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|Breast Augmentation
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There
are very few procedures in plastic surgery that have such a significant
impact on a woman's self-image as breast augmentation.
Also known as augmentation mammoplasty, the procedure involves placing an
implant behind each breast to increase it's natural size and enhance it's
shape. Women who undergo breast augmentation feel that their breasts are
too small and may not be in proportion with the rest of their body. They
are often uncomfortable wearing certain clothing styles and may feel
self-conscious in a bathing suit or tight-fitting top. Often women want
the procedure to restore their natural breast volume, which may have
decreased as a result of pregnancy, weight loss, or aging. The best
candidates for breast augmentation are women who are in good health, have
completed breast development, and are emotionally mature and have
realistic expectations.
The Implants
Most women undergoing breast augmentation surgery receive saline-filled
implants, which consist of a silicone rubber shell filled with sterile
saline (salt water). These implants have been used successfully in
thousands of women for over thirty years. Although rare, problems can
occur with implants such as deflation or hardening (capsular contracture).
It is important that you fully understand the risks as well as the
benefits of breast augmentation. Dr. Archer will discuss these issues with
you in detail at the time of your initial consultation.
Silicone implants are available also. Many women prefer the feel of
these implants over saline.
The Surgery
Breast augmentation surgery is performed as an outpatient. Usually the
procedure is
carried out under general anesthesia.
One of the advantages of a saline-filled implant is that because it is
filled after insertion, only a small incision is needed. The incision can
be placed in one of three locations: underneath the breast just above the
crease, around a portion of the areola, or within the armpit. A pocket is
then created into which the implant is inserted. This pocket is either
directly behind the breast tissue or beneath the pectoral muscle of the
chest. Individual factors and personal preferences will help you and Dr.
Archer to determine your appropriate breast size, the location of the
incisions, and whether the implants should be placed on top of or underneath the muscle.
Following surgery, you will be asked to keep the area dry for 5 days. This
is important to minimize the risk of infection. Most women return to
normal daily activities within one week, but are asked to avoid strenuous
exercise and heavy lifting for 4 weeks. The new, enhanced shape to your
body will be evident immediately after surgery. Like many of our patients
who have breast augmentation, you may feel a boost in self-confidence, and
find it easier to wear certain clothing styles. In the following months,
you will be asked to return for periodic check-ups, so that Dr. Archer can
assess your long-term results and address any questions that you may have.
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