Commonly Asked Questions About Breast Augmentation at the Dr Lanzer Clinic
Dr Lanzer often executes breast augmentations at his clinic. These breast augmentations can be executed with a number of surgical techniques, so it is common for prospective patients to have a question regarding the treatment. If you are looking for more information about breast augmentation, be sure to read through some of the commonly asked questions below.
How Does Dr Lanzer Choose Between Silicone Implants and Saline?
There is much to say about the difference between these two 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. Current medical evidence does suggest that the implants are safe. Dr Lanzer’s favourite implant is the new cohesive smooth silicone gel placed under the muscle.
If I Have Implants 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 on the 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 Lifts?
The term “tumescent” refers to a form of anaesthetic that was developed by an American dermatologist. Dr Lanzer has used that form of anaesthesia for over twenty-two years. It has now been shown that the anaesthesia can also help breast implants. By infiltrating the different planes of the breast with this fluid, we find that there is significant vasoconstriction, which is closure of blood vessels. Therefore, there is less risk of bleeding. The fluid is also anti-bacterial and 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 Anaesthetic?
It is certainly much more comfortable to be asleep for a breast implant. Dr Lanzer uses a laryngeal mask, which is a lighter anaesthetic. He also uses the anaesthetic under the supervision of a fully qualified specialist anaesthetist.
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.
Patients who have concerns about the use of anaesthetic can always relay their concerns to Dr Lanzer or a member of his team. More information can be provided, so the patient can have peace of mind. Of course, additional information also enables patients to make an informed decision before the start of their treatment.
Are There Any Extra Risks Connected to Breast Implants 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 Having a Breast Implant?
Since the implant is placed deep under the muscle, it should not affect breastfeeding. This is not a set rule though, because complications can be a possibility during any type of cosmetic procedure. Since there is a small risk of breastfeeding problems, patients should always relay their concerns to the cosmetic surgeon before going ahead with their treatment.
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.
Some before and after photos shown are not exact, in that they vary in light, contrast, clothing, background, distance from camera, hairstyle and make-up.