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Plastic Surgery Information on Breast Augmentation, Liposuction, Rhinoplasty and other plastic and cosmetic surgery procedures.

Breast Augmentation - Saline Breast Implants, Silicone Breast Implants, Cohesive Breast Implants

Choosing to have plastic surgery is an important decision especially breast augmentation. Breast augmentation or breast enhancement is the enlargement of breast volume by the surgical placement of a saline, silicone or cohesive breast implant. The breast implant can be placed in women who feel that their breasts are too small or who have even lost volume from age or pregnancy. Differences in size between the right and left breasts can also be improved with the use of breast implants.

Depending on the desired shape, your plastic surgeon may choose a round or contoured breast implant. Round breast implants tend to produce a more rounded appearance to the upper breast. Shaped breast implants are designed to reflect the slope of the breast. To permit the smallest possible incision, the breast implant is typically inserted empty, and then filled with saline. You should discuss with your plastic surgeon, the pros and cons for the incision site specifically recommended for you. There are basically four approaches through which the breast implant can be passed. The most common sites would be the peri-areaolar (around the areola) and along the inframammary (breast crease) folds. A third approach involves placing the implant through a cut made in the axilla (armpit). The final route involves placing the implant through a cut made around the navel and tunneling the device to its proper location on the chest. This is called TUBA breast augmentation or transumbilical breast augmentation.

The breast implant whether it be saline, silicone or cohesive gel can be placed either partially under the pectoralis major muscle (submuscular) or on top of the muscle and under the breast glands (subglandular) depending on the thickness of your breast tissue and its ability to adequately cover the breast implant. You should discuss with your plastic surgeon the pros and cons of the breast implant placement selected for you. The submuscular placement may make surgery last longer, may make recovery longer, may be more painful, and may make it more difficult to have some reoperation procedures than the subglandular placement. The possible benefits of this placement are that it may result in less palpable breast implants, less capsular contracture, and easier imaging of the breast with mammography. The subglandular placement may make surgery and recovery shorter, may be less painful, and may be easier to access for reoperation than the submuscular placement. However, this placement may result in more palpable breast implants, more capsular contracture, and more difficult imaging of the breast with mammography. Breast augmentation is an important decision to make. Selecting the right plastic surgeon is a difficult