Breast augmentation / Breast Implant procedures
Breast augmentation surgery / Breast Implant Surgery can be performed in a surgical center or hospital outpatient facility. You usually go home the same day, but on occasion you might require a hospital stay. Breast augmentation is usually performed under general anesthesia.
The basic procedure of this breast surgery is inserting the breast implant . To do this the surgeon makes an incision in the breast area .
There's 3 places where the incision can be made :
In the breast fold
An inframammary incision runs along the crease between the underside of your breast and your chest.
Around the nipple
A periareolar incision follows the natural line of the dark skin around your nipple (areola). This incision may leave a less noticeable scar than does the inframammary incision, but it might also impact your ability to breast-feed or affect sensation in your nipple.
Under the arm
The axillary incision is made in your armpit.
Breast implants may be smooth or textured, round or shaped like a teardrop. They consist of a silicone shell filled with salt water (saline) or silicone gel.
The smooth surface implant requires a large pocket and is associated with a 10% incidence of capsule contracture (tightening of the scar around the implant causing firmness or hardness). The smooth implant has only an occasional occurrence of rippling or wrinkling which gives the overlying skin a wavy appearance.
A textured (roughened surface) implant is associated with a 3% incidence of capsule contracture but has a 7-9% occurrence of rippling.
For a number of years, only saline-filled implants were available for cosmetic use. But in November 2006, the Food and Drug Administration (FDA) approved silicone gel-filled implants for breast augmentation. This means that you now have a choice between saline-filled or silicone gel-filled breast implants. Your doctor can help you decide which type would be better for you.
After making the incision, the surgeon lifts your skin and tissue to create a pocket either behind the breast glandular tissue or behind the muscle in your chest (pectoral muscle).
The Implant Positions :
The easiest surgical placement of the implant is under the breast tissue (submammary).
A slightly more difficult surgical placement is under the chest muscle (submuscular or subpectoral) but this position is associated with a lower incidence of capsule contracture and slightly less occurrence of rippling. There is more pain postoperatively than with a submammary placement.
The surgeon inserts the implant and centers it behind your nipple. Saline implants, when inserted, are empty. The surgeon fills the implant with sterile saline once it's in place. Silicone implants are already filled at the time they're placed.
Implant Size
The ultimate size of the breast is mainly a personal decision by the patient. Cup size is an inexact estimate of the final size since cup sizes vary with the bra manufacturer and how tight or loose the patient wears her bra as well as how much breast tissue is already present. Describing the preferred cup size does aid the surgeon, but it also helps to look at pictures or photos to show the physician the desired final look.
The most accurate method of estimating the implant size (in ounces) is to fill a plastic bag with measured amounts of water and place in a bra with the patient's estimated cup size. One can see with the bra on and covered by a sweater what the final result will approximate.
Breast augmentation surgery / Breast Implant Surgery can be performed in a surgical center or hospital outpatient facility. You usually go home the same day, but on occasion you might require a hospital stay. Breast augmentation is usually performed under general anesthesia.
The basic procedure of this breast surgery is inserting the breast implant . To do this the surgeon makes an incision in the breast area .
There's 3 places where the incision can be made :
In the breast fold
An inframammary incision runs along the crease between the underside of your breast and your chest.
Around the nipple
A periareolar incision follows the natural line of the dark skin around your nipple (areola). This incision may leave a less noticeable scar than does the inframammary incision, but it might also impact your ability to breast-feed or affect sensation in your nipple.
Under the arm
The axillary incision is made in your armpit.
Breast implants may be smooth or textured, round or shaped like a teardrop. They consist of a silicone shell filled with salt water (saline) or silicone gel.
The smooth surface implant requires a large pocket and is associated with a 10% incidence of capsule contracture (tightening of the scar around the implant causing firmness or hardness). The smooth implant has only an occasional occurrence of rippling or wrinkling which gives the overlying skin a wavy appearance.
A textured (roughened surface) implant is associated with a 3% incidence of capsule contracture but has a 7-9% occurrence of rippling.
For a number of years, only saline-filled implants were available for cosmetic use. But in November 2006, the Food and Drug Administration (FDA) approved silicone gel-filled implants for breast augmentation. This means that you now have a choice between saline-filled or silicone gel-filled breast implants. Your doctor can help you decide which type would be better for you.
After making the incision, the surgeon lifts your skin and tissue to create a pocket either behind the breast glandular tissue or behind the muscle in your chest (pectoral muscle).
The Implant Positions :
The easiest surgical placement of the implant is under the breast tissue (submammary).
A slightly more difficult surgical placement is under the chest muscle (submuscular or subpectoral) but this position is associated with a lower incidence of capsule contracture and slightly less occurrence of rippling. There is more pain postoperatively than with a submammary placement.
The surgeon inserts the implant and centers it behind your nipple. Saline implants, when inserted, are empty. The surgeon fills the implant with sterile saline once it's in place. Silicone implants are already filled at the time they're placed.
Implant Size
The ultimate size of the breast is mainly a personal decision by the patient. Cup size is an inexact estimate of the final size since cup sizes vary with the bra manufacturer and how tight or loose the patient wears her bra as well as how much breast tissue is already present. Describing the preferred cup size does aid the surgeon, but it also helps to look at pictures or photos to show the physician the desired final look.
The most accurate method of estimating the implant size (in ounces) is to fill a plastic bag with measured amounts of water and place in a bra with the patient's estimated cup size. One can see with the bra on and covered by a sweater what the final result will approximate.
Remember the Risks of Breast Implant... before you decide to do this breast surgery and make sure you aware each procedures
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