Breast Augmentation is a surgical procedure to increase the
size and/or alter the shape of a woman's breasts through the
use of an artificial
implant. Women may choose to have this operation either
as a reconstructive technique following breast surgery, to balance
different sized breasts, or to enhance the contours of the body.
Whatever the specific purpose, women who undergo breast
augmentation can expect larger, firmer, and more visually
satisfying breasts.
The Surgery
The surgery begins with an incision, made either in the crease
of the breast, the armpit, or the perimeter of the areola (the
dark skin surrounding the nipple). The placement of the incision
will vary according to body type and the specifics of each procedure.
The surgeon enters through the incision and creates a pocket;
either underneath the breast tissue or under the chest wall
muscle. The implant is placed in either location, centered directly
behind the nipple. Finally, the original incision is sutured.
After Surgery
Once the incisions have been closed and taped, the breasts are
wrapped and supported by a gauze bandage. Patients are fitted
with a surgical bra that provides support for up to several
weeks. Fatigue, soreness, and discomfort are postoperative conditions
that are greatly reduced through medication. Swelling gradually
subsides and becomes undetectable in a month's time. Stitches
are removed within seven to ten days.
Health Concerns
As with any surgical procedure, complications, although rare,
do exist. The biggest fear is a leak in the surgical implant.
The FDA currently prohibits the use of silicone filled implants
except for women involved in specific medical studies. Therefore,
in a normal procedure, a leak would involve only a saline water
solution. Capsular contraction (a tightening of the scar or
capsule surrounding the implant) can occur following a breast
augmentation procedure. If this happens, the surgeon either
"scores" the scar tissue, or removes the implant and re-inserts
another. Other complications include excessive bleeding and
infection in the area surrounding the implant. Scars may be
evident for several months, but gradually fades. In some cases,
the nipples may become hypersensitive or under sensitive for
a period after the surgery. In rare instances, the breasts may
produce milk for several days after the surgery. To maximize
the success of surgery and minimize the risk of complication,
always follow your doctor's instructions for surgical preparation
and postoperative care.
