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Interested in getting breast implants? Learn why breast augmentation is so popular from New York plastic surgeon Dr. Nina Naidu. Visit http://www.naiduplasticsurgery.com
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Nina S. Naidu, MD, FACS
Frequently Asked Question: Breast Augmentation
1. What are the different incisions that can be made with implants for breast augmentation?
Three incisions are commonly used: the infra-mammary incision, which is located at the crease
beneath the breast; the peri-areolar incision, located at the border between the breast skin and
the pigmented skin of the nipple-areolar complex; and the axillary incision, which is located
within the armpit.
2. What can I do to minimize scarring?
I like to provide patients with one set of silicone gel strips after surgery, which are worn over the
incisions for 4-6 weeks. Silicone gel and vitamin E oil are also very effective in helping the scar
to remain soft and flat.
3. Is it best to have the implant placed above or below the muscle?
In most cases, it is preferable to have the implant placed beneath the muscle. This provides a
more natural result, decreases the risk of capsular contracture, and makes future mammograms
easier.
4. How long do breast implants last?
Implants tend to weaken after 10 years of use, but the newer generation of implants may last 20
years or longer.
5. What are the risks of breast implant?
The risks of any surgery include bleeding, infection, and scarring. With breast augmentation in
particular, additional risks include capsular contracture, rippling of the implants, implant
rupture, and persistent numbness or pain.
6. What is capsular contracture?
Capsular contracture occurs secondary to thickened scar tissue around an implant. This may be
associated with pain and distortion of the breasts. Significant capsular contracture appears to
occur in 5-10% of patients.
7. Do breast implants need to be replaced every 10-15 years?
No, implants can be kept in place if they are functioning well. Yearly exams with your surgeon
are recommended to evaluate for any changes.
8. Can I have breast implants if I’m planning to have kids in the future?
Yes, during pregnancy your breasts will become larger, but they should revert to their pre-
pregnancy size following delivery and the cessation of breastfeeding.
9. Can I breast feed if I have breast implants?
Yes, many patients are able to breastfeed after breast augmentation, as the ducts to the nipple
are not disrupted during surgery. Breastfeeding with implants is safe for your baby.
10. How will breast implants affect having a Mammogram?
You should let your mammography center know that you have implants in place prior to your
exam. The technician will employ a method called the Eklund technique, in which the implant is
manually displaced prior to applying the mammography plates. Implants do limit the sensitivity
of mammograms to some extent, as not all of the breast tissue can be clearly seen.