
Breast Augmentation
The purpose of augmentation mammoplasty is to increase the fullness and projection of your breasts, to enhance your self-image and self-confidence, and to improve the balance of your figure.
Breast augmentation may be done if a patient feels that her breasts are too small after they have fully developed. Breast augmentation can also be done if the fully developed breasts are asymmetrical: for example, if one breast failed to develop normally, or if you have some congenital deformity such as an asymmetrical chest wall that requires balancing your breast on the other side.
Breast augmentation is a very highly individualized procedure, and the patient undergoing breast augmentation has to be healthy, should have realistic expectations, and have fully developed breasts so that the breast size does not change after surgery with further breast development.
When you choose to have a breast augmentation surgery (also known as an augmentation mammoplasty), the most important thing to choose is your surgeon. You need to choose a certified plastic surgeon that has at least completed 5 years of surgical training and a minimum of at least 2 years of plastic surgery residency. A certified plastic surgeon is highly qualified and will be the best suited to do your breast augmentation.
The procedure usually involves the use of implants, and there are multiple types of implants. The implants could be a combination of saline with a silicone shell, a silicone gel implant with a silicone shell, or a combination of both.
When you meet your surgeon, Dr. Mishra, for the first time during your consultation, she will examine you and take photographs. Together, you will discuss the options for treatment. Once you decide to have surgery, Dr Mishra will help you to decide on the type of implant to be used, and she will measure the size of implants which will be appropriate for you or the ones that you choose for yourself. She also will make sure you have had a previous mammogram if a mammogram is required for a woman your age. She will review with you your family history, any history of smoking, and your history of medications so that appropriate measures can be taken for a safe surgery.
The surgery is usually an outpatient surgery, and there are different possible approaches and incisions for surgery that the doctor will discuss with you. The doctor will discuss with you your choice of surgery in detail before the procedure, including the use of anesthesia and the possible risks involved in surgery.
Surgical risks usually include scarring at the surgical site, bleeding, infections, hematoma, capsular contracture, and poor healing of incisions, ruptured implant, wrinkling of skin over the implants, blood clots, deep vein thrombosis, and fluid accumulation in the pocket. All of these complications can occur at any time following surgery.
The doctor usually follows up with for further management at the office before surgery. After surgery, the doctor will follow up for at least one year and as needed.