Breast Surgery Michigan
Breast surgery is a surgical procedure to enhance the appearance of the breasts. The most common breast procedures are breast augmentation, breast lift, and breast reduction.
Breast Augmentation
Dr. Hardaway will discuss the various types of procedures and implants that achieve the best results for you, the types of implants and which breast augmentation surgery, depending on your anatomy and preference, is the best for you.
Breast Augmentation Gallery
Breast Augmentation With Lift
A breast augmentation with lift is a combined procedure where breast implants are added to the mastopexy ultimately helping to reshape and resize the breasts.
Breast Augmentation With Lift Gallery
Breast Reduction
Breast reduction, also known as a reduction mammaplasty, is a surgical procedure that removes excess breast fat, skin, and glandular tissue to achieve a smaller breast size that can help alleviate discomfort from large breasts and achieve a breast size more suited to your frame.
Breast Reduction Gallery
Breast Implant Surgery
Breast implant surgery is one of the most common plastic surgery procedures, with silicone implants being more popular than saline ones. Both types are available, and both types of implants come in different styles. Silicone implants may have additional styles that are not present in saline implants.
There is an outer shell made of silicone present in both types of implants. Saline implants have an inner shell filled with saline. Since saline is an intravenous solution, if the implant ruptures the saline will be absorbed by the body. Silicone implants are filled with silicone, which is made from silica. Presently, silicone implants can vary in cohesiveness. Regardless, the silicone implants of today are much thicker and more cohesive than those used years ago.
Considering Saline for your Breast Implant Surgery
Some women who are considering saline implants are concerned whether rippling will be seen or felt with the implant. Another concern is whether or not the implant will feel natural. Placement of the implant above or below the muscle should be discussed with your plastic surgeon as there are pros and cons to each method. This is something that should be discussed with your plastic surgeon, as there are pros and cons to each method.
Saline implants can be placed in four different ways: through the nipple, through the fold underneath the breasts, through the armpit, or through the belly button (called a Tuba). Silicone implants are not placed through the belly button because of possible risk of damage to the implant. These options should be discussed with your plastic surgeon so they can find the best fit for you.
Breast implant illness is a common concern with breast implants. This term covers a variety of symptoms like joint pain, brain fog, and general arthralgias. There is currently no test or way to determine who will or will not have these symptoms. However, a possible estimate is approximately 10% or less of patients have these symptoms. In some of these patients, some or all of the symptoms disappeared with the removal of the breast implant and capsule. If a patient has a history of collagen vascular diseases (for example, Lupus) breast implant surgery should be avoided.
Breast implants have not been associated with breast cancer. Anaplastic large cell lymphoma is a rare cancer associated with textured implants. 80% of the world’s cases (presently less than 600), were associated with Allergan textured implants. These implants are no longer on the market.
The FDA has issued a black box warning on breast implant packaging. The health care provider should review the risk and complications that can be associated with breast implants. As with all surgical procedures, the patient should have informed consent and understand possible risks and complications. This FDA black box warning includes a checklist of possible risks and complications associated with breast implants. This is an initial step in helping the patient understand the possible risks and complications.
What Are The Symptoms of Breast Implant Illness?
Many of the symptoms that have been linked with breast implants fall under a general term called breast implant illness. This consists of a variety of symptoms that could include brain fogginess, joint pain and fatigue to name a few. At the present time, there is no specific test for patients that will inform them if they are at risk for some of these symptoms. The majority of patients that have breast implants do not experience these problems but those that do can have a myriad of symptoms. Large cell anaplastic lymphoma is a rare cancer that had been associated with textured breast implants from a specific manufacturer. Those specific implants are no longer on the market.
What Does A FDA Black Box Warning Mean?
The present checklist associated with the FDA black box warning for breast implants is helping the patient become more informed. Also included in the checklist are a list of medical conditions that can be associated with unfavorable outcomes with breast implant placement. This new warning will also stress that breast implants will not last a lifetime which may require future surgery. The rupture rate of breast implants does increase after ten years.
In summary this new FDA black box warning for breast implants is a start in helping the patient understand possible risks and complications associated with breast implants no matter how large or small. Many patients undergo successful breast augmentation and breast reconstruction without any significant problems. There is a percentage of patients that do have problems and all patients should be made aware of the possible risks and complications.