Breast Implants: A Comprehensive Guide
- 30 January 2014
- Dr. Nidal (Nick) Masri
Breast Implants : A Comprehensive Guide
Breast augmentation happens to be the most popular type of cosmetic surgery in Miami and throughout the country. In fact, thousands of women choose to get breast implants each year for a variety of reasons. Some women choose implants to increase the size of their breasts while others choose
them to change their breast shape. Even though these implants require some recovery time after the surgery, this procedure offers fast results and the surgery is very safe when done by a qualified, experienced surgeon. If you are considering breast implants, it is important to learn more about your options, whether you are a good candidate for the procedure and some of the potential risks and complications that can occur as a result of this cosmetic procedure. Here is a helpful guide that is packed with essential information to help you decide if implants are the best decision for your needs.
Breast Implants: What Are They?
What are breast implants? They are special medical prostheses that may be made out of silicone or saline. These implants are designed to change the size or shape of the breast. These implants are inserted under breast tissue surgically and are placed to emulate the feel and the look of natural breasts. Implants are also used to help correct breast tissue, provide symmetry to breasts that are uneven or to help with breast reconstruction after mastectomies or other traumas to the area.
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Silicone vs Saline Breast Implants
When you decide to get breast implants in Miami, one of the main decisions you will need to make is the type of implants you want to have inserted. You can choose silicone or saline implants, and both options come with their own pros and cons to consider. While silicone and saline breast implants both come with a silicone outer shell, they do have some major differences in consistency and materials.
Silicone gel is used to pre-fill silicone implants. The gel is a sticky, thick fluid that is designed to mimic the way human fat tissue feels. Since silicone mimics the feel of human fat, these implants feel and look more like natural breasts do. Women have to be 22 or older to qualify for silicone breast implants when undergoing breast augmentation. However, any woman that needs breast reconstruction can choose silicone breast implants.
Sterile salt water fills saline implants. When saline implants are inserted, they are empty. Once they are in place, then they are filled with the sterile salt water. Women age 18 and older can choose these implants for breast augmentation, but they are available to women of any age if they require a breast reconstruction.
While both silicone and saline implants come with similar risks, the big difference between the two is what happens if one of the implants ruptures while in the body. When a saline implant ruptures, it will deflate, making the breast change in shape and size. The saline solution is natural absorbed by the body and will not cause any health problems. However, the silicone shell will probably need to be removed surgically, at which point you can have a new implant inserted if you want it.
If a silicone implant ruptures, it may not become apparent right away, since the silicone will probably stay within the fibrous tissue that usually forms around the silicone implant. While the silicone gel is not thought to cause serious long term health problems, it can lead to breast pain. In some cases, it may change the shape or contour of the breast as well. Surgical removal will be recommended if any of these problems occur.
Reasons to Get Breast Implants
Are breast implants right for you? Should you go with implants or should you work to simply accept the body you have now? These are questions that you must ask yourself before you decide to have a breast augmentation surgery in Miami. There are many different reasons that women choose to get implants. Here are just a few of the reasons that you may want to have breast implants implanted.
Reason #1 – Asymmetrical Breasts: No woman has perfect breasts. In fact, studies show that 90% of women have asymmetrical breasts. However, only about 25% of women have breasts that are noticeably asymmetrical. One of the main reasons that women choose breast implants is to correct problems with asymmetrical breasts.
Reason #2 – Increased Size for Better Proportion: Breast size is another of the big reasons that women choose breast implants. Many women feel that larger breasts are sexier, while others feel that their small breasts are not proportionate to the rest of their body. Implants can increase breast size, balancing out the body and offering better proportion.
Reason #3 – Improved Self Esteem and Confidence: One of the main reasons women choose breast implants is to enjoy improved self-esteem and self-confidence. Many women find that they enjoy great self-confidence after getting breast implants. When a woman is happy with her body, it affects her entire life, making her more confident in her own skin.
Reason #4 – Loss of Shape and Volume: Loss of shape and volume can occur due to aging or pregnancy. In fact, many women find that their breasts lose a lot of their shape after they go through pregnancy, especially if they nurse. The loss of shape and volume makes many women dissatisfied with the appearance of their breasts. Implants can be used to improve the volume and shape of breasts.
Reason #5 – Weight Loss with Breast Changes: When some women lose a significant amount of weight, sometimes it results in a change in their breast size. Breasts have a high amount of fat content, which means that most women end up losing breast size as they lose weight. These changes can leave women unhappy with their breasts after losing weight. However, breast implants can allow women to enjoy a larger size without having to gain the weight back.
Reason #6 – Youthful, Firm Breasts: Age often leads breasts to lose volume and in many cases, sagging occurs around the breasts as well. Many women want to have the perky, voluminous breasts back that they had when they were younger. Breast augmentation using implants can help to give women the youthful, firm breasts that they desire.
Of course, these are just a few of the reasons that women decide to get breast implants. Keep these reasons in mind and consider your own reasons for wantng implants.
Understanding Breast Implant Surgery
Before you have breast implant surgery, it is important that you understand how the surgery works. This surgery involves making an incision that is near or in the breast. Then, the implant is inserted behind the chest muscle or between the chest muscle and the breast.
Submuscular Placement: For submuscular placement, breast implants are placed behind your chest muscle. If this option is chosen, the surgery may take a bit longer and your recovery time may be more painful and a little longer as well. However, this option often results in implants that are less noticeable and mammograms become easier after implantation with this method as well.
Subglandular Placement: This type of placement occurs between the chest muscle and the breast. When this method is used, recovery time, and the surgery time, is quite a bit shorter. Of course, while you may end up with less pain after surgery, breast implants may be a bit more noticeable and mammograms may be tougher because imaging of the breast will be more difficult.
After deciding where the breast implant will be placed, you will also need to decide where the incision is done when the implants are placed. A surgeon will help you make this decision based upon your personal preference, but your body type must be kept in mind as well. Incisions may be done under the breast, around the nipple or around the armpit area. Here is a closer look at each incision option.
Inframammary: This incision site is underneath the breast. The benefit to this incision site is that breast feeding is easier than it is when going with an incision around the nipple.
Periareolar: This incision is done around the nipple and is easily concealed. However, it is possible that an incision here will cause problems trying to breastfeed in the future.
Axillary: This incision is done around the armpit. While it isn’t as concealed as the other options, it also makes breastfeeding easier than going with an periareolar incision.
When your breast implant surgery is done, you may have it done in a physician’s office, at a surgical center or in a hospital. Either general anesthesia or local anesthesia will be used. In most cases, it is a one-day outpatient surgery, but there are cases where you may need to stay in the hospital overnight. The surgery usually takes at least two hours, but it can take longer depending on the placement of the implant.
Potential Risks and Complications after Breast Implant Surgery
When breast implant surgery is done, there are some potential risks and complications you need to consider. Even though this is a cosmetic surgery, there are still risks that you must keep in mind. Here is a look at a few of the risks and complications that may occur after you have surgery to add breast implants in Miami.
Pain: One of the most common risks is the risk of pain after your surgery. The pain varies in duration and intensity depending upon the woman, the incision chosen and the amount of work done. If severe pain occurs, be sure to talk to your doctor.
Capsular Contracture : Another potential risk or complication is capsular contracture, which occurs when scar tissue, which naturally forms around a breast implant, starts ti tighten and squeeze. This problem is most common when subglandular placement is chosen. Symptoms include severe pain, implant displacement, implant palpability and distortion.
Infection: Whenever a surgery is done, infection is a potential complication. Since an implant is involved, it can be tougher to treat infections that occur after a breast implant surgery. If antibiotics do not eliminate the infection, removal of the implant may be needed.
Changes in Breast and Nipple Sensations: After getting breast implants, you may notice changes in breast and nipple sensation. Some women end up with intense sensitivity, while others have no feeling in the nipple or breast.
Toxic Shock Syndrome: In very rare cases, Toxic Shock Syndrome has occur after a breast implant surgery. This condition is life threatening and includes symptoms like dizziness, vomiting, fever, fainting and diarrhea. If these symptoms occur, see a medical professional immediately.
These are just a few of the potential risks and complications that may occur after breast implant surgery. Other potential risks and complications include the following:
- Problems with the shape and size of the implants
- Extrusion (occurs when the implant comes out through the skin)
- Calcium deposits in breast tissue
- Necrosis (dead tissue forms around the implant)
- Atrophy (shrinking and thinning) of breast tissue
Things to Consider Before Choosing Breast Implants
Breast implants offer a variety of benefits and may give you the increased size, symmetry or the more pleasing shape that you want. However, before you choose to go with implants, several different things must be considered. It is important to realize that implants may do more than simply change the appearance of your breasts. Learn as much as possible before having this surgery so you know what to expect.
Implants May Not Last a Lifetime: One important thing to consider before you decide to go with breast implants is that these implants may not last a lifetime. Implants can rupture, breasts will keep aging and weight loss or gain may end up changing the appearance of your breasts. In some cases, you could need additional surgery to maintain the look of your breasts.
Sagging May Still Occur : Even if you have breast implants, sagging may still occur over time. If sagging is a problem, you may need to have a breast lift along with the insertion of implants.
Breast Feeding May Become a Problem: For some women, breast feeding becomes a problem after they have breast implants. Although some women are able to breastfeed successfully, other women find themselves unable to breastfeed after having implants.
Mammograms May Be Difficult: Mammograms may become difficult if you have breast implants. Specialized views may be needed when you have mammograms due to the placement of your implants.
Breast Implants May Not Be Covered by Your Insurance: In most cases, breast implants are no medically necessary, so many insurance plans will not cover them. This means that you will need to pay the expenses that come along with breast implants, including any related imaging tests or surgeries. However, if the implants are medically necessary, which they may be in certain breast reconstruction surgeries, your insurance may cover the procedure.
MRI Scans May Be Needed to Monitor Implants: After you have breast implants implanted, you may need to have regular MRI scans to monitor those implants, especially if you have silicone breast implants. It is recommended that women with silicone breast implants have MRI scans every 2-3 years after the insertion of those breast implants.
Choosing a Surgeon for Breast Implant Surgery
When you plan to have breast implant surgery, it is important that you choose a quality Miami surgeon. You want to make sure that you get the best results from your implants, so you want to work with someone who has plenty of experience. Before choosing a surgeon, here are a few questions you should ask to ensure you make the right choice.
- How much experience do you have with this surgery? How many breast implant surgeries have you done?
- Can you inform me of your credentials?
- Do you have your certification from the American Board of Plastic Surgery?
- Have you had any malpractice claims against you in the past?
- Do you have a membership with the American Society of Aesthetic Plastic Surgery or the American Society of Plastic Surgeons?
- Can you show me before and after photos of the work you have previously done?
- Will you be performing the surgery in a surgical facility or in a hospital?
- Do you have privileges at local hospitals?
- What type of anesthesia do you generally use for these surgeries?
- If a problem occurs, how do you handle emergencies?
- Can you give me an explanation of the various implant options, the kind you recommend for me and why you feel that particular implant is the best choice?
These are just a few of the questions you should ask before making your decision. Once you decide on a surgeon, you may have other questions to ask about the length of the surgery, recovery time and other related questions.
The Cost of Breast Implants
You may be wondering how much breast implants will cost. In most cases, the total cost of breast implants end up costing between $7,000 and $10,000, depending upon the surgeon you use, the facility used for the surgery and the type of implants you use. Remember, you are paying for more than just the implants. You will also have a fee for anesthesia, a facility fee and of course, the surgeon’s fee for performing the surgery. Before you have breast implant surgery done in Miami, be sure that you are aware of all the costs so you can make an informed decision.