Breast
Enlargement
Breast implants have been a focus of attention
by the media and public for the past 10
years due to the controversy surrounding
silicone gel implants. Recently these controversies were resolved and silicone gel breast implants once again became available for cosmetic breast augmentation. So now women have the choice of either saline or silicone gel implants for breast enlargement. The main advantage of silicone gel implants is that they feel more natural than saline implants. The second advantage is that saline implants can leak and lose their volume which would require the exchange of implants. Silicone gel implants do not have this problem. As a matter of fact one of the concerns of the FDA was leakage of silicone. For this reason silicone implant manufacturers re-formulated the silicone used in these implants to what is known as the "cohesive gel". This type of silicone does not detach even in the face of a rupture. Although various
approaches are available, i.e. peri-areolar
(through the nipple), inframammary (under
the breast), and trans-axillary (through
the under-arm), our preferred approach is
the peri-areolar. It leaves an inconspicuous
scar that is always hidden. By the same
token we prefer to use smooth surface implants
placed under the pectoralis major muscle.
Personal experience has shown this to be
effective in reducing the chance of capsular
contracture (hardening of the capsule and
breast) to very low levels. The commonly held notion that implants have to be changed every so often is only a myth. So long as implants do not cause problems it is unnecessary to exchange them. This procedure is perfectly safe no matter what type of implant is used (Silicone gel vs. saline) and especially in terms of mammography does not harbor any impediment to the visualization of the breast tissue.
WHAT ABOUT THE BREAST WHICH IS SMALL AND
SAGGING AT THE SAME TIME? Often times women
have sagging of the breasts, as well as
underdeveloped breasts, especially after
pregnancy and nursing. The treatment usually
consists of a breast lift along with implants.
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