Breast augmentation is one of the most commonly performed plastic surgery operations. Breast augmentation is extremely popular with a very high satisfaction rate. Breast augmentation increases the volume of the breasts with the use of an implant. Women who desire breast augmentation are unhappy with the size of their breasts and want them to be slightly or significantly larger.
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. Many women will lose breast volume with pregnancy and breast feeding or through weight loss and want to regain lost volume and improve the shape of the breast. Others have a significant difference in the size of their breasts that they want corrected. Many women wear bras that give the impression of larger breasts for years then decide to pursue breast augmentation. Most women who choose breast augmentation find the changes in their body and the ability to fit into different clothing styles an excellent improvement.
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Breast Augmentation Consultation
At your initial breast augmentation 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. Koenig will then discuss with you the breast size and shape that you desire. Sizer breast implants will be available to place in your bra to help with volume decisions. Pre and post operative photos of other patients who Dr. Koenig has operated on will be able to be viewed and discussed. Limitations based on quality of the skin or characteristics of the breasts before breast augmentation surgery will be discussed. Most patients desire a natural appearing breast but some patients prefer a breast with more upper pole fullness. Dr. Koenig will review all options with you before you decide. The relative advantages of saline implants and silicone implants will be reviewed and recommendations given.
Breast Augmentation: The Operation
I perform breast augmentation under general anesthesia although it can be performed under sedation and local anesthesia in unusual circumstances. Breast augmentation surgery generally takes about 1 hour and all patients are ready to go home with a responsible adult shortly after surgery. After a nap, most feel well enough to have dinner, do light activities and may shower.
Almost all breast implants are placed in the submuscular position and the patient chooses her preferred incision; usually inframammary (under the breast) or periareolar (around the nipple). Other incisions are used when necessary.
Breast Augmentation: Recovery
I have refined my technique for breast augmentation so there is very little pain associated with the procedure. My goal is to have no real down time and most patients are surprised how comfortable they are with minimal medication. Normal activity can be resumed immediately after surgery with most patients leading normal lives and going to work in 1-2 days.
Breast Augmentation: Complications
Breast augmentation has risks and complications associated with it. Fortunately, most patients do not experience these but it is important for patients to understand the risks and complications that may occur with breast augmentation. Early complications include bleeding, infection, asymmetry and numbness of the nipples. Nipple sensation returns to normal 98% of the time. Later complications include capsular contracture (hardening of the implants), deflation or rupture of the implants, stretching of the skin resulting in breast drooping, and unfavorable shape. Mammography after breast augmentation will not be as effective as it was before surgery with about 15% of the breast tissue not being visualized by the mammogram after implants are placed. This could rarely result in a delayed diagnosis of breast cancer.
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