Breast Surgery
Breast Implants:
One of the most common questions in breast surgery relates to the difference between saline and silicon implants. Both have an outer shell made from a thin layer of firm, tough silicone and the difference lies in the filling. Saline is basically sterile salt water. Silicone is a sticky gel.
One advantage of Saline is that should the prosthesis leak, the saline solution is absorbed naturally by the body tissues. In fact the use of silicon implants was halted for some considerable time due to controversy regarding its safety in the event of a leak, however scientific studies have proved these concerns groundless and silicone implants are once again available. The advantage of silicone is that it is more like normal breast tissue that saline and generally provides a better cosmetic result.
Mastectomy and Breast Reconstruction:
It is possible to have a mastectomy and breast reconstruction simultaneously however it is something for discussion with your surgeon and there might be reasons why it is preferable to wait for some time before considering the reconstruction.
Breast Reconstruction after Mastectomy:
This area is covered in considerable detail in a Plastic Surgery Article under that specific heading.
Breast Uplift:
As part of the aging process or after breastfeeding, the breasts will often drop and lose their youthful appearance. If there is enough breast tissue left, then it is possible to reshape it, remove excess skin and produce a higher, firmer breast.
If there is enough breast tissue remaining then an implant might be unnecessary, however if not, an implant can usually be placed during the uplift procedure.
A Breast Uplift is actually very similar to a breast reduction, except that breast tissue is not removed; rather, the skin is tightened. The scars are usually in the same place i.e. around the nipple, in the fold underneath the breast, and between the two. Very occasionally, the nipple does not need to be lifted and if so there will be no scar around it. In some instances, it is also possible to minimise scarring on the underside of the breast. Other possible problems, such as a change in the sensitivity of the breast and nipple skin, and a possible limitation on future ability to breastfeed, should be discussed with the Surgeon.
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