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Cosmetic breast surgery - Overview

Alternative Names

Breast augmentation; Breast implants; Implants - breast; Mammaplasty

Definition of Cosmetic breast surgery:

Breast augmentation is a procedure to change the size or shape of the breasts.

See also:

Description:

Cosmetic breast surgery may be done at an outpatient surgery clinic or in a hospital.

  • Most women receive general anesthesia for this surgery. You will be asleep and pain-free.
  • You may also be given medicine to relax you and local anesthesia. You will be awake and will receive medicine to numb your breast area to block pain.

There are many different ways to place breast implants:

  • In the most common technique, the surgeon will make surgical cut on the underside of your breast, in the natural skin fold. Your surgeon will place the implant through this opening. Your scar may be a little more visible if you are younger, thin, and have not yet had children.
  • The implant may be placed through a surgical cut under your arm. Your surgeon may perform this surgery using an endoscope (a tool with a camera and surgical instruments at the end that is inserted through a vein). There will be no scar around your breast, but you may have a visible scar on the underside of your arm.
  • The surgeon may make a cut around the edge of your areola, the darkened area around your nipple. The implant is placed through this opening. You may have more problems with breastfeeding and loss of sensation around your nipple with this method.
  • A newer technique involves placing a saline implant through a surgical cut near your belly button. An endoscope is used to move the implant up to the breast area. Once in place, the implant is filled with saline.

Breast implants may be placed either directly behind the breast tissue (subglandular) or behind the outer layer of chest wall muscles (submuscular). The type of implant and implant surgery can affect:

  • How much pain you have after the procedure
  • The appearance of your breast
  • The risk of the implant breaking or leaking in the future
  • Your future mammograms

Your surgeon can help you decide which procedure is best for you.


Breast lift

Why the Procedure Is Performed:

Breast augmentation is done to increase the size of your breasts.

A breast lift, or mastopexy, is usually done to lift sagging, loose breasts. The size of the areola, the dark pink skin surrounding the nipple, can also be reduced.

Talk with a plastic surgeon if you are considering cosmetic breast surgery. Discuss how you expect to look and feel better. Keep in mind the desired result is improvement, not perfection. Emotional stability is an important factor. Breast surgery can renew your self-confidence and improve your appearance, but the rest is up to you.

  • Reviewed last on: 2/8/2011
  • David A. Lickstein, MD, FACS, specializing in cosmetic and reconstructive plastic surgery, Palm Beach Gardnes, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Burns JL, Blackwell SJ. Plastic surgery. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 73.

Sarwer DB. The psychological aspects of cosmetic breast augmentation. Plast Reconstr Surg. 2007 Dec;120(7 Suppl 1):110S-117S.

Hölmich LR, Lipworth L, McLaughlin JK, Friis S. Breast implant rupture and connective tissue disease: a review of the literature. Plast Reconstr Surg. 2007 Dec;120(7 Suppl 1):62S-69S.

McLaughlin JK, Lipworth L, Fryzek JP, Ye W, Tarone RE, Nyren O. Long-term cancer risk among Swedish women with cosmetic breast implants: an update of a nationwide study. J Natl Cancer Inst. 2006 Apr 19;98(8):557-60.

Wiener TC. Relationship of incision choice to capsular contracture. Aesthetic Plast Surg. 2008 Mar;32(2):303-6.

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