The breasts can lose volume
and their shape can change after weight
loss, childbirth or as a result of aging. Breast
augmentation can enhance
the size of the breast as well as give you a
better proportioned figure.
Dr. Gendler will examine your breasts taking into
consideration factors
such as the size and shape of your breasts, the
quality of your skin and
the placement of your nipples. If your breasts
are sagging, a breast lift
may also be recommended.
Breast implants can makes it more difficult to
read mammograms.
Women at risk of breast cancer will need to
consider this prior to making
a decision about whether to have implants. Saline
filled implants can be
placed under the chest muscle so that they will
interfere less with
mammograms, but other factors also need to be
considered. Dr. Gendler
will discuss this with you fully.
Breast augmentation is usually performed on an
outpatient basis. If this is
the case, be sure to arrange for someone to drive
you home after surgery
and to stay with you at least the first night
following surgery.
Individual factors and personal preferences will
help you and your plastic
surgeon to determine your appropriate breast
size, the location of
incisions, and whether the implants will be
placed on top of or underneath
the chest muscle.
In 1992, because further studies were needed to
establish the safety of
breast implants, the Food and Drug Administration
decided that silicone
gel-filled implants would not be generally
available for cosmetic breast
enlargement. Currently, all women undergoing
breast augmentation
receive saline-filled implants which consist of a
silicone shell filled
with sterile saltwater.
Once the incision is made, the surgeon creates a
pocket into which the
implant will be inserted. This pocket is made
either directly behind the
breast tissue or underneath the pectoral muscle
which is located between
the breast tissue and chest wall.
Some of the potential complications include
reactions to anesthesia,
blood accumulation that may need to be drained
surgically and infection.
Although rare, an infection that does not subside
with appropriate
treatment may require temporary removal of the
implant. Changes in
nipple or breast sensation may result from breast
augmentation
surgery, although they usually are temporary.
When a breast implant is inserted, a scar capsule
forms around it as part
of the natural healing process. The capsule may
sometimes tighten and
compress the implant, causing the breast to feel
firmer than normal.
Capsular contracture can occur to varying
degrees. If it is severe, it can
cause discomfort or changes in the breast's
appearance. In such cases,
more surgery may be needed to modify or remove
the scar tissue, or
perhaps remove or replace the implant.
Breast implants are not lifetime devices and
cannot be expected to last
forever. Surgery will be required to replace the
implant, if desired.
Some discoloration and swelling will occur
initially, but this will disappear
quickly. Most residual swelling will resolve
within a month. After breast
augmentation surgery, it is often possible to
return to work within just a
few days or a week.
Except in the event of implant deflation
requiring surgical replacement with
a new implant, the results of your breast
augmentation surgery should be
long-lasting: the lifetime of implants is thought
to be 10 - 20 years.
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Dr. Jerrold Gendler, a board certified cosmetic surgeon, is dedicated to performing state-of-the-art plastic surgery in New Orleans, Louisiana. With over 30 years experience, Dr. Gendler's specialties include abdominoplasty, blepharoplasty, body
contouring, BOTOX® Cosmetic, breast
augmentation, breast enlargement, breast
implants, breast lift surgery, breast
reduction, brow lift, eyelid
surgery, facelift, facial
plastic surgery, facial rejuvenation, laser
surgery, laser hair removal, rhinoplasty, skin
care, tumescent & ultrasonic
liposuction and tummy
tuck surgery