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BREAST AUGMENTATION (ENLARGEMENT)
Breast augmentation is one of the most commonly performed plastic surgery procedures in the U.S. It is designed to enlarge (and in some cases lift) the breasts and is most commonly performed for women who are seeking to improve their breast size, symmetry, or "body balance." The age range of women seeking breast augmentation has a wide range from 18 years olds to 70 year olds! Dr. Mausner performs a large number of breast augmentations, using state of the art techniques. Dr. Mausner believes that the most natural results in breast augmentation can be obtained by individualizing the procedure to your specific body type and your specific desires. As one of the "Top Plastic Surgeons in Washington, D.C." (Washingtonian magazine) he has provided expert commentary on breast surgery both on television (ABC News-WJLA) and in newspapers (Washington Post and Montgomery Business Journal).
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Who Is a Candidate?
Women who want to:
- Improve and enlarge small breasts
- Correct slight sagging and loss of breast shape / volume
- Improve the balance of different size breasts
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About Your Consultation
Dr. Mausner completely explains each and every procedure in great detail. He will review with you all of your options for breast augmentation surgery. He will show you preoperative and postoperative pictures, review the anatomy, and discuss with you how he can make you look your best. The finest possible results begins with a caring and thoughtful initial consultation.
Your Surgery
Dr. Mausner will go over the surgery with you in detail. All of the preoperative instructions will be given and explained to you, so that you feel completely comfortable with the procedure. Your breast augmentation will be performed at Suburban Hospital, where the best care will be provided to you.
What About Scars?
Dr. Mausner is able to perform breast augmentation in most patients with minimal scarring!
Although there are a variety of incisions that can be used for the breast augmentation procedure, Dr. Mausner most frequently utilizes an incision around the nipple (peri-areolar).This extremely short scar, placed where the dark edge of the nipple meets the lighter color of the skin, offers the best place to "hide" the scar. In the majority of patients, this incision is barely visible after 3 - 6 months.
What Implants Are Used?
Because it is of utmost importance to obtain the most natural look possible, Dr. Mausner will help you choose the right implant as well as incision site for your surgery. Many different types of breast implants are currently available. Dr. Mausner exclusively uses implants from the Mentor company beacuse of their quality implants, patient support and on-going research initiatives. The most common implants used in the United States are saline (salt water) filled. Cohesive gel silicone breast implants are available when your needs fit certain parameters. Cohesive gel implants are preferable when your breasts are very small, when saline implants have caused ‘rippling of the skin’ or you have developed scar tissue around a previously placed implant.
Dr. Mausner will assess you to determine the size, shape and type of implant which would best suit your particular needs. In general, round implants are preferable to "anatomical" shaped implants. The anatomical implants have many disadvantages because of their shape and texturing and often cause noticeable rippling, a feeling of firmness and can shift creating an abnormal appearance. The round implants, when placed under the muscle, feel and look more natural than the anatomical implants. One of the more recent advances in breast implants has been the use of "expandable" breast implants that can be inflated to the final volume weeks after surgery. These specialized implants can be used to correct breast asymmetry and gives Dr. Mausner the ability to adjust the final size at a later date.
In summary, we believe that the best results can be obtained when the procedure, implant type, location and size are individualized to meet your specific body type and desires!
Where Are the Implants Placed?
Although the implant may be placed beneath just the breast tissue (sub-mammary), Dr. Mausner most frequently places the implants in a deeper location under both the breast tissue and the chest wall muscle (sub-pectoral position) to obtain the most natural results. The exact placement of the implant depends many factors. Generally the subpectoral placement is the favored location. The sub-mammary placement (under the breast tissue) is useful for those women who have more sag (ptosis) to the breast and want to minimize external scarring. If your breasts sag considerably, a breast lift can be performed with an augmentation or by itself. In discussion with you,
Dr. Mausner uses his expertise and artistic sense to decide the positioning and exact size of the implant at the time of the surgery.
How Long Does It Take?
The procedure will take about 1 1/2 hours! You will spend a while in the care of the recovery room nurses and be discharged home when you have met all health and safety criteria. Postoperative instructions will be provided and you will be able to go home and rest.
And Follow Up...?
You will be seen in our office by Dr. Mausner within 3-4 days. Pain is usually well controlled with the pain medication provided to you. Plan to take about a week off from work although you can drive a car about 4-5 days after surgery. All your routine follow-up care is included in the original surgical fee and covers one year of routine visits.
Will my ability to breast feed be affected?
It is very likely that you will not be able to breast feed following any breast
surgery. However it has been reported by many of our patients with breast implants
that they have been successful in nursing their babies.
Do breast implants increase my risk of getting cancer?
Of detecting cancer?
There is no evidence linking implants and breast cancer. Recent studies have
shown that the stage of breast cancer detection in women with implants appears
to be identical to the overall population.
Will augmentation surgery make asymmetrical breasts
more symmetrical?
If your breasts have slightly different shapes before surgery, they may remain
slightly different after surgery however every attempt is made to make you as
symmetrical as possible as concerns breast volume. Breast shape asymmetry may
require an additional procedure.
Will I lose any sensation in my nipples or skin?
Nerves that supply skin or nipple sensation may be cut or bruised during surgery.
Although it doesn't happen routinely, nerve damage can occur no matter how
carefully the surgery is performed. If sensory loss occurs, the nerves can
take up to 2 years to recover. In rare situations the sensation can be lost
permanently.
How soon can I return to normal activity?
It is recommended that you take off work for about 1 week. You are allowed
to shower 2 days after surgery and drive a car within 3 - 5 days after surgery.
How will implants affect a mammogram?
You should alert the mammography technician to the fact that you have implants.
Special techniques will be used and extra views of the breast may be required
to see as much of the breast tissue as possible.
Can mammography cause implants to burst?
Because the breast is compressed during mammography, it is possible for an implant
to rupture. However, this is rare.
In summary, we believe that the best results can be obtained when the procedure, implant type, location and size are individualized to meet your specific body type and desires! So if you would like to improve the size, shape or look of your breasts, call Mausner Plastic Surgery Center at 301-564-4466 to schedule your complimentary consultation with Dr. Mausner today!
CARING. COMPETENT. CONFIDENTIAL.
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