Feb 26

PreBAM Breast augmentation takes what you have and makes it larger. The goal of the procedure is to build a good-looking breast, one that looks, acts, and feels like a natural breast. The procedure increases the size and the projection of the breast. It does not change the basic shape of the breast; nor does it address breast sagginess (ptosis) adequately.

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. Contact a plastic surgeon utah today

Procedure: Breast augmentation is performed under general anesthesia in the hospital on an outpatient basis or in a surgical suite. Dr. Crofts’ method of inserting and positioning the implants is usually subpectoral, that is, under the pectoral muscle in contrast to subglandular or on top of the muscle.

Implant PlacementThis incision is usually placed in the breast fold and the implant beneath the pectoralis major muscle. Actually, any incision can be used, whether it is the fold, nipple/areola, or armpit (axilla).
Implant Placement
Working through an incision in the breast fold, the skin, breast tissue and pectoral muscle are lifted to create a pocket. The implant is then centered beneath the nipple. The size is determined by your height, weight, reproductive history, skin envelope, rib cage and muscle structure; it is not an arbitrary decision of yours or of Dr. Crofts’. During the consult you will determine the best look for you. Dr. Crofts will then apply this information at the time of surgery to determine the best size of implant that will achieve that “look” as best possible.

Placement beneath the muscle is more painful for the first few days after surgery, but is usually the best procedure to use with saline implants. The larger sub pectoral pocket gives a more natural look; feel and movement to the breast and you are less likely to experience wrinkling, especially at the upper pole of the breast.
The procedure is done on an outpatient basis and takes approximately two hours.

Following surgery, one is likely to feel tired and sore for a few days, but the patient will be up and around in 24 to 48 hours.

The patient must restrict heavy duty exercising for two to three weeks after surgery. It is recommended that no bra or support be worn after surgery for about 2 months, which permits the implants to settle to their desired position.

Most of the discomfort will be controlled by medication. The swelling in the breasts may take three to five weeks to disappear. Your final result will be at about 3-6 months postoperatively. It is important to remember that this is a process and it takes time for the final desirable result to appear. The breasts will probably be sensitive to direct stimulation for two to three weeks, so one should avoid sexual contact. After that, breast contact is fine as the tenderness abates. The scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, however, the scars will begin to fade, although they will never disappear completely.

Massage (implant displacement exercises): This is the best tool that the patient possesses to prevent capsule formation. Massage helps to keep the pocket open and stretched out. It needs to be done a minimum of 6-8 times per day on each breast for the first 2 months after surgery, then once a day forever. For the 1st week after surgery Dr. Crofts recommends massage every hour while awake: this will optimize your result. It is simply the movement of the implant through the newly formed pocket.

Breast Cancer and the Augmented Breast: Prior to undergoing augmentation mammoplasty, it is important that you discuss with your surgeon your family history of breast cancer. One out of nine women will contract breast cancer over the course of their lives. The most important step that an individual can take in avoiding the serious consequences of breast cancer is to ensure early detection of the cancer. This is best accomplished by self-examination and not mammography. Breast self-examination, which should be done five to seven days after one’s menstrual period and only once a month, will accomplish two things. First, it helps a woman understand her own breast architecture so that when a change occurs, she will be able to recognize it immediately. Second, knowing ones breast architecture, a new mass can be quickly identified and evaluated medically. If it does turn out to be a breast cancer, then it will be detected much earlier, which leads to a much greater survival rate. Finding breast tumors when they are smaller than 1 cm by self-examination is very important in the survival of an individual. Once a mass is found, then, if deemed appropriate, further studies can be done. Typically a mammogram will be obtained. Traditional mammography has not been completely adequate in examining a breast with an implant. The Eckuland procedure was developed to better evaluate a breast with a concerning mass. This is also known as compression mammography. Despite this improved technique, it is impossible to completely visualize all of the breast tissue in an augmented individual. Visualization is better with saline implants as opposed to silicone implants. There are adjunctive techniques, which can be used to evaluate the breasts, such as ultrasound or MRI, but these can be expensive. Nevertheless, they are available and effective. It should be noted that breast augmentation surgery is not associated with breast cancer and that implants Breast Cancer and the Augmented Breast: Prior to undergoing augmentation mammoplasty, it is important that you discuss with your surgeon your family history of breast cancer. One out of nine women will contract breast cancer over the course of their lives. The most important step that an individual can take in avoiding the serious consequences of breast cancer is to ensure early detection of the cancer. This is best accomplished by self-examination and not mammography. Breast self-examination, which should be done five to seven days after one’s menstrual period and only once a month, will accomplish two things. First, it helps a woman understand her own breast architecture so that when a change occurs, she will be able to recognize it immediately. Second, knowing ones breast architecture, a new mass can be quickly identified and evaluated medically. If it does turn out to be a breast cancer, then it will be detected much earlier, which leads to a much greater survival rate. Finding breast tumors when they are smaller than 1 cm by self-examination is very important in the survival of an individual. Once a mass is found, then, if deemed appropriate, further studies can be done. Typically a mammogram will be obtained. Traditional mammography has not been completely adequate in examining a breast with an implant. The Eckuland procedure was developed to better evaluate a breast with a concerning mass. This is also known as compression mammography. Despite this improved technique, it is impossible to completely visualize all of the breast tissue in an augmented individual. Visualization is better with saline implants as opposed to silicone implants. There are adjunctive techniques, which can be used to evaluate the breasts, such as ultrasound or MRI, but these can be expensive. Nevertheless, they are available and effective. It should be noted that breast augmentation surgery is not associated with breast cancer and that implants do not cause breast cancer.

In fact, some studies suggest that there is a decreased incidence of breast cancer in augmented women less than 40 years of age. Still, the most important thing that an individual can do is a regular once-a-month self-examination of her breasts. If there is a strong family history of breast cancer, the patient may want to avoid augmentation mammoplasty. For those undergoing augmentation mammoplasty over the age of 30, it is recommended that they get a preoperative mammogram. Post operatively; they are to undergo regular screening mammograms as recommended by the American Cancer Society. The Eckuland procedure is mandatory.
Consider breast augmentation utah. Information on surgical procedure, incisions, saline and silicone breast implants, recovery, possible risks and more.

Consider plastic surgery utah for all of your surgery needs.

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Feb 18

Many people know that if sub-muscular implant placement was necessary for adequate tissue coverage of your implant and your breast tissues are thin, you will have much more tenderness compared to a patient that has implants placed over the muscle. There are new recovery techniques that have been published known as dual plane and 24-hour recovery. With either of them, you can experience the same, or very similar recovery to those who have had their implants placed over the muscles if you receive sub-muscular implants.

When a plastic surgeon uses optimal instruments and techniques, there are no differences in the pain of recovery between patients who have received sub-mammary implants and those who have received sub-muscular implants.

Even if the plastic surgeon that you choose still uses techniques that cause more post-operative discomfort when your implant is under the muscle, this is a short-term problem for long-term protection against seeing the edges of your implants and possibly an even greater risk of capsular contracture. You can expect more tenderness and the possible inconvenience of drain tubes for a few days if your cosmetic surgeon used blunt dissection techniques. If your plastic surgeon expects your recovery to be shot, there will be a short list of post-operative instructions for you. You’ll be much less burdened after surgery if your plastic surgeon is capable of doing more in the operating room.

You will know right away if the plastic surgeon and your beliefs about cosmetic surgery procedures line up in your initial consultation. In this meeting with your surgeon, you will go over many things including how to best prepare for your surgery and what you should and shouldn’t avoid doing before and after the procedure.

The post-operative instruction between cosmetic surgeons vary a lot. Even though there are many variations, the most important thing for you to do is to listen to your plastic surgeon’s post operative instructions. The reason a plastic surgeon knows exactly what needs to be done, better than anyone else, is because he or she is who knows best what happened in the operating room. Never try to out-think your cosmetic surgeon. Following your plastic surgeon’s instructions will yield the best results for your surgery. Do not follow your friend’s advice that has had a similar procedure, from a different plastic surgeon.

If you are like many women that want to receive breast augmentation and know other people who have already had the procedure, especially in the case of sub-pectoral breast augmentation, one of your greatest difficulties will likely be believing that a 24-hour return to normal activities is even remotely possible. You are assured that this rapid return is very possible whether or not your implants are placed over the pectoralis muscle or not.

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