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Friday, August 3, 2007

Shapes of the Breasts

1) Full Breasts
2) Swoop Breasts
3) Ptosis Some Volume Breasts
4) Ptosis Little Volume Breats
5) Large Ptosis Breasts
6) Small Breasts
7) Tubular Breasts
8) Snoopy Breasts
9) Pectus Carnitatum Breasts

1) Full Breasts

If many of us had this breast shape and size a lot of us wouldn't be undergoing augmentation mammoplasty with breast implants, would we? Ah, in a perfect world...

2) Swoop Breasts

The swooping breast is actually pretty common. Some maybe be due to lack of volume but no sag - it is actually among the better of the shapes to have if you're going to get implants. The nipples point upwards which is major asset in breast augmentation surgery. Of course breast shape can be hereditary - we sometimes wonder where our breasts came from when we are the black sheep of the family in this regard.

3) Ptosis Some Volume Breasts

The ptotic, (saggy) breast with some volume is also very common. Usually after a pregnancy you will lose volume, have enlarged areolae and thinned skin due to stretching during the pregnancy. Breast feeding can affect the nipple structure as well - causing it to elongate. There is nipple reduction surgery as well as an areolae reduction procedure. Sometimes a minor lift is needed.

4) Ptosis Little Volume Breasts

The ptotic, (saggy) breast with little to no volume is very common after pregnancy, breastfeeding, weight loss and aging - or all four combined. Although many young mothers may experience this after pregnancy and breast feeding, where aging is not a factor. However it is truly dependent upon the individual. Regardless, the augmentation mammoplasty procedure can substantially improve this breast type. Sometimes a lift is needed.

5) Large Ptosis Breasts

The ptotic, (saggy) breast with much volume will more than likely need a lift. The good thing about this breast shape is that there is still a substantial amount of breast tissue to cover the implant. Too little tissue can result in a palpable implant. The same breast but without the volume would of course require a large implant and a lift.

6) Small Breasts

This case is more common than you think. In my opinion, smaller breasted women do come out with outstanding results with implants. Usually this breast type will need to have the implant placed under the pectoral muscle. It is also possible to have the full sub muscular placement with the use of the serratus muscles and the rectus abdominus fascia as well as the pectoralis major. Rippling can be a problem with smaller breasted women, although women with very little breast tissue and thin skin may qualify for silicone filled implants.

7) Tubular Breasts

This is more of a breast anomaly than a shape but none the less it is a situation which can be corrected. Often called Tubular breasts or constricted breasts, the problems are usually twofold. One, the base of the breast which usually isn't wide enough. And two, the nipple and areola complex is sometimes partially augmented due to the herniated breast tissue. The base of the breast can be dissected from the chest wall just like any other skin and widened (or expanded) to permit the implantation of a breast prosthesis. The areolae - which are usually enlarged and/or tubular shaped .

8) Snoopy Breasts

Augmented nipple/areola complex (called usually snoopy): This shape is usually due to herniation of the tissue, lobules and fat without proper containment by the connective tissue under the areolae complex. This can be corrected with a Benelli-mastopexy, areolae reduction and sometimes with the aid of permanent sutures in a star fashion placed under the areolae complex. The permanent sutures act like a pseudo-containment net for the underlying breast tissue/fat and isn't offered by all surgeons.

9) Pectus Carnitatum Breasts

Pectus carinatum congenital chest deformity (pigeon chest) with ptosis: This isn't exactly a breast shape, per se, but rather a deformity or divergence of the chest. The ribs usually protrude as can the sternum. Sometimes the ribs stick out much further than the sternum causing lack of self esteem or self consciousness of the breasts. Breast implants can give the illusion of a normal chest.

Breast Augmentation

Augmentation Mammaplasty requires careful pre-op consideration and decision making. This process begins with a careful Consultation, concentrating on the history of any breast process, including pregnancies, breast-feeding, breast surgeries, and any family history of breast disease or breast cancer.

Mammography is also an important consideration for prospective candidates over age 40, in accordance with the guidelines of the American Cancer Society. Careful physical examination is also very important since physical characteristics of the individuals' breasts, such as shape, size, volume, symmetry, skin characteristics, inframammary fold and nipple position have a great bearing on the achievable result. Also, chest wall size, shape, and symmetry, and patient height and weight have a significant impact on the achievable result as well.

Since Breast Augmentation is a completely discretional, elective cosmetic surgery procedure, there is a special burden to avoid any intervention that may impair future breast exam or diagnostic testing, including mammography. For this reason, I prefer submuscular placement of breast implants, which fortunately has no negative impact on breast self-examination, and using proper Eklund breast implant displacement technique, little if any impact on Mammography quality.

Patients with very small breasts may actually be able to obtain better mammography after augmentation, since the implants have lifted breast tissue and pectoral muscles away from the chest wall, allowing better positioning of the breasts on the mammogram machine. Important details concerning the decision-making process leading up to breast augmentation are presented on the following linked pages, along with many before and after photos and pictures of representative patients.

Breast Implants

Breast implants come in a variety of shapes, surface textures, and sizes. Depending on the desired shape you wish to achieve, you and your plastic surgeon may choose a round or contoured breast implant shape. Generally, the larger you want your cup size, the larger the breast implant the plastic surgeon will consider (measured in cubic centimeters, or cc's). All currently available INAMED breast implants have a self sealing (diaphragm) valve that is used for filling the device. Depending on the style, the filling valve may be located on the front (anterior) or the back (posterior) of the breast implant.
You should be aware that contoured breast implants that are placed submuscularly (under your chest muscle) may assume a round shape after implantation. Your plastic surgeon will also evaluate your existing tissue to determine if you have enough to cover the breast implant. If you desire a breast implant size too large for your tissue, the plastic surgeon may warn you that breast implant edges may be apparent or visible post-operatively. You may even risk surgical complications. Also, excessively large breast implants may speed up the effects of gravity and result in earlier droop or sag.

Saline-filled breast implants were first manufactured in France in 1964, introduced by Arion[10] with the goal of being surgically placed via smaller incisions. These original devices had a high failure rate and were discontinued in the early 1970s [citation needed]. The current devices are manufactured with thicker, room temperature vulcanized (RTV) shells. These shells are made of silicone elastomer and the implants are filled with salt water after the implant is placed in the body. Since the implants are empty when they are surgically inserted, the scar is smaller than is necessary for silicone gel breast implants (which are filled with silicone before the surgery is performed).

Saline-filled implants are the most common implant used in the United States due to restrictions on silicone implants, but are rarely used in other countries. Good to excellent results may be obtained, but as compared to silicone gel implants, saline implants are more likely to cause cosmetic problems such as rippling, wrinkling, and be noticeable to the eye or the touch. Particularly for women with very little breast tissue, or for post-mastectomy reconstruction, plastic surgeons believe that silicone gel implants are the superior device. In patients with more breast tissue, however, saline implants can look very similar to silicone gel.

Trans Axillary Breast Augmentation

Trans-axillary placement of breast implants is probably the least frequently used technique for enlarging the breasts, but I believe it is the best technique.

I feel that breast implants should be placed deep to the pectoral muscle in most patients to avoid interference with future mammography, regardless of age at the time of the surgery. Breast implants placed beneath the muscle, tend to look and feel more natural, have less tendency to develop scar encapsulation (firmness), and are less disruptive to nerves to the nipples and skin, than implants placed above the muscle.

Placement of breast implants via the axilla allows the submuscular space to be entered directly, high along the pectoralis major muscles, limiting greatly the dissection and disruption of normal tissues. This approach also prevents any actual contact between the incision and the breast glandular tissue, which may harbor bacteria (Staph. epidermidis ), and thus contaminate the implant, leading to post-op inflammation and peri-implant scar encapsulation.

Although it is said by some that Trans-axillary breast augmentation technique leads to too high placement of the implants, that is seldom the case if the implants are placed in a properly developed submuscular pocket. Further, trans-axillary augmentation technique is the only approach that can maintain a completely intact muscle and muscle envelope (fascia) covering over breast implants, without cutting through and then repairing the muscles, thus acting as an internal bra to support and prevent downward migration of the implants.

This muscle envelope, extending downward from the chest muscles to the abdominal muscles, has to be disrupted if breast implants are placed in a submuscular position via either the areola (nipple) incision, or the lower breast skin incision (inframammary fold) approach. This loss of intact muscle support for the implants may lead to the downward displacement of the breast implants over time, leading to the appearance of secondary droop, and "bottoming out" of the implants, causing the nipples to be placed far too high on the breast mound, even slipping up out of a bra or bathing suit top.

If a proper submuscular pocket is developed and opened at the time of trans-axillary augmentation mammaplasty, the implants will appear to reside a bit too high at first, but will gradually settle into place over the course of a few weeks, to several months, as the intact supporting fascia (muscle envelope) and the overlying breast skin stretch to accommodate the implants.

Breast Enhancement

Breast enhancement has become one of the most popular cosmetic procedures. The second most popular cosmetic procedure amongst women, breast enhancement surgery was performed on 225,000 women in 2002 alone. The number of women seeking breast enhancement surgery indicates it is continuing to increase. As more women realize how much better they feel because of breast enhancements, and more people have become accepting of physical reshaping, new and improved methods of performing breast enhancement is being made all the time.

Now, surgeons have become even more efficient at reducing scars and performing breast enhancements in a safer and more natural appearance. Cosmetic procedures have been highlighted in the media at an increasing rate, which may be a factor in why there is a growing acceptance to openly discussing procedures such as breast enhancement.

When first considering breast enhancement, it is very important to first locate a surgeon with expert qualifications and experience. Making sure the breast enhancement surgeon has the necessary skill and training is essential in reducing risks of suffering adverse effects and undesirable aesthetic results. Potential breast enhancement candidates should become as educated about the procedure as possible, becoming completely confident with going ahead with the breast enhancement procedure first.

It is important to be realistic about what breast enhancement surgery can fulfill. Ideal candidates will have a healthy self-image already but are wishing merely to enhance their physical attributes through breast enhancement. Patients that do not display the right motivations for wanting breast enhancement surgery have shown to have displeasure with the end result and a breast enhancement surgeon will observe this during consultation visits.

Recently, more information on patient satisfaction with cosmetic procedures such as breast enhancement surgery has been gathered, which will be even more helpful in learning and developing more effective surgical methods. The results of surveys and studies have been indicating a high rate of pleasure amongst breast enhancement patients following their procedures. The low percentage of breast enhancement patients that had reoperations mostly opted for just implant replacements and not removal.

By educating yourself about all aspects of breast enhancement surgery and taking the time to find a surgeon with the necessary skill, experience, care, and eye for aesthetic beauty, breast enhancement surgery could be a very rewarding and pleasing experience. For more information on breast enhancement contact us to consult with a breast enhancement surgeon.

Cosmetic Surgery

Plastic surgery is any surgery performed for cosmetic or reconstructive purposes, and is a voluntary surgery. Many plastic surgery patients believe that their quality of life will be enhanced or improved as a result of plastic surgery.

There are some major differences between the two main categories of plastic surgery. In cases of reconstructive procedures, the patient is generally undergoing plastic surgery to improve function or correct defects. Birth defects, such as cleft palate, may require plastic surgery to treat the physical aspects of the problem as well as the aesthetic issues. Cosmetic plastic surgery reshapes normal body structures to alter the patient’s physical appearance.

Like any other surgery, plastic surgery involves the risk of infection and complications, including the chance of death. Risks associated with plastic surgery can often be avoided through proper patient/doctor communication, and plastic surgery conducted by an accredited surgeon carries a low risk for serious complications. Individuals considering plastic surgery should take the time to fully investigate the benefits and risks associated with plastic surgery, and to select a doctor with whom they are comfortable.

Prior to undergoing plastic surgery, the patient will do a consultation with the physician to discuss the plastic surgery procedure and to ensure that all questions are properly answered. The plastic surgery candidate should discuss their goals and expectations with the doctor, and be sure that plastic surgery will provide them with the desired results. Most of the time, plastic surgery procedures are conducted in a hospital or other medical care facility since a plastic surgery is basically the same as any other surgical procedure.

Following the plastic surgery, there is a period of recovery, which may require a brief period of hospitalization. Most plastic surgery procedures also involve a period of days or weeks before the final results of the plastic surgery are visible; allowing the body to heal, swelling to go down, and scars to reduce. Plastic surgery that does not produce the desired results can generally be corrected with further procedures.

Plastic surgery can help individuals lead happier, more confident lives, but it is important that plastic surgery be an informed decision. If you are considering plastic surgery, you may want to consult a doctor who specializes in plastic surgery procedures to discuss your goals and the possible risks involved.

References

1) http://www.afraidtoask.com

2) http://www.ebreastaug.com

3) http://www.breastlift4you.com

4) http://en.wikipedia.org

5) http://www.lookingyourbest.com