Mammoplasty General Information and Treatment Options
Mammoplasty General Information and Treatment Options
Mammoplasty is an umbrella term used to describe a specific group of procedures intended to reshape or modify the appearance of the breasts. Therefore, the mammoplasty covers a number of procedures. The two main types of mammoplasty today are the augmentation mammoplasty and the reduction mammoplasty, which will be described in more detail below.
What Is the Augmentation Mammoplasty (Breast Augmentation)?
Breast augmentation is a cosmetic surgery procedure where a cosmetic surgeon can change the appearance of the breasts; this procedure could be executed to increase the size of the breasts, change the shape of the breasts or alter their texture. The breast augmentation can be executed with breast implants or a fat transfer. Breast implants are used when the patient wants to obtain a cup size that is considerably larger than their original cup size, while the fat transfer is used for patients who only want a small increase or who want to reshape their breasts.
What Breast Implants Can Be Used During Breast Augmentation?
There are two main categories of breast implants used by surgeons today. The first type of breast implant is the saline breast implant, which is filled with a so-called saline solution. The second type of breast implant is the silicone-gel implant, which was first introduced in 1961. Since their original introduction in the 1960s, both saline breast implants and silicone-gel breast implants had new generations, which means that these implants have evolved over the course of time.
Can I Still Breastfeed with Breast Implants?
Women who had their breast augmented can still breastfeed their babies. However, women should be made aware of the fact that a breast augmentation performed with breast implants could cause some functional breast-feeding difficulties. These difficulties usually occur with women who had a breast augmentation procedure where periareolar incisions and sub-glandular placements were used.
Which Patients Could Benefit from Breast Augmentation?
There could be many reasons why a patient chooses to have a breast augmentation. One of the main reasons why women consider such a treatment is to repair the breasts, in other words to replace breast tissue that was lost due to disease or injury.
Another reason why breast augmentation could be considered is to reconstructed or correct the breasts after previous breast reconstruction surgery. If the treatment is executed by an inexperienced surgeon, the patient may need an additional breast augmentation to correct the problem and give their breast a natural look.
The last but also one of the most common reasons for breast augmentation is the general aesthetic improvement of the breasts; this is also referred to as primary augmentation.
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What Incisions Can Be Used During Breast Augmentation?
Depending on the body of the patient and the desired results the patient wishes the obtain, the surgeon may use one of the following incision types during a breast augmentation
– The inframammary incision: an incision made below the breast in the infra-mammary fold (IMF); this gives the surgeon maximum access for the placement of breast implant devices.
– The periareolar incision: an incision made along the areolar periphery or border; this incision is needed when the surgeon needs to make an adjustment to the position of the infra-mammary fold.
– The transaxillary incision: an incision made in the armpit; this incision is often made to avoid the appearance of visible scarring.
– The transumbilical incision: an uncommon incision situated near the navel; this technique is not often used since it makes the insertion of breast implants more difficult.
– The transabdominal incision: an incision situated on the abdomen; this incision could be used when breast augmentation is combined with an abdominoplasty procedure.
What Is the Reduction Mammoplasty (Breast Reduction)?
The breast reduction is a cosmetic surgery procedure that is focussed on reducing the size of larger breasts. In these cases, the size of the breast will often be out of proportion compared to the rest of the body. The aim of the procedure is to restore the right proportion and maintain the functionality of the breasts.
Which Patients Choose a Breast Reduction?
Even though men have known to choose a breast reduction procedure, it is more common for female patients. The breast reduction is a viable treatment option for patients with enlarged breasts. The size of the breasts could also be the cause of chronic pains such as headaches, neck aches, shoulder pains and back pain.
In rare cases, enlarged breast can lead to secondary health problems. Even though these cases are relatively rare, secondary health problems related to enlarged breasts are poor blood circulation, breathing difficulties and skin chafing.
What Is the Cause of Enlarged Breasts?
Enlarged breasts can occur during many stages of a woman’s life. The development of the breast mainly happens in the pubertal breast-development stage, but there are cases where the breasts become enlarged after pregnancy, weight gain and menopause. There is also no age limit in which enlarged breasts can develop.
The main cause of enlarged breasts can be found in the genes, although there is a small portion of patients who develop enlarged breasts due to adipose fat. The surgical procedure executed to reduce the size of the breast can therefore be dependent on the specific cause.
Which Procedure Is Used for Breast Reduction?
The breast reduction procedure is subject to the volume of the breast tissues that need to be removed. These breast tissues can be of a glandular, adipose or skin nature. To determine the procedure, the surgeon needs to evaluate the Pseudoptosis, more specifically the sagging of the inferior pole of the breast.
Pseudoptosis can be divided into three grades:
– Mild ptosis: the nipple of the patients is situated below the IMF, but still higher than the lower pole of the breast.
– Moderate ptosis: the nipple of the patient is situated below the IMF and some lower-pole breast tissue is lower than the nipple.
– Severe ptosis: the nipple is situated far below the IMF and there is no breast tissue below the nipple.
Based on these categories, your surgeon will be able to create a treatment plan and execute a procedure that will give you the desired aesthetic result.