Description
Mammoplasty is used to augment breast size, to restore fullness and to raise slightly sagging breasts. With recent developments, implants have been used successfully to compensate for most breast deformities or for reconstruction after breast removal. There are no exercises, hormones or other medications which can safely increase the size of the breast. The only safe way breast size can be augmented is with the use of implants. (This procedure is completely unrelated to "silicone injections" which are not recommended.) Since the size of the implants vary, the breast can be increased to any size desired. The texture of the material is practically indistinguishable from normal breast tissue. This procedure has been successfully performed in the United States over one million times.

Procedure
Desired breast size is determined by the patient. There are different types of implants and surgical approaches, each with it's own pros and cons. Individual circumstances determine which type of implant should be used. This will be discussed during the consultation. The surgical incisions can be placed in the skin fold of the armpit, within the pigmented portion of the nipple or beneath the breast. The implant is inserted behind the muscle, the incisions are carefully sutured, and a supportive binder is applied.

Recovery
Although all surgical procedures involve some risk, this operation is not so risky since it does not involve the breast gland. The patient can return to daily activities in seven to ten days, avoiding strenuous exercise for two to three weeks. Occasionally, there may be a collection of blood around the implant within the first two days after surgery. If the amount is significant, it can be removed by reopening the incision. There may be some decrease or increase in sensation in the nipple. This is usually a temporary condition, except where the

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incision is made around the nipple. Unfavorable scar formation that remains uncomfortable for a period of six months to a year may occur, but this is very unusual. Occasionally, the breast may become more firm because of the tightening of the fibrous capsule which forms around the implant. Massaging or manipulating the implant maintains a larger pocket and decreases this problem. Extreme firmness may be improved with a limited secondary procedure involving a reopening of the old incision and sectioning of the scar tissue at the margins of the implant.

Infection at the sight of the implant is extremely rare, but can be treated with the removal of the implant and replacement in three months. Displacement or asymmetry to a significant degree is also uncommon. Minor variations are considered to be within normal limits. Inflatable implants can leak, but very seldom do.

The implant will not interfere with future breast feeding if the patient becomes pregnant and there has never been any demonstrated relationship between the implants and the future development of breast cancer.

After 25 years and several million patients worldwide, there is still no evidence that any type of breast implant can cause generalized disease.