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More about Breast Augmentation |
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What is Breast Augmentation?
Visit any gym in Los Angeles these days, and you’ll see so many women with beautifully proportioned bodies! Having a lovely body and full breasts is no longer a luxury that is limited to celebrities. Thanks to cosmetic surgery, and advances in Breast Augmentation and Enhancement, all women can now enjoy fuller and sexier breasts.
Women no longer need to stuff their bras with Kleenex before social occasions, wear oversize padded bras, or go to so many lengths to achieve a figure that they can feel better about. They can now attain fuller, sexier, and more attractive breasts that boost their self esteem. This is achieved very safely through Breast Augmentation.
What Are Some of the Reasons for Choosing Breast Augmentation?
Small Breasts
Imagine reaching puberty, yet remaining flat-chested, or developing only very small breasts – perhaps barely an "A" cup. In a culture such as ours where breast development is a sign of becoming a woman, many women who develop only very small breasts may feel inadequate or unwomanly. This can adversely affect her relationships – romantic, in the workplace, and even with her friends.
Pregnancy and Breast Feeding
For most women, having children is the most joyous and fulfilling experience of their lives. Yet, pregnancy and breast feeding take an inevitable toll on a woman's body, causing breasts to shrink, lose volume, and sag. This leaves many women longing for more youthful and full breasts. This becomes more frustrating when women realize that exercise and firming creams don't work.
Weight Loss
In an attempt to gain a beautiful figure by shedding their excess weight, many women find instead that they lose breast volume and size. This becomes a dilemma. In fact, it is very unusual to find a thin and petite woman who is blessed with large breasts. Except in those who have had breast implants!
Uneven Breasts-Asymmetry
Having uneven breasts, or breast asymmetry, is very common. It is a myth that favoring one breast while breast-feeding can lead to breast asymmetry. Rather, this is something that most women are born with, although changes through pregnancy can magnify the difference between the breasts. This makes sizing bras as well as being able to wear braless clothes a challenge. In extreme cases, it causes much grief and stress for a young woman who just wants to look normal! |
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Where Are the Implants Placed with Respect to the Breast?
Placement of breast implants, either under or over the Pectoralis Major or chest muscle has important consequences.
What Types of Breast Implants Are Available for Breast Augmentation?
There have been varying viewpoints throughout the years about the best kind of implant to use for Breast Augmentation, and health controversies about one kind of implant that dominated news reports in the 1990's. Many women who were interested in having fuller breasts were fearful to do so because of these reports. The following describes the different kinds of implants that are available, and addresses some of the concerns regarding differences between breast implant fill material, shape, surface texture, size, manufacture, and use of implants.
The saline implant has an exterior sack made of solid silicone, which is filled with a sterile saline solution — like the salt-water solution that is administered for intravenous fluids. One of the advantages of this solution is its safety. Should the implant for some reason leak, the saline just gets absorbed by your body, as would the intravenous fluids used during, and after surgery. Yet another advantage of the saline implants is a very low infection rate, which is usually less than one to two percent.
Another advantage of the saline implant is that it is filled with fluid after being inserted in the breast, therefore requiring only a small incision. This is in contrast to silicone implants which are pre-filled. Also, because saline implants are filled after insertion, their final volume can be adjusted making it easier to correct for existing breast asymmetry.
- Silicone Breast Implants: These are implants that are filled with a silicone gel. More than 1.5 million American women currently have silicone breast implants. Some people feel that the silicone implant results in a more natural appearing breast. However, about 15 years ago, the safety of these implants was questioned in numerous media reports, and through the filing of numerous lawsuits again the implant manufacturers. Numerous afflictions, including autoimmune diseases and hardening of the breasts, were attributed to the leakage of silicone into the bodies of women who had these implants
- Cohesive Gel Implants: Cohesive gel implants are silicone implants that are filled with a thicker silicone gel that holds its shape and form like a "gummy bear." If you cut into a standard gel implant, the liquid silicone gel escapes from the implant shell. In contrast, when you cut into a cohesive gel implant, the implant itself maintains its shape and integrity. These shaped implants are designed with a focus upon a natural look, rather than for enlargement. Furthermore, gummy bear implants maintain their shape in an upright position that decreases the incidence of folding of the implant shell or rippling. If a cohesive gel implant ruptures, it maintains both its shape and integrity.
One disadvantage of cohesive gel implants is that they require a slightly larger incision for insertion. Because of this, insertion is usually performed through an incision in the fold under the breast, or occasionally through an incision around the areola. Cohesive gel implants are very difficult to insert through an incision in the armpit. Finally, gummy bear implants were approved in late 2006 by the FDA for use in the United States, but their use is limited to certain age, and patient require strict follow-up with MRI to look for silent rupture.
- Silicone Breast Implants: These are implants that are filled with a silicone gel. More than 1.5 million American women currently have silicone breast implants. Some people feel that the silicone implant results in a more natural appearing breast. However, about 15 years ago, the safety of these implants was questioned in numerous media reports, and through the filing of numerous lawsuits again the implant manufacturers. Numerous afflictions, including autoimmune diseases and hardening of the breasts, were attributed to the leakage of silicone into the bodies of women who had these implants
- Cohesive Gel Implants: Cohesive gel implants are silicone implants that are filled with a thicker silicone gel that holds its shape and form like a "gummy bear." If you cut into a standard gel implant, the liquid silicone gel escapes from the implant shell. In contrast, when you cut into a cohesive gel implant, the implant itself maintains its shape and integrity. These shaped implants are designed with a focus upon a natural look, rather than for enlargement. Furthermore, gummy bear implants maintain their shape in an upright position that decreases the incidence of folding of the implant shell or rippling. If a cohesive gel implant ruptures, it maintains both its shape and integrity.
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Another advantage of the saline implant is that it is filled with fluid after being inserted in the breast, therefore requiring only a small incision. This is in contrast to silicone implants which are pre-filled. Also, because saline implants are filled after insertion, their final volume can be adjusted making it easier to correct for existing breast asymmetry.
How Will I Know What Size to Choose?
Many women don't have a clear idea of how different cup sizes actually look. They often say that they "don't want to become too big and only want to be about a size C," At the same time, they will show their cosmetic surgeon their "ideal" photo of a woman with a Size D cup.
To make the right choice for you, you should not only consider breast size. The most important factor is how does that breast size appears on a particular frame and a particular height. Proportionality is the final arbiter of the overall appearance of the breasts. This being said, first consider the factors that should not be a part of your decision.
These include basing your decision on the proportions of models and celebrities who have body proportions very different from your own. Do not do so by comparing yourself to your friends. And don't leave it all up to your cosmetic surgeon. This is a joint decision that you will make with his or her expert input about your particular physique.
Some surgeons or web sites suggest that you fill your bra with different size bags of sand, grain, or water in order to find the right size. It is actually more effective to have patients try on actual implants in a special bra during their consultation. This gives them a more realistic estimate of the final result, while also giving the cosmetic surgeon a clearer understanding of their goals. |
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What information should you consider before proceeding with breast augmentation?
During your consultation at the California Center for Plastic Surgery, Dr. Younai will review your options for different types, shapes, textures, and sizes of saline or silicone breast implants, as well as, different approaches for breast enlargement.
Breast implants can be inserted via an armpit incision (transaxillary), areolar/nipple incision (periareolar), breast fold incision (inframammary), or belly button incision (transumbilical). While an armpit or transaxillary incision scar might not be very noticeable, it usually results in the breasts being too far apart, causing lack of a strong cleavage. It also carries a higher risk for implant displacement and breast asymmetry.
An inframammary or periareolar approach can usually produce the nicest cleavage and the most precise placement of breast implants. While the transumbilical approach is marketed by some plastic surgeons as "scarless breast augmentation," indeed it is not so! I have personally consulted women who were not pleased with the belly button scar; especially since they were no longer able to wear cut-off tops. The transumbilical route of breast implant insertion also carries an increased surgical risk of possible damage to internal organs if the inserting metal rod is misguided.
What Kind of Recovery Follows Breast Augmentation? Dos and Don'ts!
Breast Augmentation generally takes between one and two hours, as an outpatient surgery. Afterwards, you will spend some time in the Recovery Room of the surgical facility. When you wake up, you will have gauze dressing over your breasts, and a support bra our cosmetic surgeon will provide you with specific instructions for your recovery, including what medications to take and how to limit your activities.
- After surgery the best comfortable position for the first 2-3 days is to be lying semi-reclined. Elevation of the upper body and chest reduces the swelling and aching of the breasts.
- After one week you can sleep on your sides, and after two weeks, on your abdomen.
- I encourage you to be mobile and not to be sedentary in order to reduce the chance of forming blood clots in your legs.
- Some women develop back pain or muscle spasm as a result of sleeping propped up. If you experience this put a heating pack on your back and have your family member massage your back.
- Take your nausea medications about one hour before taking your antibiotics and pain medication in order to lessen the extent of nausea.
- It is good to stay well hydrated, but avoid drinking too much plain water because it can make you more nauseated.
- Avoid eating greasy or spicy foods for the first three days, and have anti-acids available if you get an upset stomach.
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