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Breast Augmentation
(Mammaplasty)
| Throughout the ages,
physical beauty has been determined by the values of each society.
In our western culture during the late 1890's for example, the large
breasted woman with the small waist was the ideal. In the "flapper"
era of the 1920's, women wanted slim bodies and very small breasts.
Because an individual's body build is determined for the most part
by achieve the look they want through diet and exercise alone.
Today, through modern technology, many women are able to alter the
shapes of their bodies. Women with small, under developed or
asymmetrical breasts, will like this safe, effective, surgical
procedure, designed to improve the contour of a woman's body by
implanting specially designed materials beneath the breast or chest
wall muscles. |
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Before Surgery
 Prior to surgery,
a complete medical history is taken in order to evaluate your general
health. A thorough examination of the breasts is also done to determine
the most effective surgical approach.
Dr. Gordon describes the procedure,
what results might realistically be expected and the possible risks
and complications.
Photographs will be taken as well as mammograms or x-rays may be taken
(if medical history necessitates). Preoperative instructions often
include the elimination of certain drugs, which contain aspirin in
order to minimize the the possibility of excess bleeding. Antibiotics
and other medications designed to prevent infection will be prescribed
for a few days prior to surgery, as well as a special medical cleansing
solution. Homeopathic regimens and basic lab work will be prescribed
as well.
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 The
Procedure
Your breast augmentation is performed in our private Outpatient Ambulatory
Surgical Facility
under general Anesthesia. Prior to surgery, pre-medication,
medical facials, or body massages are performed to help relax you.
The breasts are carefully marked to indicate where incisions are to
be made. One of the techniques most frequently used is an incision
made in the lower portion of the breast near the chest wall or around
the lower portion of the areola (the dark pink area circling the nipple).
Another location frequently used is in the armpit as well as the navel.
(Fig. A) when the incision is made in the lower portion of the breast,
breast tissue is raised to create a pocket either under the breast
tissue (Fig. B) or beneath the chest wall muscle. (Fig. C). An
implant
is inserted into the pocket.
 Different
sizes of implants may be used to correct breast symmetry. In some
cases, particularly those in which there is breast asymmetry, an inflatable
implant may be used (Spectrum-Round or Contour Profile). With this
procedure, the surgeon can adjust the amount of inflation.
After the implant is securely in place, small sutures are used to
close the incision. The breast augmentation takes 45 minutes to one
hour to complete, depending upon the procedure and extent of the surgery.
You are usually in the recovery area for 45 minutes and discharged
to go home with your caretaker.
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Following Surgery
Following the surgery, Dr. Gordon applies steri-strips to the incisions.
These stay on for about 1 or 2 weeks and showering daily with ant-bacterial
solution will be required. Antibiotics will be continued to prevent
infection.
Pain connected with the procedure is minimal to moderate and is controlled
with oral medication. Instructions for the day of surgery include
bed rest and limited activities.
Dr. Gordon determines when normal
activities can be resumed; however, strenuous exercises and overhead
lifting must be avoided for several weeks.
Sutures are dissolvable and will disappear in about five to ten days
at which time Dr. Gordon may recommend massage to keep the breast
supple. Numbness around the treated area may occur, but this condition
is usually temporary (could remain for up to 12 months or longer).
Swelling and discoloration disappears in a few days, and scars from
the incisions, although permanent, fade significantly with time.
Our office, as a result of utilizing special techniques, specific
post-operative instructions, and honestly educating you enables you
an almost instant recovery. Patients can go back to work within 3
to 7 days (may vary based on career)!
Complications of infection and slow healing are rare; however there
are certain inherent risks connected with every surgical procedure
and will be thoroughly discussed by
Dr. Gordon and/or the nursing
staff. In some cases in which the breast becomes too firm due to the
formation of scar tissue, a second procedure may be necessary.
If you are interested in learning more about breast augmentation,
please contact our office and we will be happy to schedule a consultation
for you.
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