November 2006: FDA Approves the use of Silicone Breast Implants for Cosmetic Use.
Breast augmentation is a very commonly performed operation designed to increase the volume of the breasts with the use of an implant (now available in Saline or Silicone). Women who desire breast augmentation are unhappy with the small size of their breasts. Some women never develop into the size that they want. Other women who were satisfied with their breast size experience deflation of the breasts after pregnancy or weight loss. Breast augmentation is an operation that has a very high satisfaction rate (95%).
Women who choose to have breast augmentation have many motivations. Some feel their breasts are out of proportion to the rest of their figure. Others are very self conscious wearing swimsuits or formfitting tops because of small breasts. In others there is a significant difference in the size of their breasts. Many women wear bras that give the impression of larger breasts for years then decide to pursue surgical enhancement of their breasts. Most women who choose breast augmentation find the changes in their body and the ability to fit into different clothing styles an excellent improvement.
Breast Implants Consultation
At your initial consultation a detailed medical history will be taken including past and current medical conditions, allergies and medications, personal or family history of breast cancer or other breast problems, and the results of any previous mammograms. Dr. Yadegar will then discuss with you the breast size and shape that you desire. Sizer implants will be available to place in your bra to help with volume decisions. Pre and post operative photos of other patients who Dr. Yadegar has operated on will be able to be viewed and discussed. Limitations based on quality of the skin or characteristics of the breasts before surgery will be discussed. Most patients desire a natural appearing breast but some patients prefer a breast with more upper pole fullness. Dr. Yadegar will review all options with you before you decide.
Breast Implants Operation
Breast augmentation is performed under general anesthesia although it can be performed under sedation and local anesthesia in unusual circumstances. The surgery generally lasts between 1 and 2 hours and all patients are ready to go home shortly after surgery. Almost all implants are placed in the submuscular position and the patient chooses their preferred incision; periareolar (around the nipple), inframammary (under the breast) or axillary (under the arm). Dr. Yadegar uses all three incisions regularly; all have their relative advantages and disadvantages.
Breast Implants Recovery
Breast augmentation, particularly when the implant is placed behind the muscle, can be painful. The patient is sent home with appropriate pain medication. The pain subsides quickly after the first 24 hours and many patients return to normal activity within a few days. Most return to work in 7-10 days.
Breast Implants Complications
As with any surgical procedure, breast augmentation has risks and complications associated with it. Early complications include bleeding, infection, malposition of the implant and numbness of the nipples. Nipple sensation returns to normal in most cases but rarely can be permanent. Later complications include capsular contracture (hardening of the implants), deflation of the implants and stretching of the skin over the implants. Mammography after breast augmentation will not be as effective as it was before with about 15% of the breast tissue not being visualized by the mammogram after implants are placed.