14. You can't walk in to a consultation and say you want X implant type through X incision location. You and your surgeon will together decide which incision choice is best for you: underarm incision, incision in the crease of the breast (inframammary fold), or through removal of the areola. Your doctor will take into consideration your beginning breast size and shape, breast tissue, and a number of other factors before recommending which options are best for you and your body.
In 2002, the U.S. Food and Drug Administration (U.S. FDA) reviewed the studies on the human biological effects of breast-implant platinum, and reported little causal evidence of platinum toxicity to women with breast implants.[90] Furthermore, in the journal “Analytical Chemistry”, the study Total Platinum Concentration and Platinum Oxidation States in Body Fluids, Tissue, and Explants from Women Exposed to Silicone and Saline Breast Implants by IC-ICPMS (2006), proved controversial for claiming to have identified previously undocumented toxic platinum oxidative states in vivo.[91] Later, in a letter to the readers, the editors of the “Analytical Chemistry” journal published their concerns about the faulty experimental design of the study, and warned readers to “use caution in evaluating the conclusions drawn in the paper.”[92]
Breast augmentation is the most commonly performed aesthetic surgical procedure. Choices of incisions, pocket plane, and myriad implant characteristics constitute the basis for surgical planning. Analysis of physical characteristics and inclusion of the patient in implant selection contribute to overall satisfaction and reduce requests for secondary surgery. Technical expertise in implant positioning and aseptic handling helps to prevent capsular contracture, implant malposition, and other shape problems. Despite the need for secondary surgery in some, patient satisfaction is high.
In 2012, FDA approved silicone gel implants made by a third company, Silimed, without a public meeting to review the much more cohesive implants made by Silimed.[13] Silimed’s implants have been described as “gummy bear” implants by one of the Principal Investigators in the study submitted to the FDA, referring to the rubbery consistency of gummy bear candies.  The goal of using such cohesive gel is to prevent leakage if the implant breaks.  However, there is reason to be concerned about the safety of this gel, because of the metals and chemicals that are used to make it. [14]
More than two-thirds of these women received implants because they wanted to improve their appearance by changing the size or shape of their breasts, a process called “augmentation.” This number is not surprising, since a 1998 study showed 34% of American women were dissatisfied with their breasts. Most of the remaining women in the implant group had a very different reason for considering implants: They had lost one or sometimes both breasts to mastectomy, an operation for breast cancer that removes the breast. The breast is then “reconstructed” by the insertion of an implant.
Also, getting boobies taught me a few lessons; this sounds weird but wanting something for so long & putting my own money together to get it, taught me the following: 1.) how to make my own money for something I really wanted, 2.) the drive to get what I wanted when I wanted it on my own terms, & 3.) patience because well, shit. I had to save for 4 years.
19: I've found that I've been completely rejected and criticized by the body positivity community. The irony is that I tried to be happy with how I was and with what I had. It al felt like a farce. This has been the best thing I've ever done. Despite the haters, I finally can say I love what I see in the mirror. How is that not considers body positive?
Breast lift, or ‘mastopexy’, involves repositioning the breast and nipple/areola to a more natural, perky, and youthful position. Weight gain or loss, pregnancy, breast feeding, the effects of gravity, and changes in skin quality all can play a part in breast sagging or ‘ptosis’. Implants may also be placed which can provide an even greater amount of fullness. There are patients in whom implants alone will lift the breasts to an appropriate level. During your consultation, Dr. Gorin will help guide you in a direction that will afford the best result possible.
In January 2011, the FDA announced that women with breast implants seem to be more likely to develop ALCL (anaplastic large cell lymphoma), a rare cancer of the immune system. The risk of developing ALCL is very low, but much higher in women with implants than it is in the general population.  ALCL is especially rare in the breast area, but for women with implants it has been found in fluid surrounding the implant and in the scar capsule, but not the breast tissue itself.  There is data to suggest that ALCL is more likely in implants with textured surfaces than with smooth surfaces.[36] The FDA is now requesting that physicians report cases of ALCL in women with breast implants to determine how great the risk is compared to women without implants and to talk with patients about the benefits and risks of textured-surface vs. smooth-surface implants.[64]

Just as important as good physical health is good mental health. “Before going into any cosmetic surgery,” says Chicago plastic surgeon Dr. Sam Speron, “it’s important to have a positive and realistic frame of mind.” There is only so much any surgery can do, so be sure you’re clear on your surgeon’s plan and the expected results, including scarring.
Have a physiological condition (e.g., obesity, smoking, diabetes, autoimmune disease, hypertension, chronic lung or severe cardiovascular disease, or osteogenesis imperfecta) or use certain drugs (including those that interfere with blood clotting or affect tissue viability) that may result in a high risk of surgical and/or postoperative complications.
A study published by the Royal Academy of Medicine in Scotland found that a woman with a broken silicone gel implant in her calf was coughing up silicone identical to the kind in her implant.[31] This has potentially serious implications for women with leaking breast implants, since silicone gel breast implants are considerably larger and closer to the lungs than calf implants.
The breast cancer studies Cancer in the Augmented Breast: Diagnosis and Prognosis (1993) and Breast Cancer after Augmentation Mammoplasty (2001) of women with breast implant prostheses reported no significant differences in disease-stage at the time of the diagnosis of cancer; prognoses are similar in both groups of women, with augmented patients at a lower risk for subsequent cancer recurrence or death.[90][91] Conversely, the use of implants for breast reconstruction after breast cancer mastectomy appears to have no negative effect upon the incidence of cancer-related death.[92] That patients with breast implants are more often diagnosed with palpable—but not larger—tumors indicates that equal-sized tumors might be more readily palpated in augmented patients, which might compensate for the impaired mammogram images.[93] The ready palpability of the breast-cancer tumor(s) is consequent to breast tissue thinning by compression, innately in smaller breasts a priori (because they have lesser tissue volumes), and that the implant serves as a radio-opaque base against which a cancerous tumor can be differentiated.[94]
Periareolar: an incision made along the areolar periphery (border), which provides an optimal approach when adjustments to the IMF position are required, or when a mastopexy (breast lift) is included to the primary mammoplasty procedure. In the periareolar emplacement method, the incision is around the medial-half (inferior half) of the areola's circumference. Silicone-gel implants can be difficult to emplace with this incision, because of the short, five-centimetre length (~ 5.0 cm.) of the required access-incision. Aesthetically, because the scars are at the areola's border, they usually are less visible than the IMF-incision scars of women with light-pigment areolae. Furthermore, periareolar implantation produces a greater incidence of capsular contracture, severs the milk ducts and the nerves to the nipple, thus causes the most post-operative functional problems, e.g. impeded breast feeding.
Abdominoplasty (tummy tuck). This procedure is best for people who have lost a significant amount of weight and now have loose abdominal skin and lack of abdominal muscle tone. Women who are dissatisfied with their post-pregnancy shape often elect to have a tummy tuck procedure as a part of an overall “mommy makeover.” Our St. Louis plastic surgeons can combine breast lift and “mommy makeover” procedures safely and effectively.
- as far as your degree of droopiness (Ptosis in Plastic surgery speak) you state that the nipple and areola are well above the crease - that being the normal youthful position, the choice of the implant that would best fill your breasts is based on multiple factors,the 2 most important ones in my opinion are the extent of current breast tissue available to cover the top of the implant AND the extent of chest flat realty the implants can sit on.
Augmentation mastopexy increases breast volume, restores the position of your nipple-areola complex to the top of your breast mound, tightens the lower pole, and lifts your breast. The physical changes brought about by enjoying the breasts you have always dreamed of having are rewarding but how you feel about your body image is the most important change of all. Positive emotional transformations are truly satisfying and many of Dr. Moelleken’s patients have trouble expressing the words of thanks they feel for the incredible changes he has made in their lives.
When compared to the results achieved with a silicone-gel breast implant, the saline implant can yield acceptable results, of increased breast-size, smoother hemisphere-contour, and realistic texture; yet, it is likelier to cause cosmetic problems, such as the rippling and the wrinkling of the breast-envelope skin, accelerated lower breast pole stretch, and technical problems, such as the presence of the implant being noticeable to the eye and to the touch. The occurrence of such cosmetic problems is likelier in the case of the woman with very little breast tissue, and in the case of the woman who requires post-mastectomy breast reconstruction; thus, the silicone-gel implant is the technically superior prosthetic device for breast augmentation, and for breast reconstruction. In the case of the woman with much breast tissue, for whom sub-muscular emplacement is the recommended surgical approach, saline breast implants can produce an aesthetic result much like that afforded by silicone breast implants, albeit with greater implant palpability.[7]
Follow-up longitudinal studies of these breast implant patients confirmed the previous findings on the matter.[82] European and North American studies reported that women who underwent augmentation mammoplasty, and any plastic surgery procedure, tended to be healthier and wealthier than the general population, before and after implantation; that plastic surgery patients had a lower standardized mortality ratio than did patients for other surgeries; yet faced an increased risk of death by lung cancer than other plastic surgery patients. Moreover, because only one study, the Swedish Long-term Cancer Risk Among Swedish Women with Cosmetic Breast Implants: an Update of a Nationwide Study (2006), controlled for tobacco smoking information, the data were insufficient to establish verifiable statistical differences between smokers and non-smokers that might contribute to the higher lung cancer mortality rate of women with breast implants.[83][84] The long-term study of 25,000 women, Mortality among Canadian Women with Cosmetic Breast Implants (2006), reported that the "findings suggest that breast implants do not directly increase mortality in women."[34]
My mom got best inplants yearrs ago, and I think they look great! I don’t have trouble in that department, but I’m all for a boob job if you want one. In fact, I decided a long time ago that when I got older, and my boobs ever got too saggy I would DEF be all for it! Back to my mom, after 10 years her bear implants both popped, and she had to get them removed, and redone! She doesn’t even know when it happened.
Breast augmentation with autologous fat transfer requires two procedures: liposuction and fat injection. Using liposuction techniques, your plastic surgeon will remove your fat cells from a predetermined location with a cannula, process the fat and then inject the fat into your breasts. Your liposuction incisions will be closed with sutures, and you will wear compression garments over the liposuction areas and your breasts.
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