Breast Augmentation

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AMIDST ALL OF THE HYPE: WHAT IS BREAST AUGMENTATION?

By Donald Kress, M.D., P.A., F.A.C.S.

Women who want larger and shapelier breasts, or who have one breast noticeably smaller than the other, often discover a more positive self-image after a breast augmentation. The intended result is a soft, natural-appearing breast, an improved self-image, and a whole new way to shop for clothes with tops and bottoms that match.

Breast augmentation is performed on an outpatient basis under general anesthesia. A small incision made either in the crease under the breast or in the armpit, and a saline or silicone implant is inserted either below or above the chest muscle, depending upon the need for lift. A soft elastic bra is provided to lend support during the recovery period.

Breast Augmentation - Recovery

Initially there are restrictions on activity during recovery time, especially in the use of the arms. Most patients can return to work in two weeks or sooner, and by the end of the month all regular physical activities can be resumed. Sutures are usually removed in about twelve days and massage is begun at the same time.

There is no known association of the implants with any disease. There is no effect on subsequent risk of breast cancer development or in future ability to breast-feed. The implant consists of a fully cured silicone bag filled with intravenous quality saline solution, which is added through a sealed system for extra safety.

What happens if a silicone implants leaks?

The silicone implant is very stabile. Any leakage or rupture can easily be detected via an MRI (Magnetic Resonance Imaging). Most often the only side effects noted are a slight burning, some breast hardness or an irregularity of the breast implant itself. The silicone does not travel through the body, but rather stays confined to a fairly specific area right around the implant (within the capsule) and is quite easily removed and replaced with a new implant.

Can fat be injected into the breast for fullness?

Technically, this is possible and is being done. Fat injection should be avoided, however, because after a few years the fat, much of which dissolves, leaves scar tissue, which cannot be distinguished from cancer. I consider this procedure malpractice.

Does fungus grow in saline implants?

Implant manufacturers now recommend a closed system of filling the implants, which virtually eliminates the risk of fungus getting into the implants.

Dr. Donald Kress, M.D., P.A., F.A.C.S.
Board Certified Plastic Surgeon
Maryland

Plastic Surgery One was founded by Dr. Donald Kress, M.D., P.A., F.A.C.S., Board Certified Plastic Surgeon, to address the growing need for high quality plastic surgery among people of all ages and types.

Dr. Kress is a Board Certified Plastic Surgeon with over 20 years of experience and a very high level of patient satisfaction. Over 80% of his patients are referred by other patients. A noted author and seminar presenter, he spends his free time riding his horse ChiCha, camping, running, mountain climbing, scuba diving, or fishing.

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