Plastic Surgery and breast implants costs in LA
What is breast augmentation? Breast augmentation in LA 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 in LA.
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.
Breast Augmentation: The Recovery Period
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.
The Longevity of Breast Augmentation
Many people get breast augmentation surgery and love the look of their new breast. However, many times excessive scar tissue can form on the implant and the implant will become very hard. The scar around the breast hardens and squeezes the implant. Sometimes dues to these scars you lose the beauty of your newly implanted breasts.
It is normal to have some scar tissue form but with this your implant will feel really firm and hard. It can be hard to predict prior to the surgery if you will get a capsular contractor however it can be a common problem with breast augmentation surgery and should be addressed immediately. A professional and experienced doctor can help you in curing this problem.
If you decide on breast augmentation, then you may want to consider textured implants which decrease the likelihood of the capsular contractor because of the rough surface that forms. It can prevent hard capsule from forming. Many people decide to get their breast implants under the muscle, which can also decrease the likelihood of this problem.
You can also get regular massages or compression, which is generally done with smooth implants. This should be done a few weeks after the procedure and should be routinely done while you have your implants. Also, if the surgeon is always making sure no foreign substance touches the implant, this can help also.
If you do get capsular contractor, then you can get antibiotics to help treat it. The doctor will also try and remove the entire capsule around the implant because you do not want other contractures to form in the future. Some doctors just cut the capsule to release the scar but this can lead to problems in the future.
If the procedure does not get solved with antibiotics or if the capsular is a large problem, then you may have to take out the implant so that you do not run the risk of big problems in the future. Make sure you talk to your doctor and you two have a candid talk to decide what to do if you get the problem. If detected early, you should not have any immediate health risks.
If you develop capsule contracture, then you have many options available for you. Make sure you understand many of the preventative methods as well as the other options you have if you develop the problem after you put in your implants.
There are other ways to achieve a breast augmentation other than actually having surgery. There are ways of changing the appearance of your breasts and not having to go under the knife. You can do a few simple things on your own and it will look like you have natural and beautiful breasts.
Anyone can make their breasts look bigger themselves by doing a few things. If you have thought about having plastic surgery, done in order to make you feel sexier and to make your clothes fit you better, then you should hear about a few things first. A few natural products that you can do will make your breasts appear bigger and fuller.
One step for natural breast augmentation is creams. Many manufacturers have come up with productive creams that will enhance the appearance of breasts over a certain amount of time. These creams will stimulate the breasts so that they will actually grow in size. Obviously, you will not have dramatic results right away. However, you will see a change in your breast appearance and it is one that you will like. Most of these creams can be bough over the counter and need to be applied on a regular basis.
Another good idea for natural breast augmentation is to take vitamins. Some pills will actually enhance your breasts over an extended period of time when you use the pills on a regular basis. These pills can be bought online or at some drug stores. The breast enlargement pills and vitamins will help to make your cup size bigger and make your breasts feel fuller and firm. You will find that these pills will help to completely transform your body into the one that you have always wanted with out the painful surgery.
If you are not sure about using the pills and the vitamins in order to make your breasts larger and look more full, you can always use the padding and padded bras. When you opt to use padding in your bras, it does not mean stuff it with tissue. Instead, there are cups that you can place inside your bra that will make your breasts look natural and beautiful. You will not have to under go any kind of breast augmentation in order to get this desired look and feel.
You can also buy a padded or push up bra to help give your breasts a lift. These bras will give the illusion of larger and fuller breasts with out having to have any kind of breast augmentation done. This is something that you can choose to do on certain occasions or you can wear the added padding all the time. Either way, this will give you the freedom to do look the way that you want in order to feel good about your body.
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