Are you satisfied with the size and shape of your breasts? Do you feel your body is out of proportion? Would you feel more feminine with larger sized breasts? Have the effects of aging and children stolen your youthful breasts? Are your breasts droopy and demand a push-up bra? Maybe you are a breast cancer survivor and seek reconstruction for their disfigurement.
These are some of the common concerns women have for requesting breast enhancement surgery.
The two most common procedures are breast augmentation and breast lift which increase the volume and shape of the breast and correct the sagging respectively.
Dr. Wire can perform these rejuvenating procedures safely and comfortably at his office without general anesthesia. In his experience, local anesthesia facilitates a faster recovery with enhanced safety combined with the convenience and privacy of his office rather than a hospital.
Breast augmentation enhances the size and shape of your breasts. Breast augmentation is achieved with the use of implants made from silicone. Silicone, the material which implants are manufactured, is extremely safe for the use in humans and has a long established safety record. However, implants themselves can exhibit signs of wear and aging. This reality is extremely important for the patient to accept. Dr. Wire is emphatic about informing his patients that they will most likely require more than one surgery in their lifetime if they proceed with breast augmentation with an implant. However, it is fair to balance that reality with the well-established track record of safety and satisfaction of breast augmentation with silicone gel implants. Please refer to the following links for FDA endorsed guidelines and prescribing resources for breast implants.
Next, Dr. Wire advises women to consider the effects of implants on breast feeding, nipple sensation, and breast cancer.
If a woman feels strongly about breast feeding then she may wish to delay breast augmentation until she is finished having children. Here are some considerations. First, breast surgery alters the breast by manipulating its tissue, glands, and nerves with the incision to insert the implant and the dissection and expansion of the breast for the placement of the silicone gel implant. In many cases, there are no untoward effects with the ability of the woman to breast feed. However, success with lactation after breast augmentation can not be guaranteed, therefore, for a woman who is highly motivated to breast feed Dr. Wire recommends that they hold off breast augmentation until finished having children.
Another relatively common question is how long after breast feeding do I have to wait until proceeding with breast augmentation? Although there is no scientific result, clinical experience suggests that lactation should have ceased for approximately 1-2 months or longer if possible. The risk of proceeding to soon would be unexpected changes in the breast such as reduction in size as well as infection due to the bacteria residing within the nipple, milk ducts, and glands.
In regards to nipple sensation, it can be altered or even lost with breast augmentation. The surgical technique utilized to create a pocket or space to insert the implant can damage or destroy the nerves for nipple sensation resulting in permanent numbness. The risk is small, around 1%. More commonly, women will remark about a change in sensation with many claiming hypersensitivity. This usually settles down over the first 6-12 months after the procedure but it can be alarming and concerning for the woman.
Finally, the risk and impact of breast cancer should be considered by the patient. Dr. Wire in no way provides expert consulting regarding breast cancer, risk, or its treatment. His expertise is consulting women regarding the impact of implants on the detection and treatment of the breast if the patient were to be afflicted by breast cancer or other disease. Family history, age, and personal medical history are reviewed and recommendations to followup with the patients primary physician or oncologic breast expert are recommended. It is not uncommon for a mammogram to be performed prior to breast augmentation surgery.
Next, let’s take a closer look at implants
Pictures Of Breast Implants