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Who Wants Breast Augmentation?

Breast augmentation is a personal choice for many women. The primary reason is cosmetic. Increasing the size or shape of their breasts is the goal they hope to achieve with implant surgery. This is known as primary augmentation.

There is also revision-augmentation. This surgery is required to correct or improve the results of a prior breast augmentation surgery. Many women undergo the surgery numerous times, slowly achieving the end results they desire.

Replacement of breast tissue that was removed because of cancer, trauma or that failed to develop properly because of a severe breast abnormality, is considered primary reconstruction surgery. Corrections or revisions to this surgery are called revision-reconstruction surgery.

Breast augmentation patients are usually younger, healthier and from higher socio-economic status than the population norm. These women are also more often married with children.

Studies have shown a pattern in breast augmentation patients. This pattern is also shared by many other cosmetic surgery procedures. It suggests women who choose breast implantation are slightly more likely to have undergone psychotherapy, have lower self-esteem, and have higher tendencies toward depression, suicide attempts and mental illness than the general population.

Post-operative surveys on the issues of mental health and quality of life have reported improvement in a number of areas. These areas include health, appearance, self confidence, self esteem, social life and sexual function. Most women report long term satisfaction with their breast implants. Even in cases which have required additional operations due to complications or aesthetic reasons.

What Is Breast Augmentation?

Women have been trying to improve on what nature provided them for as long as men have noticed. The early methods consisted of padding inside the clothing. This only worked as long as the clothes remained on.

In 1895 the first implant was performed. The substances used for these early implants left much to be desired. It wasnt until 1961 that silicone implants were developed. The saline implants followed in 1964. There have been other substances developed, but none as common today as saline and silicone.

According to the American Society of Plastic Surgeons, breast augmentations are the most common type of cosmetic surgery performed in America. 329,000 breast augmentations were done in 2006.

The breast augmentation surgery typically lasts one to two hours. The visits between patient and surgeon before the surgery are usually spent discussing the type of procedure which will be used. The differences are in the type of implant, the incision thats required and where it will be placed. Also discussed is where the placement of the actual implant will be made. These factors have an impact on the final appearance as well as possible complications.

Within a week of the surgery, normal work or school routines are able to be resumed by most implant patients. Of course this does somewhat depend on the level of activity these routines require. The incision scar from the surgery will probably last six weeks or longer. The scars should start fading within a few months.

Saline or Silicone, Whats The Difference

Saline implants are just empty shells. Theyre surgically placed then filled with a salt water solution. Since this implant is so small when its placed, the incision can also be quite small. This small incision leaves a much smaller scar. The silicone implant is a cover or envelope containing a silicone substance. This implant requires a larger incision for placement.

The United States places restrictions on silicone implants. Even though these restrictions have been considerably lessened in the past few years, the saline implant is still the most common implant used in America. Quality results can be expected from saline implants, but they can be more likely to suffer from cosmetic problems. Women with thin breast tissue may have the most problems.

Rippling and wrinkling of the implant may be seen. Theres also the possibility of noticing the implant itself, either by sight or by touch. Women with more breast tissue dont generally have this issue. Its for this reason that most surgeons prefer the silicone implant for post-mastectomy reconstruction.

Silicone implants are more widely used outside the United States than saline. Theyre considered by most surgeons to be more realistic in appearance. Methods have been developed to hide the scar left by the large incision the silicone implant requires. The newest version has shown the potential for significant improvements over the older products. Even though the leaked silicone hasnt been shown to cause health problems, the possibility of leakage is still a concern.

Repair or Revision Surgery

Breast implants dont last forever. Implant manufacturers are required to tell women that the implants they supply arent permanent. The most common implant repair or replacement surgeries are due to the implant itself either rupturing or deflating.

Whatever type of breast implant you choose, the chances are good youll need corrective surgery in your lifetime. The most common reason for additional surgery is complications. These could be miner or major complications which can occur after any surgery. Other things which require additional surgery include capsular constracture treatment and to repair any ripples or wrinkles in the implant that might show.

Breast reconstruction has a higher frequency of additional surgeries. Mastectcomy results in such drastic changes in the soft tissue and anatomical borders, multiple surgeries are often the only choice. Its also common for breast cancer patients to undergo several surgeries. Procedures to reconstruct the nipple-areola complex and to achieve symmetry with the remaining breast are done in planned stages

In cosmetic implants, additional surgeries can be drastically reduced by making the correct choices before surgery. Matching the size and type of implant with the patients soft-tissue characteristics provides more successful results. These results provide the most aesthetically pleasing appearance and reduces the chances of ripples and wrinkles in the implant showing.

Choosing the breast implant thats best suited to your physical needs as well as choosing the best surgical procedure will reduce the occurrences of additional surgeries and result in the maximum satisfaction with your implants.