BREAST ENLARGEMENT 

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Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons: 
To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small. 
 
To correct a reduction in breast volume after pregnancy. 
 
To balance a difference in breast size. 
As a reconstructive technique following breast surgery. 
By inserting an implant behind each breast, surgeons are able to increase a woman's bustline by one or more bra cup sizes.  
 
If you're considering breast augmentation, this will give you a basic understanding of the procedure--when it can help, how it's performed, and what results you can expect.  
It can't answer all of your questions, since a lot depends on your individual circumstances. Please ask your surgeon if there is anything you don't understand about the procedure. 
 

THE BEST CANDIDATES FOR BREAST AUGMENTATION 

Breast augmentation can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. 
The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate. 

TYPES OF IMPLANTS 

A breast implant is a silicone shell filled with either silicone or co-hesive gel or saline. 
Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer's insert that comes with the implant he or she will use -- just so you are fully informed about it. And, be sure to tell your surgeon if you smoke, and if you're taking any medications, vitamins, or other drugs. 
 
Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure. 
PREPARING FOR YOUR SURGERY 
 
Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. 
 
While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed. 
 
Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer's insert that comes with the implant he or she will use -- just so you are fully informed about it. And, be sure to tell your surgeon if you smoke, and if you're taking any medications, vitamins, or other drugs. 
 
Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure. 
WHERE YOUR SURGERY WILL BE PERFORMED 
 
Your surgeon will advise that the surgery may be done as an inpatient in a hospital, in which case you can plan on staying for a day or two. 
Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples. 
 
Some surgeons believe that putting the implants behind your chest muscle may reduce the potential for capsular contracture. Drainage tubes may be used for a day following the surgery. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue. 
 
You'll want to discuss the pros and cons of these alternatives with your doctor before surgery to make sure you fully understand the implications of the procedure he or she recommends for you. 
 
The surgery usually takes one to two hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing. 
 
[please images or illustrations similar to: http://private-plasticsurgery.com/plastic-surgery/procedures/breast-enlargment] 
 
Breast augmentation is usually done to balance a difference in breast size, to improve body contour, or as a reconstructive technique following surgery. 
 
Incisions are made to keep scars as inconspicuous as possible, in the breast crease, around the nipple, or in the armpit. Breast tissue and skin is lifted to create a pocket for each implant. 
 
The breast implant may be inserted directly under the breast tissue or beneath the chest wall muscle. 
 
After surgery, breasts appear fuller and more natural in tone and contour. Scars will fade with time. 
GETTING BACK TO NORMAL 
 
ou should be able to return to work within a week, depending on the level of activity required for your job. 
 
Follow your surgeon's advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery. 
 
Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely. 
 
PREPARING FOR YOUR SURGERY 
 
Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. 
 
While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed. 
 
TYPES OF ANAESTHESIA 
 
Breast augmentation can be performed with a general anaesthesia, so you'll sleep through the entire operation. 
 
AFTER YOUR SURGERY 
 
You're likely to feel tired and sore for a few days following your surgery, but you'll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor. 
 
Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by your surgeon. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades. 
 
Your stitches will dissolve, but the swelling in your breasts may take three to five weeks to disappear. 
 
ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK 
 
Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure, these will be discussed at your consultation 
BREAST ENLARGEMENT 
Hello Carole, thank you for your enquiry and am delighted to recommend your facility. 
 
I was concerned that my daughter make the right decision and be taken care of, I was very concerned. 
I felt confident with Mr Peart and the facilities of care at the Nuffield.  
I would of preferred her not to have an operation but she is over 20 and was determined.  
Every thing went very well indeed and I was so relieved. 
 
Mrs S 
BREAST UPLIFT AND IMPLANTS 
I booked my operation at another hospital and was disgusted at the lack of care about me as a person. All they talked about was money and they did not offer to check me over before the operation. I was very nervous and unsure and was treated like I was a pest. This was a big deal for me and although I am not rich the money was secondry.  
 
I heard about you from Maggie and what a difference the hospital made. I asked to be shown around and was given a little tour and it made me feel safe. I had to fill in a health form and that made me feel that I was a person and not a money machine. My operation was absolutely fine and my breasts are fantastic, I keep on showing them to people as you can hardly see the scars around my nipples and it is only a couple of months. Mr Peart says I have good scarring skin and that the scars would be nearly invisible. I will tell every one about your service and to go for the right care.