What is Breast Augmentation?
Breast augmentation is a procedure to increase breast size and/or fix breast asymmetry. Breast augmentation is a very popular cosmetic surgery in the United States. Each breast augmentation is situational to the patient. Dr. Guarnieri will determine the size and implant type depending on the needs of the patient. Breast augmentation is not a substitute for a breast lift or mastopexy.
Am I a Candidate for Breast Augmentation?
The breast augmentation procedure is for women that are at least 22 years old. This includes primary breast augmentation to increase the breast size, as well as revision surgery to correct or improve the result of a primary breast augmentation surgery. Candidates include women who want larger breasts, and those who want to restore the breast volume often lost as a result of pregnancy or significant weight loss.
Breast implant surgery is NOT for women:
- with active infection anywhere in their body
- with existing cancer or pre-cancer of their breast who have not received adequate treatment for those conditions
- who are currently pregnant or nursing
Types of Breast Implants
Silicone and saline are the two implant types most commonly used in breast augmentation. Silicone implants tend to feel more like natural breasts than saline ones. Women may choose saline implants over silicone for more firm breasts.
Breast Augmentation Procedure
For breast augmentation, implants are placed behind each breast, underneath either breast tissue or the chest-wall muscle. The procedure usually lasts 1 to 2 hours. Dr. Guarnieri will provide general anesthesia for the procedure, although local anesthesia with a sedative may be an option. Incisions are in inconspicuous places (in the armpit, in the crease on the underside of the breast, or around the areola) to minimize scar visibility. The surgeon then lifts the breast, creating a pocket to insert the implant.
Breast Augmentation Recovery
After surgery you may need to wear a surgical bra when you heal. The next few days patients are recommended to take it easy. Heavy lifting should not be done for up to six weeks after the surgery.
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Risks of Breast Augmentation
In order to minimize risks, there are many factors to consider that can affect the outcome and appropriate timing of a breast augmentation or reconstruction.
Most changes to breasts following implantation are nonreversible. If the implants are removed without replacement, dimpling, wrinkling, or puckering may possibly occur. Breast implants are not lifetime devices, therefore, additional unplanned surgeries will likely be necessary. After the procedure, in order to screen for silent rupture, we recommend regular MRI screenings.
Is Breast Augmentation Surgery Safe?
Safety and effectiveness have not been established in patients with the following:
- Autoimmune diseases (for example, lupus and scleroderma)
- A weakened immune system (for example, currently taking drugs that weaken the body’s natural resistance to disease)
- Planned chemotherapy following breast implant placement
- Planned radiation therapy to the breast following breast implant placement
- Conditions that interfere with wound healing and blood clotting
- Reduced blood supply to breast tissue
- Clinical diagnosis of depression or other mental health disorders, including body dysmorphic disorder and eating disorders. Please discuss any history of mental health disorders with your surgeon prior to surgery. Patients with a diagnosis of depression, or other mental health disorders, should wait for resolution or stabilization of these conditions prior to undergoing breast implantation surgery
Natrelle® 410 Complications
The most commonly reported adverse events for Natrelle® 410 Highly Cohesive Anatomically Shaped Silicone-Filled Breast Implants are; reoperation, implant removal (with or without replacement), implant rupture, and Baker grade III/IV capsular contracture.
Other potential complications for Natrelle® 410 Highly Cohesive Anatomically Shaped Silicone-Filled Breast Implants include: swelling, implant malposition, pain, ptosis, infection, changes in breast sensation, nipple complications, seroma, delayed wound healing, hematoma, scarring, asymmetry, wrinkling/rippling, extrusion, implant palpability/visibility, and upper pole fullness.
The most commonly reported adverse events for Natrelle® Silicone-Filled Breast Implants are; reoperation, implant removal (with or without replacement), Baker grade III/IV capsular contracture, implant malposition, and asymmetry.
Other potential complications for Natrelle Silicone-Filled Breast Implants include; unsatisfactory results, pain, changes in nipple and breast sensation, infection, hematoma/seroma, difficulties breastfeeding, calcium deposits in the tissue around the implant, extrusion, necrosis, delayed wound healing, breast tissue atrophy/chest wall deformity, and lymphadenopathy.
Important: For full safety information call Allergan Product Support at (800) 433-8871.
Caution: Natrelle® Breast Implants are available by prescription only.