The Best Candidates for Breast Augmentation
The best candidates for breast augmentation are healthy women who are looking to enhance their current breast shape/volume or restore lost volume due to weight loss or pregnancy. If you’re physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate. Women with sagging breast tissue will likely need a breast lift (or mastopexy) either with or without a breast implant.
Types of Implants for Breast Augmentation
A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline. In general, three types of implants are available; Saline implants, silicone gel or “memory gel” implants, and form stable silicone “gummy-bear” implants. You should ask your doctor more about the specifics of the different implants. Our board certified plastic surgeons use all three implants and will help you decide which option is right for you.
All Surgery Carries Some Uncertainty and Risk
Modern surgical techniques have minimized complications but they include bleeding, infection, capsular contracture, asymmetry and deflation. Implant deflation occurs because of a failure in the valve or a wear wrinkle. Should deflation of a saline implant occur, the saline in the implant will be resorbed harmlessly by your body. In the event of a deflation of silicone implant, the body will not reabsorb the silicone and you will not be able to detect a leak without a mammogram or MRI. The silicone will need to be removed by your surgeon. The major implant companies guarantee the implant for life and will sometimes cover a portion of the costs of replacement.
Other concerns are nipple/areolar sensitivity. There is less than 2% incidence of permanent change in sensitivity (either increased, decreased or loss of sensation). Nursing after breast augmentation is possible, although there is a 10-18% chance of not being able to breastfeed after augmentation.
A Capsular is scar tissue that builds around every implant. In some patients, a capsular contracture occurs, in which case the scar tissue thickens and tightens causing visible or painful changes in the breast. The incidence varies roughly between 2-8% with no real definitive cause or prevention. It is believed that capsular contractures may be triggered by blood, fluid or bacteria. While the majority of women do not experience these complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation.