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Breast augmentation is also called augmentation mammoplasty. It involves the placement of a breast implant behind the breast to improve its size and enhance its shape. It is performed after the breast is fully developed (normally in patients over 18 years of age). It is one of the most well-known cosmetic procedures for women. According to statistics supplied by the American Society of Plastic Surgeons, 264,041 women underwent the procedure in 2004. Like other cosmetic surgical procedures, it must be performed to create you feel much better about your self, not to please a person else. It is performed on an outpatient basis and is normally not covered by your medical insurance. It ordinarily entails the use of a general anesthetic and can take from 1 to 4 hours, depending on what precisely is needed. If there's any "drooping" to the breast, the breast may also have to be "lifted" at the time of surgery so that the breast will sit "on top" of the implant placed behind it. An examination might be part of the consultation procedure to determine if a "lift" is necessary (an "augmentation mastopexy"). Post-operative recovery time will vary from patient to patient, but you may expect to be able to return to work in one to two weeks and exercise in approximately four to six weeks. It really is not expected that there might be any lengthy term limitations on your lifestyle as a result of this kind of surgery. The presence of an implant does not impact pregnancy or nursing. The initial step would be to arrange for a consultation with your plastic surgeon. During the consultation, you must have all your questions answered. You and your surgeon will likely be deciding what size and form of implant must be employed, through what incision it'll be placed, and where the "pocket" for the implant is going to be made. Implants come in numerous unique sizes, measured in cubic centimeters ("cc¹s"). The much more "cc¹s", the bigger the breast implant size. Implants may also be round in shape or "tear-drop" shaped. Round implants are employed a lot more commonly than the "tear-drop" shaped. The shell of the implant may well be smooth or rough ("textured"). There is even an "adjustable" implant that will be made smaller or bigger post-operatively. Your surgeon will help you decide on what size and sort is finest for you. If your breasts are diverse sizes, distinct size implants may be utilized to try and camouflage this asymmetry. Implants are made of a silicone rubber shell that's filled with either saline ("sterile saltwater") or silicone gel. Saline implants were approved by the Food and Drug Administration in March, 2000. Silicone implants are presently undergoing the FDA-approval process. No scientific evidence has shown that breast augmentation increases the risk of breast cancer, autoimmune disease, or any systemic illness. The incision utilized to place the implant may be made either within the axilla, around the periphery of the areola (the darker skin around the nipple), inside the fold beneath the breast (the inframammary fold), or via a tiny incision near the bellybutton (the umbilicus). These are modest incisions, ordinarily less than 2 inches in length. The inframammary incision is employed most typically. In case you require to have the breast "lifted" as part of the augmentation process, the incision used for this component of the operation would then be utilized for placement of the implant. The implant ought to be placed in a surgically-created "pocket" behind the breast. This "pocket" might be made either on top of the pectoralis muscle behind the breast, or , much more commonly, under the pectoralis muscle. The benefits and disadvantages of every site ought to be discussed together with your surgeon. Every surgical process carries with it some possible risk for complications. These needs to be discussed with your surgeon throughout the consultation procedure. In general, the potential complications of breast augmentation are similar to those of any other surgical process and are: bleeding, infection, poor scarring, and numbness or loss of sensation. You and your surgeon ought to talk about these possible risks and how they could be handled if they had been to happen. Bleeding can occur into the pocket made to accommodate the implant. This will usually happen within the first twenty-four hours after surgery and could be noticed by the breast getting larger, much more painful and bruised. This is generally treated by returning to the operating room for removal of the implant, evacuation of the blood, stopping any bleeding that's found and replacement of the implant. Some minor bruising may possibly be visible after surgery. This will resolve over 7 to 10 days and is of no consequence. There will probably be some swelling of the pectorals muscle if the implants are placed beneath them. The implant will "settle" and this swelling will resolve over the two to four weeks after surgery. Infection risks are reduced by the administration of antibiotics. You need to notify your surgeon in case you expertise any warmth, redness, swelling or drainage from the incision. Scarring is somewhat unpredictable and will vary from individual to individual. Your surgeon can suggest some post-operative scar care to minimize the risk of poor scarring. After breast augmentation the nipple may well have increased sensitivity or, uncommonly, have decreased sensation. It really is rare for this to be permanent. Unique to breast augmentation, are potential complications that involve the presence of a foreign body (i.e. the implant). The body will form a scar around the implant. This is the "capsule". In some women, this capsule can thicken and contract to a varying degree. This is known as "capsular contracture". When it is severe, the breast can turn out to be firm, the shape can be distorted as well as the breast can turn out to be a source of discomfort. Extra surgery may be needed to try and correct this. It's typically felt that the incidence of capsular contracture is much less with implants filled with saline and placed under the pectoralis muscle. Textured implants were created originally mainly because if was felt that they may have a lesser incidence of capsular contracture, but this may not be substantial as well as the possible downside of "rippling" that can be either felt or seen might make their use much less desirable. Breast implants can not be expected to last forever. If a saline-filled implant leaks, you will expertise a loss of volume along with the saline will probably be harmlessly absorbed into your body. If a silicone gel implant leaks or breaks, the gel will, for the most part, be contained within the capsule formed around the implant. You would most likely experience a change in shape or an enhance in the firmness of the breast as a sign that this has happened. Silicone breast implants could come to be routinely replaced in the future. Both manufacturers within the United States (Inamed and Mentor) have warranties for their breast implants that can cover replacement need to a deflation happen. Finally, the breast implant can potentially interfere with mammographic screening for early detection of breast cancer. It's essential that you have your mammography performed at a center where they can make sure that all of the breast tissue is imaged over the implant. Be positive to obtain a caring and concerned plastic surgeon, with whom you've excellent communication, to guide you by means of your breast augmentation surgery. 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