Description

Technically known as “augmentation mammoplasty,” breast augmentation is designed to surgically enhance breast size with breast implants. It can correct a reduction in breast volume after pregnancy, help balance a difference in size, or implemented as a reconstructive technique following breast surgery. Breast enhancement can be performed using either saline or silicone-gel implants, depending on a variety of factors. Sometimes, breast augmentation can be performed in conjunction with or as an alternative to the breast lift procedure. (Silicone-gel breast implants were approved in November 2006; used in breast reconstruction surgery for women of all ages and breast enlargement for women 22 years and older. Various mandatory conditions and studies apply, which can be discussed with your plastic surgeon.)

Length

1 hour or more.

Side Effects

Temporary soreness, swelling, change in nipple sensation and bruising. Breast sensitive to stimulation for several weeks.

Recovery

Back to work: 3 to 7 days. More strenuous activity: 2 to 3 weeks. Swelling and bruising: 3 to 6 months.

Risks

Lack of implant permanence – surgical removal or replacement of the implants (commonly known as breast implant revision) may be required to treat problems, including: deflation; the formation of scar tissue around the implant (known as capsular contracture), which may cause the breast to feel tight or hard; bleeding or infection. Increase or decrease in sensitivity of nipples or breast skin, occasionally permanent. Mammography may require a special technique. (Note: If you have any special concerns regarding the recent FDA approval, be sure to consult a medical professional.)

Results

Variable. Breast implants may eventually require removal or replacement.

Technology

To hide scarring, the surgeon can insert breast implants through an incision in the armpit, through the areola or where the bottom of the breast meets the chest. Some cosmetic surgeons use a technique known as Transumbilical Breast Augmentation (TUBA), in which implants are inserted through the belly button via an endoscope.

Patient Status

Outpatient -

Anesthesia

Local with Sedation