Indications for reoperation vary from a desired change in size to painful capsular contracture. 5 Surveillance for silicone gel implant rupture by magnetic resonance imaging (MRI) is recommended 3-years postimplantation and every 2 years thereafter. There is no contraindication to breastfeeding infants after implant breast augmentation, but cohort studies after both saline and silicone implant augmentations report decreased success rates for breastfeeding in augmented women.
Pommie girl breast augmentation skin#
Late complications may include visible skin rippling, implant displacement, capsular contracture, or implant rupture. Immediate complications include wound infection, periprosthetic infection, hematoma, seroma, altered skin and nipple sensation, hypertrophic scarring, or complications related to anesthesia. Strenuous activities and sports are restricted for approximately 6 weeks.īreast augmentation is a low-risk procedure. 4 Recovery from postoperative discomfort may last up to 1 to 2 weeks. Common incisions include inframammary, periareolar, or transaxillary. An implant is placed within the pocket and the incision is closed. In brief, a pocket is dissected in either or both the submuscular and subglandular planes. The surgical techniques and complications of breast augmentation are well described and are beyond the specific scope of this review.
Here we will review the developmental, psychological, and regulatory aspects unique to adolescent breast augmentation, to address methods for preoperative assessment and counseling of these patients, and to review available published outcomes. Notably, in 2009, over 8,000 breast augmentations were performed in this group (18 to 19 years old), and some have advocated extending the definition of “adolescent” to include this subset of patients given their similar clinical characteristics and psychosocial considerations. 2 In 2006, the American Society of Plastic Surgeons (ASPS) began specifically tracking the age group of 18- to 19-year-old women to capture those patients who likely waited until the FDA cutoff of 18 years. No age limitations exist for either type of implant when used for breast reconstruction. Food and Drug Administration (FDA) has approved the use of saline-filled breast implants for breast augmentation in women aged 18 years or older and the use of silicone gel-filled implants for breast augmentation in women aged 22 years or older.
Reasons for surgery were evenly divided between purely cosmetic augmentation and correction of deformities such as severe asymmetry, tubular breast deformity, and Poland syndrome. Nearly 320,000 breast augmentations were performed in 2011, with adolescents, those individuals under 18 years of age, accounting for 4,830 procedures (1.5%). Augmentation as a technique for breast balancing in cases of significant asymmetry can be helpful.Īccording to the American Society for Aesthetic Plastic Surgery (ASAPS), breast augmentation continues to be one of the most commonly performed cosmetic surgical procedures, and its popularity has more than doubled since 1997. Breast augmentation for purely aesthetic purposes should be undertaken with extreme caution as ideal conditions for complete assent are rare. Ideal conditions for adolescent assent are described. Both parental consent and adolescent assent must be considered. Preoperative assessment and counseling of these patients are discussed. Self-image and societal influences must be considered, including both internal and external motivations for seeking breast augmentation. Developmental, psychological, and regulatory aspects unique to adolescent breast augmentation are reviewed. This wide age range for physical maturity matches the equally wide range of emotional maturity in this patient population. Breast development typically starts at 11 years (range, 8–13 years) and is complete at 15 years (range, 11–18 years). Nearly 320,000 breast augmentations were performed in 2011, with adolescents under 18 years of age accounting for 4,830 procedures (1.5%).
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