Breast Augmentation, or augmentation mammaplasty,
is the surgical procedure performed to increase the size and shape of
a woman's breast(s). It may be performed for a number of reasons;
cosmetic improvement for self-confidence, or a correction of breast
asymmetry or as reconstruction following a mastectomy for cancer.
If you are considering a breast augmentation, this information
will give you a basic understanding of the procedure - when
it can help, how it is performed and the results you can expect.
Who is suitable for breast augmentation?
Breast Enlargement
Any woman who wants larger breasts may
be suitable for this operation, but it is highly unlikely
to be performed on women whose breasts have not yet fully
developed. If you are unhappy with very small breasts, increasing
their size can improve self-confidence and self-esteem.
Breast Firming and Re-Shaping
With ageing, pregnancy, breast-feeding
and gravity the skin can stretch and breasts may droop. In
these circumstances, a certain amount of lifting and filling
can improve the shape of the breasts considerably. Sometimes
the surgery may be accompanied by a tightening of the skin
to further lift the breasts (a procedure known as mastopexy).
Breast Asymmetry
Most women have some degree of breast asymmetry. The left breast
is often shorter and squatter than the right, simply because the
left chest is broader to accommodate the heart. However, where
there is pronounced asymmetry, or a particular condition such as
Poland's Syndrome or tuberous breasts, breast augmentation can
be used to correct the imbalance.
Breast Reconstruction
Although a mastectomy is often a final resort in the case of breast
cancer, the outward appearance and psychological effects of the
operation can be reduced through breast reconstruction. Some women
choose a reconstruction at the time of the original mastectomy and
sometimes it is done later. In either case, the shock of mastectomy
can be eased by the cosmetic reconstruction of the breast.
What to expect at the initial consultation?
At the initial consultation your breasts will be examined and measured
and Mr Gateley will discuss all aspects of the operation with you. At
this stage, Mr Gateley will assess whether breast augmentation is
suitable for you and whether the operation will meet your specific needs.
When it comes to a preferred size for your new breasts, this
will be discussed in detail with Mr Gateley. Surgeons define
implant size in millilitres (ml) and a typical implant may
vary between 200ml and 350ml; implants do not operate in 'cup
size' as bra manufacturer's definitions of size vary considerably.
As a guide to the preferred size of breast implant, try filling
a freezer bag with warm water and measuring accordingly.
It is important that you mention to Mr Gateley any previous
breast problems that you may have had. Such problems would
include breast lumps, nipple discharge, breast pain, breast
cancer of any other surgery you may have had on the breasts.
You should also inform your surgeon if you have any family
history of breast cancer, particularly in your mother or sisters.
If you are on any long-term medication, if you have any allergies,
if you have a tendency to bleed or bruise easily, if you have
had any previous surgery, if you had any problems with local
or general anaesthesia and if you have any medical ailments, tell you
surgeon.
Where does the treatment take place?
Your operation can take place at either
Parkside Hospital, Wimbledon, The London Clinic or St Anthony's
Hospital, Cheam. You can expect to spend 1 night in hospital
recovering from the operation before going home.
What can go wrong?
In general, breast augmentation is associated
with a high-degree of patient satisfaction and the vast majority
of women are very pleased with their results. Nevertheless,
no surgery is without risk and Mr Gateley will explain the
risks and possible side-effects of treatment with you at your
consultation.
How long does it take to recover?
Recovery can take up to 3 weeks and you are not advised to return to
work during the recovery period.
How satisfied can you expect to be with the procedure?
Because this is a common plastic surgery procedure, the results are
quite predictable. After the operation, many woman report feeling
exhilarated by their new, fuller appearance, with a resultant increase
in self-confidence.
A breast augmentation always leaves a scar (the implant has
to be placed through an incision) although the scar usually
becomes inconspicuous with time, and is frequently hidden
beneath the breasts (only visible when the breasts are lifted).
Mr Gateley can discuss the exact nature of your treatment,
including procedure details, recovery times and any possible
side-effects at a consultation. This will reflect your exact
circumstances and needs. The information included here is
provided for general guidance only.
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