Breast Augmentation Abbey Rohde Lisa Martini

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Breast Augmentation Abbey Rohde Lisa Martini

  1. 1. Breast Augmentation Abbey Rohde Lisa Martini Sarah Dain Dianne Burr Sara Kinjerski
  2. 3. <ul><ul><li>Enhance the body contour of a woman who feels her breast size is too small </li></ul></ul><ul><ul><li>Correct a reduction in breast volume after pregnancy </li></ul></ul><ul><ul><li>Balance a difference in breast size </li></ul></ul><ul><ul><li>Reconstructive technique following breast surgery (mastectomy) </li></ul></ul>Reasons for Surgery
  3. 6. Types of Implants <ul><li>Gel filled </li></ul><ul><li>Gel-filled </li></ul><ul><li>Tendency to become hard over time due to scar tissue formation </li></ul><ul><li>Gel filled with Poly coating </li></ul><ul><li>Medium firmness </li></ul><ul><li>Firm with more elasticity and “give” </li></ul>
  4. 7. Types of Implants <ul><li>Inflatable </li></ul><ul><li>Feels softer </li></ul><ul><li>Smaller incision </li></ul><ul><li>Tendency to rupture or leak (harmless saline) </li></ul><ul><li>Possible bulging or wrinkling </li></ul><ul><li>Removal of air must take place otherwise breast may squish on palpation </li></ul>
  5. 8. <ul><ul><li>Breast implants come in a variety of shapes, surface textures, and sizes based on preference of the individual </li></ul></ul><ul><ul><li>Implant Shapes </li></ul></ul><ul><ul><li>Two possible options are the contour and round style </li></ul></ul><ul><ul><li>Each available in moderate and high profiles </li></ul></ul>Round Contour
  6. 9. Brief overview of the Surgery <ul><li>May be performed in office facility, surgery center, or hospital outpatient facility </li></ul><ul><li>Method of insertion and positioning depends on individual anatomy </li></ul><ul><li>Individual may choose general anesthesia or local anesthesia combined with a sedative </li></ul>
  7. 10. <ul><ul><li>In the crease (where breast meets the chest) </li></ul></ul><ul><ul><li>Around the areola (dark skin surrounding the nipple) </li></ul></ul><ul><ul><li>In the arm pit </li></ul></ul><ul><ul><li>Incision </li></ul></ul>
  8. 11. <ul><li>Implants are centered beneath nipples </li></ul><ul><li>Stitches used to close the incision and bandage applied over breasts to aid in healing </li></ul><ul><li>Surgery takes 1-2 hours to complete </li></ul>Procedure Continued…
  9. 12. <ul><li>Pain-due to swelling, excess bleeding, capsular contracture, infection </li></ul><ul><li>Over sensitivity or Under sensitivity-of the nipples </li></ul><ul><li>Numbness-near incision </li></ul><ul><li>Capsular Contracture-occurs if the scar or capsule around the implant begins to tighten </li></ul>Complications to Consider
  10. 13. <ul><li>High possibility unable to breastfeed </li></ul><ul><li>Increased chance of connective tissue disease (lupus, scleroderma, rheumatoid arthritis) </li></ul><ul><li>Mammograms become more difficult and less effective for detection of breast cancer </li></ul>Complications to Consider
  11. 14. Percentages of Complications 1264 Surveyed Women Wrinkling Additional Operation Loss of Nipple Sensation Capsular Contracture Implant Removal Asymmetry 21% 13% 10% 9% 8% 7% Complication 3-Year Complication Rate
  12. 15. Intense Nipple Sensation Breast Pain Leakage/Deflation Implant Palpability Infection Sagging Scarring Hematoma 5% 5% 3% 2% 2% 2% 2% 2% Complication 3-Year Complication Rate
  13. 16. Capsular Contracture <ul><li>Occurs when scar tissue or capsule around the implant begins to tighten and squeeze the implant </li></ul><ul><li>May be more common following infection, hematoma, and seroma (collection of watery portion of blood) </li></ul><ul><li>There are various grades of severity </li></ul>Capsular contracture in right breast 7 years after implantation
  14. 17. Deflation after 5 months of saline-filled breast implant of left breast <ul><li>Damage by surgical instruments during surgery </li></ul><ul><li>Overfilling or under filling of implant </li></ul><ul><li>Capsular contracture </li></ul><ul><li>Trauma or intense physical manipulation </li></ul><ul><li>Excessive compression during mammographic imaging </li></ul><ul><li>Normal aging of implant </li></ul>Deflation or Rupture
  15. 18. Removal Without Replacement <ul><li>High chance that women will need additional surgery to replace or remove her implants due to various problems </li></ul><ul><li>Those who do not choose to have implants replaced may have undesirable results following removal </li></ul>Deformity following removal of silicone gel-filled breast implants without replacement Same woman from picture 1 of capsular contracture
  16. 19. <ul><li>Your text </li></ul><ul><ul><li>Biology of Women pages 202-205 </li></ul></ul><ul><li>The FDA website </li></ul><ul><ul><li>http://www. fda . gov / cdrh / breastimplants / </li></ul></ul><ul><li>The American Society of Plastic Surgeons </li></ul><ul><ul><li>http://www. plasticsurgery .org </li></ul></ul>For More Information . . .
  17. 20. “ While the majority of women do not experience complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation.”

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