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Breast
Enlargement &
Lifts
Myths
of Enlargement & Information About Surgery
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Although
there are quite a few myths about how to make your breasts
larger (from special creams to exercise techniques), the
truth is that there really is no way to change the size
of your breasts, except through cosmetic surgery.
What
you can do is to learn how to be comfortable with the size
and shape of your breasts, and understand that there are
pros and cons to all different types of bodies. We've all
gone through times when we didn't like parts of our bodies.
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Lisa
S. Lawless, Ph.D., C.E.O.
Holistic Wisdom Founder
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Men worry
about the size of their penises, and women who have large breasts
have their own concerns, too - some find that their backs or shoulders
hurt, for example.
Still
Not Convinced?
Here is some information on the only
way to increase breast size or lift them to a young, perky upward
position.
Breast
Surgery: Implants & Lifts
A
breast implant or lift is not necessarily a simple operation,
but it's normally safe when performed by a qualified plastic surgeon.
Nevertheless, as with any surgery, there is always a possibility
of complications or a reaction to the anesthesia. Bleeding and
infection following a breast lift are uncommon, but they can cause
scars to widen.
Mastopexy
does leave noticeable, permanent scars, although they'll be covered
by your bra or bathing suit. (Poor healing and wider scars are
more common in smokers.) The procedure can also leave you with
unevenly positioned nipples, or a permanent loss of feeling in
your nipples or breasts.
Here
Is An Example Of A Successful Breast Augmentation-
Common
Reasons To Do It-
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To
enhance the body contour of a woman who, for personal reasons,
feels her
breast size is too small.
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To correct a reduction in breast volume after pregnancy.
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To balance a difference in breast size.
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As a reconstructive technique following breast surgery.
~
By inserting an implant behind each breast, surgeons
are able to increase a
woman's bustline by one or more bra cup sizes.
WHAT IS NECESSARY TO HAVE BREAST AUGMENTATION
Breast
augmentation can enhance your appearance and your self-confidence,
but it won't necessarily change your looks to match your ideal,
or cause other people to treat you differently. Before you decide
to have surgery, think carefully about your expectations and discuss
them with your surgeon.
The
best candidates for breast augmentation are women who are looking
for improvement, not perfection, in the way they look. If you're
physically healthy and realistic in your expectations, you may
be a good candidate you may also want to consider how important
this really is... and look to perhaps accept your body the way
it is.
TYPES
OF IMPLANTS
A
breast implant is a silicone shell filled with either silicone
gel or a salt-water solution known as saline. Because of concerns
that there is insufficient information demonstrating the safety
of silicone gel-filled breast implants, the Food & Drug Administration
(FDA) has determined that new gel-filled implants,
at the present time, should be available only to women participating
in approved studies. Some women requiring replacement of the implants
may also be eligible to participate in the study.
Saline-filled
implants continue to be available to breast augmentation patients
on an unrestricted basis, pending further FDA review. You should
ask your doctor more about the specifics of the FDA decisions.
UNCERTAINTY
AND RISK
When
It Goes Well-

Before

After
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Breast
augmentation is relatively straightforward assuming you have a
good surgeon which is key to this going well. But as with any
operation, there are risks associated with surgery and specific
complications associated with this procedure. The most common
problem, capsular contracture, occurs if the scar or capsule around
the implant begins to tighten. This squeezing of the soft implant
can cause the breast to feel hard.
Capsular
contracture can be treated in several ways, and sometimes requires
either removal or "scoring" of the scar tissue, or perhaps removal
or replacement of the implant. As with any surgical procedure,
excessive bleeding following the operation may cause some swelling
and pain. If excessive bleeding continues, another operation may
be needed to control the bleeding and remove the accumulated blood.
A small percentage of women develop an infection around an implant.
This may occur at any time, but is most often seen within a week
after surgery. In some cases, the implant may need to be removed
for several months until the infection clears. A new implant can
then be inserted.
Some
women report that their nipples become oversensitive, undersensitive,
or even numb. You may also notice small patches of numbness near
your incisions. These symptoms usually disappear within time,
but may be permanent in some patients.
There
is no evidence that breast implants will affect fertility, pregnancy,
or your ability to nurse. If, however, you have nursed a baby
within the year before augmentation, you may produce milk for
a few days after surgery. This may cause some discomfort, but
can be treated with medication prescribed by your doctor.
Occasionally,
breast implants may break or leak. Rupture can occur as a result
of injury or even from the normal compression and movement of
your breast and implant, causing the man-made shell to leak. If
a saline-filled implant breaks, the implant will deflate in a
few hours and the salt water will be harmlessly absorbed by the
body.
When
It Does Not-

Example Of " Bottoming Out"

Example
Of Asymmetry Off

Capsular
Contracture

Symmastia
(Breadloafing)
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If
a break occurs in a gel-filled implant, however, one of two things
may occur. If the shell breaks but the scar capsule around the
implant does not, you may not detect any change. If the scar also
breaks or tears, especially following extreme pressure, silicone
gel may move into surrounding tissue. The gel may collect in the
breast and cause a new scar to form around it, or it may migrate
to another area of the body. There may be a change in the shape
or firmness of the breast.
Both
types of breaks may
require a second operation and replacement of the leaking implant.
In some cases, it may not be possible to remove all of the silicone
gel in the breast tissue if a rupture should occur.
A
few women with breast implants have reported symptoms similar
to diseases of the immune system, such as scleroderma and other
arthritis-like conditions. These symptoms may include joint pain
or swelling, fever, fatigue, or breast pain. Research has found
no clear link between silicone breast implants and the symptoms
of what doctors refer to as "connective-tissue disorders," but
the FDA has requested further study.
While
there is no evidence that breast implants cause breast cancer,
they may change the way mammography is done to detect cancer.
When you request a routine mammogram, be sure to go to a radiology
center where technicians are experienced in the special techniques
required to get a reliable x-ray of a breast with an implant.
Additional views will be required.
Ultrasound
examinations may be of benefit in some women with implants to
detect breast lumps or to evaluate the implant. While the majority
of women do not experience these complications,
you should discuss each of them with your physician to make sure
you understand the risks and consequences of breast augmentation.
PLANNING
YOUR SURGERY
In your initial consultation, your surgeon should evaluate your
health and explain which surgical techniques are most appropriate
for you, based on the condition of your breasts and skin tone.
If your breasts are sagging, your doctor may also recommend a
breast lift. Be sure to discuss your expectations frankly with
your surgeon. He or she should be equally frank with you, describing
your alternatives and the risks and limitations of each.
You
may want to ask your surgeon for a copy of the manufacturer's
insert that comes with the implant he or she will use, just so
you are fully informed about it. Also, be sure to tell your surgeon
if you smoke, and if you're taking any medications, vitamins,
or other drugs.
Your
surgeon should also explain the type of anesthesia to be used,
the type of facility where the surgery will be performed, and
the costs involved. Because most insurance companies do not consider
breast augmentation to be medically necessary, carriers generally
do not cover the cost of this procedure.
THE
SURGERY
The
method of inserting and positioning your implant will depend on
your anatomy and your surgeon's recommendation. The incision can
be made either in the crease where the breast meets the chest,
around the areola (the dark skin surrounding the nipple), or in
the armpit. Working through the incision, the surgeon will lift
your breast tissue and skin to create a pocket, either directly
behind the breast tissue or underneath your chest wall muscle
(the pectoral muscle). The implants are then centered beneath
your nipples.
Some
surgeons believe that putting the implants behind your chest muscle
may reduce the potential for capsular contracture. Drainage tubes
may be used for several days following the surgery. This placement
may also interfere less with breast examination by mammogram than
if the implant is placed directly behind the breast tissue.
Placement
behind the muscle however, may be more painful for a few days
after surgery than placement directly under the breast tissue.
You'll want to discuss the pros and cons of these alternatives
with your doctor before surgery to make sure you fully understand
the implications of the procedure he or she recommends for you.
The surgery usually takes one to two hours to complete. Stitches
are used to close the incisions, which may also be taped for greater
support. A gauze bandage may be applied over your breasts to help
with healing.
FOLLOW
UP IS IMPORTANT
Regular
examination by your plastic surgeon and routine mammograms for
those in the appropriate age groups at prescribed intervals will
help assure that any complications, if they occur, can be detected
early and treated.
HOW
TO FIND A REPUTABLE SURGEON
To
find a plastic surgeon who performs this procedure, visit the
online referral service of the American Society of Plastic Surgeons
(ASPS). ASPS, founded in 1931, is the largest plastic surgery
organization in the world and the foremost authority on cosmetic
and reconstructive plastic surgery.
All
ASPS physician members are certified by the American Board of
Plastic Surgery (ABPS) or the Royal College of Physicians and
Surgeons of Canada.
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