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Breast
Surgery
Enlargement
or reduction of breast for natural appearance
Breast is a feminine symbol. Appropriate size and shape of breast
will enhance personal confident. Breast enlargement or breast lift
can be operated according to your need in the following ways |
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Fat
Injection
Injection
of patient's fat into breast used to be popularly operated in Europe
and U.S.A. since it is believe to be safe. However, some cons appear:
1. Fat preparation requires excellent skill and well sterilization.
2. This technique can be applied to only patient with enough fat.
For example, if 100 cc. of prepared fat is required for injection
into each breast, 300 - 400 cc. of fat needed.
3. The injected fat will mostly reduce to 50% within 6-12 months and
will be completely gone after 1-2 years.
4. If the fat preparation is incomplete, fat may be solidified. Therefore,
it will be difficult to identify whether it is the injected fat or
tumor
5. Patient with fat injection is not recommended for implanting silicone
jacket since it will cause breast solidification. The best application
is to inject removable gel like polymer. |
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Breast
Enlargement
Breast enlargement using silicone jacket has
been operated for almost 40 years and proved to be safe from causing
cancer. The silicone jacket can stay for life if there is no implication
such as leakage of silicone jacket or too much firm layer of tissue
occurs. |
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Type
of silicone jacket is differ due to surface of the jacket or its filler
Surface of the jacket
1. Rough
2. Smooth
It is believe that the rough silicone jacket causes less tissue reaction
than the smooth one. However, there is no scientific study to confirm
the result. |
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Filler
1. Silicone gel is
popular filler being used to fill in the jacket.
The pros is its natural-like softness.
The cons is if the jacket leak, silicone gel will intrude into surrounding
tissue and develop a firm layer of scar tissue around the implants
which harden the breast.
2. Saline solution is another filler.
The pros is there is no harm from the jacket leakage.
The cons is there are chances of jacket leakage.
The operation can be done with local anesthetic and sedation or under
general anesthesia which takes around 30-60 minutes.
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Scars
are an unavoidable result of the operation which can be found in 3
types:
1. Scar in the armpit
The pros is the scar will be hidden under
the armpit The cons is the operation
is more complicated
2. Scar around the areola (nipple edge)
The pros is the operation is simple
The cons is the scar is obvious
3. Scar under the breast
The pros and cons are same as the scar
around the areola
Postoperative
care
- Patient must stay overnight after the operation
- Avoid from getting wet for 7 days
- Sutures can be removed after 7 days
- Patient can be back to work within 3-5 days postoperatively
- Even pain is gone, patient should continue massage her breast for
months to prevent the development of firm layer of tissue
back
on top |
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Breast
Reduction
Problems concern large, heavy breasts
can be minimized or eliminated by breast reduction. The surgeon must
carefully evaluate whether the patient experience several health concerns
related to her breasts or not, for example, back pain. If the symptoms
do occur, there are 2 solutions:
1. Liposuction around breasts area. This
solution can make the breasts smaller but not quite obvious.
2. Surgery. This solution gives exact
result but scars are an unavoidable drawback
back
on top |
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Breast
Uplift
Breast sagging is a common problem
following aging and other causes like weight loss, pregnancies. Breast
sagging can be classified into 3 class
Breast sagging can be corrected by surgery. The surgeon repositions
the nipple, areola and breast mass to a higher position. Today there
are several procedures available for example:
o Scar around areola. Incisions around areola will disappear in 3
-6 months. The pros of this procedure is scar occurs only around the
areola and less visible
o Reverse T-shape Scar beneath the breast. The pros is no scar around
areola but the incision is longer
If there is inadequate breast tissue to fill the skin and achieve
the desired size, a silicone implant will be placed at the same time.
Breast
Uplift surgery takes about 2 - 3 hours. The patient has to stay
overnight in the hospital and can get back to work within a week.
The most important thing is the patient must always wear brazier
days and nights for a month to get desired breast shape
back
on top |
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