Breast augmentation, also known
as mammaplasty, is a surgical procedure
performed to enhance the shape and size of a
woman’s breasts, using breast implants. This
procedure can help to make the breasts more
proportionate to the rest of the body, even out
breasts which are different in size or shape,
and it can sometimes enlarge and reshape breasts
which have lost their fullness or shape due to
weight loss, pregnancy, breast feeding, or age.
Breast augmentation can also be used for
reconstructive purposes on patients who have
undergone mastectomy or those with a congenital
breast deformity.
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The best candidate for breast
augmentation is a woman over the age of 18 who
is unhappy with her breast size or shape and
looking to alter their appearance. Patients
must be psychologically stable, physically
healthy, and have realistic expectations.
Breast augmentation can enhance the look of the
breasts, and often has the added benefit of
increasing one’s self confidence.
THE SURGERY
Breast augmentation typically takes about two hours to complete and is
performed under general anesthesia in a fully accredited state of the
art hospital setting.
There are two different possible locations for the incisions: axillary,
which is under the armpit, inframammary, which is within the crease
below the breast. Once the incision is made, the breast tissue is
lifted to make a space or pocket into which the implant is then
inserted. Most implants will be placed beneath the chest muscle. The
implant is typically a silicone shell that is usually filled with a
saline solution. Saline implants are inserted empty and then filled,
allowing for minimal scarring. After the implant is inserted, the
incisions are then closed. Tape may be used for added support and the
breasts may also be wrapped with gauze or other bandages.
Breast augmentation involves many different options and techniques.
Choices must be made about the incision location and the type of
implants. The choices that are right for you will depend upon your
individual circumstances, and, thus, are best made with the help of
Dr. Bond. She will advise you on the appropriateness of either saline or
silicone implants which will depend on your body type and current breast
symmetry.
Submuscular placement, or beneath the chest muscle, typically involves a
decreased risk of capsular contracture, implant palpability, and
mammography interference. However, this placement is also associated
with longer surgery and recovery times, more pain, and less
accessibility in case of reoperation.
THE RECOVERY
After surgery, patients often feel somewhat sore, tired and stiff, which
can last for several days. Some degree of discomfort is usually
experienced because the procedure stretches the tissues. Prescribed
pain medication can help alleviate any discomfort you experience.
Dr. Bond may also request that you keep your arm extensions to a minimum,
raising your elbows no higher than your armpit, for three to five days
after surgery.
A
week after surgery, any bandages that were applied are usually removed.
Patients are required to wear a support bra or compression bandage to
help support and position the breasts. Sutures are dissolvable and do
not need to be remove.
Initially the breasts may feel tight as the skin adjusts to the new
breast size, and the breasts themselves may seem hard at first, though
they do soften in time. Swelling is common and usually begins to
decrease within a few weeks. Increased sensitivity to physical contact
of the breasts may occur for a month or longer. The scars will be red
right after surgery, but will fade over a period of several months.
The amount of time it
takes to recover will be different for each patient. However, most
patients find that they can return to work a week after surgery.
Nonetheless, you will need to refrain from overly strenuous activities
for several weeks.If you have been wondering if larger or
more contoured breast are for you, then call our office today and set up
a personalized consultation with
Dr. Bond. Call
(973) 509-0007.
Visit our
plastic /
cosmetic surgery
office located in
Montclair, New Jersey (NJ). We
serve patients from the following area, such as
Bergen,
Essex,
Hudson, Passaic
and Sussex counties, as well as Jersey City,
Newark, NJ
and
all surrounding areas including
New York (NY).
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