Ideal candidate for a breast augmentation are those who desire larger breasts, better-balanced body shape, and/or loss of volume with minimal sagging. Typically, breast enlargement involves the use of either saline or silicone breast implants, which are placed either above the chest muscle or beneath the muscle. The implants are inserted through incisions made around the nipple, under breast, in the armpit, or through the belly button. Women who have lost volume in the breasts and experience severe sagging may be better suited for a breast lift. This typically involves incisions made around the nipple, vertically down the breast, and horizontally along the breast crease. The surgeon then raises the breast tissue to a more youthful position on the chest wall and removes any excess skin. In some circumstances, a breast lift with augmentation may be appropriate.

If you are in learning more about breast augmentation and/or breast lift surgery in the New York City area, you may wish to contact Samuel Beran, M.D., F.A.C.S. He offers both procedures, with the skills and ability to produce beautiful, natural-looking outcomes.

If you are considering breast reconstruction surgery, it’s best to consult with your oncologist as well as a qualified plastic surgeon before your operation in order to weigh out your options. Depending on your situation, you may be able to have your breast reconstruction performed at the same time as your mastectomy. If this is the case, you may want to discuss what type of cosmetic work you will have done, such as a breast implant or a breast lift, and what you can expect in terms of recovery time. Because the effect that chemotherapy and other cancer treatments may have on your body; recovery from your breast reconstruction surgery may be slowed.

In some cases, breast reconstruction should be deferred until you have fully recovered from your breast cancer treatments. Additional mammograms and other screenings may need to be performed after your operation, and a breast implant may hinder the efficacy of these tests. These issues reinforce the importance of consulting with a plastic surgeon as well as your oncologist. If a qualified plastic surgeon is apprised of your particular medical needs, oftentimes, a favorable surgical plan can be adapted to your situation. For example, Ocean Plastic Surgery, an Orange County breast augmentation practice that specializes in breast reconstruction, offers a wide range of options for breast cancer survivors, including tissue expanders, flap reconstruction, allograft implants and capsulectomy. Ocean Plastic Surgery also offers a number of procedures that specifically treat the aesthetic after-effects of a mastectomy, such as nipple reconstruction and tattooing to correct color irregularities of the areola.

In most cases, it is possible to restore your breasts to a natural, feminine shape after breast cancer surgery. However, it is important to collaborate with a skilled plastic surgeon and other medical practitioners to ensure that your breast reconstruction procedure is performed safely and effectively.

One of the most drastic and lingering affects women face after surviving breast cancer are the changes done to their body after undergoing a mastectomy. After a mastectomy, women may be left with uneven or otherwise misshapen breasts. Many women choose to wear padded bras and other clothing to mask the remnants of their mastectomy. But even so, women may feel that a significant part of their femininity and identity has been lost after breast cancer.

To help heal the emotional scars that breast cancer leaves behind, many doctors regularly offer breast reconstruction to cancer survivors. Breast reconstruction, which is both similar to and different from cosmetic breast augmentation, can help restore the shape and fullness of a woman’s breasts after a mastectomy in a way that is safe and natural-looking. To onlookers, the change may be subtle—but to the patient, having the volume and wholeness in body that they enjoyed before going through breast cancer can be dramatically therapeutic.

If implants are used, they can sometimes be inserted immediately after the mastectomy, but in some cases, patients should wait until the skin and tissue of the chest has adjusted and any radiation treatments have been completed. While breast implants are intended to be permanent, they can be surgically removed down the road, if needed.

The first step to undergoing breast reconstruction surgery is to consult with a plastic surgeon. Restoring a woman’s breast to their pre-surgery condition requires in-depth assessment of the woman’s body and careful selection of techniques and implant type, size, and shape. For example, Dr. Amy Bandy, a Newport Beach breast reconstruction specialist who often works with breast cancer survivors, lavishes great attention to detail during the consultation phase in order to ensure that a woman feels like herself after the procedure is complete. In this way, breast reconstruction can play an integral role in recovering from breast cancer.

The best way to determine which procedure is most appropriate is by visiting a qualified plastic surgeon. He or she can evaluate your breasts, body shape, and discuss your ideal outcome in order to recommend a suitable surgical plan. Some patients may benefit from undergoing one of the procedures, while others may be better candidates for a combination of both.

Newer techniques in breast lift surgery can help patients achieve an elevated appearance using their own breast tissue. This method, called the NaturaBra breast lift, would eliminate the need for breast implants, as well as reduce the risk of rejection. When performing this technique, the surgeon uses the breast tissue to create an internal bra, which will help support the breasts in their new position. However, this procedure may not be suitable for all patients and should therefore schedule an appointment with an experienced surgeon.

Those in the Colorado area may wish to visit Denver breast augmentation specialist Matthew B. Baker, M.D., Ph.D. In addition to breast enhancement, Dr. Baker performs breast lift surgery and breast revision surgery. You may browse his website and contact his practice for further information.

As for the cost of plastic surgery, many people simply cannot afford it. This is where financing options play into effect; selecting an appropriate payback plan can help to alleviate stress and the need to go to desperate measures to afford plastic surgery. Case in point: the recent crime committed by Shatarka Nuby. This 29-year old woman decided to pay for her plastic surgery using a credit card that was registered in a stranger’s name. She underwent liposuction and a breast implants exchange procedure in Fort Lauderdale, Florida. She is now facing up to 10 years behind bars, as reported by Telegraph.co.uk.

So what does this say about our culture and plastic surgery? It weighs of importance in different ways for different people. While such women like Nuby decided to take matters in her own hands and commit a crime just to get plastic surgery, there are thousands of others who go about paying for their procedures the legal way. For those who are unsure about the best route to go when it comes to financing plastic surgery, visiting a plastic surgeon and asking the right questions can help them make the most appropriate decisions.

Dr. Leonard Hochstein, a board certified Miami, Florida area plastic surgeon, values personal care and, along with his staff, helps to educate patients regarding their options with plastic surgery. More information about the practice of Dr. Hochstein can be obtained by visiting his website.

Who’s Getting Breast Augmentation?

While breast augmentation is a procedure that seems to appeal to a varying age range, including patients under the age of 18 and a handful in the 65-plus crowd, women are commonly getting breast augmentation between the ages of 19 and 34. Looking to enhance their physique during the prime of their life, it would seem that many women are looking at larger breasts as a way to make them appear more desirable, especially when it comes to dating and marriage.

It would seem that America’s obsession with larger breasts is still at the forefront of idealized beauty, only second to the slimmer physique that can be accomplished with liposuction. And with the media circus surrounding celebrity breast augmentations such as that of Jaime Pressly, Kate Hudson, and Heidi Montag, it’s no surprise that women these days would feel inadequate when it comes to their breast size.

Recovery time for breast augmentation can vary significantly, depending on where your breast implants are placed. You have two options for your breast implants placement. They can be placed over the muscle (subglandular) or beneath the muscle (submuscular). Subglandular placement requires less recovery time than submuscular. Women who have subglandular placement usually feel ready to get up and go in a couple of days.

Incision Options for Breast Implants

The incision type and location used in your breast surgery also affects the recovery time, amongst other factors, such as how visible scarring will be. There are a few incision options including the following:

• Areola incision (Periareolar)
• Armpit incision (Transaxillary)
• Under the breast fold incision (Inframammary fold)
• Belly button incision (Transumbilical)

Women usually can return to work after about a week. You will need more time for recovery if your work or personal life frequently entails things like heavy lifting and strenuous exercise routines. It is important to discuss recovery times with your breast surgeon prior to the procedure.

The Periareolar incision is made where the darker skin of the areola meets the lighter skin of the breast. This is the most popular incision used for breast implants. This location allows for the scar to blend naturally with your skin tone and is not very noticeable. The areola incision is suitable for both the subglandular and submuscular placements. You may be able to return to your every day activities after about two weeks.

The armpit incision is placed in the natural folds under your arm. The incision is about an inch long and is fairly easy to hide. The technique results in little to no bruising with the use of an endoscope. The armpit incision also allows for both types of breast implant placement, whereas incision at the areola is only used for subglandular implant placement.

The inframammary fold incision is placed in the crease under the breast, at the chest wall. This technique is commonly used in breast augmentation and usually accounts for about one to two weeks of recovery time.

The belly button incision is often referred to as the TUBA, which stands for trans-umbilical breast augmentation. The incision is placed in the belly button and the scar is minimal and easy to hide. This incision allows for both subglandualr and submuscular breast implant placements. The recovery time is fairly quick with minimal bruising.

The preference for natural looking results continues for the vast majority of plastic surgeons and their patients. For example, the average implant size used by most of the surveyed surgeons is 300 – 400 cc. For most patients, this size will result in full C cup breasts. More than 60% of surgeons place the implants under the chest muscle rather than on top of the muscle, again aiming for a natural appearance to the slope of the chest wall.

An overwhelming majority of ASAPS plastic surgeons prefer round implants as opposed to “anatomical,” or teardrop shaped implants. The survey did not detail the reason for the preference, but the plastic surgeons we’ve spoken with say that implants occasionally rotate and shift inside the breast capsule. Obviously, anatomical implants would look unnatural upside down. Additionally, most plastic surgeons feel that round implants look very natural when the right size and position is selected, and particularly for submuscular placement.

The ASAPS survey also found that 64% of surgeons prefer an incision near the crease underneath the breast. Although there are other options, notably around the areola, an incision under the breast can give the surgeon optimal access with the least amount of visible scaring.

The big surprise, is how many plastic surgeons and patients continue to choose saline-filled implants. The ASAPS survey showed that 60% of their members are still using saline implants, with an overwhelming majority of those selecting saline implants for first time patients. Furthermore, when silicone gel was chosen over saline filling, the reason most often cited was “patient preference.”

So, it would appear that many plastic surgeons still select saline-filled breast implants quite often. The question is, “Why?” Not only has the filling been shown to be safe and unlikely to leak, it both looks and feels more like real breast tissue.

Could it be that even though silicone gel implants were re-approved by the FDA in 2006, there’s still a lack of faith in the devices? Perhaps many patients, and even some surgeons, haven’t done extensive research on the options? Maybe the choice of saline is simply a result of habit?

Whatever the case may be, the president of the ASAPS noted that good results depend more on “patent-appropriate” surgical techniques more than on the type of implant chosen. If the procedure is done correctly, only a defective implant of either type would create a probable high-risk scenario.

Today, at BreastImplants-Info.com, we’re taking this opportunity to showcase an article written by both a plastic surgeon and former breast augmentation patient, Dr. Gabrielle Young. Given her unique perspective on the procedure, we felt it would offer our readership great insight into the science behind breast implants, having elective cosmetic surgery in a recession and the social pressures of looking “just right” that teenage girls and young women face daily. (Special thanks to TampaBay.com / St. Petersburg Times.)

Here’s one possible upside to the economic downturn: Fewer teenage girls are getting breast implants.

According to the American Society for Aesthetic Plastic Surgery, 4,108 girls ages 18 and under had the procedure in 2008, compared with 7,882 the year before. Given the current economic outlook, 2009 may see further declines.

But as a doctor who has breast implants myself, I find it shocking that so many girls whose bodies are still developing are undergoing major surgery they do not need and may not fully understand. And I’m even more stunned that parents who should know better are indulging their daughters.

The physical risks of the procedure are well documented. Studies by implant manufacturers show that many breast implant recipients have at least one serious complication within the first three years, including infections, bruises, fluid collections, capsular contracture (painful hardening of the breasts), disfiguring scars, loss of nipple sensation, substantial stretch marks, irreversible thinning of the skin and migration of the implant.

Breast implants can interfere with self-examinations and mammograms, making early cancer detection far tougher. Implants also can make breast-feeding difficult or impossible.

Painful Choice to Advance Career

When I was 25, an aspiring model, it became clear that my B-cup breasts weren’t going to get me where I wanted to go in my career. So I opted for a conservative augmentation, to a C-cup.

I was expecting some discomfort after the surgery. No one prepared me for the feeling of constant sledgehammers crushing my breasts.

I had chosen to have my implants placed under the muscle, meaning my pectoral muscle was cut to place the implant in the proper position, to give my breasts a more natural look and feel.

It actually felt like my chest had been placed in a vise and squeezed. I had to be in a cloud of narcotic medications just to make it through the day.

My breasts were so swollen, I looked like I was wearing a personal flotation device for an emergency plane landing. I could not pick up a 3-pound weight, drive to get groceries or even put on lipstick for more than two weeks.

Once the pain ebbed, I was pleased with my new C-size breasts. They were ideal for my frame. But I allowed myself to be convinced by other swimsuit and fitness models that I should go bigger — all the way to double Ds. I was not discouraged by my plastic surgeon, but I don’t know that I could have been talked out of it anyway.

I had the second surgery less than a year later. The pain was worse the second time around. Despite that, I was happy with the results, because I thought it was what I needed to be a model.

Projecting the Wrong Image

Now I am a doctor, and my swimsuit-model figure doesn’t project the image I want to have.

Here’s just one of many stories I could tell: As a resident physician, I was speaking with a terminally ill patient about his treatment options. When I looked up at my attending physician, he was staring at my double Ds, which I had tried to conceal beneath two compressing sports bras and baggy surgical scrubs. The patient asked him if he agreed with my comments, and he could only blush. He had no idea what I had said.

The decision to go bigger was for the short-term goal of advancing my modeling career. I did not anticipate the long-term effects it would have on my professional life. No matter where I go, or what I say, people still look at me like I am a porn star, not a doctor.

And, like all breast implant recipients, I am facing surgery to have them replaced one day, because implants do not come with a lifetime guarantee. But I won’t change sizes, as once an implant is placed it is difficult to change sizes.

It’s Parents’ Job to Say ‘No’

From the time they can turn on the television, our children are bombarded with images of kids growing up too fast, images like Lindsay Lohan, Britney Spears, and My Super Sweet Sixteen. It’s hardly surprising if girls feel like they are waging an internal war over beauty and self-esteem. And if they decide a quick little operation can help, and their parents won’t say no, who will stop them?

Most surgeons won’t perform augmentations on girls. In fact, the American Society of Plastic Surgeons doesn’t even track statistics on implants for girls under 18, since the group has taken a position against the practice. But clearly, not everyone is following suit.

These are our daughters, and the future professional women of our country. They are not specimens to be cut with a scalpel and modified simply to help them gain social acceptance or, even worse, self-acceptance.

If economic reality is helping more parents say no to young girls who want bigger breasts, that’s a good thing. But the economy will turn around eventually. Will parental responsibility turn with it?

Dr. Gabrielle Young recently completed her residency at the University of Louisville and is an osteopath. She plans to practice in the Tampa Bay area. For more information, visit her Web site, www.drgabrielleyoung.com.

The kit is a thorough, thoughtful and elegant package for every woman starting the process of achieving a new body image through breast augmentation. It is an intimate, at-home preparation for face-to-face consultations with plastic surgeons, and an ideal resource for patients to set a size goal. The Natrelle™ Pre-Consultation Kit was developed with the help of two of America’s most prominent plastic surgeons, who participated in the kit’s orientation video featuring an informative actual breast exam.

Mr. Jeffrey Moore of communications firm 3v07, and director/producer for the program, established that the Natrelle™ Pre-Consultation Kit’s primary driver must be an elegant approach for selecting what size implant each patient would like to set as their goal.

“This is such a personal, life-long decision that it is hard to believe that until this Natrelle™ Pre-Consultation Kit many women would set a goal for their new profile by filling plastic sandwich bags with rice or hair gel to get an idea of what size they would like to be. A search of the Internet turns up one resource after another recommending this process. At best, some may take 20 minutes in a doctor’s office to determine their goal. Our first principal in development of the kit was to assure that size selection is now a personal, fun, at home experience women could take their time with.” Mr. Moore goes on to say, “The Natrelle™ Pre-Consultation Kit size selection experience is elegant and complete. Women are provided with a beautiful bra and 4 different breast implant-like sizers to assure they are comfortable with their breast enhancement before starting the process. This is a great solution for both women and their doctors.”

Contemporary research clearly shows that practicaly every woman begins her path to breast augmentation by doing some form of research on the web. With the decision to offer this kit prominently through web services offered by Allergan and Natrelle™ patients can be empowered to approach their initial consultation confidently. The kit provides an excellent look at the initial consultation and covers each topic a woman will discuss with her doctor, giving her the perspective to make informed decisions. This includes styles of breast implants, incision choices and profile choices.

The Natrelle™ Pre-Consultation Kit features a DVD orienting patients to the process of getting a new profile, a discussion brochure for the information they will cover with their Plastic Surgeon and a breast sizing system with a special brassiere and trial implants. The kit also includes a $50 rebate for Natrelle™ gel implants and $120 in savings on the Allergan aesthetic products BOTOX® Cosmetic (botulinum toxin type A), JUVEDERM™, LATISSE™ (bimatoprost ophthalmic solution) 0.03%.

The Natrelle™ Pre-Consultation Kit is $39.95 and available to patients only via the Internet at www.Natrelle.com starting April 1, 2009.