breast reduction surgery CA 91754

Realistic Research on breast uplift surgery in CA 91754

Breast enhancement in CA 91754 is a surgery growing in popularity as each year passes. Why not? It helps many LA women gain confidence in their bodies, feel more proportionate and more attractive and seems to improve life by leaps and bounds. While all of these things are true, it is still important to know all the side effects and risks. Your Plastic Surgery Doctor in CA 91754 should discuss all of these with you beforehand so that you are well-prepared.

Many women in CA 91754 and LA are getting breast enhancement procedures at rapid paces. It is a procedure that has become incredibly sophisticated and common and this makes some women forget that there are still risks and side effects. While you shouldn’t dwell on these things and let them scare you, it is important to be aware of these things going in so that you know what to look out for.

One common side effect loss of sensation. This happens when nerves are damaged in the surgery. If this is a concern for you, make sure to discuss it with your doctor. He or she should go over everything with you, but may not remember all the little details.

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This can usually be avoided with different incision techniques. Another common effect is losing the ability to breastfeed. This is the same as the sensation: If you think you may want to breastfeed in the future, inform your doctor. He or she can use different methods to help protect the parts necessary to a healthy breastfeeding relationship.

It is important to know going in that implants do not last forever. They have to be replaced every so often (your doctor will be able to give you an idea of how often you’ll have to replace them) and they can also rupture or leak. Leaking is something that shouldn’t do too much harm if the material is from something that is FDA approved.

This is one reason it is important to go to a CA 91754 doctor that is licensed and experienced, to ensure that you are getting only approved things put into your body. This material, when it leaks, has not been shown to cause significant damage. However, if you suspect a leak, call your surgeon immediately.

If one ruptures, you’ll usually know it. The shape of your breast will likely change significantly. This can only be fixed surgically. If you are going in for any type of breast exam (like a mammogram) be sure to let them know that you have implants so that they can exercise necessary caution.

There are also risks that are common to any procedure that include a reaction to anesthesia, bruising or bleeding, swelling, and things like that. Your doctor will go over all of those things with you. Make sure to ask about everything in your consultation. If you are not comfortable with your surgeon, look for another one. Your comfort level and full disclosure are two necessary components of any surgery.

When all of these risks are discussed and paired with your medical history, things can be done in ways that are specific to your best interests. When you are well-informed you can go into your surgery with peace of mind and will better be able to enjoy the results of your new appearance.

breast implant surgery Doctor

Big Implants in Breast Augmentation

Breast enhancement is a surgery growing in popularity as each year passes. Why not? It helps many women gain confidence in their bodies, feel more proportionate and more attractive and seems to improve life by leaps and bounds. While all of these things are true, it is still important to know all the side effects and risks. Your doctor should discuss all of these with you beforehand so that you are well-prepared.

Many women around the world are getting breast enhancement procedures at rapid paces. It is a procedure that has become incredibly sophisticated and common and this makes some women forget that there are still risks and side effects. While you shouldn't dwell on these things and let them scare you, it is important to be aware of these things going in so that you know what to look out for.

One common side effect loss of sensation. This happens when nerves are damaged in the surgery. If this is a concern for you, make sure to discuss it with your doctor. He or she should go over everything with you, but may not remember all the little details.

This can usually be avoided with different incision techniques. Another common effect is losing the ability to breastfeed. This is the same as the sensation: If you think you may want to breastfeed in the future, inform your doctor. He or she can use different methods to help protect the parts necessary to a healthy breastfeeding relationship.

It is important to know going in that implants do not last forever. They have to be replaced every so often (your doctor will be able to give you an idea of how often you'll have to replace them) and they can also rupture or leak. Leaking is something that shouldn't do too much harm if the material is from something that is FDA approved.

This is one reason it is important to go to a doctor that is licensed and experienced, to ensure that you are getting only approved things put into your body. This material, when it leaks, has not been shown to cause significant damage. However, if you suspect a leak, call your surgeon immediately.

If one ruptures, you'll usually know it. The shape of your breast will likely change significantly. This can only be fixed surgically. If you are going in for any type of breast exam (like a mammogram) be sure to let them know that you have implants so that they can exercise necessary caution.

There are also risks that are common to any procedure that include a reaction to anesthesia, bruising or bleeding, swelling, and things like that. Your doctor will go over all of those things with you. Make sure to ask about everything in your consultation. If you are not comfortable with your surgeon, look for another one. Your comfort level and full disclosure are two necessary components of any surgery.

When all of these risks are discussed and paired with your medical history, things can be done in ways that are specific to your best interests. When you are well-informed you can go into your surgery with peace of mind and will better be able to enjoy the results of your new appearance.

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My approach to selecting a size for one's breast augmentation is that it is the patient's choice. It is not for me to judge someone's taste or desires. Breast size is a very personal issue and it is, to some degree, a bit like art. Beauty (breast size) is in the eye of the beholder. My goal is to make the patient happy. I usually do this by asking the patient to show me pictures of what size they think looks good and then I try and match that size concept in the surgery. The only preoperative measurement that carries much weight to me is the base diameter of the patient's breast. I have found few women want a breast implant that goes too far to the side and gets in the way of arm movement. Therefore, I keep the size to no greater than the existing breast base width. If the size is going to exceed the breast base width, that is one good reason to go with a high projecting breast implant so that one's breast volume comes forward and less to the side.

In the majority of breast augmentation in my practice, I find that most women select sizes that would be viewed as 'reasonable'. That breast implant size range seems to be between 300cc - 450cc for about 85% of my patients. The remaining 10 - 15% of my patients are anywhere from 450 - 700ccs. For a larger women, in both height and weight, these breast implant sizes are still 'reasonable'. For smaller women, these sizes would be considered quite large.

While, on the one hand, it is not my concern when a patient opts for a very large breast implant, I always feel compelled to make them aware that there are some long-term consequences to that choice that they need to be aware of. First and foremost, it is easy to increase the size of the breast but it is difficult to go the other way. Going down in size later may mean the need to do skin reduction and create scarring to maintain a good breast shape. Secondly, the larger the implant, the more loss over time the patient will have of their remaining breast tissue, otherwise known as pressure atrophy. In many large breast implants over time, the patient will only be left with skin and an implant with little breast tissue in between. Lastly, the weight of a very large breast implant over time may cause the entire breast to sag, weakening the skin support of the breast under its own weight.

Patients who choose large breast implants also need to appreciate that a woman's perception and goals of her breasts will change throughout her life. Like that tattoo of 'Bill' put on your arm at twenty, you may not even know Bill by the time you are forty.

Breast Augmentation Overview - Recovery and Information

Breast augmentation, capsular contracture and Singulair were the subject of a recent article in the Aesthetic Surgery Journal that cites a study that shows that Singulair improves capsular contracture in women with breast implants. 19 patients with breast implants were treated. 17 patients presented with capsular contracture from a variety of breast operations. Two patients who had a history of recurrent capsular contracture were given the medication prophylactically. 11% of the patients became worse 16% of patients had no change 26% improved 37% completely improved and 11% were prevented from getting capsular contracture. The study showed that Singulair improves capsular contracture in women with breast implants. It appeared to have better results in milder contracture versus more severe contracture. Singulair is well-tolerated with minimal side effects.

This corresponds with what I've been doing for the last several years. However now there is a published study that shows that Singulair works. This doesn't make it work any better but it does further legitimize the off-label use.

As mentioned before, many different things can cause contracture after breast implants. Factors like bacterial contamination and hematoma. These can prolong the inflammatory response. A colleague and friend of mine, Dr.Schlesinger, discovered that a drug called Accolate, which is an anti-inflammatory asthma drug, worked in improving capsular contracture and published this. However it was discovered later on that Accolate had a very small incidents of extremely severe complications including hepatitis, liver failure and death. This led to the abandonment of the use of Accolate despite the fact that it worked very well. Singulair is a similar type of drug. It is what is called a leukotriene inhibitor. These are factors that are thought to be responsible for capsular contracture.

This particular study on women with breast implants confirms what I have personally noted over the last several years. Cingular can help reverse contracture when it is caught early and just starting. It can also help prevent recurrence. However, if someone comes in with established contracture or extremely firm contracture it has little effect. The repair of very firm contracture is still a surgical procedure

Capsular contracture still continues to be an annoying and expensive problem in plastic surgery. By using techniques like the no-touch Keller Funnel while placing breast implants during breast augmentation, see my previous blog about the Keller Funnel, IV antibiotics and antibiotic irrigation we can reduce the incidence of contracture. However it is good to know that Singulair has been shown to be effective. In my own practice I combine it with cold laser to make it even more effective and see about 4 out of 5 people respond to the combination.

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What is breast augmentation?

Breast augmentation is enhancement of the breasts using surgery. The usual method involves inserting an implant either above or below the pectoral muscle. This results in breasts that are not only larger, but also have more projection, depending upon the kind of implants that are used, and where they are placed. Breast augmentation is one of the most common kinds of cosmetic surgical procedures being practiced.

What are the risks involved?

Before 1994, there were problems caused by leaks in the kind of implants used. Modern breast implants, however, have an excellent safety record, as is evidenced by how common this operation is. As long as the operation is done by a credible plastic surgeon, there should be no problems, aside from the usual risk of infection inherent in any surgical procedure.

The greatest physical risk is if a layer of collagen forms around the implant, but it is not all that common for this layer to become too thick. Even if this layer should thicken, usually the consequences are no more dire than having the implant removed. More about this risk will be explained below.

What are the materials used in implants?

The two most common kinds of implants use either silicone gel or saline in their content. In the early 90's, liquid silicone was used to fill the implants, and this could cause problems if there was a leak in the casing. Nowadays, the switch to silicone gel prevents any such leaks, since the silicone is no longer liquid and cannot spill out. Implants that use silicone gel are by far the most popular and the most commonly used, especially since saline implants can still potentially cause problems because of leaks.

What else do I need to know about implants?

Breast implants are also classified according to their shape. The two kinds are either round or tear-shaped. Tear-shaped implants can give a more natural look, depending upon the kind of augmentation desired, but it is possible for them to rotate or move out of place, changing the appearance of the breast. Also tear-shaped implants need a longer incision in order to insert them.

Naturally, the aftermath of smaller incisions are easier to conceal. Round implants, on the other hand, roll naturally with the shape of the breast, and are overwhelmingly the more popular kind of implant. When the patient stands, and under the influence of gravity, round implants give a natural, "classic" look to the breasts.

Another way to classify implants is according to the kind of shell they use, either smooth or textured. Textured implants are believed to lessen the risk of capsular contracture, although whether they actually do this is still a debated issue.

What is capsular contracture?

When an implant is inserted into the breast, the human body treats it as a foreign object. In order to protect itself, the body forms a "capsule" of collagen around it. If this capsule becomes too thick, this can lead to changes in the way the breast looks and feels. While it is not unusual for a thin layer of collagen to form, in the rarer circumstance where the collagen becomes too thick, it may become necessary to remove the implants and replace them.

Capsular contracture cannot always be predicted or prevented, especially since some of the causes are genetic. Nevertheless, it's possible to lower the risk of capsular contracture happening by making sure that the surgery is conducted in a completely sterile environment, and making sure that the pockets for the implants are completely clear.

How long will recovery take?

Recovery usually takes around two weeks, but it can be different depending on how long each person naturally takes in order to recover from an operation. During the recovery period, it is best to have sufficient support for the breast in order to help the healing process, and to give more movement for the arms.

After recovery, there should be no problem with breastfeeding, since the implants do not interfere with the mammary glands where milk is produced. The implants should also not interfere with mammograms, although more than one image may need to be taken in order to get a clear picture of the breast.


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