One of the most popular forms of plastic surgery - the third most popular procedure performed in the United States for American women today - is breast augmentation. Technically known as augmentation mammoplasty, breast augmentation is designed to enhance or alter a woman's breasts through the use of artificial implants. There are many reasons that women are interested in changing the size or shape of their breasts, ranging from reconstructive necessity following a mastectomy to enhancing or balancing the natural contours of the body.
Breast augmentation is a popular choice for women who are in good physical health, psychologically stable, and want to improve their appearance. A healthy, informed choice about breast augmentation could lead to an increase in confidence and self-esteem.
Like any other surgical procedure, breast augmentation carries certain risks. Your Board certified plastic surgeon will review this in detail during your consultation.
During the initial consultation, your surgeon will determine which procedure is appropriate for you based on the type of implant, tone and condition of your skin and breasts, and your aesthetic desires. Be open with your surgeon; the look you desire is based on frank communication between you and your doctor. Your surgeon should be equally honest with you, and describe the potential risks and benefits of different types of implants. It is also wise to ask for a copy of the manufacturer’s insert that comes with the implant, so that you may be fully informed about it.
Prior to surgery, your doctor will give you specific guidelines regarding eating, drinking, and smoking. The surgeon will also advise you on what vitamins and medications to take before and after your procedure. It is also generally a good idea to arrange transportation to and from surgery and arrange for any extra help that you many need during the initial recovery period.
Most surgeons elect to perform breast augmentation in either their office, a surgical center, or a hospital outpatient facility.
Most surgeons elect to perform breast augmentation with a general anesthetic, although some choose to use an IV sedation. The choice of anesthetic depends on many variables, so discuss them with your surgeon.
The nature of the surgery greatly depends on the type of implant, position in the breast, and the method of insertion. Common insertion points for the implant are in the crease under the breast, through the areola, or under the armpit. The surgeon takes great care to minimize the amount of visible scarring caused by the insertion point in order to provide the most aesthetically pleasing figure.
Regardless of the insertion point, the surgeon will create a precise pocket under the breast tissue to insert the implant, either directly behind the tissue or underneath the chest muscle. There are advantages to both approaches, so be sure to discuss them with your surgeon beforehand.
Most surgeries take one or two hours. Sutures seal any incisions together tightly and are often reinforce with special antiseptic tape. A firm bandage helps the breasts conform to their new shape and also accelerates healing.
Most women feel a bit sore and tired the first day or two after surgery, but are up and around on the third day. Most pain can be managed by prescribed medication.
A few days later any gauze bandages come off which will necessitate the wearing of a special support bra. Wear it as long as your doctor recommends, as it helps your breasts conform to their new shape. Any stitches are removed after about 7 days, although swelling often takes three to five weeks to fully disappear.
Most people return to work within a few days. Most surgeons limit physical activity and exercise for three to four weeks because of increased sensitivity. Scars will begin to fade after about six weeks, becoming almost imperceptable by 6 months.
After a few weeks, most women find their new shape more than satisfying; it is thrilling. Regular checkups protect against complications, and the benefits of a breast augmentation far outweigh any initial discomfort.
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