Breast Implant & Augmentation Surgery
Breast
augmentation, as the term implies means increasing the size of the breast. The
increase in the size of the breasts is through either your own tissue like Fat or through the insertion of
Implants which can be Silicone or Saline implants. The best results of breast augmentation are
achieved in young patients who do not have sagging of the breast.
Breast
Augmentation
SILICONE
BREAST IMPLANT BREAST AUGMENTATION:
Silicone is
an inert substance which does not react with our body if presented in a
particular form. Silicone Implants are basically Silicon solid balloon shell
filled with either Silicone gel or Saline. Saline Implants are almost out of
use.
The silicone
gel-filled implants which are used, have silicone gel inside the shell which
gives the consistency and feel of a normal breast. The outer shell may be
smooth, textures or microtextured.
As long as
there is no leak of Silicone from the shell of the implant, there is no
significant reaction with the body (breast tissue), but if there is a leak then
the Silicone gel may react with the surrounding breast tissue.
Usually,
this leak does not happen and therefore Silicone gel-filled breast implant is
considered safe.
The pros and
cons of various types of breast
implant may be discussed with the Doctor. The Breast implant surgery in Mumbai is relatively
straightforward breast
augmentation surgery with very few complications.
The implant
is either put under the breast tissue over the chest wall muscle (Pectoralis
Major Muscle) or under the Pectoralis Major muscle but above the chest wall.
Which is better is still a matter of debate and can be discussed with your
doctor.
The cut for Breast Implant can be
below the breast in the under-breast crease called the inframammary crease, or
in the axilla or on the junction of breast tissue and areola. There are plus
and minus of each.
The
inframammary incision tends to be more visible in the lying down position but
in the standing position, it is not visible. The areolar incision supposedly
gives the least visible scars as it mingles with the junction.
The axillary
incision does not have any scar on the breast, but wearing a sleeveless dress
may be an issue.
Breast
Feeding:
Breast feeding
is not hampered after breast implant because the implant is put under the
breast and not in the breast tissue.
Breast
cancer:
There is no
evidence to suggest that breast implant increase the chances of Breast Cancer.
Breast
implant-associated anaplastic large cell lymphoma (BIA-ALCL):
Recently
there is a concern regarding BIA-ALCL. This is most probably a
lymphoproliferative disorder or a T-cell Lymphoma, specific to breast implant but the
incidence of which is very very low.
Although
very difficult to ascertain the exact risk it is somewhat between 1 in 1000 to
1 in 10000 in various studies. To put it in correct perspective, the risk of this
specific T-cell Lymphoma, specific to breast implant breast cancer is very very low.
Though this
issue is relatively new, a new concept to put things in correct perspective is
the concept of MICROMORT which is the risk of dying of a particular event per
one million population.
The
estimated Micromort of BIA-ALCL is 0.4. If we compare the Micromort of driving
for 8 hrs in America, it is 16 almost 40 times that of textured breast
implant-related BIA-ALCL.
Microtextured
implants are supposed to be having much lower incidence of BIA-ALCL
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