Breast augmentation surgery

 
 
 
 
Breast augmentation surgery has increased by 476 percent since 1992, the largest increase in any type of plastic surgery1. The FDA estimates that more than 2 million women in the United States have had breast augmentation surgery. In the year 2000 alone, 200,000 American women had their breasts augmented, twice as many women as had face lifts. Breast augmentation has been taking place for over 100 years as women try to make up for what they feel are physical inadequacies, or try to keep up with modern fashion trends.

Breast augmentation is not without its problems. As techniques have changed over the years, so have the deleterious side effects of breast augmentation, from hardening of paraffin injected into the breast, silicone leakage from newer implants, and migration of implants on the physical end of the spectrum, to infections, hematomas, seromas and disfiguring capsular contractures on the physiological end of the spectrum. Women have endured much in the quest of the perfect figure.

This research will examine a history of breast augmentation techniques, with their concomitant problems, and the techniques of breast augmentation surgery. The preparation of the patient for surgery, the surgical techniques used, the after care, and the possible complications are discussed. It will be seen that each case is unique in its needs, techniques required, and outcomes, and each surgeon similarly unique in the methods selected for the procedure, determined in


     
 
 
 
    

 

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f the foam led to the release of toxic carcinogens. In the late 1980s, all the problems related to leakage of silicone from implants came to public awareness, and the FDA was alarmed when it was shown that silicone caused cancer in rats6. In 1991 the FDA imposed a moratorium which led to the removal of silicone implants for use in patients for breast augmentation. Demands by the public for safe substitutes for silicone implants led to experimentation with other fillers such as peanut oil, sugar, and starch solutions. Soybean oil is currently being tested. The filler must be nonreactive with human tissues, have radiotranslucency, and have a gel-like consistency similar to that found in normal breast tissue. The quest for the perfect body continues, and as long as it does, women will seek breast augmentation. The safest options available today are saline implants, which come in several shapes, styles and sizes7. The range of sizes and shapes allows a better fit for various chest anatomies. Some have textured surfaces to allow for capsular ingrowth and to prevent displacement of the anatomical shape. Breast Augmentation Pre-operative patient preparation: On initial consultation regarding breast augmentation, the patient

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