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Breast Augmentation Takes What You Have And Makes It Larger

By Dave Stringham
Sep 25, 2009
Breast augmentation takes what you have and makes it larger. The goal of the procedure is to build a good-looking breast, one that looks, acts, and feels like a natural breast. The procedure increases the size and the projection of the breast. It does not change the basic shape of the breast; nor does it address breast sagginess (ptosis) adequately.

The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate.

Breast augmentation is performed under general anesthesia in a hospital on an outpatient basis or in a surgical suite. Many plastic surgeons' methods of inserting and positioning the implants is usually sub-pectoral, that is, under the pectoral muscle in contrast to sub-glandular or on top of the muscle.

This incision is usually placed in the breast fold and the implant beneath the pectoralis major muscle. Actually, any incision can be used, whether it is the fold, nipple/areola, or armpit (axilla).

Working through an incision in the breast fold, the skin, breast tissue and pectoral muscle are lifted to create a pocket. The implant is then centered beneath the nipple. The size is determined by your height, weight, reproductive history, skin envelope, rib cage and muscle structure; it is not an arbitrary decision of yours or of your plastic surgeon's. During the consult you will determine the best look for you. Your surgeon will then apply this information at the time of surgery to determine the best size of implant that will achieve that "look" as best possible.

Placement beneath the muscle is more painful for the first few days after surgery, but is usually the best procedure to use with saline implants. The larger sub pectoral pocket gives a more natural look; feel and movement to the breast and you are less likely to experience wrinkling, especially at the upper pole of the breast. The procedure is done on an outpatient basis and takes approximately two hours.

Following surgery, one is likely to feel tired and sore for a few days, but the patient will be up and around in 24 to 48 hours. The patient must restrict heavy duty exercising for two to three weeks after surgery. It is recommended that no bra or support be worn after surgery for about 2 months, which permits the implants to settle to their desired position.

Most of the discomfort will be controlled by medication. The swelling in the breasts may take three to five weeks to disappear. Your final result will be at about 3-6 months post-operatively. It is important to remember that this is a process and it takes time for the final desirable result to appear. The breasts will probably be sensitive to direct stimulation for two to three weeks, so one should avoid sexual contact. After that, breast contact is fine as the tenderness abates. The scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, however, the scars will begin to fade, although they will never disappear completely.

Massage (implant displacement exercises): This is the best tool that the patient possesses to prevent capsule formation. Massage helps to keep the pocket open and stretched out. It needs to be done a minimum of 6-8 times per day on each breast for the first 2 months after surgery, then once a day forever. For the first week after surgery plastic surgeons recommend massage every hour while awake: this will optimize your result. It is simply the movement of the implant through the newly formed pocket.
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