Breast Augmentation (Commonly referred to as Breast Enlargement
or Re-Shaping)
Many women are unhappy with the size and shape of their breasts. An out of
proportion bust can result in some women feeling embarrassed, depressed or unfeminine.
All women have their own ideas on size, but most women would agree that a beautiful
bustline should look natural, firm, full and uplifted. Breast augmentation is
one of the most commonly performed cosmetic surgical procedures.
Who is a Candidate for Breast Augmentation ?
Women who have never developed to the size they desired in the first place,
and women who at one time had more breast tissue, but then lost size through
weight loss or pregnancy.
Most women do not seek very large implants, but rather just enough to increase
the size to better fit into available clothing styles.
How can a woman decide which size implants she wants ?
By a thorough discussion between herself and the Surgeon the correct size of
implant can be determined.
It is helpful if the woman has formed an idea beforehand of the size she would
like to be.
How is the surgery performed ?
Most frequently a small incision under the breast is made, sliding the prosthesis
into place under existing breast tissue and positioning it.
The operation takes approximately one hour, is performed under general anaesthetic
and involves an overnight stay in the hospital. Dressings and sutures, if not
soluble, are removed one week after surgery.
Silicone Implants
In recent years there has been much debate concerning the safety of this type
of implant. However, results of major studies have confirmed that breast cancer
does not occur more often in women with breast implants than women without them.
To date, to our knowledge there is no scientific evidence that silicone has
any detrimental effect on the body.
Most people are surprised to learn that we all have silicone in our bodies.
It can be found in our lymph glands and our immune system. Moreover there are
hundreds of implanted medical devices made of silicone, e.g. pacemakers, artificial
joints.
Recovery
Generally after surgery the breasts are not painful, but may feel tight with
the increase in size. Immediately after the operation the breasts will be larger
and firmer than they will be ultimately.
This is due to swelling of the breast tissue. By 1-2 weeks after surgery the
breasts should be softening, but it can take up to 6 months for all the swelling
to resolve.
Patients are asked to wear a well fitting support bra day and night for 6 weeks
after surgery. Sporting activity has to be restricted after the operation for
at least 4 weeks.
No driving for one week after the operation and you should only drive if absolutely
necesaary the following week.
Can women breast feed after augmentation ?
Yes. There is no evidence that silicone from an implant enters the breast milk
in any significant amounts.
What about mammograms after breast augmentation ?
A woman with implants should follow the same breast care guidelines as a woman
without implants. As the implants are surgically inserted behind all the breast
tissue mammograms can still be performed as no breast tissue is concealed, either
on self or clinical examination for lumps.
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