February 5, 2012      


Breast Enlargement



Women who want to add some extra oomph to their breasts often opt for a breast enlargement surgery. Breast enlargement enhances the size and shape of the breasts in a surgical process that places breast implants. Breast enlargement is done not only to improve the size of small breasts but also to aesthetically reshape them after a weight loss or pregnancy; to add proportion to breasts especially when one breast is larger or higher than the other; to restore breasts in a breast cancer surgery (mastectomy).

THE PROCEDURE

A breast enlargement, medically known as augmentation mammoplasty, inserts implants under the breasts. The implant is placed through the surgical incision either in the breast tissue or the chest muscle under the breast.




Such a surgery can be dome in combination with a breast lift (mastopexy) to boost sagging or limp breasts and uplift the nipple and areola. Both the processes are done as easy outpatient procedures of 1 to 2 hours, with a maximum of a nights stay in the hospital in complicated cases. It requires a general anesthesia, though in many cases it might simply require a local anesthesia or an epidural.

TYPES OF IMPLANTS

A breast implant is a soft silicone shell containing any of the three material listed below:

Saline (saltwater) solution
Silicone gel
Methylcellulose gel
Hydrogel (not used in the United States now)

Saline solution is lately the most common and safest option, since it can be safely absorbed by the body if the implant leaks or breaks.

POST SURGICAL CARE AND RECOVERY

One must wear a gauze tape over the stitches, an elastic bandage or a special bra (all day) right after the surgery. Stitches are removed in 7 to 10 days. Medicines are prescribed to relieve the swelling, bruising, soreness and burning that generally occurs after the surgery. Normal activities can be resumed soon but with a ban on heavy lifting or vigorous exercises. Though there is going to be some scars after surgery, it is generally in less visible areas and also fade out after sometime. A combination with a breast lift results in more visible scars.

COMPLICATIONS

Breast implants have the following risks:

Difficulty in detecting breast cancer on a mammogram
Capsular contracture or hardening of tissues around the implants
Differences and changes in size or shape of the breasts after surgery
Change or damage of implants leading to leaks or rupture
Infection (rare)
Blood clots under the skin or hematoma (rare)
Excessive scars (rare)
   

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