Breast Augmentation Options

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Fashion may change but women have desired bigger breasts for centuries. Curves and balanced body measurements are the main factor in deciding to have breast enhancement.

The desire to look as good as you feel has motivated women, with small breasts, uneven size breasts, and loss of volume, to have breast augmentation. Breast augmentation or augmentation mammoplasty is the most common cosmetic procedure requested in the United States.

With the increasing popularity of breast augmentation, it is important to research and understand the various issues and options about breast augmentation surgery. Once the patient has made the decision to undergo breast augmentation, there are several decisions they must make.

1. SIZE DESIRED

2. TYPE OF IMPLANT, SILICONE OR SALINE IMPLANT

3. INCISION SITE
- Inframammry incision
- Periareolar incision
- Axillary incision

4. POSITION OF IMPLANT
- Above the muscle
- Below the muscle
- Dual plane

5: THE SHAPE AND TYPE OF THE IMPLANT

The pros and cons of each of these options should be discussed thoroughly with the plastic surgeon prior to undergoing the surgery.

SIZE, The final size of the augmented breast is the sum of the present volume plus the implant volume.

TYPE OF IMPLANT, Saline implants are filled with saline, salt water. Silicone implants come prefilled with Silicone gel.

Saline implant require generous amount of breast tissue to cover the implant. They have a tendency for rippling of the implant which is seen and felt. Placing a silicone implant under the muscle decreases the chances of seeing or feeling the rippling. Silicone implants rarely feel or see the ripples. Silicone implants feel more natural.

POSITION OF IMPLANT, if there is adequate breast tissue to cover the implant, according to measurements, and then the implant can be placed above the muscle. Otherwise placement under the muscle is preferable.
Placement under the muscle gives more coverage for the implant. There is less capsular contracture. With muscle contracture there is movement of the implant.

INCISION, the inframammary and periareolar are the most commonly used incisions. The inframammary incision is the most direct incision to the operative pocket. The periareolar incision is also well hidden. It requires cutting through some of the breast tissue for implant placement.

Saline implants require a smaller incision because they come empty and can be folded when inserted into the pocket. Silicone implants come prefilled and require a slightly larger incision. That may be considered when the areola is very small in circumference.

Axillary incision is well hidden. Most of the time only saline implant can be used, to be introduced through the endoscope. This incision may cause numbness in the inner arm.

Umbilical incision: Only saline implants can be used with this incision. Implants displacement is more common with this type of incision.

THE FURTHER AWAY THE INCISION IS FROM THE IMPLANT POCKET THE MORE THE COMPLICATIONS.

THE LARGER THE IMPLANT THE MORE FREQUENT THE COMPLICATION ARE.

Cohesive gel implants are safe, natural require more expertise in choosing the right implant.

HOW THE IMPLANT IS CHOSEN:
The surgeon must make a set of chest and breast measurements and on this basis a set of range of implants are chosen that fit your measurements.
 

Article by
Baltimore Plastic Surgeon