For some women the shape and size of their breast has never been what they wanted or they have experienced a change in their breasts over time. Augmentation Mammoplasty uses a synthetic prosthesis which is surgically placed to restore or enhance breast shape. This is one of the most common cosmetic procedures performed in North America.
Dr. Haugrud uses implants from Mentor Worldwide LLC.
FREQUENTLY ASKED QUESTIONS
What is a capsule?
This is the envelope of scar your body produces which surrounds and holds the implant in place. This scar can be problematic if it tightens and compresses the implant making the breast firmer and rounder. Conversely, if it relaxes the implant and the breast tend to sag. This is not a health concern but it can produce an undesirable breast shape over time. Repeat surgery is one way of dealing with this unpredictable event if it occurs. Approximately 10% of patients will have some degree of capsular problems.
What are the risks?
All operations have risks; these would include: problems related to the anaesthetic, bleeding (hematoma), infection, a change in sensation, excessive scarring, problems related to implant positioning or implant failure. Any of these situations can adversely affect the result making a second operation necessary or desirable.
Will it change my cancer risk?
Implants do not increase or decrease a woman’s risk of breast cancer. They do however affect mammography – casting a shadow that hides 5 -10% of the breast. This is less problematic with implants under the muscle. Implants do not affect ultrasound or MRI breast exams.
Silicone or Saline?
Both implants have a similar silastic ‘shell’ but one is filled with water and the other with a viscous silicone gel. Previously there were concerns about the safety of silicone implants and they were temporarily withdrawn from the market place. Subsequent extensive studies have not shown any systemic health risks to silicone implants and therefore they are again available. Both are equally durable (approximately 3% leak in 10 years) but there are differences in their consistency and their tendency to exhibit palpable or visible rippling. The less breast tissue there is to cover the implant the more silicone gel implants will ‘out perform’ saline implants.
Should the implant go under the muscle?
Placing the implant under the pectoral muscle provides more support for the implant, a more natural shape and more ‘camouflage’ for the top edge. The trade off is that the procedure is more painful and flexing the chest muscle causes some degree of abnormal breast movement. In general terms, most implants are placed under the muscle, and this is more advisable the thinner the overlying breast tissue is.
How do I choose a size?
What size a patient desires is as different as their personalities; some women prefer as natural a look as possible while others prefer a more voluptuous shape. Trying on implant sizers in a tight sports bra is the easiest way to visualize what you are looking for. I can then provide my opinion of your choice and suggest the best style of implant to fit the dimensions of your chest and match your body shape.
What about recovery?
This operation is painful but generally only for a short period of time. Sutures dissolve and the small bandage can be removed in 1 – 2 days. There are limitations to the use of the arms for about one week and resuming strenuous activities or workouts is possible after 3 – 4 weeks. The implants typically sit high and the breasts are swollen initially, and then as the tissues relax the implants ‘drop’ and the more permanent contour is apparent after 6 – 8 weeks.
How is the procedure done?
A small incision is made, commonly on the lower portion of the nipple or in the breast fold and a ‘pocket’, or cavity, is created beneath the breast into which the implant is inserted. This almost always requires a general anaesthetic and is performed in an accredited non-hospital surgical facility as a day procedure.