Breast Augmentation – How the Procedure Works and Is It Right for you?
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When you ask a woman if you could change one thing on yourself what would it be? A great majority will stated they would like to have larger breasts. Breast enhancement surgery can encompass a variety of different procedures for a patient depending on their goal. These surgeries can enlarge, lift, reduce or reconstruct after a trauma or catastrophic illness.
Breast augmentation is a procedure to make the breasts larger and or fuller. Implants or fat transfer can achieve this goal. The surgery will restore volume that may have been lost after weight loss or pregnancy or to make a fuller appearance that did not occur during the normal growth process. Augmentation can also be performed in combination with reconstructive surgery after a trauma or a catastrophic illness such as cancer.
The augmentation is accomplished by inserting implants either submuscularlly or subpectorally. Both of these terms refer to the implants being placed under the chest muscle. A submuscular augmentation gives a more natural appearance with less risk of the implant being noticed under the skin. An alternative to this is to insert the implant subglandularly or above the chest muscle. A subglandular augmentation is often completed for women with a fair amount of breast tissue already and can be done alone or as part of a breast lift.
There are four techniques available to the surgeon and patient for insertion of the implant. The inframammory crease is when the incision made is placed under the fold of the breast. An areolar incison is when an incision is made around the nipple. Transaxillary incisions are made within the crease of the underarm. The transumbilical breast augmentation is also known as a TUBA. The TUBA has the incision made inside the belly button. The implants are then guided up through the abdomen with a scope type instrument and placed above the muscle.
The breasts are made larger with implants. Implants are made of silicone or saline. Silicone implants are filled with a silicone gel. These gel filled devices tend to be more costly however, they can have a more realistic look and feel to them. Saline implants are inserted as an empty shell then filled to the desired size with sterilized normal saline prior to the completion of the surgery. Both silicone and saline implants come in several sizes and shapes for a customized fit that is agreed upon by both the patient and the surgeon prior to the surgery.
A breast lift or mastopexy is a procedure that raises and firms the breasts by removing excess skin, reshaping and tightening the surrounding tissue. Lifts are usually indicated after childbirth, weight loss or aging. To achieve the desired look, the surgeon elevates the breast on the chest wall by removing tissue and then repositioning the nipple and areola. Scarring can be minimal depending on how much needs to be lifted and the style used. The types of breast lifts include a crescent, donut or keyhole lift. A breast lift can be done alone, or in conjunction with an augmentation for added fullness.
Breast reconstruction may be done after illness or injury where the breast tissue was removed, as in the case of a cancer. The surgeon recreates or makes a new breast with implants or fat injections into the areas. Depending on the removal surgery this may also involve rebuilding a nipple and areola to restore the body to a more “normal” state.
There are several reasons for having a breast augmentation. Consulting with a qualified cosmetic surgeon will help you to determine which augmentation procedure is right for you.
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