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1 AN ULTIMATE GUIDE TO BREAST AUGMENTATION
ANUNLIMATEGUID TO BREASTAUGMENTATIONEverything you need to know about Breast Augmentaion
ARE YOU THINKING ABOUT
BREAST AUGMENTATION?If your answer is ‘ YES’ then an ocean of questions might be flocking around your mind. We have designed this guide into four exhaustive sections to provide answers to those questions and to add a lot more information about breast lifts and breast implants. A detailed study and research will help to analyze things better for yourself and will help you in making an informed decision. Since, you have been considering this procedure and also have decided to move forward it is the right time to explore all the options available. We will cover in this e book the most important points starting from the initial consultation with a top board plastic surgeon till attaining recovery. As mentioned earlier we have divided this ebook into 4 sections, each focusing on four different aspects of breast augmentation.
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2 AN ULTIMATE GUIDE TO BREAST AUGMENTATION
KEY FACTS OF BREAST AUGMENTATION SURGERY2 THE INITIAL CONSULTATION & ITS ESSENTIAL ELEMENTS.3 AWARENESS ABOUT WHAT YOU ARE GOING TO ACHIEVE IN REALITY.
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WHAT ARE THE VARIOUS TYPES OF BREAST IMPLANTS?DO YOU NEED A BREAST IMPLANT OR A BREAST LIFT?
HOW TO CHOOSE THE PERFECT BREAST IMPLANT SIZE?
1 RECOVERY PERIOD AND SUCCESS RATES.2 DO AND DO NOT’S AFTER A BREAST AUGMENTATION.
IS BREAST AUGMENTATION PERMANENT?3
1 SOME MISCONCEPTIONS RELATED BREAST AUGMENTATION.2 IS BREAST AUGMENTATION WORTH IT?3 THE MOST FREQUENTLY ASKED QUESTIONS ON BREAST AUGMENTATION.
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A QUICK GLANCE ON THE KEY FACTS OF A BREAST AUGMENTATION SURGERY:
Some of the key facts of Breast Augmentation Surgery
Time Length of Surgery
Type of Anesthesia
Hospitalization
Time off work
Getting back to complete normal life
1-2 hours
Light sedation which is alsoknow as twilight anesthesia and local anesthesia
24 hours
5-7 days
3-4 weeks
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THE INITIAL CONSULTATION & ITS ESSENTIAL ELEMENTS
Never leave the initial consultation session without discussing the following points.
Why you desire to have a breast augmentation surgery?
What are your expectations and the desired outcome from it?
Your medical conditions, previous medical treatments and drug allergies that you have gone through.
What are the medications you are currently on including every vitamin and herbal supplement?
Mention to the consulting surgeon if you are taking alcohol, tobacco and drug.
Discuss if any member of your family suffered from breast cancer and the results of any mammograms or previous biopsies you had made.
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The consultant plastic surgeon will also make sure the followings are made:
Evaluation of your general health status and any pre-existing health conditions and risk factors associated with you.
Examination and measurement of your breasts to be made that must include detailed measurements of their shape and size, quality of the skin, and placement of your nipples and areolas, and also the distance from the small notch at the base of your throat to the nipple.
Take the photographs of the breasts for study, records and comparison before and after.
Discuss your options and recommend a course of treatment for you.
Discuss most likely outcomes of breast augmentation that you can expect from the surgery and any risks or potential complications associated with it.
Do not hesitate to ask your surgeon about anything you feel you need to know. Prepare a long checklist of questions related to breast augmentation before you visit a plastic surgeon for a consultation. It is very important to know and understand each and every aspect of breast augmentation surgery and it will bring down your anxieties and worries related to your new look and some preoperative stress for breast augmentation.
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A sample list of question you may ask your surgeon in the first consultation for breast Augmentation
Are you a trained surgeon specifically in plastic surgery?
How many years of plastic surgery training have you had?
Do you have hospital privileges to perform this procedure? If so, at which hospitals?
Is the office-based surgical facility accredited by a nationally-or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?
Am I a good candidate for breast enhancement or breast enlargement?
What will be expected of me to get the best results?
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Where and how will you perform my breast augmentation surgery?
What shape, size, surface texturing, incision site and placement site are recommended for me?
How long of a recovery period can I expect, and what kind of help will I need during my recovery?
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What are the risks and complications associated with my procedure?
How are complications handled?
How many additional implant-related operations can I expect over my lifetime?
How will my ability to breastfeed be affected?
How can I expect my implanted breasts to look over time? After pregnancy? After breastfeeding?
What are my options if I am dissatisfied with the cosmetic outcome of my implanted breasts?
How will my breasts look if I choose to have the implants removed in the future without replacement?
Do you have breast augmentation before-and-after photos I can look at for this procedure and what results are reasonable for me?
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AWARENESS ABOUT WHAT YOU ARE GOING TO ACHIEVE IN REALITY
In which way will breast Implant change your life?
“ By the end of her 16th birthday Keira realized her breasts weren’t growing but she did not take it so seriously and passed almost another seven years to embrace the concept of breasts implants. For seven years, she resisted the pressures of society -- images of stars and starlets, the focus on female anatomy. “I felt like less of a woman.” Says Keira. Finally,Finally Keira did it. She tossed the padded bras forever, opting for breast implants. The results? “I can’t believe how real, how natural they look,” Keira says.
“I can’t even describe how happy I am.” In fact, she adds, the preparation for breast implant surgery pushed her into a healthier lifestyle. “I got into the vitamin regimen, quit smoking. It was a big opportunity for me to be a healthier person. It felt like everything was going in the right direction. It was so exciting.” The most demanding plastic surgery of the day is breast augmentation surgery. This is what announced by the American Society of Plastic Surgeons. A total of 347,524 women had the surgery in 2007.
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An extensive research, study and analytics revealed breast implants practically gives a better body image, boost self-esteem, and sexual satisfaction.
A breast implant improves the body image, women who have micromastia i.e undeveloped or poorly developed breasts with uneven shapes and sizes and also the two breasts being unmatched to each other in terms of shape and size. Such women necessarily do not have low self-esteem because of such a condition but they believe it to be deformity in their body and they don’t want to carry it further, they want to look womanlier. This woman after breast augmentation feels they look normal and they can enjoy swimsuits now.
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Self EsteemA woman who is a mother of four children now and is least desired by her husband on bed
because of her deflated breasts is deprived of love and sex making with her husband. She was once 36B but after the fourth child was born she lost a great extent of her breast tissue.
A woman like her has a different upbringing and has no idea of body image but wants to have her breasts normal as before and still remain attractive to her husband. She was losing self-es-teem due to her condition of her breasts and ultimately goes for an implant. It was magic and
she got the self esteem back and also her husband’s love and sex.
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WHAT ARE THE VARIOUS TYPES OF BREAST IMPLANTS?
The various types of breast implants are as follows:Saline Breast Implant.
Silicon Breast Implant.
Gummy Bear Breast Implant.
Saline breast implants are a kind of implant that provide a uniform shape, firmness and feel to the candidate. These implants are filled with saline water. This is generally advised for women of 18 years of age and above.
Smooth Breast Implant.
Textured Breast Implant.
Round Breast Implant.
Silicone breast implants are a kind of implant that gives a more natural look and feel. These implants are filled with silicone gel. This is generally advised to women of 22 years of age and above.
Gummy bear breast implants is a kind of implant where the silicon gel is thicker than traditional silicone gel implants. These implants are also firmer than traditional implants. These implants are shaped rather than round. They are tapered towards the top and more projected at the bottom.
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Round breast implants is a kind of implant that make breasts appear fuller than gummy bear implants. To achieve more projection one can choose higher profiles.
Smooth breast implants is a kind of implants that give the softest feeling.
Textured breast implants is an advanced kind of implants and have technical upper hand over other types of implants. It develops scar tissue to stick to the implant, making them less likely to move freely inside of the breast. Textured implants offer advantage in diminishing the risk of a tight scar capsule.
Implant manufacturers occasionally introduce new styles and types of breast implants, so there may be
additional options available.
In both cases of saline or silicone implants, it is important for you to monitor your breast implants from time to time and follow-up with
your plastic surgeon and have checkups in regular intervals.
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DO YOU NEED A BREAST IMPLANT OR A BREAST LIFT?
Breast lift
Breast implant
An ideal situation for a breast implant is when the breast is drooping mildly and the nipple is still near the center of the breast and not pointing downward, there is some visible skin beneath the nipple and you are satisfied with correcting the size only and happy with the shape and contours you have.
You can also check yourself whether you need a breast lift in addition to increase in your breast size. In case where your nipple is below the level of the crease under the breast then a breast lift becomes necessary for you. Also, the distance from the small notch at the base of your throat to the nipple should be 22 - 18 centimeters maximum ideally and if the distance is more than that a breast lift is the only answer to your question how to increase breast size. A surgeon can suggest you which surgery you should opt for in order to increase your breast size after making due diligence.
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What is the thumb rule for choosing breast augmentation sizes?In order to choose the right size and shape for yourself you have to look at the before and after images of the candidates who have undergone breast augmentation. You may find it on the website of your plastic surgeon and when you meet him for a consultation you should share with him your views. One thing that you need to keep in mind is that you should have the same aesthetic senses your surgeon has and that will help you in getting a more natural look at the end of the surgery. It is never suggested to opt for unnaturally large breast. In face a breast augmentation surgery is a total body contouring surgery so it is important that the breast profile chosen matches with the candidate’s overall figure. Once that is ensured it appears that the breasts have not been surgically enhanced.
HOW TO CHOOSE THE PERFECT BREAST IMPLANT SIZE ?
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The size of a breast implant for all practical purposes being measured in CC’s (centimeter cube)A measurement in cc can never give any idea of how the breast augmentation will look like or what the cup size will be. We can provide some examples from which you may be able to make an understanding. For example if the candidate for breast augmentation is tall, broad shouldered with a small A-cup breasts she may require 450 cc implants to get a C-cup breast volume after the surgery. Whereas, a short heighted candidate for breast augmentation with medium B-cup breasts may require a 250cc implant to get a C-cup breast volume after the surgery. This was just an example to give you a primary understanding of size of the implants to be chosen. In fact there may be many other options for each of these two candidates. For every candidate there is obviously a wide range of implant volumes that may give her naturally appearing breasts. Every candidate for breast augmentation irrespective of their body contours look for implants that render a natural fullness in the upper pole. Also, there is a way to decide the sizes and shape by a computer-imaging device. For example, if your breast width is 12 cm. and we have a doubt about the size of the implant that will suit you the best and options are both medium and high profile as both of them will fit in that diameter. We will take up the one that looks better in a computer-imaging device.
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But, implant volume and cup size are not everything in achieving a natural look there are other factors too viz. the implant shape, placement and position on the chest. These are all the critical factors that augment to a naturally looking beautiful breast. It is common misunderstanding that big implants will give a unnatural look and small implants will give natural looks. It is often found that when the positioning is wrong for example the small size implants are placed too high or too far apart it gives an awkward look. These are cases where the ideal base diameter has not been taken into consideration. So, to select the appropriate size in terms of cc’s is critical but not everything. A candidate has to be meticulous from the time of choosing the surgeon till the end of the recovery period. The choosing of a right plastic surgeon who has right surgical plan, right surgical methods and the most appropriate follow up is the crux of the whole breast augmentation journey.
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What is a sizing process?This is a process to decide the right size of breast implant. It starts with the taking of the measurements of the breast base width and by evaluating the soft tissue envelope. These measurements reasonably set the limits for implant width. 3D tactile and visual information gives a better and accurate measurement.
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RECOVERY PERIOD AND RATE OF SUCCESS
Though the candidate is permitted to go home after a few hours from the surgery the surgeon closely monitors her recovery. To reduce the risk of infection the candidate is specifically instructed how to take care for her breasts and medications to apply externally and take orally and a follow up schedule is created and communicated to the candidate.
The use of a support bra all throughout will be mandatory for the first week or two. The cleansing of the incision sites will be one thing that the candidate has to do regularly and apply ointment as directed.The recovery period is of 24 to 48 hours and an additional low-activity period of a few days, Soreness and swelling will be there for a few more weeks. One can only resume to workouts and exercises and manual hard work after 4 to 6 weeks post surgery and that has to be done post consultation with the surgeon.
The results of breast augmentation are immediately visible and over time the surgical swelling will subside and the incision lines will fade.
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For making a breast augmentationsurgery the following are the Do’s
A highly interactive consultation with your plastic surgeon clarifying every doubt in your mind.
To listen to the surgeon and follow him perfectly
After surgery you have to take care of your breasts the manner in which he would advise and instruct you.
To maintain hygiene in order to avoid risk of infection.
During the recovery phase give time and opportunity to heal for this is the first and the last chance to heal properly.
Use a support bra round the clock for 1 to 2 weeks from the surgery.
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DO’S AND DON’TS AFTER A BREAST AUGMENTATION
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For making a breast augmentation surgery successful the following are the Don’ts
Don’t Wear an Underwire Bra unless you are fully healed.
Don’t worry about scarring.
Don’t exercise unless healed completely.
Don’t take any emotional stress or strain.
Don’t go to office unless a week or a two.
Don’t take weights or highly manual work unless completely healed.
Note: After surgery the candidate will be sent home wrapped in gauze and surgical dressing. The surgeon will remove this after a few days. Once the gauze is removed the candidate can start wearing a soft cup bra, like a sports bra. It is instructed to not use an underwire bra as wires can irritate the sensitive breast tissue and disturb the implants from settling. Regular bra can be used once the surgeon allows for it.
Breast augmentation surgery does leave scars, although the surgeons make every effort possible to hide and minimize scarring. Incision like IMF can hide the scars. Right after surgery your scars will appear to be very pink but this fades with time. There is nothing to worry about the scars, they may appear to widen or grow during the first few months after surgery. But, finally they de-crease and fade away.
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IS BREAST AUGMENTATIONPERMANENT?There are 25 % chances that with time the breasts can change as a result of age, weight, hormones and gravity. If the candidate feels the need to go for a second implant in her lifetime that opportunity is open for her. Breast augmentation can be done multiple times based on the requirement of the candidate.Sometimes, the implants need to be replaced. Therefore an annual examination by your plastic surgeon to evaluate your breast health and implant integrity is highly advisable.
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SOME MISCONCEPTIONSRELATED TO BREAST AUGMENTATION
Here are some misconceptions about breast augmentation.
Breast implants will last for the rest of your life.
Breast augmentation is a common operation that any surgeon can perform.
Women should change their lifestyle and activities after getting implants.
Saline is better than silicone for breast implants.
An underwire bra should not be worn if you get implants.
Shaped implants are more natural than round implants.
A certain number of cc’s in a breast implant produces a certain cup size breast.
Women over 50 should not have breast augmentation.
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IS BREAST AUGMENTATION WORTH IT?Getting breast implants is an expensive decision that involves a number of other medical factors too and therefore should be researched and discussed with a certified and highly experienced plastic surgeon. Breast implants can also be used in breast reconstruction as a consecutive step to mastectomy (the implant replaces breast tissue that has been removed due to cancer) or in male-to-female gender reassignment surgery. Breast implant is a kind of beauty therapy also. There are women who have been suffering from low self-esteem due to small size of their breasts or irregular and uneven shape of their breasts that eventually resulted due to defective developmental or genetic reasons. “Are breast implants worth it?” is a valid question and needs a reality check. We shall take it up in the following paragraphs.
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When you browse the internet you may come across two opposites sides of the coin, but the side that speaks, “ Implants empower a woman’ has stronger points than the side that speaks ‘ Why fake Breasts?” Have you ever noticed someone arguing “ Why a fake heart?” when you go for a pacemaker surgery or say “ Why a fake kidney?” When you transplant a kidney ?You won’t find and it is because they perceive only one of the health requirements of an individual and that is physiological health. We should remember that we are not just a body like other mammals but we are human beings endowed with a strong intellect and hence we have a mind and a mental health too. Hence, the question “Are breast implants worth it?” finds its answer in this argument.
A very large percentage which is more than almost 50% of the GDP of any developed or developing country comes from products that make people all is to feel better starting from attire and costumes, cosmetics and toiletries, travel and tourism, etc. All these is to feel bet-ter and happy so when your inner self comes and says regularly, “ You don’t look good only because of your irregular and uneven small breasts.” - it is time to think about it seriously or otherwise you may end up with a bad mental health that in turn that may destroy your per-sonal life, social life, professional life over a period of time. So, now you can decide, “Are breast implants worth it?”
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If you feel better with bigger breasts with the shape of your choice you have every right to opt for a breast implant and a breast lift. Taking into consideration that the implant prices have now come down and became affordable and also the social acceptance has gone up it is easier for you to take a decision. If you are ashamed enough of them that you didn’t wear a fitted shirt yet or a swim suit embarrasses you in front of your friends and colleagues or you feel terrible when the time comes for you to undress in presence of your sex partner or when he stares at other women with high breasts or comments on your small breasts then what stops you from a breast augmentation? Plenty of women in their late teens to mid forties get breast implants and the rate of success is almost 100 %. So, it time to say goodbye to push-up bras, padded bras, and sports bras and also those taunts and teases, embarrassments and low esteem.
Isn’t it amazing that women have this body part that, more than any other, goes through profound changes over time? Whether you birth and feed a baby with your body or not, breasts are always changing; implants deny that process and keeps your breasts in shape and secures its size through all the phases of your life cycle. It is a personal decision and we should be glad enough that such a good option exists for women who have lost a breast and has chance to reconstruct it through surgery.
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THE MOST FREQUENTLY ASKED QUESTIONS ON BREAST AUGMENTATION
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You can go for breast implants in your teens and till the end of forties. There is no specific age limit to do it but with age women lack the interest to go for breast implant. The most frequently asked 10 questions related to breast implants and breast augmentation irrespective of the reasons behind the wish and aggressiveness to go for it is as follows:
What is the average cost of breast implants?
How long do breast implants last about?
Are breast implants safe? How much risk does it involve?
Are breast implant scars visible after surgery?
Are breast implants worth it?
How Long does it take for breast Implants recovery?
How can I manage my work and exercise post Breast augmentation surgery?
Can you breastfeed with breast implants?
How should I prepare for breast augmentation financing?
Apart from physical does breast implant surgery impact my mental health?
Some of the certified surgeons have answered these questions based on their experience and knowledge.
What is the average cost of breast implants?The surgeon’s fee for an implant ranges in between $3500 -
$8000. The price for a top board certified plastic surgeon will
be around $8000- $10000.This does not include the cost of
anesthesia, facilities, and materials (stitches, bandages, drapes,
etc.). The price will also depend on doctor, patient, and region.
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How long do breast implants last about?75% of the breast implant surgeries are one time and lasts
forever. But, 25 % of the cases it has been found that will need
another surgery after 10 years due to leakage overtime or due
to “ scar shell” development around the implant. When a scar
shell develop around the implant working of the shape takes
place causing a need for a new implant.
Are breast implants safe? How much risk does it involve?There is some level of risk in every surgical procedure.
We are fortunate enough that modern techniques,
technologies and medications associated with elective
breast augmentation contribute to a high degree of
safety, one of the most frequently performed cosmetic
surgery procedures as recorded last year.
To reduce your chances of complications you need to
educate yourself about breast augmentation. From the
very beginning you have to inform your surgeon about
all your past medical history and all medications which
may include birth control, over-the-counter medicines,
herbs, vitamins and supplements, various therapies,
drug reactions etc.
You have to follow all pre- and post-operative
instructions of your doctor and carefully prepare for a
surgery and a good recovery. You should not opt for any
kind of shortcuts on your recovery and should bear with
patience the recovery period.
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Are breast implant scars visible after surgery?You want bigger breasts but you are afraid of the scars being becoming obvious when you
wear a swimsuit. Where and how big would be the scars after a breast implant? Dr. Karen M Horton, MD, a certified renowned plastic surgeon from San Francisco says that the scars
due to breast augmentation are hidden in your swimsuit. The inframammary fold (IMF) inci-
sion scar is usually hidden in bras and even triangle-top string bikinis, and will be only visible
when the breasts are lifted up and looked from a close up. According to Dr. Paul C. Zweibel, MD, a plastic surgeon in Denver the good news about breast augmentation is that the scars
are usually so well hidden after that very few women have concerns or difficulties regarding
their scars. There are many things you can do to improve your scar after Breast Implants-see
the link.
Are breast implants worth it?Yes, it is worth for it gives you a relief from the mental agony and social embarrassment. It
would render you a good mental health and help you flourish in your social life, professional
life, and sexual life. The cost of an implant has come down and the social acceptance has
gone up. Please read this article for knowing more about ‘Are breast implants worth it?’
How long does it take for breast implants recovery?5 to 7 days off from work and office would be sufficient after a breast augmentation. These
5 to 7 days you are not supposed to take bed rest, only what you need to do is take it easy
and not involve much in manual labour or physical activities. You may not be completely fine
in that time but you will be in a position to join office and work with less hectic schedules. If
the implant is placed behind the muscle instead of on top, recovery would take a little longer
time may be 6 weeks in a maximum and you might have sores during this period.
Preparing well for recovery is crucial and mandatory to achieving a good result. You are
expected to not cheat yourself with regards to the time of healing your body. You won’t get
another chance to recover well! Be sure to follow your recovery instructions diligently.
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How can I manage exercise and workouts post Breast augmentation surgery?In the first week post surgery you are advised to avoid all sort
of cardio exercises that involves bouncing. After a week you
can do light cardio exercises but it is good to start exercising
after 12 weeks.
During this time and most importantly the first six weeks post
breast implant the tissues around it are healing and making a
capsule around it. It acts as a barrier protecting the breast and
the muscle tissues from any irritation from the implant. Too
much activity in this time period of six weeks may lead to
inflammation and scar formation. So, no swimming, no sports,
no lifting of weights that are more than 15 to 20 pounds is
advisable unless the healing is over.
Can you breastfeed with breast implants?Dr. Karen M Horton, MD, a certified renowned plastic
surgeon from San Francisco says breast implants are inserted
through a variety of incision options:
In the fold under the breast (inframammary)
Around the areola (periareolar)
Through the areola and around the nipple (transareolar)
Through the armpit (trans-axillary)
Via the belly button (trans-umbilical)
The inframammary fold (IMF) incision preserves the function
of the breast, namely breastfeeding and pleasure. When an
incision is made in the fold under the breast, the scar lies in
a natural crease and does not tend to stretch or be raised, as
can happen in other areas. All structures leading to the nipple
and areola (milk ducts, nerves, blood vessels) remain intact
and hence women with IMF can breastfeed their babies like
normal women.
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How should I prepare for breast augmentation financing?There are a number of companies offering
financing for cosmetic surgery but the
processes are too complicated and sometimes
overbearing. It is better to save money and go
for it to be free from all mental hazards related
to pre and post financing. Insurance
companies do not cover the cost of breast
augmentation. If the surgery is for
reconstructive purposes in order to repair
deformity or injury, insurance may cover some
of the costs involved in your procedure.
Apart from physical does breast implant surgery impact my mental health? Yes, most of the women going through breast
augmentation report to have high esteem and
confidence back in them. Their improved looks
give them a better quality of life and help
them significantly in their professional life,
social life and sexual life. This kind of success
increases the morale and backs a strong and
healthy mental health.
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