Augmentation mammoplasty, Breast enlargement, Breast enhancement,
Breast implants
Breast augmentation is a surgical
procedure to increase or enhance the size and shape of a woman’s
breasts. This augmentation is achieved by surgically placing a saline
or silicone gel-filled implant in each breast to push the breast tissue
forward.
Implants vary in shape, size, and texture and are
surgically inserted into the body. Most women choose implants made of
the new cohesive silicone gel. They are generally considered safe and
some manufactured brands have been approved by the U.S. Food and Drug
Administration. Some physicians suggest that saline-filled implants
are preferred over silicone gel implants for very athletic women.
To insert the implant, the physician lifts the breast
tissue and creates a pocket for the implant either behind the muscle
or behind the breast tissue. Sometimes an endoscope is used. The incision
through which the implant is inserted is usually under the arm or within
the lower fold of the breast. Occasionally, physicians may insert the
implant at the nipple or through the belly button.
General anesthesia is almost always used with breast
augmentation surgery, especially for placements under the muscle. This
allows the patient to sleep through the ordeal. Local anesthesia with
sedation may sometimes be used for an over the muscle placement.
The surgery takes between one and three hours depending
on the placement of the implant and the skill and experience of the
surgeon.
After surgery, patients can expect a variety of
pains and sensations. These symptoms are only temporary. Some discomforts
may pass within days while others might take a few weeks.
Although most patients are happy with the results
of their breast augmentation surgery, there are a small number of women
who are not. Wrinkling, asymmetry, shifting, incorrect size, unanticipated
shape, implant palpability, or scar deformity are some of the causes
of cosmetic dissatisfaction.