Breast Augmentation Surgery Q & A
By Dr. E Ronald Finger January 2014
Hi Folks, these are the most frequent Q & A regarding Breast Augmentation Surgery. Thought I’d pass them along.
1. What is a Rapid Recovery Breast Augmentation?
This term infers that the surgery has been meticulously performed, never touching the periosteum (which causes pain), prepping the patient before surgery so the bleeding is minimal, and meticulously coagulating any bleeding points. All implants placed in front of the muscle are usually pain free. Finally, early but not to vigorous mobilization.
2. What is an Auto-Augmentation?
Well, it is not installing an automobile into your breast, although is sounds like that. Autologous means to use your own tissue. Often your own tissue can be used during an uplift to give more fullness at the upper part of the breast – always desirable, but the patient has to have enough tissue for this.
3. Breast implants, an uplift or both?
Generally, if the nipple is below the infra-mammary crease, you need an uplift. If your breasts are also too small in your opinion, then an implant or even fat grafts can be used to increase your size. If the nipple is above the IM crease, then an implant should suffice.
4. The difference between saline and silicone gel implants
Saline implants are a silicone bag with salt water used to inflate the bag. They are excellent implants and are less expensive. The problems are: wrinkles that are seen and felt and eventually even deflation. I had one patient who deflated the night before her wedding. Timing is not always convenient.
In my opinion, the memory gel implants are the best over the long run. They both feel and look more natural and are very durable.
5. In front of or behind the muscle (pectoralis muscle)?
Both techniques are good but neither is perfect—or there would be only one technique. If a patient has enough breast tissue, in front of the muscle may be recommended. Recovery is more comfortable, faster, and there is no distortion of the implant when the patient moves her arms a certain way, contracting the pectoralis muscle. If breast tissue I minimal, the implants should go behind the muscle.
When placed under the muscle, it takes longer for the implant to settle and look normal. But eventually both techniques can look very natural. However, if the implant encapsulates, there is less deformity if the implant is behind the muscle.
I use both techniques, according to the patient’s size, shape and goals.
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