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The Breast Augmentation has become increasingly popular over the past few years. Although this is a straightforward surgical procedure, some in-depth discussion between surgeon and patient is always required. This is why a consultation with Dr Abel Mounir (Manchester) will include a very full and frank appraisal of individual's suitability, as well as review the risks and benefits of the Breast surgery in general.

Usually, Patient would start by asking which implant is the best for the breast enlargement. The task of the surgeon would be to try to explain to the patient the difference between differences between the different type of implants and especially between the Silicone breast implants and Saline implants. Basically, patients do wish to know which type of implant is more suitable for them. Also patients sometimes are more specific and would ask which type of silicone implant is the best. They wish to know what implant is more suitable for them and understand the differences between the Natrelle implants, (Allergan), the CUI implants (Allergan) and the Mentor implants.

In fact, most patients are aware that Saline implants are easy to insert in the breast because when these implants are placed in the breast, they are empty and only after placement the implants are filled with saline. Patients could be attracted by the fact that these implants are always inserted through a very small incision. However, As a surgeon I try to make them aware that although the placement of the saline implants in the breast is simple and involves lesser risks to the body, these implants are reported to have a higher complication rate such as wrinkling or rippling. Poor cosmetic out-come after augmentation with saline implant are usually easily noticeable to the naked eye and can be felt by touching the breasts.

Patients interested to have Silicone made implants do know that these implants necessitate a longer incision (about 2 to 3 cm more) as the implants are already filled with cohesive silicone-gel and then placed in the body. The cosmetic out come produced with the silicone-based implant is usually superior to the Saline implants. Effectively, post operatively, the breasts do feel and look more natural.  Therefore, the Breast enhancement the so –called "boob-job" with silicone implant has become increasingly popular among women. Nevertheless, it is very important to make your surgeon aware whether you wish to have a natural look or a more rounded (fake) look.

Are you a good Candidates For Breast Augmentation?

Surely, Breast enlargement can improve your appearance and your self-image, but this does not mean that you would be able to match your ideal. You should not expect that other people to look at or treat you differently. It is very important that before you decide to have cosmetic breast surgery, you should think carefully about what your expectations are and discuss them deeply with your Dr Mounir.

It is important to understand that the best patients for breast enlargement are women who are looking to improve them look, and not to match a perfect image and ideal, in the way they look. If you're physically healthy and realistic in what you wish to achieve your, you may be a very good candidate for a breast augmentation.

What are the risks of Breast Augmentation?

Breast enhancement or breast enlargement is relatively straightforward surgical procedure. However, this so-called boob job operation does carry some risks. Generally speaking patients are well aware that there are always risks associated with any surgery. However, it is important that you understand that there are specific complications associated with breast augmentation using silicone implant. The most known and common complication is the capsular contracture.

This would happen when the scar tissue around the implant the so-called "capsule" around the implant begins to harden or tighten. Consequently, the squeezing of the soft implant by the scar tissue can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal (capsulectomy) or "scoring" (capsulotomy) of the scar tissue, or perhaps removal or replacement of the implant with a different type of implant. As with any surgical procedure, excessive bleeding following the breast enlargement leading to some swelling and pain and discomfort. If the bleeding continues, another surgery may be needed to stop the bleeding and remove the collected blood (hematoma).

A small percentage of patients develop an infection around a the implant. This may occur at any time, but is most often seen within the first two weeks after surgery. If the breast is very infected and becomes red, hot and painful then the implant would need to be removed (explantation) for several months until the infection clears. Later, a new implant can then be inserted. Some women report that their nipples become very sensitive, less sensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually resolve within few months, but may become unfortunately permanent in some women.

There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by your doctor. Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body.

If a break occurs in a gel-filled implant, however, one of two things may occur. If the shell breaks but the scar capsule around the implant does not, you may not detect any change. If the scar also breaks or tears, especially following extreme pressure, silicone gel may move into surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, or it may migrate to another area of the body. There may be a change in the shape or firmness of the breast. Both types of breaks may require a second operation and replacement of the leaking implant. In some cases, it may not be possible to remove all of the silicone gel in the breast tissue if a rupture should occur. A few women with breast implants have reported symptoms similar to diseases of the immune system, such as scleroderma and other arthritis-like conditions.

These symptoms may include joint pain or swelling, fever, fatigue, or breast pain. Research has found no clear link between silicone breast implants and the symptoms of what doctors refer to as "connective-tissue disorders". While there is no evidence that breast implants cause breast cancer, they may change the way mammography is done to detect cancer. When you request a routine mammogram, be sure to go to a radiology center where technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views will be required. Ultrasound examinations may be of benefit in some women with implants to detect breast lumps or to evaluate the implant.

While the majority of women do not experience these complications, you should discuss each of them with Dr Mounir from Manchester to make sure you understand the risks and complications of breast augmentation surgery.

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Member Of The European Society of Aesthetic Surgery

Ex Member Of The
European Society of Aesthetic Surgery

Member Of The American Academy Of Cosmetic Surgery

Ex Member Of The
American Academy Of Cosmetic Surgery

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