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Understanding Breast Implantation Surgery

Dr. G. Sharath Chandra Reddy, Monday, October 11, 2021

WHAT IS BREAST IMPLANTATION SURGERY?

Breast implantation surgery is a cosmetic surgery procedure to increase size and shape of breast. currently there are multiple methods of prosthetic breast reconstruction and various types of implants with different shapes,textures, and fill materials for the plastic surgeon to choose from and improve breast symmetry.


WHO SHOULD UNDERGO BREAST IMPLANTATION SURGERY?

The ideal candidate for breast reconstruction with prosthetic implants is a thin patient with bilateral reconstruction, or a thin patient with a normal, nonptotic breast who requires unilateral reconstruction.


HOW DO I PREPARE FOR THE SURGERY?

The first step is to choose a surgeon and see him or her for a consultation. Your surgeon may instruct you to stop taking certain medications for a time before and after the surgery and may ask you to stop smoking and drinking for sometime period and do not eat or drink anything for 8 hours before surgery.


WHAT HAPPENS DURING THE SURGERY?

Breast implantation surgery is performed using general anesthesia or local anesthesia. After making the incisions through a proper techniques the cosmetic surgeon will insert the breast implants and position the breast on the chest accordingly. The remaining breast tissue and skin will be reshaped and closed with sutures.


PROCEDURE:

Flaps must be completely healthy, the pocket must be of adequate size so as to insert an implant of the appropriate size, and the appropriate implant must be selected. If the pocket is inadequate for a permanent implant of sufficient volume, then an expandable implant, such as an expandable saline device with a remote access port, can be used. The port is removed at a later stage, or an expandable silicone/saline device can be used. The advantage of an expandable device is its adjustability during the post procedure period prior to final port removal, which generally can be accomplished in the office setting. The disadvantage of  immediate reconstruction includes the risk of asymmetry with the contralateral breast, inadequate size and projection of the device, and the need for a secondary revision to improve the quality of the overall reconstruction.The incision runs through inflammatory fold beneath the breast, which is a single scar.


WHAT TO EXPECT AFTER SURGERY?

After the procedure, you will be sent home in a surgical bra,with your breast bandaged. There may be a fair bit of pain and discomfort for first few days.The use of a conforming breast binder to hold the implant position might be advantageous. Patients are instructed to avoid the use of an underwire bra for several weeks after surgery and, depending on the type of implant used, may be instructed to massage their implants. Implant massage is usually reserved for patients with smooth implants rather than shaped, anatomic implants where massage may lead to implant malposition. Pain medication is prescribed as needed. 


BENEFITS:

Improves self-esteem and quality of life.

Ability to wear new or different clothes.

Feeling more youthful.


by


Dr. G. Sharath Chandra Reddy

Consultant Plastic & Cosmetic Surgery

KIMS Hospitals, Kondapur





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