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Breast Augmentation

What is breast enlargement surgery?

Breast augmentation, or augmentation mammoplasty, is a procedure to reshape the breast in order to make it larger. The procedure can also be performed to reconstruct the breast following breast surgery.

Possible complications associated with breast augmentation surgery

Possible complications associated with breast augmentation surgery may include, but are not limited to, the following:

  • Infection. Infection is most common within a week after surgery. The infection can be treated with antibiotics or, in severe cases, the implant is removed for several months until the infection is gone before a new implant is inserted.

  • Capsular contracture. A capsular contracture may occur if the scar or capsule around the implant begins to tighten. Treatment can involve either the removal or scoring of the scar tissue, or the removal or replacement of the implant.

  • Oversensitive, undersensitive, or numb nipples. Oversensitivity, undersensitivity, and/or small patches of numbness near the incisions may occur in some patients. The symptoms usually disappear with time, but may be permanent in some patients.

  • Leaking or rupturing of silicone gel or saline implants. Leaking or rupturing of the implant may occur as a result of an injury, or even from the normal compression and movement of the breast and implant.

A breast implant is a silicone shell filled with either silicone gel or saline:

  • Saline-filled implants. If a saline-filled implant breaks, the implant will deflate in a few hours and the saline (salt water) will harmlessly be absorbed by the body.

  • Gel-filled implants. The leak or rupture of a gel-filled implant can cause one of two things: if the shell breaks but the scar capsule around the implant does not, changes may not be detected; if the scar also breaks or tears, especially following extreme pressure, the silicone gel implant may move into surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, or it may migrate to another area of the body. The shape or firmness of the breast may change. A second operation and replacement of the leaking implant may be necessary.

    Implants are envelopes filled with liquid that are implanted into the breast tissue, and are used to form the shape of the breast. Implants may be filled with saline or silicone gel. Each type of implant has advantages and disadvantages. Your doctor will discuss the types of implants with you and help determine which type is best for you.

There is no evidence that pregnancy or the ability to nurse will be affected by breast implants; however, pregnancy and nursing may affect the appearance of your breasts. If you have nursed a baby within the year before breast augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by your doctor.

About the procedure

Although each procedure varies, breast augmentation surgeries generally cover the following considerations:

  • Location options may include:

    • Surgeon's office-based surgical facility

    • Outpatient surgery center

    • Hospital outpatient

    • Hospital inpatient

  • Anesthetic options may include:

    • General anesthesia

    • Local anesthesia, combined with an intravenous sedative (allows the patient to remain awake but relaxed)

  • Average length of procedure:

    • About two hours

  • Location of incision:
    The method of inserting and positioning the implant depends on the patient's anatomy and the surgeon's recommendation. The incision can be made:

    • In the crease where the breast meets the chest.

    • Around the areola (the dark skin surrounding the nipple).

    • In the armpit.

    Working through the incision, the surgeon lifts the breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath the pectoral muscle in the chest wall. The implants are centered beneath the nipples.

  • Recovery period:
    When the dressings are removed, the patient may be given a surgical bra. Stitches will be removed in a week or so.

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