Today, breast augmentation is one of the most frequently performed cosmetic surgeries in the United States. For example, more than 300,000 women got implants in 2009. Eventhough there are a number of reasons why a woman might want to have a boob job, one of the most common reasons is to increase bust size and feel more confident. If you'd like your breasts to enhance your wardrobe - and not necessarily trust your wardrobe to give your chest area some life - you may have some questions about
breast enhancement
What are the implant options?
Currently, patients can choose between saline- or silicone-filled implants. Saline implants may be filled before or after surgery; silicone implants come pre-filled. In addition to implants of different sizes, you can also choose a profile (shape) and texture of the surface. A "gummy" type of implant is being studied, but it has still not been approved by the Food and Drug Administration (FDA).
Are implants safe?
Both silicone-gel and saline implants from Allergan and Mentor (two manufacturers) have been approved by the FDA. Implants aren't made to last forever so there is a chance that they could leak or rupture. Much of the concern about safety has been linked to silicone implants because they contain platinum in the gel and shell. However, extensive research has been conducted about the effects of the platinum, and the FDA finds it to be in the "lowest risk" category.
I heard that there's an age requirement. Why is that?
The age requirement applies to women who are seeking breast enlargement for cosmetic purposes, but it does not apply to women who may need breast reconstruction following a traumatic injury, removal of the breast because of cancer, or improper development because of a serious medical problem. For saline implants, you have to be age 18 or older. For silicone implants, you must be at least 22. The basic age requirement was instituted because breast development continues in adolescence, and implants could interfere with that. Also, the FDA wanted to ensure that women were mature enough to understand both the short-term and long-term risks of having implants. In particular, silicone implants often require routine MRI screening to detect "silent ruptures" (saline implants deflate so you can tell immediately if there's a problem), and these tests are commonly not covered by insurance.
What are some of the risks of implants?
Breast augmentation is a surgery, which means that you would have the same risks as any other surgery, including infection. A number of women need additional surgeries in the future if the implant ruptures or deflates. You might experience differences in sensations or breast pain. Some women have difficulty nursing (producing any or enough milk). Implants can also make it more difficult for your doctor to detect breast cancer during mammograms.
How can I get more information?
If you aren't ready to approach a surgeon, you can visit the FDA's website for more information about procedures, risks, and benefits. When you are ready to find a doctor, you can ask for a referral from the American Society for Aesthetic Plastic Surgery or the American Academy of Cosmetic Surgery.
Posted by: Heather
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