Thank you so much for this post! When I was younger, I wavered so many times about whether I wanted one. My boobs are an A cup (small B). I feel like I’ve finally come to a point in my life where I’m okay with the size. Do I wish they were bigger? Sometimes, yeah. But I don’t know if I’d want to spend the money on it and sometimes I’m so wishy washy, I wouldn’t want to have gotten it done and then a month later think, “Fuck, why did I do this!?” I found it interesting that you thought that yourself, since most stories I’ve heard about boob jobs, there’s never been any statements of regret.
Complications after breast lifts are relatively rare. The main three are bleeding, infection, and scarring. Your surgeon will give you instructions for preparing that will help lower your risk of complications. Those instructions will include such things as not smoking, making sure you are off medications that may make bleeding more likely, and taking antibiotics if necessary.
Breast revision is performed in our own private AAAASF Certified Class-C Outpatient Surgical Center . The length of the procedure depends on the extent of the revision. For this outpatient surgery, we utilize general intravenous anesthesia administered by an elite group of carefully selected, highly qualified, board certified anesthesiologists. The techniques employed are designed to provide a smooth, gentle anesthetic experience, and prevent postoperative nausea and eliminate postoperative pain.
The Danish study mentioned above, focusing on Danish women who had breast implants for an average of 19 years, found that they were significantly more likely to report fatigue, Raynaud-like symptoms (white fingers and toes when exposed to cold), memory loss, and other cognitive symptoms than women of the same age in the general population.[20] Ten percent of the women with implants had already had their implants removed and not replaced, which might have reduced these symptoms.  Despite stating that women with implants were between two and three times more likely to report those symptoms, the researchers concluded that long-term exposure to breast implants “does not appear to be associated with” autoimmune “symptoms or diseases.”  The study was funded by silicone implant manufacturer Dow Corning.
Big boobs are big boobs, fake or real. I went from a B to a DD. From never really needing to wear a bra to def needing to wear a bra. Perky, yes and the shape and lift I want, yes. So even though they are perky, they’re still boobs, big boobs. But there is a difference between a bad boob job looking like beach balls on your chest and a more natural, shapely, full tear drop, fairly discreet, good boob job.

Although early saline implant models had frequent deflations, later models are less likely to do so—a 5 to 10% frequency after 10 years, according to one study. Ruptures, leaks, and deflations may be more common in gel-filled implants than in current saline-filled models, although one team of investigators showed that only 67% of saline implants were still in place at the end of 10 years, causing the researchers to comment that their study “confirms the obvious: Inflatable breast implants deflate with time.”
44)  Maybe you shouldn't believe those lists in tabloids of surgeries that various celebrities have had.  "Only a tiny percentage have the work done [the tabloids] say", says Dr. Harold Lancer, a Beverly Hills dermatologist with major movie stars for customers.  (Of course, he could be covering up for them...)  As far as I have been able to learn from the sources available, most of the cosmetic surgery used by the stars is done on faces.
I have no personal experience with the free breast implant sites but it is my understanding that a woman will post photos of herself and basically ask men to donate to their surgical costs. I have no idea what will be asked of a woman if she has surgery this way but there are a number of other ways you can pay for surgery other than to have to ask for help from strangers. I often ask patients... READ MORE
MENTOR® MemoryGel® Breast Implants, MemoryShape® Breast Implants, and Saline-filled Breast Implants are indicated for breast augmentation – in women who are at least 22 years old for MemoryGel® Implants and MemoryShape® Implants, and at least 18 years old for Saline Breast Implants - or for breast reconstruction. Breast implant surgery should not be performed in women with active infection anywhere in their body; with existing cancer or pre-cancer of their breast who have not received adequate treatment for those conditions, or who are currently pregnant or nursing.
When you arrive at the surgery center on your surgery day, Dr. Kirby will meet with you again to answer any last-minute questions and to mark your skin for surgery. Breast augmentation typically takes 1 hour to perform (longer if you are having a breast lift or other procedures, too). After surgery is complete, you’ll be cared for in the recovery room for a short time before going home to continue your recovery.
Dr. Guy will evaluate your desire for surgery and examine your breasts before making a diagnosis of the problems that need to be addressed. Dr. Guy will also discuss the variables that may affect your procedure and the techniques that she recommends for the best results. In some cases, she may recommend a more complex revision procedure including mastopexy or uplift. Dr. Guy may require an MRI or mammogram before breast revision, and in some cases, she may recommend against breast revision based on individual needs. Once a treatment plan has been determined, Dr. Guy will give you all the information you need to prepare for the procedure, including preoperative guidelines, medications, anesthesia, surgery location, risks, etc. Be advised that all patients will need to avoid smoking, as well as certain vitamins and medications, around the time of the surgery.

After reviewing the medical data, the U.S. Food and Drug Administration concluded that TDA-induced breast cancer was an infinitesimal health-risk to women with breast implants, and did not justify legally requiring physicians to explain the matter to their patients. In the event, polyurethane-coated breast implants remain in plastic surgery practice in Europe and in South America; and no manufacturer has sought FDA approval for medical sales of such breast implants in the U.S.[10]

During your initial consultation, Dr. Revis will inquire about your medical history, prior procedures, medications, allergies, and your motivations for seeking plastic surgery. It is very important that you be thorough when providing your medical history, as this information helps to prevent complications during your care. When asked about medications, be sure to include any vitamin or herbal preparations, as these can affect your blood pressure and clotting ability. Honesty regarding your use of tobacco and alcohol is also very important, as these may have a profound impact on your recovery period and your ability to heal following your procedure.
Magnetic resonance imaging (MRI) provides high-quality cross-sectional images of the inside of the body without the use of x-rays. This imaging device can be used to detect the presence of silicone gel and is the diagnostic tool of choice when mammography or sonograms suggest an implant rupture. MRI is the most accurate imaging technique for determining whether an implant is intact. The procedure is most effective when the magnetic resonance coils are specifically designed for the breast. Such modern MRI screening is a highly sensitive and specific test for ruptures.

So after literally wanting bigger breast since I was 12 i finally took the plunge and am having my breast augmentation surgery may25th! 2 days away!! Looking at these pictures almost disgusted me because they look so ugly to me.(I normally don’t feel that way, I just hate pictures). The closer I get the more nervous I get and to top it off I’m in a time crunch now becase 3 weeks after the sur... READ MORE
For the first few days after your surgery you can expect some discomfort and swelling, but you should not be in substantial pain. Many patients find they are stiff for the first week, but that too is normal. There may be some bruising as well. If you have severe bruising or pain, we ask you to call us right away. The recovery length depends on several factors, including how large your breast implants are. Those with larger implants will often have more stretching of the skin and muscle, which can lead to a tighter feeling during recovery. If you have a job that is not physical, you may be able to return to work in a week. For people who have a more strenuous job, especially one that involves lifting, a longer period of time away from work may be needed. This also goes for lifting toddlers! If you have small children at home, it’s best to get help around the house so your body can heal well. We will have you wear a compression garment to help reduce swelling and promote healing.
When a silicone breast implant ruptures it usually does not deflate, yet the filler gel does leak from it, which can migrate to the implant pocket; therefore, an intracapsular rupture (in-capsule leak) can become an extracapsular rupture (out-of-capsule leak), and each occurrence is resolved by explantation. Although the leaked silicone filler-gel can migrate from the chest tissues to elsewhere in the woman's body, most clinical complications are limited to the breast and armpit areas, usually manifested as granulomas (inflammatory nodules) and axillary lymphadenopathy (enlarged lymph glands in the armpit area).[52][53][54]
11. You have a choice of two different implants: silicone and saline. Eighty-four percent of implants used in 2016 were silicone and the rest were saline. Both implants have upsides and downsides. Silicone implants look and feel more realistic, but it's harder to detect if there are ruptures in the implant due to its gel-like consistency. Saline implants, on the other hand, will show ripples in certain areas of your breasts, but since they have a water-like filling, they will sooner alert you if there is a leak by visibly decreasing in size over time.
Saline implants were not very popular when they were first introduced. Not only did they often “deflate,” but also the cosmetic result was generally not as good as with the silicone-gel models. Patients complained about the “slosh effect,” a fluid wave from within the implant that sometimes they could actually hear. Another negative factor was the implant039;s thin consistency, with wrinkling visible through the skin.
Breast implant revision, also referred to as breast augmentation revision, is a cosmetic surgery procedure involving the removal and/or replacement of breast implants to correct complications that have occurred after breast augmentation or implant-based breast reconstruction surgery. Breast implant revision can also be performed to correct an unsatisfactory result from either of the aforementioned surgeries. Learn more about breast implant removal and revision surgery by exploring cost and procedural information.
Rupture is a tear or hole in the outer shell of the breast implant. When this occurs in a saline breast implant, it deflates, meaning the saltwater (saline) solution leaks from the shell. Silicone gel is thicker than saline, so when a silicone gel-filled implant ruptures, the gel may remain in the shell or in the scar tissue that forms around the implant (intracapsular rupture). The longer you have a breast implant, the greater the chance of implant rupture.
Furthermore, The Effect of Study design Biases on the Diagnostic Accuracy of Magnetic Resonance Imaging for Detecting Silicone Breast Implant Ruptures: a Meta-analysis (2011) reported that the breast-screening MRIs of asymptomatic women might overestimate the incidence of breast implant rupture.[64] In the event, the U.S. Food and Drug Administration emphasised that “breast implants are not lifetime devices. The longer a woman has silicone gel-filled breast implants, the more likely she is to experience complications.”[65]

I’m like you, I’ve wanted a boob job for years. I was thinking about it well beyond what would probably be considered normal or healthy. Had I been single and able to save my money and only focus on me, I probably would already gone under the knife. I realize I’m weighing in late but I’m curious if you researched or had any issues with sensation loss in your nipples. My issue with this might be partly obvious but the other thing is because and I don’t mind informing people of new subjects, is for the longest time I suffered (I say suffer because I was/am self conscious about) from flat nipples. I breast fed my son which helped draw them out a little. After doing research, trying a product or two out, and waiting for something new to come along, as it’s still not talked about enough despite more women experiencing this than what you might believe when first hearing about it (just like bacterial vaginosis but that’s a completely different topic) I finally found a product that actually worked not just temporary but long term. I still use them and because I am bad about routine I could not say whether repeated use would permanently fix all issues, I can say that even when I go days without using them I feel much better about the erection of my nipples now. There is a point to this, I promise. With more erectness, came more sensitivity and actual response to touch and intimacy. I’ve always had it in my mind that erect nipples are sexy, not simply because that’s what I’ve been taught and believe that’s the only way it should be but I truly find them sexy on other women myself. I should be able to comment on that, sometimes I think I may be more attracted to women than men lol. Anyhow, I would prefer, as I expect within the end of next year to have a breast augmentation that the surgeon go through the nipple, but with my newish founded erection has come new sensitivity and I don’t want to lose that! Did you have any noticeable change in your nipples sensatvity.m? Obviously something I will discuss with doc but was curious on your personal experience as I loved your post on this. Sorry if someone already asked.
Submuscular – The breast implant is emplaced beneath the pectoralis major muscle, without releasing the inferior origin of the muscle proper. Total muscular coverage of the implant can be achieved by releasing the lateral muscles of the chest wall – either the serratus muscle or the pectoralis minor muscle, or both – and suturing it, or them, to the pectoralis major muscle. In breast reconstruction surgery, the submuscular implantation approach effects maximal coverage of the breast implants.
Breast augmentation, technically known as augmentation mammaplasty, is a surgical procedure that enhances the size of a woman’s breasts. Because it involves implants, it technically also reshapes the breast—the surgeon has to decide how high to place the implant. Breast augmentation is a good choice for women who are looking to enlarge their bust line and are comfortable with an increase of at least one cup size.

Any implant would improve your appearance BUT your present breasts would require large implants 400cc plus which would have to be centered under your lateralized nipple areola complexes - resulting in a full but displaced look. Moreover, the larger implants will be associated with a faster droop of the augmented breasts. You MAY wish to consider a minor lift (which would centralize the nipple areolas and better cone your breasts) combined with an augmentation with an implant in the high 300. That may yield a better cosmetic and longer lasting result.


I enjoyed Dr. Lawton and his knowledge he provided me at consultation, day of surgery and follow ups! His confidence and pride he takes in his work is what really sold me on getting my procedure done. I love the fact that even on the day of surgery he took the time to actually sit and re evaluate my decision and wasn't upset or bothered at my last minute size change. I would highly recommend Mr. Lawton and I really do think his work is amazing! Thank you so much!
Implant downsizing. Some patients with breast implants may decide that they still want breast implants, but wish that they were smaller. Exchanging larger implants for smaller implants, however, often causes redundant breast skin and sagging breasts, also known as ptosis. As a result, downsizing of a breast implant is usually accompanied by a breast lift mastopexy procedure to manage the extra skin.
At this time, it is not known if a small amount of silicone may pass through from the breast implant silicone shell into breast milk during breastfeeding. Although there are currently no established methods for accurately detecting silicone levels in breast milk, a study measuring silicon (one component in silicone) levels did not indicate higher levels in breast milk from women with silicone gel-filled implants when compared to women without implants.
In fat-graft breast augmentation procedures, there is the risk that the adipocyte tissue grafted to the breast(s) can undergo necrosis, metastatic calcification, develop cysts, and agglomerate into palpable lumps. Although the cause of metastatic calcification is unknown, the post-procedure biological changes occurred to the fat-graft tissue resemble the tissue changes usual to breast surgery procedures such as reduction mammoplasty. The French study Radiological Evaluation of Breasts Reconstructed with Lipo-modeling (2005) indicates the therapeutic efficacy of fat-graft breast reconstruction in the treatment of radiation therapy damage to the chest, the incidental reduction of capsular contracture, and the improved soft-tissue coverage of breast implants.[101][102][103][104][105][106]
FDA transcript of the Advisory Panel Meeting on Mentor Saline Breast Implants, testimony of Dr. Sahar Dawisha, pages 431-7, 441, at http://www.fda.gov/ohrms/dockets/ac/00/transcripts/3596t1.rtf; FDA transcript of the Advisory Panel Meeting on McGhan Saline Breast Implants, testimony of Dr. Sahar Dawisha, pages 129-148, at http://www.fda.gov/ohrms/dockets/ac/00/transcripts/3596t2.rtf. Local complications are even higher, and tend to be more serious, for women with silicone gel breast implants. See Inamed Corporation’s McGhan, Silicone-Filled Breast Implants, October 14-15, 2003, slides 39-42 and 49-51, at http://www.fda.gov/ohrms/dockets/ac/03/slides/3989s1.ppt
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.
Cancers and Deaths. As mentioned above, breast implants can cause a type of cancer of the immune system called ALCL. There are also unanswered questions about cancer and implants. A study by National Cancer Institute (NCI) scientists found a 21% overall increased risk of cancer for women who had implants for at least seven years, compared with women of the same age in the general population.21 The increase was primarily due to an increase in brain, respiratory tract, cervical, and vulvar cancers. More research is needed to draw any conclusions, however.
Breast implants may have moved over time, or were placed incorrectly in the initial surgery, either too close together or too far apart. In some cases, the implants have merged, leaving the patient without cleavage, appearing unnatural and unattractive. Breast revision surgery can resolve either issue, by replacing the implants in the correct position for the individual body, creating a balanced, natural look to the breasts.
People will do incredibly nasty stuff to their skin to attack wrinkles: grinding off the skin surface with abrasives, burning it off with acid, etc.  One of the weirdest approaches is called Botox.  That's short for botulism toxin, one of the deadliest chemical poisons in nature.  Minute amounts can paralyze small facial muscles, which has a smoothing effect.  You actually want a paralyzed face?
Augmentation is not recommended for women who have excessive sagging. Sagging is determined by the level at which the nipple sits relative to the mammary fold (the fold of skin on the underside of the breast). If the nipple is lower than the beginning of the mammary fold, a lift should be considered instead of, or simultaneously with, augmentation.
Each procedure offers its own set of unique advantages and disadvantages. You must understand that a breast augmentation focuses on size and shape of the breast and will not correct drooping breasts. Unlike breast augmentation, a breast lift focuses primarily on breast position and will not increase the size of your bust. Often a breast lift is done in conjunction with breast augmentation so that the breasts can be restored to a more youthful position and a volume increase is added with the use of an implant Having a breast augmentation with a lift, which is called an augmentation/pexy, will give you some upper breast fullness along with repositioning sagging breasts and nipple areas.
You will notice an improvement in your breast shape and size immediately. You may experience tightness in your chest, but this rapidly resolves as the muscles relax. A very mild swelling usually takes several weeks to subside. You should be able to resume your normal daily activities the day after surgery, and you should be able to resume all of your physical activities (sports, aerobics, running, etc.) within three weeks of surgery.
Lauryn, we’ve all been duped by the implant industry! Please check out healingbreastimplantillness.com Breast Implant Illness (BII) is explained. Our companion fb group (a closed group) has 10,500 members with approximately 1,000 – yes, 1,000 women joining every month! Haven’t you read Chrystal Hefner’s (Hugh Hefner’s 30 something wife) account of how sick she got from her implants? Women are finally realizing that their thyroid, endocrine, “auto-immune” diseases, heart problems, lung problems are all symptoms from the toxic silicone bags! One plastic surgeon in Cleveland (who did several celebrities explants) is only doing explants and she is booked up 6 months in advance! You owe it to yourself and all of the young women you’re reaching to know (and spread) the real story.

In some cases, a breast lift alone may not achieve a patient’s desired results. If you feel your breasts look “deflated” or have lost volume due to aging, weight loss, or pregnancy, your cosmetic surgeon can place breast implants during breast lift surgery to restore fullness and shape to the breast. If you have always wanted larger, lifted breasts, a breast augmentation with lift can help you achieve both with a single procedure and recovery.
Her big break came in 1997 when she walked topless in Alexander McQueen’s runway show. She appeared on the cover of Vogue the next year as the exemplar of “the return of the curve.” Credited with ushering in a sexy, athletic look that replaced ’90s heroin chic, Bündchen became known in the fashion industry as “the boobs from Brazil” and earned a record $25 million contract for Victoria’s Secret.

After surgery, you can expect to have some soreness, tightness, swelling, and possibly some temporary changes in sensation (too much or too little). Most patients return to a desk job within a few days to 1 week after surgery; however, soreness will likely last for a few weeks, depending on your activity. Scars under the breast are easily hidden by a swimsuit or bra, and often by the breast shadow itself. Dr. Kirby will go over your scar care plan and options to help ensure that your scars heal as faintly as possible.

7)  They sometimes find cultures of microorganisms growing inside saline implants when they're removed.  This is worrisome given that the newest implants contain vegetable oil... it could spoil.  Saline, at least, is not a nutritious meal for bacteria.  Even the silicone gel ones sometimes get some kind of mildewy looking stuff growing inside them... and each new fluid they've tried has been friendlier to microorganisms than the last one was.


The increase in breast implant surgery, however, does not necessarily reflect a similarly dramatic increase in the number of women with breast implants.  Many women who undergo surgery are replacing old implants that have broken or caused problems.  Some women report as many as ten or more surgeries as their implants are replaced over the years.  However, there are no available statistics on how many women undergo their first breast implant surgery every year.
For the first few days after your surgery you can expect some discomfort and swelling, but you should not be in substantial pain. Many patients find they are stiff for the first week, but that too is normal. There may be some bruising as well. If you have severe bruising or pain, we ask you to call us right away. The recovery length depends on several factors, including how large your breast implants are. Those with larger implants will often have more stretching of the skin and muscle, which can lead to a tighter feeling during recovery. If you have a job that is not physical, you may be able to return to work in a week. For people who have a more strenuous job, especially one that involves lifting, a longer period of time away from work may be needed. This also goes for lifting toddlers! If you have small children at home, it’s best to get help around the house so your body can heal well. We will have you wear a compression garment to help reduce swelling and promote healing.
Women are sometimes concerned that if they get a breast augmentation, they will not be able to breastfeed afterwards. The likelihood of losing the ability to breastfeed after a breast augmentation is very small, since the dissection occurs away from where the milk ducts are located. With the breast augmentation operation described above, inability to breastfeed after a breast augmentation that we have performed has not occurred with any of our patients to our knowledge.
Breast augmentation, technically known as augmentation mammaplasty, is a surgical procedure that enhances the size of a woman’s breasts. Because it involves implants, it technically also reshapes the breast—the surgeon has to decide how high to place the implant. Breast augmentation is a good choice for women who are looking to enlarge their bust line and are comfortable with an increase of at least one cup size.

I just learned of an appalling cosmetic medical abuse, which has apparently been going on for decades with no particular monitoring of the long term effects: perscribing massive doses of estrogen to girls in their early teens who are worried about growing too tall.  This simulates the effects on the body of getting pregnant at that age, one outcome of which is to stunt your growth so you never reach full adult size.  Now it's coming out that women who received this treatment as girls are prone to infertility, and even without that problem, very few who've had this treatment are glad they did.


Studies conducted after those initial reports were published indicated that implants might be linked to a number of diseases. For example, FDA scientists conducted a study of women who had silicone gel breast implants for at least seven years and found that those with implants that were leaking outside the scar tissue surrounding the implant were significantly more likely to report a diagnosis of at least one of several painful and debilitating diseases, such as fibromyalgia, polymyositis, Hashimoto’s thyroiditis, mixed connective-tissue disease, or pulmonary fibrosis.15  The risk of these diseases remained even after statistically controlling for patient’s age, implant age, and implant manufacturer.
10: I love having my breasts the same size, growing up having two completely different sized breasts for 10 years, having my surgery was one of the best things in my life except my children of course. Going from 4-5 cup size difference to now the same sized breasts is so overwhelming and amazing, I do regret not doing my research correctly with both of my surgery's. I feel if I had of done my research correctly I would have only needed one surgery.
Most patients are happy with the results following breast augmentation surgery. Initial results often persist for up to 15 years. However, in some instances, results may begin to deteriorate several years after the procedure. No matter how well your first breast augmentation goes, it is likely that you will require a revision at some point in the future.
This is one of the most important decisions you will make. Because of this, we use several approaches to help you make the best decision based on your anatomy, personal preferences, and the appearance you wish to achieve. Interestingly, in a recent national survey, over 80% of patients undergoing breast augmentation stated that a "C" cup was their desired post-operative goal. A "D" cup was the second most popular request.
In addition to changes in silicone gel breast implants, implant makers have tried to improve the product by using materials other than silicone gel.  Saline breast implants have a silicone envelope and are filled with salt water.  Saline breast implants have been available for decades, but it was not until May 2000 that the FDA approved saline implants for the first time.  Before approving these devices, the FDA required 3-year studies of local complications such as pain, infection, hardening, and the need for additional surgery.  They did not require studies of other health problems.  In addition to saline, three other kinds of implants were made available in the 1990’s, primarily outside the United States: Trilucent implants (with soybean oil filler), and Novagold and PIP hydrogel implants, which were filled with a plastic gel.  Although never approved as safe in the U.S., these implants were vigorously promoted by plastic surgeons and the media as a “natural” and safer alternative to silicone or saline implants.  Clinical trials, however, were apparently never conducted on humans with these implants, and all were removed from the market in 2000 due to safety concerns.[9],[10],[11],[12] Their removal from the market after being enthusiastically praised by doctors and patients serves as a reminder that the long-term risks of implants are not always obvious during the first few years of use.

Some breasts were augmented by injection. In the 1940s, an array of liquid substances were injected into the breast, such as paraffin and petroleum jellies. Later, industrial silicone fluid and medical-grade silicones were injected into the breast by unlicensed practitioners, sometimes in staggering amounts. These methods of breast injection caused pain, skin discoloration, ulceration, infection, disfigurement, breast loss, liver problems, respiratory distress and pulmonary embolism, and even coma and death. The frequency of capsular contracture with presilicone implants may have reached 100%. Between 12,000 and 40,000 women received breast injections in Las Vegas before the procedure was declared a felony under Nevada state law in 1976.
Dr. Revis uses a special technique and instruments to place the implants 100% beneath the muscle of the chest wall without cutting any of the muscle tissue. This entirely submuscular placement will improve your long-term results and minimize your potential complications. It also yields little or no bruising post-operatively. See long-term surgical results by Dr. Revis for patients two years or more post-op.
This was one of my favorite posts! Could you elaborate more about what happens to the nipple and if there is a way NOT to end up with bigger ones? Is there a way to get smaller ones after implants? Also, this may sound dumb but is there a difference between breast implants and a breast lift? Thank you for being so honest!! That is why this is one of my fav blogs! <3
To accomplish its task, the IOM set up a 13-member committee—6 of them women—made up of distinguished members of the medical, scientific, and educational communities, with experience in radiology, women's health, neurology, oncology, silicone chemistry, rheumatology, immunology, epidemiology, internal medicine, and plastic surgery (see list on inside back cover). This was a group of volunteers, without conflicts of interest, and with no prior or current relationship with any implant lawsuits.

The complications associated with injecting fat grafts to augment the breasts are like, but less severe, than the medical complications associated with other types of breast procedure. Technically, the use of minuscule (2-mm) incisions and blunt-cannula injection much reduce the incidence of damaging the underlying breast structures (milk ducts, blood vessels, nerves). Injected fat-tissue grafts that are not perfused among the tissues can die, and result in necrotic cysts and eventual calcifications – medical complications common to breast procedures. Nevertheless, a contoured abdomen for the patient is an additional benefit derived from the liposuction harvesting of the adipocyte tissue injected to the breasts. (see abdominoplasty)
Implant size and shape: When it comes to size and shape you have multiple options. Considerations such as your chest wall shape, your body form, your lifestyle, your natural foundation and your goals must be addressed. A board-certified plastic surgeon who specializes in breast augmentation will be able to discuss what size and shape will look the best and ultimately make you happy. In general, I advise patients not to go up more than two bra cup sizes, as anything larger can overwhelm the chest regarding appearance, diameter and/or width. Also, you do not want to have your entire look overwhelmed by your breasts!
Estimated recovery time: Patients can return to work after 7 to 14 days, and they should avoid vigorous activities for 3 weeks. Visible bruising should resolve within 2 weeks, and swelling should begin to subside within 3 weeks. To learn how to prepare for an augmentation-mastopexy in our St. Louis surgery center and what to expect afterwards, click here to download our patient instructions for this procedure.

Over time, breast implants can change shape or size, and the overlying breast tissue can also change, creating an appearance or feel to the breast that is less desirable than the original result. Also, many breast implants have a lifetime warranty on the actual implant device, but after ten years the costs associated with having surgery to replace the implants are no longer covered. Because of this, many women will elect to replace or update their breast implants at or around the 10-year time frame.
Cosmetic surgeons use a variety of incision techniques for breast lift surgery; the exact technique used will vary based on a patient’s existing breast tissue, the amount of excess skin to be removed, and her personal goals. Your cosmetic surgeon will recommend the type of breast lift that will achieve optimal results with the least conspicuous scarring possible.
When you have a breast lift, there will always be some type of scar. We have a few choices about where and how to make the incisions, and will explain to you what incisions we think are best based on your body shape, implant size, and goals. While some scarring is inevitable, we do our best to minimize the scar’s appearance. Scars will also generally fade over time and are usually not visible even with a dress with a low neckline or bikini top. Even though you will have some type of scar, the vast majority of patients find that the enhancements to the appearance of their breasts far outweigh the scars.
People will do incredibly nasty stuff to their skin to attack wrinkles: grinding off the skin surface with abrasives, burning it off with acid, etc.  One of the weirdest approaches is called Botox.  That's short for botulism toxin, one of the deadliest chemical poisons in nature.  Minute amounts can paralyze small facial muscles, which has a smoothing effect.  You actually want a paralyzed face?
You will find many different answers depending on who your ask. Cost will vary depending on many factors.... first of all it differs depending on if a board certified plastic surgeon is performing the surgery or not. Also, if the surgery is performed in a hospital based operating room vs. an office setting, if a board certified anesthesiologist is involved vs. a nurse (or sometimes performing... READ MORE
Unless you gain or lose a significant amount of weight or become pregnant, your new breast shape should remain fairly stable. However, gravity and the effects of aging eventually alter breast size. The weight of the implant used will also affect how your breasts appear as time goes on. Breast implant revision results are long-lasting; however, you may want to periodically visit your doctor to make sure that your implants are not posing health risks, and to help prevent any further complications.
So a group out of Missouri and Texas published a study in September 2016 Plastic and Reconstructive Surgery Journal looking at just this. “The Subtleties of Success in Simultaneous Augmentation-Mastopexy.” Their thoughts? Many people state you can’t safely do a breast augmentation and mastopexy at the same time. But staging these procedures makes increased cost, risk, and recovery. They decided to look at the rate of complications across two groups: one who did the lift and augmentation together, and the other who did it as two separate surgeries.

MRI screening, however, is expensive and time consuming. The committee recommends more investigation into whether routine screening for ruptures should be done for women without any symptoms. Such a study should answer the question of whether all ruptures should necessitate having the implant and capsule removed, a procedure requiring an operation and possible tissue loss.

19. Your boobs do not need to be a minimum size for a reduction. This is all based on personal preference. Think of boob size in terms of a scale from small to large. Based on breast size before the procedure and desired breast size afterward, there are a number of incision options for a reduction for a huge range of results. You can even choose to get a reduction and an implant to replace some of the volume that you've lost over time.
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