Breast Enhancement Surgery

WHAT YOU SHOULD KNOW ABOUT SURGERY:
Breast implant procedures can be performed on an outpatient (not hospital) basis or at a hospital. Breast implant surgery can be done under local anesthesia (only breast area numbed) or under general anesthesia (put to sleep). Breast implant surgery can last from one to several hours depending on whether the implant is inserted behind (sub muscular) or in front of (sub glandular) the chest muscle and whether the surgery is performed on one or both breast. If the surgery is done in a hospital, the length of the hospital stay will vary according to the type of surgery, the development of any postoperative complications, and your general health. It may also depend on the type of coverage your insurance provides. Before surgery, your doctor discusses with you the extent of surgery, the estimated time it will take, and the choice of drugs for pain and nausea.

Your Expectations - Reconstruction or Augmentation:

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Your consideration of breast implants, for reconstruction or for augmentation, should be based on realistic expectations of the outcome. You may also want to talk with women who have had the surgery at least one year ago by the same surgeon. Keep in mind, however, that there is no guarantee that your results will match those of other women.
Your results will depend on many individual factors, such as:
your overall health, chest structure and body shape,healing capabilities (which may be hindered by radiation and chemotherapy, smoking, alcohol, and various medications) bleeding tendencies/likelihood prior breast surgery, the possibility of infection the skill and experience of the surgical team the type of surgical procedure the type and size of implant.
You will be given general or local anesthesia, in most cases, antibiotics. The surgery may last from 12 hours for augmentation to several hours for reconstruction or revision. Scarring is a natural outcome of surgery, and your doctor can describe the location, size, and appearance of the scars you can expect to have. For most women, scars will fade over time to thin lines, although the darker your skin, the more prominent the scars are likely to be. You should ask your doctor about the type of surgical procedures, where your scar will be, and what to expect after surgery.

Postoperative Care:

Your doctor should describe the usual postoperative (after surgery) recovery process, the possible complications that can arise, and the expected recovery period. Following the operation, as with any surgery, some pain, swelling, bruising, and tenderness can be expected. These complications may last for a month or longer, but they should disappear with time.
Medications for pain and nausea can be prescribed. Some women may experience bleeding, fever, warmth, or redness of the breast, or other symptoms of infection. These symptoms should be reported immediately to your doctor. You should be told about wound healing and how to care for your wound. Drains may be used for a few days.
Postoperative care may involve the use of a postoperative bra, compression bandages, or a jog bra for extra support and positioning while you heal. At your doctor's recommendation, you will most likely be able to return to work within a few days, although you should avoid any strenuous activities that could raise your pulse and blood pressure for at least a couple of weeks. Your doctor may also recommend breast massage exercises.
Ask your doctor about a schedule or follow-up examinations, limits on your activities, precautions you should take, and when you can return to your normal routine. (If you are enrolled in a clinical study, your doctor should give you a schedule for follow-up examinations set by the study plan).

Surgical Risks To Breast Surgery

All surgery have significant risks and it is always recommended to speak to your doctor and surgeon to discuss the procedures and risks in detail.
Other risks include: hardening of the breasts, loss of sensation in the nipple or breast, shifting of the implant from its original position, interference with mammography reading that may hamper cancer detection.
On top of all this, says Judith Reichman, M.D., a regular contributor to NBC's Today Show, implants are a man-made prosthetic that have a shelf life. Most women will have to go through the whole procedure again probably two or three times depending upon their age. The following article presented on the msnbc.com web site, in association with the Today Show, gives the best overview that our staff has seen of the dangers of breast implants.