Breast augmentation, also known as augmentation mammoplasty, is the surgical procedure for enlargement of breast size. Breast augmentation is meant to improve a women's body contour. These include women with naturally small breast and also those who have lost breast volume following pregnancy and nursing. This operation may help balance breast asymmetries, however it is important to note that difference in the size, shape or orientation of the two breasts is considered normal and is actually the rule. While breast augmentation will enlarge the breasts, the surgery can not change the underlying defects in breast shape and form. If breast size and/or nipple position asymmetries are severe, additional procedures to further improve symmetry may be necessary. Saline filled or silicone gel implants may be implanted by several routes by an incision thru peri areolar (around the areola), inframammary (lower breast folds), transaxillary (arm pits) as well as transumbilical (via the navel) or transabdominal (over the abdominal wall) during an abdominoplasty surgery. The implants can be placed submuscular [under the muscle (partial or full)], subfascial [under the fascia (the lining over the muscle)] or submammary [below the breast tissue and over the muscle and fascia].
WHAT ARE BREAST IMPLANTS?
The implant is composed of an outer flexible, silicone shell and filled with either saline or silicone gel. The saline implants are filled intra-operatively while the silicone implants are pre filled. Although smooth round implants are the most commonly used shape, a variety of sizes, profiles and shapes as well as textured implants are available to meet the individual needs of each woman.
What are Breast Implants?
Implants are composed of a flexible outer silicone shell and filled with either silicone or saline gel. Saline implants are filled intra-operatively, while silicone implants are pre-filled. Although round and smooth implants are the most commonly used shape, a wide variety of sizes, shapes, and profiles are available to meet the unique needs of every woman. You can even select textured implants.
Who is a Candidate?
Patients must have realistic expectations. The specific risks and suitability of this procedure for a given individual can be determined only at the time of consultation with your cosmetic surgeon. Women who desire larger breasts or want to improve their breast shape or correct asymmetries are the general candidates. It is important to assure that there are no underlying health issues, including connective tissue diseases. It is also important to perform a physical exam and a mammogram to rule out breast malignancy. Patient with previous augmentation have the option for implant exchange if such procedure is desired or needed.
Although breast augmentation may be performed under conscious sedation with local anesthesia, it is best performed in an accredited outpatient surgical facility under general anesthesia. The procedure begins with a small incision (1-2 cm for saline and 5-6 cm for silicone) through a predetermined entry site. A pocket is created for the desired size of implant, and the implant is placed and adjusted appropriately. Saline implants are then filled with sterile saline until the desired size is reached. This ability to adjust size intra-operatively is one of the advantages of saline implants. With silicone gel implants, the implants are pre-filled. However, they have a softer and more natural feel and offer a decreased chance of rupturing. Generally, the incision is closed with an absorbable suture. In certain cases, a simultaneous breast lift or areolar reduction is required, and the patient is put into a soft-conforming bra.
Meet Dr. Rassael
As the founder of Millennium Medical, Dr. Rassael graduated from George Washington University in 1986 with a BS in chemistry and zoology and subsequently obtained his graduate degree in physiology at Georgetown University. He obtained his medical degree from the New York College of Osteopathic Medicine in 1994.
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A Comfortable Environment
At Millennium Medical, our conveniently located office is designed for your complete comfort and relaxation. We incorporate the latest state-of-the-art equipment to meet virtually any need, all in one location. Schedule a consultation to learn more about how we can help to highlight your natural beauty.