is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. Breast augmentation may be a good option for you if: You are physically healthy You have realistic expectations Your breasts are fully developed You are bothered by the feeling that your breasts are too small You are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss, or with aging Your breasts vary in size or shape One or both breasts failed to develop normally What to expect during your consultation.The success and safety of your breast augmentation procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle. Be prepared to discuss: Why you want the surgery, your expectations and desired outcome Medical conditions, drug allergies and medical treatments Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs Previous surgeries Family history of breast cancer and results of any mammograms or previous biopsies Your surgeon may also: Evaluate your general health status and any preexisting health conditions or risk factors Examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples Take photographs for your medical record Discuss your options and recommend a course of treatment Discuss likely outcomes of breast augmentation and any risks or potential complications Discuss the use of anesthesia during your breast augmentation Preparing for surgeryPrior to surgery, you may be asked to: Get lab testing or a medical evaluation Take certain medications or adjust your current medications Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue Stop smoking well in advance of surgery Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding Special instructions you receive will cover: What to do on the day of surgery Post-operative care and follow-up registry documents (when necessary) Your plastic surgeon will also discuss where your procedure will be performed. Breast augmentation surgery may be performed in an accredited office-based surgical center, outpatient ambulatory surgical center or a hospital. You’ll need help If your breast augmentation is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery. Procedural Steps: What happens during breast augmentation surgery? Step 1 – Anesthesia Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. Step 2 – The incision Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options include: Inframammary incision Transaxillary incision Periareolar incision Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference. Step 3 – Implant choice Breast size and shape are important, so be honest and open about your expectations when talking with your surgeon. Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type. Options for Saline implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body. Silicone implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket. A leaking implant filled with silicone gel may not collapse. If you choose these implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly. An ultrasound or MRI screening can assess the condition of . Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available. Currently Saline implants are FDA-approved for augmentation in women 18 years of age and older. Currently Silicone implants are FDA-approved for augmentation in women 22 years of age and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes. Step 4 – Inserting and placing the implant After the incision is made, a breast implant is inserted into a pocket either: Under the pectoral muscle (a submuscular placement), or Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement) The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations. Step 5 – Closing the incisions Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade. Step 6 – See the results The results of breast augmentation are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller breasts.Important facts about the safety and risks of breast augmentationThe decision to have breast augmentation surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications. The risks include: Unfavorable scarring Bleeding (hematoma) Infection Poor healing of incisions Changes in nipple or breast sensation, may be temporary or permanent Capsular contracture, which is the formation of firm scar tissue around the implant Implant leakage or rupture Wrinkling of the skin over the implant Anesthesia risks Fluid accumulation Blood clots Pain, which may persist Deep vein thrombosis, cardiac and pulmonary complications Possibility of revisional surgery do not impair breast health. Careful review of scientific research conducted by independent groups such as the Institute of Medicine has found no proven link between and autoimmune or other systemic diseases. Other important considerations: are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of your lifetime. My RecoveryAfter a post-surgical recovery period of 24 to 48 hours and an additional reduced-activity period of a few days, you will likely experience soreness and swelling for a few weeks. Exercise and normal activity can resume at the direction of your plastic surgeon. Over time, post-surgical swelling will decrease and incision lines will fade. You will be given specific instructions that may include: How to care for your breasts following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with your plastic surgeon. Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period. Where will I be taken after my surgery is complete? What medication will I be given or prescribed after surgery? Will I have dressings/bandages after surgery? When will they be removed? Are stitches removed? When? When can I resume normal activity and exercise? When do I return for follow-up care? When you go home If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment. The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary. Be careful Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.The results will be long-lasting The results of your breast augmentation surgery will be long-lasting. You will find it easier to wear certain styles of clothing and swim wear. Like many women who have had breast augmentation, you may also have a boost in self confidence. Implants may need to be replaced or revised It’s important to know that your are not permanent and may require replacement during your lifetime. You should expect to have future visits with your plastic surgeon to discuss changes in your breasts. Over time, your breasts can change due to aging, weight fluctuations, hormonal factors and gravity. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift or implant exchange to restore a more youthful contour. Continue to follow your plastic surgeon’s instructions and attend follow-up visits as scheduled.How much will breast augmentation surgery cost?Cost is always a consideration in elective surgery. A surgeon’s cost for breast augmentation may vary based on his or her experience, the type of breast implant used, as well as geographic office location. Many plastic surgeons offer patient financing plans, so be sure to ask. Cost may include: Surgeon’s fee Hospital or surgical facility costs Anesthesia fees Implant cost Prescriptions for medication Post-surgery garments Medical tests Most health insurance plans will not cover cosmetic breast augmentation surgery, related complications or another surgery to revise the appearance of your breasts. Some carriers even exclude breast diseases in patients who have . You must carefully review your health insurance policy. Your satisfaction involves more than a fee When choosing a plastic surgeon for breast augmentation, remember that the surgeon’s experience with and your comfort with him or her are just as important as the final cost of the surgery.Words to know Areola: Pigmented skin surrounding the nipple. Augmentation mammaplasty: Breast enlargement by surgery. Breast Augmentation: Also known as augmentation mammaplasty; breast enlargement by surgery. : Medical devices placed in your body to enhance an existing breast size or to reconstruct your breast. can be filled with either salt water (saline) or silicone (elastic gel). Capsular contracture: A complication of breast implant surgery which occurs when scar tissue that normally forms around the implant tightens and squeezes the implant and becomes firm. General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness. Hematoma: Blood pooling beneath the skin. Inframammary incision: An incision made in the fold under the breast. Intravenous sedation: Sedatives administered by injection into a vein to help you relax. Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain. Mammogram: An x-ray image of the breast. Mastectomy: The removal of breast tissue, typically to rid the body of cancer. MRI: Magnetic Resonance Imaging; a painless test to view tissue similar to an x-ray. Periareolar incision: An incision made at the edge of the areola. Saline implants: filled with salt water. Silicone implants: filled with an elastic gel. Submammary or subglandular placement: placed directly behind the breast tissue, over the pectoral muscle. Submuscular or subpectoral placement: placed under the pectoral muscle, which is located between the breast tissue and chest wall. After eating several fair-size portions of Fenugreek (Trigonella foenum-graecum). The seeds and sprouts have a centuries-old folk reputation as breast enlargers. In fact, 100 years ago the herb was a key ingredient in the original formula for Lydia Pinkham’s Vegetable Compound, a popular remedy for “female troubles”–everything from menstrual pain to postmenopausal vaginal dryness. As I learned in Arkansas, there are also modern testimonials for Fenugreek seeds contain a fair amount of diosgenin, a chemical compound that’s often used to create semisynthetic forms of the female sex hormone estrogen. While estrogen has many effects on the body, two relate principally to breast enlargement. The hormone causes growth of breast cells and contributes to water retention. In fact, many women who take the Pill, which contains estrogen, for birth control often experience as a side effect the feeling of breast fullness caused by water retention. Plant estrogen (phytoestrogen) from sources like fenugreek, I might suggest that she drink a formula that I developed for exactly this purpose. I call it Bustea. Massaging powdered fenugreek, grind up seeds or sprouts in a blender, add a dash of vegetable oil and apply the mixture as a paste. Bustea Want a bustier look? Drink Bustea! Here’s a tea recipe that will give you a hearty dose of breast-enhancing herbs. In a saucepan, pour two cups of water over one cup of basil, caraway, dill, licorice, marjoram and lemongrass. Bring to a boil, then let cool. Add lemon juice and honey to taste. Drink one to two cups a day. Fennel (Foeniculum vulgare). fenugreek. Don’t use Saw palmetto (Serenoa repens). This plant is best known these days for its ability to shrink an enlarged prostate gland in men. But a century ago, this herb was best known as a folk approach to breast enlargement. Naturopathic physicians continue to recommend it for this purpose. Most people use standardized store-bought capsules (one to two grams) or alcohol extracts. To use this herb, follow the package directions. wild yam because, according to my database, it contains a lot less diosgenin than wild yam. These herbalists maintain that the women who use this salve gain the desired effects. To make a salve, it’s best to shave off the outer bark of the root and reduce the inner root bark to paste in a blender. wild yam is a twining perennial that was once used by American Indians to ease the pain of childbirth. You’ll need help If your breast augmentation is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery. Procedural StepsWhat happens during breast augmentation surgery? Step 1 – Anesthesia Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. Step 2 – The incision Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options include: Inframammary incision Transaxillary incision Periareolar incision Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference. Step 3 – Implant choice Breast size and shape are important, so be honest and open about your expectations when talking with your surgeon. Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type. Options for Saline implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body. Silicone implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket. A leaking implant filled with silicone gel may not collapse. If you choose these implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly. An ultrasound or MRI screening can assess the condition of . Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available. Currently Saline implants are FDA-approved for augmentation in women 18 years of age and older. Currently Silicone implants are FDA-approved for augmentation in women 22 years of age and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes. See www.breastimplantsafety.org for current information. Step 4 – Inserting and placing the implant After the incision is made, a breast implant is inserted into a pocket either: Under the pectoral muscle (a submuscular placement), or Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement) The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations. Step 5 – Closing the incisions Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade. Step 6 – See the results The results of breast augmentation are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller breasts.Important facts about the safety and risks of breast augmentationThe decision to have breast augmentation surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications. The risks include: Unfavorable scarring Bleeding (hematoma) Infection Poor healing of incisions Changes in nipple or breast sensation, may be temporary or permanent Capsular contracture, which is the formation of firm scar tissue around the implant Implant leakage or rupture Wrinkling of the skin over the implant Anesthesia risks Fluid accumulation Blood clots Pain, which may persist Deep vein thrombosis, cardiac and pulmonary complications Possibility of revisional surgery do not impair breast health. Careful review of scientific research conducted by independent groups such as the Institute of Medicine has found no proven link between and autoimmune or other systemic diseases. Other important considerations: are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of your lifetime. My RecoveryAfter a post-surgical recovery period of 24 to 48 hours and an additional reduced-activity period of a few days, you will likely experience soreness and swelling for a few weeks. Exercise and normal activity can resume at the direction of your plastic surgeon. Over time, post-surgical swelling will decrease and incision lines will fade.

Leave a Reply