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Following surgery, the breasts are usually
wrapped with gauze bandages along with a tighter bandage providing
additional protection and support. A small drainage tube may be temporarily
placed at the incision site to drain any excess fluid.
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INCISION PLACEMENT
There are several possible placements for the incision and these
include the following:
- Axillary, or beneath the armpit. Though this incision,
and thus the resulting scar, will be more visible than an incision
made around the nipple, patients are likely to experience fewer problems
with future breast feeding.
- Inframammary, or within the crease beneath the
breast. As with the axillary incision, this incision is more visible
than those made around the nipple, though less likely to cause problems
with future breast feeding.
- Periareolar, or around the nipple. This incision
tends to be the least visible, but it is associated with an increased
inability to successfully breast feed.
- Umbilical/endoscopic, or through the navel or
belly button. This incision is rarely performed and, due to the fact
that it has not been sufficiently studied, is not recommended.
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IMPLANT PLACEMENT
Implants are typically placed in one of the following two positions:
- Subglandular, or directly beneath the chest, between
the breast tissue and chest muscle. Implants placed in this location
are generally associated with shorter surgery and recovery times,
along with potentially less pain. If future re-operation becomes
necessary, implants in this location are typically more easily accessed.
However, this placement may also increase the chance of being able
to see and feel the actual implant through the skin following surgery.
In addition, capsular contracture (see risks) is more likely to occur,
along with difficulties in the imaging of the breast through mammography.
- Submuscular, or beneath the chest muscle. Implants
placed in this position may result in less palpable (obviously seen
or felt) implants, along with a possible decreased risk of capsular
contracture and easier imaging of the breast through mammography.
However, this placement may involve longer surgery and recovery times,
and can prove more painful. In case of future re-operation procedures,
implants in this location may be more difficult to access.
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IMPLANT CHOICES
For breast augmentation surgery, the implant
used is generally a sac or shell comprised of silicone, a rubber-like
substance. Implants can come in a variety of shapes, most commonly
either round or contoured. The surface of the implant can vary as well,
being either smooth or textured. While those implants with a textured
surface were designed to reduce the risk of capsular contracture, there
is little evidence to prove that this is true. Implants can come in
a variety of sizes as well. For many candidates, the size of the implant,
and thus the desired size of their breasts, can be the most difficult
aspect of breast augmentation. Patients must have sufficient tissue
in order to accommodate a larger implant, otherwise the implant may
be more palpable following surgery, the edges more easily seen and
felt through the skin. Furthermore, implants that are too large for
the amount of tissue may increase the risk of surgical complications.
Excessively large implants may cause the breasts to prematurely droop
or sag.
There are two basic types of breast implants and these include the
following:
- Saline-filled implants, the choice of implant
being used for nearly all breast augmentation surgeries. These are
implants which are inserted and filled, typically through a valve,
with a saline or salt-water solution (similar to the fluid which
comprises most of the human body). The location of the valve can
vary, typically on either the front or the back of the implant. There
are also saline-filled adjustable implants which are relatively new
to the market and allow the surgeon, through an additional small
connector tube, to adjust the size of the breast following surgery
through a simple injection. Saline fluid can either be added or drained
to increase or decrease the size of the breast, possibly for up to
several months following surgery. Saline-filled adjustable implants
are not offered by all surgeons and require an additional incision,
and thus an additional scar.
- Silicone Gel-Filled Implants. These implant are
filled with silicone gel, a soft-solid substance. Due to concerns
about these implants and their correlation to autoimmune diseases,
silicone implants are rarely used except under certain conditions
such as reconstructive surgery. For further information, click on
the following links:
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COST:
While price may be important, the quality of the breast augmentation,
along with the expertise and experience of the surgeon, is tantamount.
Choosing a surgeon based upon the lowest possible price may very well
prove to be the most expensive, particularly if another surgery, and
another surgeon, is required to repair the original work.
Pricing can vary based on several factors, including the surgeon and
his or her technique, and the difficulty of the specific case. The
national average can run anywhere from $3000 to $5000, but this can
very dramatically depending upon your geographical location, proving
significantly lower or higher.
Be sure to find out what exactly is included in any quoted price,
such as the cost of anesthesia, the facility fee, the surgeon's fee,
and the cost of the implants. Because resulting surgeries following
breast augmentation can occur, you may also want to ask in advance
about any provisions in case you are unhappy with the results.
Being a cosmetic surgery, breast augmentation is generally not covered
by insurance. It is each patient's responsibility to check with their
own insurance carrier concerning the degree or availability of coverage.
If you have any questions about breast augmentation, forums, chat, or problems, please feel free to to contact us here.
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