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Breast Augmentation: What Exactly Is It

breast-augmentation-26Modern day breast augmentation started in 1963 together with the debut of a silicone gel-filled implant altered in a variety of ways within the following years and produced by the Dow Corning business. Prior to 1963, breast augmentation was done using liquid silicone injections or silicone, polyvinyl, polyurethane or ivalon sponge substances to the breast tissue. Now, breast augmentation is realized by putting a silicone “bag” filled with salt water either behind the prevailing breast tissue or behind the muscle of the chest wall. Girls with ptotic (drooping) breasts as defined from the nipple being lower in relation to the crease or fold beneath the breast, will probably need one more procedure to lift the nipple and eliminate the extra loose skin. The augmentation and breast lift procedures might be joined in a single surgery. Implants of different sizes can be utilized to attain better symmetry when one breast is bigger compared to other. Inside my practice, girls wanting breast augmentation normally fall into two classes – Young women in their own early 20’s who’ve always had small breasts and want to be one to two cup sizes bigger; and girls in their 30’s, normally with several kids, that have noticed a drop in their own breast size after childbirth and nursing who want a return to their own pre-pregnancy breast shape and size.

The Breast Augmentation Process After sufficient sedation given by means of an anesthesiologist, a solution containing a local anesthetic and also a drug to minimize bleeding is injected to the surgical site and an incision is created either in the fold beneath the breast or in the junction of the pigmented skin of the areola together with the conventional breast skin. Some surgeons put the incisions in the axilla (armpit) or round the navel (bellybutton). I don’t use navel incisions or the axilla. A space (pocket) is subsequently developed by separating the breast tissue in the underlying muscles or by elevating the pectoralis major (chest muscle) from the ribs. Whenever the choice was designed to put the implant supporting the muscle, I also elevate the serratus anterior muscle (in the side of the torso ) so the saline-filled implant will soon be entirely covered by muscle. The correct size implant is subsequently put in the pocket and stuffed with sterile saline solution after all bleeding is controlled. The incision is then closed, a light dressing is applied on the incision along with a soft bra is set.

The Healing Most patients will need 5 to 7-days before returning to work to recuperate from surgery. Strenuous action is deterred for at least 2 weeks. In case the implant is positioned behind the muscle, it might take provided that three months for the muscle to relax and for the breast to “settle” into its final shape. Complications and hazards No surgical procedure is risk free. These hazards /complications are linked with breast augmentation: disease, asymmetry (one breast appears different compared to other), numbness (loss of sensation in breast skin and susceptibility in the nipple), hematoma (excessive blood accumulation enclosing the implant), pulmonary embolism (blood clot to lung), failure of a lung (pneumothorax), and passing. The most frequent complications are capsular contracture (shrinkage of the scar tissue [which encompasses all implants] causing an alteration in the design of the breast, excessive firmness and at times pain) and rupture of the implant or leakage of saline (from a tiny hole in the implant or a malfunction of the valve used to fill the implant) which cause the implant to deflate. These two complications require surgery to fix the difficulty.