Breast Augmentation Before And After Photos (8)
HOW DOES DR. LANZER CHOOSE BETWEEN SALINE IMPLANTS AND SILICONE?
There is much to say about the difference between these 2 implants. Some doctors, particularly in America, prefer saline, whilst others, particularly in Australia, prefer silicone. At this point, medical evidence does appear to show that the silicone is safe. However, there is always a risk of granulomas with any foreign body. There is a form of lymphoma that has been associated with patients having silicone implants, particularly the textured implants. One cannot be 100% sure that it does not play a role. Current medical evidence does suggest that the implants are safe. Saline which is just water is certainly the safest.
IF I HAVE THE IMPLANT UNDER THE MUSCLE, WILL IT AFFECT EXERCISE?
The most recent evidence is that an implant placed under the pectoral major muscle, which is the muscle that connects the chest to the upper arm is the safest plane for an implant. The risk of capsular contraction appears to be less and the implant is well protected. In this level, the implant probably has fewer risks such as rippling since it is mostly covered except for a little bit on the sides or lower pole. Some of the muscle is interrupted when the implant is placed under the muscle. This could especially affect press-ups. For most sports it is not relevant. However, if someone is very athletic at the gym, this may be an issue.
HOW DOES TUMESCENT LIPOSUCTION PLAY A ROLE IN BREAST LIFT?
Tumescent is a form of anesthetic that was developed by an American dermatologist. Dr. Lanzer has performed that form of anesthesia for over 22 years. it has now been shown that the anesthesia can also help breast implants. By infiltrating the different planes of the breast with this fluid, we find that there is significant vasoconstriction, that is closure of blood vessels, so there is less risk of bleeding. The fluid is also anti-bacterial and also has a numbing effect. Dr. Lanzer will place approximately 500-600 mL of the fluid in and under the breast before commencing the procedure.
DO I NEED A GENERAL ANESTHETIC?
It is certainly much more comfortable to be asleep for a breast implant. Dr. Lanzer uses a laryngeal mask which is a lighter anesthetic in conjunction with a fully qualified specialist anesthetist. There are surgeons who use light sedation. One problem with the light sedation is that a patient often loses control and the only way to move forward is to continue and make the patient more sedated which can occasionally be dangerous. It is possible to have a breast reduction under local anesthetic with very little sedation.
ARE THERE ANY EXTRA RISKS OF BREAST IMPLANT WITH THE ANATOMICAL TEAR-SHAPED IMPLANT?
There is a lot of discussion about the advantages and disadvantages of these implants. The main disadvantage is that the implants can rotate or move slightly in which case the breast will have an abnormal shape and further surgery would be required. Many surgeons feel that that extra risk is just not worth the effort. Most implants placed under the muscle have a tear drop appearance in any case.
WILL I BE ABLE TO BREASTFEED AFTER AN IMPLANT?
Since the implant is placed deep under the muscle, it should not affect breastfeeding. This is not a set rule.
CAN I HAVE A MAMMOGRAM WITH AN IMPLANT?
Yes. Mammograms can be performed and if the implant is under the muscle it should not affect the imaging in any particular way.
HOW DOES ONE DECIDE THE SIZE OF AN IMPLANT?
An implant size is worked out by Dr. Lanzer after a consultation. He likes to involve the patient so that they can decide how many sizes or what sort of volume they would like to go up. Often he will place a breast implant in a bra so that the patient can get a rough idea of the sort of improvement that would occur. There is no exact science to work out exactly how the size will be and patients need to aware of that.
WHAT IS THE DUAL PLANE?
Dual plane involves making a separation between the layer above the muscle on the chest as well as the routine separation under the muscle of the chest. In this way, the implant has more room and can shift into position and be less of a high-riding implant.
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Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by Dr Lanzer. It is a good idea to understand your surgical procedure well, and to obtain further advice from another Specialist Cosmetic surgeon such as a Dermatologist like Dr Lanzer.
All photographs represent one person’s experience, and results may vary for each patient. All photographs are of actual patients of Dr Lanzer. The visible change in these photographs has occurred as a result of the procedure/s undertaken.