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Breast Augmentation
Dennis Thompson
Today, breast augmentation is accomplished by placing a
silicone "bag" filled with salt water either behind the
existing breast tissue or behind the muscle of the chest
wall.
Women with ptotic (drooping) breasts, as defined by the
nipple being lower than the crease or fold beneath the
breast, will usually require an additional operation to
lift the nipple and remove the excess loose skin. The
augmentation and breast lift procedures may be combined
in one operation.
When one breast is larger than the other, implants of
different sizes can be used to achieve better symmetry.
In my practice, women desiring breast augmentation
generally fall into two categories - Young women in
their early 20's who have always had small breasts and
desire to be one to two cup sizes larger; and women in
their 30's, often with two or three children, who have
noted a decrease in their breast size after childbirth
and nursing who desire a return to their pre-pregnancy
breast size and shape.
The Breast Augmentation Procedure
After adequate sedation given by an anesthesiologist, a
solution containing a local anesthetic and a drug to
minimize bleeding is injected into the surgical site and
an incision is made either in the fold beneath the
breast or at the junction of the pigmented skin of the
areola with the normal breast skin. Some surgeons place
the incisions in the axilla (armpit) or around the navel
(bellybutton). I do not utilize either the axilla or
navel incisions.
A space (pocket) is then developed by separating the
breast tissue from the underlying muscles or by
elevating the pectoralis major (chest muscle) from the
ribs. Whenever the decision is made to place the implant
behind the muscle, I also elevate the serratus anterior
muscle (from the side of the chest) so that the
saline-filled implant will be totally covered by muscle.
After all bleeding is controlled, the appropriate size
implant is then placed in the pocket and filled with
sterile saline solution. The incision is then closed, a
light dressing is applied over the incision and a soft
bra is placed.
The Recovery
Most patients will need 5 to 7 days to recover from
surgery before returning to work. Strenuous activity is
discouraged for at least 2 weeks. If the implant is
placed behind the muscle, it may take as long as three
months for the muscle to relax and for the breast to "settle"
into its final shape.
Article Source:http://EzineArticles.com/?Breast-Augmentation&id=617426
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