Are You a Good Candidate for Breast Reduction Surgery?

While breast augmentation aims to increase the bust size, the goal of breast reduction surgery is the total opposite.  This procedure typically involves extensive incisions to remove a certain amount of tissue, fats, and skin, which in turn can lessen the size of the female chest.

Breast reduction surgery is particularly ideal if you are suffering from chronic back pain, limited movement because of the extra weight of your bust, non-healing irritation in the cleavage and along the crease, and shoulder strain, just to name a few.  However, you may also have the procedure even without these symptoms if you like to improve your figure.

But as with any major surgery, you must be in good health as it requires several weeks of recovery.  It simply means that you must not be suffering from serious medical conditions that may delay your recovery or result to undue risks.

You are not a good candidate particularly if you have wound healing disorders, diabetes, heart problems, and kidney disorders.  As much as possible, these conditions should be treated first or at least “controlled” before you undergo any surgery, particularly if it involves extensive incisions.

You should also think twice of having breast reduction surgery if you have a history of irregular mammograms and undiagnosed lumps in the breasts.

Another important requirement is to be in normal weight.  You should remember that if you are obese or are experiencing significant weight changes, the result of surgery may be reversed and/or you may end up with a deflated-looking, sagging bust.  While repeating the procedure is possible, doing so will result to more scarring and higher risk of asymmetrical appearance.

Meanwhile, smokers in general are not a good candidate for any cosmetic surgery as they are very prone to gangrene (manifested by purplish color which doesn’t seem like common bruises) and delayed healing.  Because the nicotine stiffens the blood vessels, the oxygen-rich blood finds it hard to reach the wound.

As with any plastic surgery, you will undergo a lengthy consultation with your doctor so he can determine if your expectations and goals are realistic.  You should remember that breast reduction cannot change the fundamental shape of your bust, and the result will only be a smaller version of your breasts.

You should also accept the fact that scarring is just one of the tradeoffs of having breast surgery.  These are the other things you also have to consider: risk of asymmetrical appearance, puckery skin, infection, and delayed healing; however, these can be minimized or even avoided if you will choose a plastic surgeon certified by the American Board of Plastic Surgery.

Miley Cyrus Denies Breast Augmentation Rumors

Former Hannah Montana star Miley Cyrus has denied rumors of breast augmentation surgery after she was seen wearing a plunging neckline dress during a red carpet event. 

To disprove the rumors, she Tweeted: “Thank you for the compliment, but these babies are all mine,” adding that people should “realize that you don’t have to be fake to be beautiful.”

The 19-year old actress-singer also said that she her body is still maturing so there is nothing surprising about her seemingly larger breasts.  Her explanation sounds convincing since her breasts do not appear unnaturally big given that she is not petite, and perhaps her dress just created an “optical illusion” of a larger bust size.

And because of the plunging neckline dress she was wearing, it is not surprising that her cleavage looked more defined.  In fact, one may surmise that if it wasn’t for the low-cut design, her breasts wouldn’t appear as big as they were.

Meanwhile, Cyrus was irked by the comments of three “experts” hired by Star Magazine (via RadarOnline) who said that “there’s a strong indication that the young actress has gone under the knife to achieve her voluptuous look” at the CNN Heroes: All-Star Tribute.

One of the cosmetic surgeons added that the “outline of the breast implants are visible in the lower portion of her breasts,” adding that it is impossible to have a significant increase in bust size, even with large weight gain, without having breast surgery.

Whether her new voluptuous look is a product of breast augmentation surgery or just because of her low-cut dress, she looked stunning during the event.  That’s a fact which is hard to deny.

JWoww of Jersey Shore Denies Having Plastic Surgery

Despite the growing number of plastic surgery patients in the US, many of them are still denying the procedure and claim that their beauty is on their genes—and not because of the skillful hands of their cosmetic surgeons. 

Jersey Shore’s JWoww, whose real name is Jennie Farley, has been rumored to have undergone “facial plastic surgery.”  However, the reality TV star is adamant that she is “all natural from the neck up and even said during an interview with Wendy Williams Show that she is willing to submit herself to facial recognition test.

While JWoww has previously admitted that she have had breast augmentation surgery, she denied rumors of her having cheek and chin implant surgery, collagen injection to augment her lips, and “nose job.”

JWoww said that losing 15 lbs. probably changed the way her face looks, and also the projection of her nose.  

Over the past couple of months, there have been rumors of JWoww’s alleged facial plastic surgery because of her seemingly tighter skin and plumper lips, which some showbiz writers claim to be the works of collagen injection or implants.

The rumors of her alleged plastic surgery started after the August 4 season premiere of Jersey Shore as fans noticed that her chin and nose look thinner while her cheeks are somewhat more prominent.

While the brunette beauty claims that she did not have any plastic surgery on her face, she was quoted saying that she is open to the idea of having “touch-ups” such as Botox injection in case that aging starts to manifest on her face. 

“May be I’ll get Botox by the time I’m 30”, she said during her TV appearance.

Meanwhile, JWoww is also open to the idea that she will have her breast augmentation redone after several years as saline and silicone breast implants, although they are now made of a thicker shell, are not designed to last a lifetime.  However, her main concern is that pregnancy might affect the appearance of her surgery.

“I’ll have my breast implants redone in a few years after I’ve had kids”, the reality TV star said.

Regardless if JWoww went under the surgical knife again or not (and the improvements were just caused by weight loss and great make-up skills), most TV commentators and showbiz bloggers think that she looks better nowadays compared than during the season one of Jersey Shore.

Woman Tries to Have the Largest Breast Implants in the World

In an attempt to make history, Sheyla Hershey, 31, had undergone 30 breast surgeries to make her bust the biggest in the world through implants.  But just recently, she was forced to undergo an emergency procedure to remove her 38KKK cup size implants due to bad reaction and unusual pain during her recovery. 

However, what is more surprising is that she is still determined to hold the record for having the largest breast implant size in the world.  In fact, she was reported to have traveled to Mexico in order to receive a new operation to “reinflate” her breasts, even without her husband’s knowledge.

In an interview with the Daily Mail, Hershey was quoted saying that she felt “deformed without her breasts.” 

“I feel like I lost my leg,” she added.

Hershey regained her previous 38MMM cup size with a procedure that injected saline solution inside her breast implants.  Her husband only thought that she was going to Mexico in order to reconstruct her bust.

With the result of her new operation, she said she was happy and “felt whole again.”  Meanwhile, some experts believe she was suffering from body dysmorphic disorder, a type of mental illness in which the sufferers are extremely conscious to their body image and preoccupied with their slight or imaginary defects of their physical features.

According to previous reports, Hershey is also suffering from bipolar disorder.

Dr. Tarick Smaili, one of the leading plastic surgeons in Los Angeles, said that breast implants are reasonably safe “as long as they come in sizes appropriate to the body-frame and amount of tissue and skin of patients.”

“A good and ethical plastic surgeon will not push the body’s limit by introducing breast implant size that is way too large for a patient.  Violating this principle will likely result to higher risk of implant visibility, unusually painful recovery, and other serious complications,” Smaili said.

Smaili said that he was also concerned with the significant scar tissue associated with having multiple breast surgeries, which are necessary if one is going to have inordinately large breast implants.

“Hershey is likely having multiple breast implant surgery to slowly stretch her tissue and skin, however, it is also possible that she is using tissue expanders, which are temporary implants injected with saline every couple of weeks, so her breast can house larger sizes”, the surgeon added.

Meanwhile, the US Food and Drug Administration does not impose any limit on breast implant size although US manufacturers Mentor and Allergan do not offer implants larger than 800cc.

Subfascial Breast Implant Placement Overview

With the advances in plasticsurgery, there are many available surgical techniques in breast augmentation to accommodate a specific anatomical feature, achieve the goals and expectations of a patient, create the most natural result possible, and minimize the risk of complications.

Nowadays, there are many breast implant placement techniques available to patients, although the most popular are the submuscular (the device is placed behind the muscles) and subglandular (the device is placed behind the tissues).

Meanwhile, there is a new technique called subfascial breast implant placement which is a compromise between submuscular and subglandular methods; it combines the benefits of the two primary placement options while eliminating the disadvantages associated with them.

The subfascial technique greatly resembles the subglandularimplant placement, with one major difference.  While the pectoral muscle is not touched, the fibrous fascia tissue is dissected from its front wall in order to place the breast implants beneath this layer.

Perhaps one of the possible advantages of subfascial implant placement is that it can isolate the device from the breast tissue, which leads to greater accuracy during mammogram examination.

Another benefit is the shorter recovery because the chest muscles are not disturbed, which is the case in submuscular implant placement.  And for this reason, patients can also expect less swelling, bruising, pain, tenderness, and other postoperative symptoms.

In terms of breast appearance, the technique provides a very natural result because it mimics the innate movement and contour of the tissue.  In addition, it provides added support from the strong fascia layer.

And unlike the subglandular implant placement, the subfascial technique prevents the risk of visible and palpable wrinkling because there is a fibrous fascia that provides coverage to the implant shell.

While the subfascial placement can lower the risk of capsular contracture (hardening of the scar tissue around the implants) compared with the subglandualr technique, it is not as effective as the submuscular implant placement which completely isolates the breast implants from the tissue, which is believed to harbor high levels of bacteria that can potentially increase the risk of complication.

Advocates of this new implant technique believe it works well for patients with small breasts and limited amounts of fats and tissue who want to achieve a smooth and natural-looking bust after breast augmentation surgery.

But for those who want to further minimize the risk of implant visibility, the submuscular implant placement is still the best technique.

Ingenious Ways to Avoid Capsular Contracture After Breast Augmentation

The development of capsular contracture is one of the most common concerns of breast augmentation patients.  This complication, which happens at about a rate of 15 percent, occurs when the scar tissue around the implants becomes abnormally thick that it ends up squeezing the devices.

Despite the relatively high rate of occurrence, not all cases of capsular contracture need a revision surgery especially if there are no symptoms such as visible distortion and pain.  However, women who are experiencing severe discomfort and have developed ball- or coconut-shaped breasts will likely need another breast augmentation.

In the early stages of capsular contracture, the complication can be treated with non-surgical methods such as taking antibiotics and certain medicines, and performing breast massage.  For this reason, any unexpected changes in the breasts particularly hardness of the tissue should be immediately reported to a plastic surgeon.

But as the cliché goes, nothing is far better than to prevent capsular contracture than to treat its symptoms.  Fortunately, plastic surgeons nowadays have a deeper understanding of how this complication occurs. 

These are the six most ingenious ways to avoid or at least minimize the chance of capsular contracture from occurring:

1.     Avoid smoking well in advance of the procedure and during recovery.  Several studies have suggested that the nicotine’s ability to constrict the blood vessels not just inhibits proper oxygen delivery but also lead to higher risk of capsular contracture and gangrene.

In fact, smokers face great risks during and after surgery that plastic surgeons today will likely decline to conduct an operation unless they will quit the habit at least three weeks before and after surgery.

2.     Use of no-touch technique.  Also called as the Keller Funnel technique, it involves the use of a pouch (lubricated with a special solution) where the implants are placed.  The narrower end of the device is then squeezed in order to transfer the implant to the breast pocket without actually touching it.

With this technique, doctors can prevent contaminating the implants with staph bacteria present in the patient’s skin, which in turn lowers the risk of capsular contracture.

3.     Avoiding incision in the breast’s sub-muscular space.  This area is known to harbor bacteria, which is one of the most common causes of capsular contracture.

4.     Creating an oversized breast pocket.  With this technique, the scar tissue, which normally forms around the implants, will not put pressure or squeeze the breast implants in case it becomes thicker than it should be.

5.     Breast massage.  While not all plastic surgeons recommend postoperative breast massage, some experts say that it can minimize the risk of capsular contracture by preventing the scar tissue from becoming hard and thick.

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Corrective Breast Augmentation for High-Riding Breasts

Breast augmentation, as its name suggests, augments the organ highly associated with femininity and sensuality.  And with the advances in plastic surgery, today the procedure is reasonably safe to many women that it has been the most popular “medical enhancement” over the past couple of years.

But one consideration to make is the risk of capsular contracture, a condition in which the scar tissue that normally forms around the breast implants becomes too thick that it ends up compressing the devices.  In severe cases, it results to visible distortion and pain.

Visible distortion may be manifested by a ball- or coconut-shaped breast or a high-riding bust.  In order to treat this problem, a revision plastic surgery is performed by doctors in which they remove the thick scar tissue and replace the breast implants with new ones.

Many plastic surgeons recommend replacing the breast implants to avoid or at least minimize the risk of infection, believed to be one of the causes of capsular contracture.

During a revision surgery, doctors avoid contaminating the breast implants so they apply the no-touch technique in which they use a funnel with a special lubrication.  With this procedure, the implants are placed inside the pouch which is then squeezed to its narrower end to push the devices into the breast pocket.

This technique, which is also called as the Keller Funnel, not just reduces the risk of contamination but also minimizes the pressure applied to the breast implants so the durability of their outer shell is not compromised during the implantation process.

To further avoid the recurrence of capsular contracture and high-riding breasts, plastic surgeons position the implants behind the muscle rather than on top of it so there will be less contact with the tissue, which is believed to harbor bacteria.

But instead of removing the scar tissue and replacing the breast implants with new ones, some doctors prefer to release the scar capsule using an electrocautery device.  This approach is particularly ideal for patients with a small amount of tissue and fats in their breasts, predisposing them to higher risk of visible and/or palpable wrinkling.

Patients with a high-riding bust or other forms of visible distortion due to capsular contracture should take into consideration that not all breast augmentation surgeons are adept in revision breast implant surgery, which requires a more complex skill.

Just to be sure, a patient should choose a doctor who has an extensive experience in conducting revision breast augmentation.

 www.californiasurgicalinstitute.com