. This can be due to the fact that, the breasts
have not developed properly, or evenly, leaving one breast smaller than the other
or that the original shape and volume may have been lost due to weight loss, childbirth
or aging.
Objective: To enhance the size of the breasts using either silicone gel or
saline implants.
Incisions and technique: There are several choices either an incision of
one to two inches underneath the breast along the fold, a half moon following the
lower edge of the areola, or an incision within the armpit. Whether the implant
will be placed on top of or underneath the chest muscle will depend on each case
and on the type of implant chosen. After the incision a pocket is made into which
the implant will be inserted, either behind the breast or under the pectoral muscle.
If the breasts are flaccid a breast lift may be recommended in conjunction with
the augmentation.
Surgical Time: 1 to 1 and half hours.
Anesthesia: Local anesthesia with sedation is preferred, general anesthesia
can also be used.
In/Outpatient: Usually performed on an outpatient basis.
Recovery period: There will be temporary soreness and sensitivity, swelling,
a change in nipple sensation and possibly bruising for two to three weeks.
Possible Complications. Nipple or breast sensation may change, usually temporarily.
Surgical removal and replacement of the implants may be required to treat capsular
contracture, which can provoke breast hardness.
Recovery Time: A return to work, if not physically strenuous, is possible
in a few days. The scar will fade after several months but can be up to a year or
more in some cases. Dressings will be changed over several days immediately post
operatively. Showering is permitted between three and seven days following surgery,
and stitches are removed after 7 days. A support bra is worn for a month, driving
is permitted after two weeks and exercise after two to three weeks.
Details: A computer consultation helps tremendously when choosing the appropriate
new breast size and shape. The patients' image can be seen with various breast sizes
and the location of the incision is chosen.
Duration of the Results: Results are variable but usually long-lasting, however
implants may require removal or replacement. Mammograms are routinely prescribed
annually after the age of 40. Significant weight loss can affect the result. Pregnancy
and breast-feeding can alter breast size in an unpredictable way, although breast
implants do not affect pregnancy or the ability to breast-feed. If, with aging,
the appearance of the breasts change, it is possible to undergo a breast lift to
improve contour.
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