EL-ROUBY-CLINIC

Breast Augmentation (Restore or Enlargment of Female Breast)

What is Breast Augmentation?

Breast augmentation, or augmentation mammoplasty, is a surgical procedure designed to enhance the size and shape of a woman's breast. A breast implant is a prosthesis used to alter the size and shape of a woman's breasts (known as breast augmentation, breast enlargement, mammoplasty enlargement, augmentation mammoplasty or the common slang term boob job)

This has become one of the most popular procedures performed today. Breast size can easily be increased by one or more bra cup sizes.

There are many reasons why women choose to undergo breast augmentation. Some women wish to increase the size of their breasts in order to enhance their body contour. Breast augmentation can correct breasts of different size, or help women that have lost shape in their breasts as a result of age, pregnancy or nursing. There are other reasons why women choose to undergo breast augmentation. However, the individual must have realistic goals and expectations for the procedure.

There are three primary types of breast implants: saline-filled, silicone-gel-filled and adjustable or Becker implants. Saline implants have a silicone elastomer shell filled with sterile saline liquid. Silicone gel implants have a silicone shell filled with a viscous silicone gel. Currently the FDA approves the use of saline-filled implants for breast augmentation, while silicone gel-filled implants are only approved for certain types. Be sure to ask your doctor about the types of implants available for breast augmentation.


History of Augmentation Mammoplasty:

Implants have been used since at least 1895 to augment the size or shape of women's breasts.
- The earliest known implant was attempted by Vincenz Czerny, using a woman's own adipose tissue (from a lipoma, a benign growth, on her back).
- Gersuny tried paraffin injections in 1889, with disastrous results. Subsequently, in the early to mid-1900s, a number of other substances were tried, including ivory, glass balls, ground rubber, ox cartilage, Terylene wool, gutta-percha, Dicora, polyethylene chips, polyvinyl alcohol-formaldehyde polymer sponge (Ivalon), Ivalon in a polyethylene sac, polyether foam sponge (Etheron), polyethylene tape (Polystan) or strips wound into a ball, polyester (polyurethane foam sponge) Silastic rubber, and teflon-silicone prostheses.
- In recent history, various creams and medications have been used in attempts to increase bust size.
- In 1920 this technique was abandoned in favor of fat transplants. Fatty tissue was surgically removed from the abdomen and buttocks and transferred into the breasts.
- In the 1950's polyvinyl "sacs" were frequently used to achieve fuller, more projected breasts. Furthermore, Berson in 1945 and Maliniac in 1950 performed a flap-based augmentation by rotating the patient's chest wall tissue into the breast to add volume.
- Various synthetics were used throughout the 1950s and 1960s, including silicone injections, which an estimated 50,000 women received. Development of silicone granulomas and hardening of the breasts were in some cases so severe that women needed to have mastectomies for treatment.
- Although invented in the early 1960's, it wasn't until the 1980's that the silicone implant, as we know it, really began to take off as 1st and 2nd generations of Silicone material.
- Today, the most commonly used implants have a silicone shell of the 3rd and 4th generations of the Silicone.

With the increasing popularity of various cosmetic surgery procedures, including breast augmentation surgery, it is imperative that the prospective patient research and understand different issues like what the procedure can and cannot treat, inherent risks, costs, and so on. Keep in mind, cosmetic surgery is just that a surgical procedure whose results cannot simply be erased. When considering any form of cosmetic surgery, it is important to have a good understanding of the procedure before making a decision. Take some time to view the introductory information we have provided on breast augmentation surgery. While the information contained in this website will provide you with a basic understanding of the procedure, it may not answer all of your questions. To get complete answers to the questions you are seeking, we recommend that you contact us.


Benefits of Breast Augmentation Surgery:

The cosmetic surgery procedure of breast augmentation can enhance woman breast size and shape, resulting in a more proportional figure. While the reasons may vary as to why one would seek breast augmentation surgery, some of the more common reasons include:
- To increase the breast size, for a number of reasons including the perception that one's breast are too small;
- To enhance the overall body contour, balance and proportions;
- To achieve an enhanced appearance, size, projection, etc., following pregnancy and/or weight loss;
- To restore appearance through reconstruction following breast surgery (i.e., mastectomy).


Who Are the best candidates?

As with other cosmetic surgery procedures, the most appropriate candidates for breast augmentation surgery are those who are:
- looking for improvement and not perfection.
- being over 18 years of age.
- possessing good physical and mental health.
- being realistic in their expectations


How is Breast Augmentation Surgery Performed?

Variations in the procedure include the incision type, implant material, and implant pocket placement.

- Before starting the Breast Augmentation procedure, mammogram should be done as a base line for micro-calcification.
- The Procedure takes one hour, and usually done under General anesthesia or Local anesthesia with sedation.
- In its most simple form, breast augmentation surgery involves making an incision, lifting the breast tissue, creating a pocket in the chest/breast area, and placing an envelope, referred to as an "implant," containing a soft implant material underneath (i.e., saline, gel, silicone, etc).

Type of implants:
For most breast augmentation surgeries, silicone implants are most frequently used. However, under certain conditions, such as reconstructive breast surgery, saline filled breast implants may be used.

Recently introduced to the breast implant market are saline filled "adjustable" implants. Similar to standard saline filled implants, "adjustable" implants include a small connector tube through which the doctor may adjust the size of the implants by injecting more/less saline. Adjustable implants do require an additional incision, and therefore a scar, to expose the injection port of the implants.

Type of Incisions:
Multiple factors such as the patient's anatomy and the surgeon's preference determine how the breast implant is inserted and positioned. Typically, breast augmentation surgery incisions are located in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. More recent implantation techniques utilize a small incision placed in the bellybutton region. Most cosmetic surgeons are very careful to take every effort possible to minimize scaring and to make resulting scars as inconspicuous as possible.

Implant Pocket Placement:
- Once the incision has been created, the surgeon lifts the breast tissue and skin to create a pocket. It is within this "pocket" that the breast implant will be placed and centered beneath the nipple and areola. Depending on the patient's anatomy, the size of the implant, the surgeon's technique, etc., the implants will be placed either directly behind the breast tissue (sub-glandular) or underneath the muscles of the chest wall (sub-muscular). Recently, Dual-Plane pocket was designed to get rid off upper pole fullness and to avoid displacement of the prosthesis with less liability for capsular contracture formation.

- Following the insertion and placement of the breast implants, sutures are used to close the surgical incisions. We will wrap the chest region with a gauze bandage to provide support and to assist with healing. Occasionally, tubes may be used for a brief time following the breast augmentation surgery to drain the surgical site.

What is after? The Recovery Period !

- Breast augmentation surgery stretches the breast tissue and, therefore, can be painful especially in those breast augmentation cases where the implants have been placed under the chest muscle. Typically, the greatest amount of pain is experienced within the few hours following breast augmentation surgery. The level of pain typically reduces gradually and may be effectively treated by various pain medications.

- Following your breast augmentation surgery, it is important to take any medication(s) prescribed such as anti-inflammatory and antibiotics. Keep in mind, it will important to arrange for someone to drive you home following breast augmentation surgery.


What Are the Risks Associated With Breast Augmentation Surgery?

- Breast implants are not lifetime devises and cannot be expected to last forever (at least 10 years).

- The Capsular contracture that is the scar or capsule surrounding the breast implant is formed and begins to tighten and harden. As a result of this "contracture" the breast may feel hard and tight. Frequent massaging of the breast during healing will help prevent capsular contracture from forming.

- It is common for most women to experience some degree of numbness and sensitivity following breast augmentation surgery. These symptoms typically disappear within weeks.

- Recently, a great deal of discussion and research has taken place regarding the use of breast implants and the development of various immune system diseases such as scleroderma and other arthritis like conditions, as well as cancer. To date, current research has found no clear relationship between breast implants and these immune system conditions.

While most women do not experience complications with their breast augmentation surgery, each patient should still discuss the possibility of developing some of these conditions.


What Are The Typical Costs Associated With Breast Augmentation Surgery?

Often the price says nothing about the quality of the work. Most multicenter clinics charge much more than private doctors  their advertising budget is more and the owner of the clinic has to take his 20% or 30% off the top. In my opinion, you are less likely to get a quality procedures at these multi-center locations.

Although price is a factor when deciding on surgery, the most important factor is that you feel you are getting a good quality, natural-looking result from the procedure.

Breast Augmentation Procedure costs are variable according to the deformity, type of used implant and the used technique. Usually the cost is ranging from 1500 to 2000 U.S. dollars. Most medical insurance providers do not cover the breast augmentation surgery.

Frequently asked questions of patients who considering Breast Augmentation?!

Q - What is the type of anesthesia, and when I can return to normal life?
A - General anesthesia or Local anesthesia with sedation, and you can practice your normal life within 2 days after operation.

Q - What are the symptoms that may occur in the first five days after mammoplasty augmentation procedures?
A - Soreness which could be managed by pain killer's medications and there may be edema or swelling.

Q - What are the guarantees that the success of the breast augmentation surgery?
A - There is no doubt that the followers of the medical instructions and close follow up visits are the main factors for the success of any surgical procedure. If not, the process to achieve the agreed outcomes before, the process repeats at reduced cost.

Q - When can we get the final results?
A - The final results is achieved within the first three months.

Q - Is the augmented breast seems naturally?
A - Yes, as regard nipple sensation and consistency. Also, it is not interfere with breast feeding.

Q - What is ideal age for breast augmentation surgery?
A - It could be done at any age after 18 years.

Q - If you are not Egyptian, What is the minimum period for follow up?
A - Ten days.

Q - What are the contraindications of breast augmentation surgery?
A - There are no absolute contraindications but the patients should inform their surgeons about any allergies, serious medical conditions, and medications they may be taking. Smokers should stop smoking 2 weeks before surgical procedures to promote the healing process.

Q - Where will the breast augmentation surgery be performed?
A - In hospital.

Q - In my case, what size, type of implant is most appropriate in helping me achieve my cosmetic goal?
A - It depend on the your age, body build and your preference.

Q - How much does breast augmentation surgery cost and what elements factor into that cost like hospital fees, anesthesia, and so on?
A - Ranging from 1500 to 2000 U.S. dollars. Medical insurance dose not cover breast augmentation surgery.

Q - What is the surgeon's level of experience in performing breast augmentation procedures?
A - Consultant or Doctoral in Plastic surgery.

Q - What percentage of patients experience complications with breast augmentation surgery?
A - 3 - 5%

Q - What about non-surgical breast augmentation?
A - There is nothing else implantation of breast or fat injection (Surgical procedures) to enlarge and enhance the female breast.

N.B.
- Third & fourth generations of Silicone:
Third & fourth generation implants, from the mid 1980s, represented sequential advances in manufacturing principles with elastomeric-coated shells to decrease gel bleed, and are filled with thicker, more cohesive gel. The increased cohesion of the gel filler reduced potential leakage of the gel compared to earlier devices and the more substantial shell improved durability as compared to 2nd generation implants. A variety of both round and tapered anatomic shapes are available from different implants in this group. The anatomic or shaped implants are uniformly impregnated with a textured surface to reduce rotation, while round devices are available in both smooth or textured surfaces.

- Fifth generations of silicone:

Evaluation of "gummy bear" or solid, high-cohesive, form-stable implants is in preliminary stages.

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Summary of breast augmentation surgery:

The time of the procedure: from half to one hour.
Type of anesthesia: General or local anesthesia +/- sedation.
Location: hospital with or without postoperative hospital stay.
Expected Side effects: Temporary swelling and pain. Capsular contracture sould be avoided by postoperative massage.
Recovery time: return to work within 2 days and the final outcome within 3 months.
Cost: according to procedure, prothesis ranging from 1500 to 2000 U.S. dollars, or 8000 to 11,000 Egyptian pounds.
Results: at least 10 years and oftenly, permanent results.

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