Breast Augmentation is Safe

Common myths that prevent a lot of women from pursuing augmentation include:

MYTH: All breast augmentation looks fake.
Breast augmentation done well can be hard to spot with implants and even harder with fat grafting.

MYTH: Recovery is long and painful.
Minimal dissection and long acting injectable pain medications make recovery quick and easy.

MYTH: I will have to change my lifestyle or activity level.
Appropriate implant selection will not negatively affect lifestyle or activity after healing from surgery.

MYTH: Silicone implants are dangerous and cause diseases.
There have been multitudes of scientific testing on silicone gel implants and they do not show any cause of known disease or breast cancer. In 2005, the FDA deemed silicone implants safe.

Seeking Natural-Looking Results?

Breast augmentation can be performed with either breast implants or fat transfer taken from another part of the body. Implants tend to provide more robust and defined augmentation and the procedure is generally less expensive. Fat transfer takes more time, can be more expensive, can have less robust and predictable results, but is a more natural way of augmentation. You must have fat somewhere else to be used for the fat transfer.

The two main types of implants are silicone and saline.

The shell of the implants can be either textured (which reduces capsular contracture) or smooth. A textured implant sometimes requires a larger incision.

The shape of the implant can be either round or tear drop shaped (gummy bear). Both have their advantages and disadvantages.

The three main options for incision for breast implant surgery are periareolar (on the lower border of the nipple), inframammary (the lower breast crease), or transaxillary (through the arm-pit).

The FDA has reported that silicone implants are generally safe, but breast augmentation can have complications, just like any surgery.

The pros of silicone implants are that they look and feel more natural and ripple less.

The pros of saline implants are that they do not require as large of an incision as silicone, less expensive, they have less incidence of capsular contracture (scarring around the implant), one can tell immediately if there is a rupture, the size can be slightly adjusted, and they can be used for women less than 22 years of age.

The most common complications of breast augmentation include but are not limited to capsular contracture (internal scar tissue formation around the implant), Reoperation (Implants do not last forever and may need to be replaced), ruptured implant, seroma/hematoma (either fluid or blood collection inside the breast), wound dehiscence, infections of the wound or implant, asymmetry, pain, loss of nipple sensation, altered nipple sensation, skin necrosis, rippling, poor scarring, sagging or malposition.

The majority of breast augmentation patients need one week of downtime. Depending on the work environment (heavy lifting, etc) more time off may be necessary. Patients are encouraged to walk immediately after surgery to avoid blood clots in the legs.

Have your current weight and chest measurements including current bra size. Put together a collection of photos of breast shapes and size that you desire. In addition, find a picture where the breasts are too big, find a photo where the breasts are too small.

This depends on the type of implant or whether you plan to have fat transfer. Fat transfer is a longer operation and involves liposuction that costs more. Saline implants are less expensive than silicone implants.

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