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Breast Augmentation
Can a woman breastfeed after breast augmentation?
A lot of women ask if they can breast feed after Breast Augmentation Surgery. The answer is a resounding yes. For the vast majority of women who have a breast augmentation, breastfeeding is no more difficult with implants than without. In fact, some women who have breast fed with and without implants say that breastfeeding with implants is easier! Breastfeeding is a growing concern with patients who have had breast augmentation surgery. In previous years, women who received implants were married and had already finished with childbearing. However, more and more single women, and women who have not finished or even begun childbearing are having the surgery. In 1992, the first report of a silicone illness hit the media. At that time there was fear that breastfeeding with silicone implants would endanger the child. There have been studies performed to show this not to be the case. The main reason being that the silicone molecule is too large to pass into the milk ducts.
Can implants achieve some lifting of sagging breasts?
Although implants do not lift up a sagging breast, they do help mildly sagging breasts appear less saggy. They do this in two ways: 1.) Implants take up some of the slack in loosened skin thereby increasing the volume and decreasing the saggy look. 2.) Implants, to a mild extent, rotate the lower portion of the breast upward, making the breasts appear less saggy. For moderate or severe sag, a lifting procedure or a lifting procedure with implants is usually performed.
Do Breasts with implants experience sagging over time?
All breasts relax as time passes, because the weight stretches the skin, elasticity is lost with age and the amount of breast tissue often decreases as the person gets older. These three factors mean that breasts can be expected to relax and sag whether or not there are implants present. The implants add some weight to the breast, which may increase the rate of relaxation, and yet implants and surrounding scar tissue can provide some internal support for the breasts. The overall result is that usually the breasts sag less, but more so if you wear a properly fitting bra regularly. A patient cannot expect to go without a bra for the rest of their life once they get implants. Especially with larger cup sizes as you will be returning to your plastic surgeon's office consulting for a breast lift.
Will my implants feel like natural breasts?
This issue depends much upon a few factors: Pre-existing tissue: The more natural tissue you have pre-operatively, the more of a chance you have of feeling "natural" post-operatively Implant filler: Saline reportedly feels less natural than silicone gel or Hydrogel-filled implants. Implant surface: Smooth-surfaced implants are thinner than textured-surfaced implants. Although very slight, patients having had both often report that they can feel a difference. Implant placement: You may hear that unders look more natural than overs, when in fact, all cases are different. Overs actually move more naturally than unders but may have a pronounced upper pole fullness (especially in overfilled implants). Unders tend to "jump" and twitch when you use the pectorals during every day movements and working out. This may be a matter of opinion and preference rather than an effect which produces a blanket statement. Thickness/thinness of skin: The thicker and springier your skin the less the implant edges will be felt. Thinner skin allows a more palpable result. hence thin-skinned individuals often opt for under placement. And also may meet the criteria to receive Silicone-filled implants.
Will I have stretch marks after my breast augmentation? How can I keep this from happening?
An individual's elasticity varies. Some patients develop stretch marks from growth spurts during puberty, muscle tissue gain from weight lifting and pregnancy. Some individuals never develop stretch marks and still others are very prone to them. There is still no successful treatment for the removal of stretch marks. Some swear by Shea nut butter, others, olive oil. Some swear by Retin A as a solution to the red lines that may develop in the early stages of stretch mark formation. It must be said that applying topical Vitamin E may have been the advice of yesteryear but according to new dermatological studies, topical Vitamin E can cause contact dermatitis and exacerbate scar appearance in some patients. Incidentally, Bio Oil with the new breakthrough ingredient PurCellin Oil is recommended 2 weeks post op with the addition of manual compression exercises beginning immediately to prohibit capsular contracture (CC). The stretch marks are caused by an abrupt expansion of the tissues. When the expansion is very gradual stretch marks are practically non existent. We suggest massaging Bio Oil or Shea Nut butter (if you are not allergic to nut oils) into the tissue beforehand and after until your skin is no longer tight feeling.(Do not rub Bio Oil on the scar until after 2 weeks of healing). But still ask your surgeon before doing anything other than what he or she instructs. There is no guarantee that stretch marks will not develop but medical science has faith that a proven method of removal will be discovered, eventually. Mature stretch marks are very difficult to remove. You can tell a stretch mark is mature by the age of course and by the color - which is usually white. Deep fissures which are purple in color can scarcely be removed with treatments short of excision. This means that those microdermabrasion treatments that you have been getting are probably going to do nothing but empty your pocket book. The white marks CAN be darkened using a flesh-colored pigment implanted using micropigmentation.
Is there much pain associated with breast augmentation? How bad will it hurt?
Although pain thresholds vary, breast augmentation pain is dependent upon the implant placement, incision placement and if you choose to take your medication on time, every time. You can also cause yourself more pain by not abiding by your surgeon's instructions and over-exerting yourself. Many patients report that their discomfort is described as pressure or muscle soreness. Some patients will feel a shooting pain described like being pricked with a needle from inside, this is the nerve endings re-attaching and is only temporary.
Should I wait to get my implants until after the weight loss to get the breast augmentation?
Although you may wish to get your implants at any time, if you are considering losing any significant amount of weight (15 lbs. and up) be prepared to notice sag if you lose breast tissue. If you have very small breasts and get implants then lose weight, there shouldn't be a significant problem with sag since your breast envelopes were not large to begin with. You could safely lose the weight and suffer no ill effects to your breasts if this is the case.
Should I wait to get my implants until after having children?
No, although it is a matter of choice for each woman. Many patients have the surgery before having their children. Most of those patients have breast fed without a problem. If the surgery is done with the incision in the axilla (armpit) and the implants are placed under the large pectoral muscle, an approach favored by many surgeons, the entire breast remains above the area of surgery and above the implant so that there is no interference with the milk glands and their connections to the nipple. In most cases, stretching or sagging is no greater with implants than in women who do not have implants. Therefore, this does not have to be a reason for a woman to put off enjoying the benefits of a breast augmentation until after having her children. Of course, if a woman is actively attempting to get pregnant, and it is a priority, it would make sense to wait until after the breast augmentation by is born and she has stopped nursing. Like all choices surrounding whether to get implants and the timing of breast augmentation surgery, this is a very personal decision.
How big should I go?
This question is probably one of the most often-asked. This is totally up to you! If you are asking what is the average size - C and D's are pretty common. If you are asking what size would help balance YOUR figure, try the hip-bust ratio. Say for instance if your hips are 36 inches, your breasts can be 34 to 36 inches and up (around) and you will look more like an hourglass as opposed to a pear. It is entirely up to you. You will have to "wear" them from here on out. Just remember that most women say, "I wish I would have gone bigger."
Am I too old/young for Breast Augmentation?
Although there is no set age, it is best to wait until your breasts have finished developing. You can better determine this with your OBGYN if you are a longstanding patient of his or hers. This can vary and although you may think you have finished maturing by 18 or 19, your breasts will continue to go through changes well into your early twenties. The youngest is usually 18 although in special cases of pronounced asymmetry and reconstruction, prostheses can be used on persons younger than 18. These younger cases are very specific. On the other side of the spectrum, many older women of all ages have got breast implants. When we are older the only thing that may stop us from having breast augmentation surgery is general health so be sure to have a physical to see if you are in good health to properly heal and handle the anesthesia factor. Below are some testimonials from women in their 40’s….you decide! For all you ladies who are in your 40's and 50's (or older!) and think you're too old for a breast augmentation…I'm 4 months post-op now, having undergone my breast augmentation. I am 47 years old and had seriously questioned my motives and sanity before finally committing to the surgery. I have always been athletic, slim, petite and youthful both in appearance and attitude. But... as gravity (and motherhood) took its toll, my once-perky little 34 A breasts began to sag and deflate. How I hated looking in the mirror! My stomach is flat, my butt is curvaceous, my body is toned... but there wasn't a damned thing I could do about my breasts. Except.... wait a minute! I could do something about my breasts!!! And I decided to go for it. I got lovely, perky little 34 B breasts, and I am SO happy I did it. For any woman trying to decide whether or not she is TOO old for Breast Augmentation surgery... consider the fact that we're all living well into our 70's and 80's now... if you get the surgery in your 40's or 50's... think of how many years you still have to enjoy your body! (And my hubby certainly doesn't mind either!) GO FOR IT! I am a middle aged woman of 47, I have just had a breast augmentation and I feel great! Don't let "age" stand in the way - it's just a number. I see a much younger, happier and shapelier person possessing a great deal of pride looking breast augmentation at me from the mirror. Even my wardrobe has gotten "younger"! I am 48, soon to be 49, had my 2nd breast augmentation last March, getting ready for a possible redo in February to go to silicone. I don't think it is ever too late, if it is something you want and know you will benefit from. It can truly change your outlook on life, give you confidence, and make shopping for clothes and lingerie a whole new world. I know it has done all of that for me - and more! It's never too late to feel more of a woman than you ever have in your life.
Do birth control pills cause breast tissue growth?
An increase in estrogen/progesterone, be it from the normal onset of puberty, supplements, contraception products, pregnancy, etc. all cause a subsequent increase in breast size. If you are planning on taking birth control pills or receiving the "shot", be advised that there ARE other side effects than simple breast growth. If you smoke you shouldn't take the pill, if you have circulation problems or high blood pressure, you shouldn't take the pill. There are many contraindications and considerations involved with this. Please see your OBGYN for more information and a complete exam before you take any type of hormonal "supplement."
Will my areolae stretch after augmentation?
Stretching of the areolae (plural of areola, the disc of darkened skin around the nipple in the center of the breasts) is very common and sometimes unavoidable. This can create more sag