Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure that enhances the size and shape of a woman’s breast with the use of breast implant (silicon or saline). The procedure also enhances breast contour and volume after pregnancy. Breast implant is composed of silicon gel or saline within a silicon shell. Breast implant is different from silicon oil. Most Cosmetic Plastic Surgeons all over the world don’t do silicon oil injection of breast to enhance breast size and volume.
1. Breast Augmentation;Affordable CosmeticPlastic SurgeryPhilippines
Breastaugmentation,technicallyknownasaugmentationmammoplasty,isasurgical procedure that
enhancesthe size andshape of a woman’sbreastwiththe use of breast implant(siliconorsaline).The
procedure alsoenhancesbreastcontourandvolume after pregnancy.Breastimplantiscomposedof
silicongel orsaline withinasiliconshell.Breastimplantisdifferentfromsiliconoil.MostCosmetic
PlasticSurgeonall overthe worlddoesn’tdosiliconoil injectionof breasttoenhance breastsize and
volume.Thistechnique iscondemnedbothlocallyandinternationallybymostsurgeon,since the result
are unpredictableandcompoundedbynumerouscomplicationssuchasextrusion,skinnecrosisand
infection.Patientsshouldnotallowthemself tobe subjectedtothisprocedure,because the riskfor
unwantedcomplicationisveryhighandresultare deformingorunpredictable.Mostsurgeonuses
BreastImplantwhichiscomposedof material thatisnon toxic,nonallergenic,nonteratogenicand
biocompatibleto humantissuesandthushave lessriskforanyunwantedresultsandwithmore
predictable outcome.
Thisis one of the mostcommoncosmeticproceduresdone worldwidespeciallyinthe UnitedState.Itis
a straightforwardprocedure witha veryinstantaneousandpleasingresult.Because of this,the public’s
attentionandinterestfocusedonthe searchof a verysafe breastimplantmaterial.Breast
Augmentationisthe onlyprocedureinCosmeticPlasticSurgeryspecialtythatisthe surroundedby
controversy andscrutiny.Inthe past, speciallyduringthe late 70’sand early80’s a lotof medical
conditionsuchas breastcancer andautoimmune disease,waswrongfullyassociatedwiththe use of
siliconimplant.Becauseof thisthe US Foodand Drug Administration hadregulatedthe use of silicon
breastimplantforcosmeticbreastproceduresuntil recentlyinmid2007. Afterextensive clinical
researchstudythat includedmore thanathousandbreastaugmentedwomen,itwasfoundoutthat
siliconbreastimplantdoes notcause anymalignantdiseaseorbreastcanceror any autoimmune
disorder.Because of thisthe US – FDA had approve the use of siliconimplantincosmeticbreast
procedure.
There are 2 basic type of breastimplants,saline orsiliconimplants.The implantiscompose of anouter
membrane compose of siliconshell.Thisshellcontainseithersaline (fluid) orsilicon(cohesive gel)
material.Itisprudentforeverypatienttodiscusextensivelythe advantageanddisadvantage of each
implanttype withtheirsurgeonbefore theyfinalize theirdecision.
I performmyBreast Augmentationprocedure underdeepsedationwithlocal anesthesiaorgeneral
anesthesia.The procedure canbe done eitherasanoutpatientsurgeryorpatientcanbe admittedor
confine fora day or twoin a hospital,dependingonthe surgeonandpatient’spreference.Weatherthe
procedure will be performedasanOut-Patientorasa Hospital procedure,preoperativelaboratoryand
medical clearance isrequired.The surgeryusuallytakesone to twohoursto complete.The breast
implantcanbe insertedthroughanincisionatarmpitor breastfoldsorat the areolarborder.Each
choice of incisionsite hasitsownadvantage anddisadvantage intermsof scar cosmesisandnipple
sensation.Andamong the three incisionsthe transaxillaryapproachhasthe bestscar cosmesissince itis
concealedandnipple sensationiswell preserve.Butitisadvisable tothe patienttofurtherdiscusthis
issue if everscaringwill be asignificantconcern.Afterthe procedure there will be some swellingand
mildbruisingthatlastforseveral daysto few weeksandthisisonlyatransientchanges.Patientis
2. requiredtowearbreastbinderfor3 to 6 weeks.Thiswill holdthe breastimplantinplace duringthe
healingprocessandalsohelpcontrol the swelling.Suturesare removedafter7 to 10 days.
Anypatientplanningtohave thisprocedure willrequire10 to14 daysfor the initial consultation,
laboratory,medical clearance,surgery;follow up,suture removaland earlyrecuperation.Afterthis
patientissafe to travel since woundsare dryand healed.