Breast Implants

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Breast Implants

Procedure – Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breasts. Following the surgery a specific bra must be worn for one to two weeks. Breast augmentation/ enlargement (mammoplasty) is typically performed to enlarge small, underdeveloped breasts. The surgery may also be done to balance asymmetry that may result from post mastectomy reconstruction. The implants are inserted through incisions under the breast (inframammory incision).

Breast reconstruction is performed on patients whose breast has been surgically removed due to cancer or other diseases. In these cases the patient usually suffers from depression. Many patients do not know that the reconstruction of their breast is possible with the help of plastic surgery. The reconstruction can be done with prosthesis or with the use of excess fat that has been removed from other parts of the body. In some cases, the costs of the procedure are covered by the state insurance. There are several types of implants, ranging from silicone implants to saline-filled implants, which is a harmless salt-water solution.

Some information of the types of implants:

  • Texture: The implant shell may be smooth or textured
  • Shape: The implant may have a round profile or one that is anatomic (teardrop or tapered shape)
  • Profile: The implant may have a low, medium or high projection (the depth of the implant from the base to the highest point of the implant curve)
  • Diameter: The width of the implant measured across it’s base (the side of the implant that will be positioned over the chest wall)

Duration – 1 to 2 hours.
Aesthesia – General Anesthetic.
Hospital Stay – Patient must stay over night at the clinic after the procedure is performed.
Removal of Stiches – 10 days after the surgery
Scar Tissue Healing Period – 6 to 12 months

Risks And Side Effects – Capsular Contracture is the most common side effect that occurs. It is when the scar tissue around the implant contracts and makes the implant feel hard and dense. This can result in the replacement of the implant, removal of the scar tissue around the implant or complete removal of the implant. Lack of implant permanence, including deflation, implant rupture or shifting, may also occur. Increase or decrease in sensitivity of nipples or breast skin, which is occasionally permanent.

A breast lift can leave the patient with unevenly positioned nipples and wide scars. Since breast reduction surgery removes most of the milk ducts leading to the nipples, future breast-feeding may not be possible after reduction mammoplasty and contour irregularities may also develop. Others side effects are: hematoma, swelling, bleeding, and excessive sensitivity. There should be minimal contact with the breast right after the surgery for about two weeks.

 

Physical Work/Sport– 2 to 6 weeks later

Breast Reduction

Procedure – Usually, a patient requests a breast reduction because the breasts are so large that they are causing health problems. These problems include severe back pain, poor posture, and sometimes breathing problems. The reduction includes removing breast volume. This is done by making an incision around the areola and making a vertical cut from the nipple down to the crease of the breast. By removing fat from the lower part of the breast, we can reduce the volume of the breasts.

The breasts may enlarge again in the case of severe weight gain or pregnancy. After the surgery the breasts may remain sensitive for approximately two to four weeks. Usually a breast lift is needed to properly place the breasts since we are reducing the size of the breasts. This procedure can also be one-sided in case one breast is larger than the other. Breast reduction creates symmetry and is esthetically pleasing.

Durration – 2.5 hours
Anesthesia – General anesthetic
Hospital Stay – The patient should stay in the hospital for one to two days depending on how the procedure went and how the patient feels.
Scar Tissue Healing Period – 6 to 18 months.

Risks And Side Effects – Since breast reduction surgery removes most of the milk ducts leading to the nipples, future breast-feeding may not be possible after reduction. Mammoplasty and contour irregularities may also develop.

Physical Work/Sports – 2 months after the procedure.

Breast Lift (Mastoplexy)

Procedure – This procedure is rather common these days. Mastoplexy raises the breasts and reshapes them. This enhancement procedure is done with out the aid of implants. Depending on the degree of the sagging, several incisions will have to be made. Generally, more incisions are required with more sagging. A patient who requires only a little lift will have a periareolar incision. If the sagging is great there are several techniques used, like the Anchor Incision. The Anchor Incision involves three incision. The first incision is around the areola designating a new position for the nipple.

The second incision runs vertically from the base of the nipple to the bottom of the breast. The last incision is made just above the fold of the underside of the breast. Excess skin around these flaps will be removed. The nipple is kept intact with the underlying connective tissue, nerves and blood supply, which decreases the chances of loss of sensation.

Duration – The length of the operation ranges from 2 to 3.5 hours
Anesthesia – You can have a local or a general Anesthetic.
Hospital Stay – Over night stay is required for the procedure.
Removal of Stiches – 10 days after the surgery.
Scar Tissue Healing Period – 12 to 18 months.

Risks And Side Effects – Like any operation, the risks of infection and reaction to the anesthesia may occur. Bleeding and scarring are other side effects. All of the above mentioned risks and side effects can be prevented and minimized with the utmost care and preparation for the operation.

Physical Work/Sports – 2 months after surgery

Male Breast Reduction (Gynecomastia)

Procedure – During this procedure, small incisions are made around the areola (nipple) and a few other places on the chest. A cannula (small metal tube) is inserted in the areas of incision and used to remove the fat from the area by sucking it out. Sometimes some glandular tissue will be removed around the boarder of the nipple.

The patients nipple is then sewn up with a self-dissolving suture material and properly contoured and tightened. In extreme conditions the excess skin may have to be removed. Recovery is normally between two to three weeks, however a patient should be on his feet one to two days after surgery. It is important not to carry out vigorous activities for the first five days after the surgery. You can return to work and resume most normal activities after three weeks, and you may begin exercise after six weeks

Duration – 1 to 3 hours
Anesthesia – 1.5 hours
Hospital Stay – Patient may leave the clinic the same day.

Risks And Side Effects – Risks of male breast reduction are: infection, fluid accumulations, injury to the skin, rippling or bagginess of skin, asymmetry, pigment changes (possibly permanent if exposed to the sun), excessive scarring if tissue was cut away, and need for a following procedure to remove addition tissue.