How can I find a qualified board certified plastic surgeon?

Visit www.plasticsurgery.org, which is the official website of the American Society of Plastic Surgeons (ASPS).

How is breast augmentation surgery performed?

Breast implants can be inserted through four different incisions:

1. Periareolar

2. Inframammary

3. Axillary (armpit)

4. Transumbilical (belly button)

The most common incisions appear to be periareolar and inframammary. The periareolar incision leaves a very inconspicuous scar and allows the surgeon to perform a breast lift simultaneously, if needed. The inframammary incision is placed in the crease or fold under the breast and is less than 2 inches in length. This approach can help improve a woman' s chances of future breastfeeding. The transaxillary approach leaves a very nice scar in the armpit; however makes it difficult to perform revisional breast surgery in the future. The transumbilical approach is useful only for saline implants and also makes it very difficult for revisions or replacements in the future.

What are the possible immediate post-operative effects of breast augmentation surgery?

Most patients will experience tightness and pressure, as the implants are typically inserted under the pectoral muscle. Mild narcotics and/or muscle relaxants help control the symptoms; which usually last for about three days. Patients are instructed to avoid heavy lifting for about four to six weeks after surgery.

Who is a good candidate for breast augmentation?

Patients must be in good health in order to be a good candidate for breast implants. They should have a pre-operative mammogram, if they are 40 years of age or if they have a family history of breast cancer. Patients should also not be smoking around the time of surgery. A consultation with a board certified plastic surgeon will help determine if you are a good candidate for breast augmentation.

What are the possible longer-term, local effects in breast augmentation surgery?

One of the longer-term effects of breast implants is a phenomenon called "capsular contracture." Basically this refers to a hard shell of scar tissue that can form around the breast implant, making them feel quite firm to the touch. Occasionally, this can develop into a painful condition which requires surgery to remove the scar tissue and replacement of the breast implant. Massaging the breast implants after surgery can help minimize the chances of this condition forming.