Doctor insights on:
Things You Can T Do With Breast Implants
I'm going under the knife for breast implants in one week. What are some things I need to know for the weeks that are to come?
Patients require a period of 2 to 4 days of rest and family/friends' care after breast augmentation surgery. Gradual resumption of diet, appropriate use of medications, limitation of strenuous activity etc. Will all be part of the first week “agenda” after surgery. Your plastic surgeon will guide you when it comes to specific “do's and don'ts”.
Best wishes for a smooth recovery. ...Read more
A medical device that is used to augment the size of the breast by increasing the volume of the breast mound. Implants come in a variety of shapes, sizes, and textures and are surgically inserted either under the breast tissue or in a deeper plane under the muscle. The shell of the implant is made of a flexible silicone elastomer. The inside is filled with either silicone ...Read more
I had breast implants because it was suggested that it would improve my confidence, thus making me happy. Neither of these things happened. Should I get them removed?
Not right away: Hopefully you took plenty of time to research your decision for breast implants with a full and clear understanding of the expectations. Confidence and happiness can be elusive in many people. While cosmetic surgery can help boost confidence, it certainly is not a prescription with guaranteed success. Before considering implant removal speak with several health professionals seeking sound advice. ...Read more
Many reasons: There is strong motivation to get breast implants and many patients don't want to hear the negatives. There is a good monetary pay out to the surgeon, who might slant the conversation in favor of surgery. If you are having hassles with the implants after a number of years, you should see a breast surgeon as the implants can rupture, encapsulate and get hard, migrate or become unshapely. ...Read more
What happens if one of my breast implants hardens and the other doesn’t? Do both need to be removed?
Implant won't harden: Implants don't get hard, ever. But the scar around them can tighten, thicken, and make the breast feel quite firm (capsular contracture--cc). When cc occurs, it can be due to an old silicone implant rupture (the newest ones don't leak and rupture rarely), bleeding around one side, bacteria (not infection) around one side, such as from dental work, etc. If old replace both. If new, correct the cc! ...Read more
I can't keep my weight steady, I fluctuate 40 pounds up and down, does it matter if I get breast implants removed at high or low weight?
Stable Weight.: Generally, best to undergo elective breast surgery when you have achieved a long-term stable weight. Doing so will potentially increase the safety of the operation and allow you and your plastic surgeon to determine whether any additional surgery (for example breast lifting) will be beneficial at the time of breast implant removal. Avoidance of weight fluctuation will eliminate one variable... ...Read more
Can I get breast implants removed with a lift and down the road get small implants if I don't like shape?
Yes: Possible for certain. The best plan for you, unknown. It is best to discuss your long term goals with a board certified plastic surgeon. There are many options, and you need to understand what each option entails. Since different doctors will offer different options, it may be worth getting several opinions. There is no substitute for an in person consultation. ...Read more
I'm at the age where I need to have mamagram but I have breast implants is there a better method at detecting problems as mamagrams can't show enough?
You shouldn't have much of a problem getting a mammogram if you have breast implants, however, you do need a special radiographic technique called an ecklund (sp?) mammogram. The radiology centers are well versed at this technique which gives you better views of your breast tissue.
Mammography is a screening tool and should be combined with self-breast exams to give you the best screening possible. ...Read more
Yes: Breast augmentation with saline and silicone gel breast implants is very safe. When choosing a plastic surgeon to perform your breast augmentation, make sure they are board certified. A good place to look for a plastic surgeon in your area is to go to www. Plasticsurgery. Org. Information on breast augmentation, and multiple plastic surgery procedures can be found. ...Read more
Safety of implants: Breast implants are very safe. Complications from breast augmentation surgery are uncommon. FDA approved implants are either saline-filled, which the body absorbs naturally in case of a puncture, or silicone-gel filled, which is the second generation of silicone-filled implants. In case of a punctured silicone-gel implant the silicone is made so that it remains in place even if punctured. ...Read more
Most people: Most people could have breast augmentation, most importantly a patient needs to understand the risks and benefits. Both the patient and the doctor need to agree that it is a reasonable treatment for them. Contraindications include, and active infection, untreated breast cancer and any health issues that make surgery too risky. A patient must be both physically and mentally mature enough also. ...Read more
Not a good technique:
In the past, a few surgeons have used suture material to effectively enhance cup size as an alternative to breast implants. The reason for this varied but generally had to do with the fact that the strings could increase the cup size far larger than the largest implants.
At this point, I don't know of any reputable plastic surgeon performing this technique. ...Read more
When needed: People have heard that you need to change the implants every 10 years. In reality, you only need to change the implants if there is a problem. On average, about 1 in 5 women will have a second surgery on their breast implants within 10 years, whether saline or silicone. Silicone do last longer. ...Read more
Breast implants safe: Breast implants are one of the most tested medical devices in the US and World. Breast implants in the US are very safe with a low risk of complications when performed by a Board Certified Plastic surgeon. Both silicone and saline implants are safe. One is not safer than the other. Make sure your surgeon is a board certified Plastic surgeon. Find at ASPS. Org ...Read more
Seek Consult: Good question, but not enough space here. Seek consultation with board-certified plastic surgeons to discuss your goals. Learn about the pros/cons/risks/complications associated with breast augmentation surgery in order to make an informed decision. Understand, that breast augmentation surgery will almost certainly guarantee you additional breast surgery in the future. Best wishes. ...Read more
Not necessarily: With the current state of the art, implants may fail over your lifetime but that also means they may not. If ruptured or if other complications develop, you will certainly want to remove/replace the implants when problems occur. However, in the absence of complications there is no need to remove them. In the future, fat transfer may offer a longer term solution. ...Read more
Go for Quality: Breast augmentation is a surgical procedure and should only be performed by a qualified surgeon. You should seek out a board certified plastic surgeon, not just someone who claims to be a "cosmetic surgeon". The cost can range from $5-10, 000. Ask to see pictures and ask a lot of questions. It is about the results, no the cost. ...Read more
Generally 18: Breast augmentation done for “cosmetic” purposes is FDA approved for patients older than 18. However, there are cases where breast surgery is done for patients under the age of 18; these patients usually present with congenital breast anomalies and/or significant breast asymmetry. Best to seek consultation with board certified plastic surgeons who can demonstrate significant experience... ...Read more
Ethical concerns: There are many ethical issues with regards to cosmetic surgery. An open, honest discussion of the risks, benefits, and alternatives to the proposed surgery prior to surgery is important. The surgeon can understand the patient's concerns and motivations to make sure the patient will have a great outcome. The patient can also expect to gave information about the surgeon's training and experience. ...Read more
Breast Aug under age: Under certain conditions such as reconstructive breast surgery to correct asymmetry or deformity, with your parents permission, or if emancipated it may be possible to have breast implants. Most important is to have a full consulation with a board certified plastic surgeon. Most will recommend that you wait until your breasts are fully developed. ...Read more
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