The Breast Boom Continues

April 8, 2008

by Christian G. Drehsen, M.D
Published in Vive Magazine, Dec. 2003
� Vive Magazine

The great silicone fear of the 90�s is vanishing, breasts are here again! Everyday a large number of women are seeking enhancement of the breast size or shape. Even while still confused by contradictory reports about breast implants, women are reaching for the best solution to satisfy their desire for a safe, effective and natural breast enlargement.

Women seeking a first-time breast augmentation are limited to the saline-filled breast implants. According to study criteria, females seeking breast lifts, breast reconstruction and correction of deformities can qualify for silicone implants in approved facilities for women who qualify.

The gel now available is more �cohesive� (less liquid), and unlikely to leak into tissue if the implant envelope fails. Nevertheless, implant manufacturers recommend the replacement of a gel-filled implant every 10 to 15 years as a precaution. This procedure can be done under local anesthesia in most cases.

While silicone-filled implants often feel more natural than saline-filled implants, in a breast with good skin elasticity and adequate soft tissue padding, saline remains quite satisfactory. In addition, saline has the flexibility to allow minor adjustments when needed, especially in the case of breast asymmetry.

A word of caution remains. Despite their wide popularity and apparent ease of performance, some breast augmentations remain quite sophisticated. Be aware of the peculiarity of your breast shape or deficiency and investigate the different methods available for correction of the problem. A one-for-all approach is not adequate and can lead to very unpleasant consequences.

Apparent savings will be more than swallowed by the costs of repairing a misguided procedure. Anyone contemplating breast augmentation should make sure of the proficiency of her plastic surgeon in all aspects of the surgery. In addition, she should exhibit an overall concern for an aesthetically pleasing breast enhancement procedure.

Indications for Breast Augmentation Procedures:

1. Cosmetic breast augmentation of underdeveloped breasts.
2. Asymmetrical breasts.
3. Abnormal breasts with one or both underdeveloped.
4. Breast change after pregnancy.
5. Breast reconstruction after surgical removal.