Breast Augmentation and Surgery
◆ The decision to have breast implants has long-term implications.
◆ Your surgeon should offer lifelong follow-up care.
◆ Breast implants do not cause cancer or autoimmune diseases.
◆ Not all breast implants are the same. Insist on the highest quality with a lifetime guarantee.
Cosmetic breast surgery consistently ranks as one of the most frequently requested procedures by women. Over a quarter of a million women in the USA and 30 000 in the UK undergo breast augmentation every year. Although the primary motivation is a desire for larger breasts, many women are looking for a more attractive breast shape or restoration for more youthful breasts after childbirth and breastfeeding.
The benefits of breast augmentation include increased confidence and self- esteem, a greater sense of femininity and sexuality, and the ability to wear a range of clothes, swimwear, and lingerie. The vast majority of women are fearful that their implants will be obvious and unnatural. The most frequently expressed ideal is for a full-breasted look that is in proportion to their bodies. Implanted breasts should ideally look like breasts, feel like breasts, and move like breasts. Achieving a natural result depends on selecting a suitable and sensible size of implant and having enough breast tissue to conceal the implant.
Any woman considering breast augmentation should know that
◆ a scar is inevitable (under the breast, around the nipple or in the armpit) (see Figure 3.1 overleaf)
◆ a technique exists for placing the scar around the umbilicus (belly button)
this approach is complicated and carries a significant risk of complications
◆ the operation may result in decreased nipple sensation
◆ the implants may need to be replaced after 10–15 years
◆ the implant edge may be palpable or even visible, particularly in a thin patient with little natural breast tissue
◆ the implants may be firmer than a non-implanted breast
◆ the operation requires a general anaesthetic and an overnight stay in
hospital
