Breast Augmentation

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Breast Augmentation > Procedure Information

Breast Augmentation with silicone gel implants was first performed in 1964. Since then, this procedure has been performed on millions of women with mostly good results but not without controversy. From 1991 until most recently, the gel implants were barred from use in the U.S., except in limited clinical trials because of concern they might be linked to certain systemic illnesses such as rheumatoid arthritis and systemic lupus. Saline filled implants remained an available option.

However many independent demographic studies in the U.S. and Canada have shown no increased incidence of any illnesses in women who have had breast augmentations with silicone gel breast implants when compared to women who have never had beast augmentation. As a result of these studies, the FDA lifted the ban on these implants.

Breast augmentation is performed under general anesthesia on an out-patient basis. The breasts are bandaged in a compressive dressing for 1-2 days and then in a soft support bra. Within several days of surgery, Dr. Ott starts his patients on an exercise program to prevent the tissue forming around the implants from contracting and making the breasts feel firmer than natural. This is the most common problem associated with breast augmentation. The exercise is to keep the pocket formed in surgery larger than the implant requires in order for the breasts to remain naturally soft.
There remains controversy as to whether implants should be placed above or below the pectoralis muscle. Dr. Ott feels it depends on the patient. In a thin patient with small natural breasts, it is best to place  implants behind the muscle for more tissue coverage.

However, lift of the breasts is best accomplished with implants on top of the muscle. This is best for most women who have had children and have a natural relaxation of the skin with or without loss of breast volume after pregnancy. This is referred to as involutional atrophy. If the nipple is above the infra-mammary crease, an implant above the muscle will help to lift the breast as well as enlarging it. If the nipple is below the infra-mammary crease, it will also require a mastopexy for the optimal result.