Type of Surgery
Information

Last updated: 06/01/2009
The diagnosis for breast reconstruction is almost always visual. The underlying medical reasons include equalizing otherwise normal breasts that are markedly different in size, replacing all or part of breast tissue that has been removed during the...
course of cancer treatment, or replacing breast mass that has been lost due to injury. Underlying cosmetic reasons include personal preference for larger breasts among genetic females or the creation of breasts in male-to-female transsexuals.
Before any surgery is performed, the woman should have a clear understanding of what her new breasts will look like. She and her physician should agree about the desired final result. Many surgeons find it helpful to have the patient review before and after pictures of other patients, to clarify expectations. Computer modeling is often used to assess expected results.
A person in poor health or having a severe or chronic disease is not a good candidate for this procedure.
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Other Information
A breast implant is a prosthesis used to enlarge the size of a woman's breasts (known as breast augmentation, breast enlargement, mammoplasty enlargement, augmentation mammoplasty or the common slang term boob job) for cosmetic reasons; to reconstruct the breast (e.g. after a mastectomy; or to correct genetic deformities), or as an aspect of male-to-female sex reassignment surgery. Pectoral implants are a related device used in cosmetic and reconstructive procedures of the male chest wall. According to the American Society of Plastic Surgeons, breast augmentation is the most commonly performed cosmetic surgical procedure in the United States. In 2007, 347,254 breast augmentation procedures were performed in the U.S according to statistics collected by the American Society of Plastic Surgery.
There are two primary types of breast implants: saline-filled and silicone-gel-filled implants. Saline implants have a silicone elastomer shell filled with sterile saline liquid. Silicone gel implants have a silicone shell filled with a viscous silicone gel. There have been several alternative types of breast implants that were developed, such as polypropylene string or soy oil, but these are no longer manufactured.
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