Outweigh Benefits and Risk of Breast Implant /Enlargement /Augmentation

Outweigh Benefits and Risk of Breast Implant /Enlargement /Augmentation

Cosmetic (also called aesthetic) procedures alter a part of the body that the person is not satisfied with. Common cosmetic procedures include making the breasts larger (augmentation mammoplasty) or smaller (reduction mammoplasty), reshaping the nose (rhinoplasty), and removing pockets of fat from specific spots on the body (liposuction). Some cosmetic procedures aren't even surgical in the way that most people think of surgery — that is, cutting and stitching.

A breast implant is a prosthesis used to enlarge the size of a woman's breasts (known as breast augmentation, breast enlargement, mammoplasty enlargement or augmentation mammoplasty) for cosmetic reasons; to reconstruct the breast (e.g. after a mastectomy; or to correct genetic deformities), or as an aspect of male-to-female sex reassignment surgery.A majority of patients also state that they recommend this procedure to others and report a positive benefit in how they view their bodies.

Who is a candidate?

Breast implants are used for:

Breast augmentation or enlargement is achieved through the use of breast implants. The most commonly used breast implants are saline breast implants. The implant is similar to a balloon filled with saline or salt water. Saline breast implants have been used for over 20 years.There are different types of breast implants and depending on your individual situation and goals, one type of implant may be recommended during your consultation.

For a breast reduction, some of the breast tissue is removed and the nipples may be relocated higher on the breasts for cosmetic reasons. In general, the operation lasts 3 to 6 hours and is done under general anesthesia.When foreign material — such as an implant — is placed in your body, your body reacts by forming scar tissue around it. This is normal.

During a breast lift, incisions are made along the natural creases in the breast and around the dark skin surrounding the nipple (areola). A keyhole-shaped incision above the areola is also made to define the new location for the nipple. Skin is removed from the lower section of the breast. The areola, nipple, and underlying breast tissue are moved up to a higher position. The nipple is moved and incisions are closed with sutures. The procedure can last 3 to 5 hours, depending on the extent of the surgery.

The safety of silicone breast implants has been debated for years. At this time, there's no scientific proof that ruptured silicone implants cause cancer or autoimmune disorders. But both silicone and saline breast implants can rupture or leak. The major problem associated with a ruptured silicone implant is the formation of scar tissue, which can lead to breast pain and disfigurement.

Silicone implants were banned from the US market in 1992, but are available through clinical studies, which currently involve 40 000–50 000 women. A lot of information has been accrued during the past 10 years, which increases our assurance of the safety of these products.Moreover, increasing numbers of non-surgeons are performing cosmetic breast surgery in outpatient clinics, ambulatory surgery centers, or physician offices, where the risk of complications is especially likely without precautions.

FDA has reviewed an extensive amount of data from clinical trials of women studied for up to four years, as well as a wealth of other information to determine the benefits and risks of these products.After rigorous scientific review, the U.S. Food and Drug Administration (FDA) has approved the marketing of silicone gel-filled breast implants made by two companies for breast reconstruction in women of all ages and breast augmentation in women ages 22 and older. The products are manufactured by Allergan Corp. (formerly Inamed Corp.), Irvine, Calif., and Mentor Corp., Santa Barbara, Calif.

Although apparently uncommon, fungal contamination of saline-filled breast implants is readily preventable.A new type of silicone breast implant, currently available to women whoagree to be part of a clinical study, offers breast augmentation andreconstruction patients more natural looking breasts with a lowcomplication rate, according to a recent study in Plastic andReconstructive Surgery.The new devices are more cohesive than those currently beingconsidered by the FDA.

Although plastic surgery should not be seen as a panacea for feelings of low self-worth or sexual attractiveness, it is important for health-care practitioners to understand the psychological benefits of these procedures.Women who undergo breast enlargement often see a sizable boost in self-esteem and positive feelings about their sexuality, a University of Florida nurse researcher reports.

A study conducted among 24,600 women by two Université Laval Faculty of Medicine researchers and their colleagues from the Canadian Public Health Agency and Cancer Care Ontario concludes that having breast implants does not increase mortality risk.Researchers did not observe any increase in the mortality rate of women with breast implants.

Risk :

Cosmetic surgery might be performed with stem-cell generated natural tissues instead of synthetic implants. Saline and silicone implants for breast augmentation may rupture, leak, and interfere with breast cancer detection on mammograms. stem-cell generated natural tissue implants should avoid these problems.Stem-cell researchers have shown how cosmetic surgery, such as wrinkle removal and breast augmentation, might be improved with natural implants that keep their original size and shape better than synthetics.

There were 364,610 breast augmentation procedures performed in 2005. The top concerns of breast augmentation include the surgery itself, the implants, breast cancer and the risk of anesthesia. The risks and complications of breast augmentation are overwhelming.Risks include capsular contracture, nipple sensitivity, rippling, ruptures, immune systems disorders, synmastia, bottoming out, double bubble, Mondor's disease and of course just an overall dissatisfaction with the results of the procedure.

Moreover, serious life-threatening conditions such as pulmonary embolism and acute respiratory distress after breast augmentation with silicone injection had been reported. Implants are classified as medical device (MD) internationally. Specifically, breast implant is classified as Class IV (high risk) MD. At presents, the U.S. Food and Drug Administration has approved only two types of breast implants for marketing in USA namely saline-filled and silicone gel-filled breast implants with the filling material contained in a shell. No injection material has been approved by FDA for breast augmentation .

Even if you experience difficulty breast feeding, it may not be related to your augmentation. Some studies report that 10 to 15% of women who have never had breast surgery cannot adequately breast feed. Breast reduction surgery can further increase the risk of breast feeding problems.Regardless, it’s important to tell your surgeon if you plan on having children.

Breast implants do not last forever. A small percentage of implants can deflate (or rupture) in the first few months or years after being implanted; yet some are intact 10 or more years after the surgery. Predicting how long an implant will last, is not yet possible.This usually happens quickly and surgery is then required to remove and, if desired, replace the deflated implant. Since salt water is naturally present in the body, the leaked saline will be safely absorbed by the body instead of being treated as foreign matter.

This is one of the most frequently asked questions by women considering this surgery. Many studies have shown that women who get implants are not at an increased risk for getting breast cancer.

At your next annual mammogram, be sure to tell your radiologist and mammography technician that you have gotten new implants.There are no studies to imply that implants for augmentation increase breast cancer risk. However, if not correctly positioned surgically and properly mammogrammed, your mammogram may miss the presence of a lesion, which can delay breast cancer diagnosis and treatment.


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