Are you thinking in a Breast Surgery?

A breast implant is a prosthesis used to enlarge the size of a woman’s breasts (known as breast augmentation, breast enlargement, mammoplasty enlargement, augmentation mammoplasty or the common slang term boob job) for cosmetic reasons; to reconstruct the breast.

Breast implants are used for:

  • primary augmentation (to increase breast size for cosmetic reasons),
  • revision-augmentation (revision surgery to correct or improve the result of an original breast augmentation surgery),
  • primary reconstruction (to replace breast tissue that has been removed due to cancer or trauma or that has failed to develop properly due to a severe breast abnormality),
  • revision-reconstruction (revision surgery to correct or improve the result of an original breast reconstruction surgery).

Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts—at least for a time. (No surgery can permanently delay the effects of gravity.) Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume—for example, after pregnancy—breast implants in conjunction with mastopexy can increase both their firmness and their size.

The best candidates for a breast lift

The best candidates for mastopexy are healthy, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.
Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you’re planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn’t interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.
Breast correction surgery has helped thousands of people, making it one of the most popular cosmetic procedures. Breast lift or breast reduction surgery requires an individual approach particularly concerning the desired size after the surgery. The plastic surgeon will explain which approach is best for you.
When women feel uncomfortable with heavy or limp breasts, breast reduction or a breast lift can help. Men are also candidates for breast correct ion, if they experience problems with mammary gland growth.
Depending upon the type of surgery, the hospitalization is between one and two days. In some cases, the surgery takes place on an out patient basis which enables you to go home the same day. Surgery takes place under intravenous sedation with extensive local anesthetic and takes between two to three hours.

Is General Anesthesia necessary?

The technology and progress made in sedation has helped make extensive cosmetic procedures possible without the side effects of general anesthesia. With the use of more efficient painkillers, only intravenous sedation is necessary instead of general anesthesia. Contrary to traditional narcosis, whereby a tube is brought into the throat and connected to a breathing apparatus, you actually breathe on your own. While you sleep you breathe and swallow independently and feel no pain. A few hours after the surgery you feel fine and have been spared the side effects of general anesthesia. Intravenous sedation has made surgeries safer. Combined procedures are less expensive in terms of hospital costs as well as social and professional disruption. This makes it, for instance, possible to have breast reduction surgery and at the same time lipo-sculpture and facial rejuvenation.

Breast Reduction

For women:
The breast is reduced by removing part of the mammary gland and extra skin. The nipple is normally also reduced and placed higher on the breast. This leaves a circular scar around the nipple area with a line down to the breast crease. In time, these scars will lighten and become less noticeable.
There are several different methods. The surgeon will discuss them with you to help you choose the best option.
For men:
Excess mammary gland tissue is removed by keyhole surgery, and in some cases, combined with lipo-sculpture.
Through a small incision (2cm) in the nipple area small instruments are brought into the body, which allows the surgeon to remove the mammary gland by releasing it carefully from the skin and muscle.

Breast Lift

If you have limp breasts the excess skin can be removed while the mammary gland remains intact. The mammary gland is lifted and attached higher onto the breast muscle.

Nipple drooping:
Nipples that have sagged severely are raised back into position in exchange for a scar around the nipple with a small line down to the breast crease. Nipples that are too big or irregular can also be corrected at the same time.

Implants:
If small breast size is a problem an implant can correct the problem. It can be combined with breast lifting when serious sagging is a problem. You can find all the needed information regarding this procedure in the breast augmentation brochure.

What are the risks?

In some cases, the feeling and sensitivity is temporarily decreased after a nipple correction. Although this may be permanent, generally it returns after a few months.
Permanent loss of feeling in the nipple, resulting in loss of the whole nipple or part of the nipple, is caused by problems with circulation. Smoking is an immediate cause. Smokers can lower their risk by stopping three weeks before surgery and three weeks after. Permanent loss of feeling and circulation problems is uncommon. In high-risk patients the surgery technique may be modified to limit these risks. In general, complications are rare and you will have many years of pleasure with your breast correction.

Can you get lipo and Breast Implants done at the same time and what is the recovery time?

You could have both a a liposuction and a breast augmentation done at the same time and it is certainly safe to do so. Recovery time if the implants are under the muscle is at least a week. If over the muscle, about three days. The liposuction recovery is a few days but it depends on the extent of the lipo.

Sources: Well Nesskliniek, Emedicine

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