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Breast Enlargement (Augmentation Mammoplasty)
Indications: The modern era
of breast enlargement started in 1961, when the first silicone
implant was used to improve the appearance of the breast.
Since that time, the basic implant has undergone many modifications
and improvements. The implant that is most used for breast
enlargement procedures now is the saline (inflatable) implant.
However, there are several indications where the FDA does
allow the plastic surgeon to use the silicone implant.
Many of our patients who desire breast enlargement
are in their early twenties and thirties. Many of our patients
are women who have lost breast volume due to pregnancy, and
wish to return to their pre-pregnancy breast size. It is therefore
not uncommon to perform breast enlargement surgery on women
throughout their forties.
Dr. Sherman will discuss the goal of your proposed
breast enlargement surgery, and go over the entire procedure
with you. The following information will help you understand
the operation.
Operation: The operation may
be performed in our fully accredited office surgery center,
or in the hospital as an out-patient. The breast enlargement
operation itself lasts for 1 to 1 1/2 hours. You will stay
in our recovery area until you feel comfortable to return
home. If you are coming from out of town, you should remain
in New York overnite, so that Dr. Sherman could see you if
the need arises. Suture removal is usually one week after
surgery.
There are several options that you may choose
for breast enlargement surgery. These consist of the site
of the placement of the implant and the choice of the incision
through which the implant is placed. Incisons: The choice
of incisions is made by the patient after a consultation with
Dr. Sherman. Breast enlargement can be accomplished throuh
either a transaxillary (armpit) incision; inframmary incision
(below the breast, above the fold); or a periareolar incision(through
the areolar, the circle around the nipple). Each approach
has its advantages and disadvantages. Dr. Sherman will discuss
all of these with you.
Submuscular or Subglandular implantation:
This describes the position of the breast implant in relation
to the pectoralis muscle. Depending on your anatomy, age,
and vocation, there are advbantages to each approach for breast
enlargement. Dr. Sherman will explain each, and help you understand
the position that may be ideal for you.
Revision of Breast Enlargement: Because
of Dr. Sherman's experience, he often corrects problems that
have been associated with breast enlargement in the past.
Anesthesia: Patients have a
choice of either a general anesthesia or intravenous sedation
anesthesia. As in all of our operations, the anesthesiologist
is a board-certified, and highly skilled, experienced anesthesiologist.
If the implant is placed below the muscle, the operation is
usually performed under general anesthesia.
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