The three common incision sites are under the arm (transaxillary), around the nipple (periareolar), or within the breast fold (inframammary). * Transaxillary � This incision is less concealed than periareolar but associated with less difficulty than the periareolar incision site when breast feeding. * Periareolar � This incision is most concealed but is associated with a higher likelihood of inability to successfully breast feed, as compared to the other incision sites. * Inframammary � This incision is less concealed than periareolar but associated with less difficulty with breast feeding than the periareolar incision site. The most popular incision is beneath the breast. The armpit and belly-button incisions are further away from the operative site and as a result less accurate. Many women are less inclined to do the periareolar incision due to concerns with nipple sensitivity and problems with breast feeding.
A big factor to consider when choosing implants is your body size (weight and height). Breast implants typically range from 275cc to 800cc, but larger implants can be obtained if required up to 1200cc. A larger woman might want 600cc or larger, but should consider smaller if weight loss is a goal.They come in all different cc's. That is how they measure it, in cubic centimeters. Most surgeons say if you get 400cc's in each implant, you will go up two cup sizes. That is just an estimate. Usually your surgeon will bring three different sizes to the operating room with them and use a sizer before they put the implant in. So they size it up to your body so you don't look too disproportionate. JUST A BIT OF ADVICE: DO NOT GET TRADITIONAL SILICONE IMPLANTS. IF you get saline and they leak you are safe. The saline will just absorb into your body without harming you. If a traditional silicone implant leaks, you are in trouble. Saline is lighter than silicone too. So saline is the best way to go.Additional InformationThey now have the gummy bear implants now that DO NOT leak. They are a silicone implant that when ruptured or cut they maintain the shape and do not leak. Implants have come a long way.
First take the wings off where they meet the breast. (Good rule of thumb is to find the joint and cut between it instead of trying to cut the bone.) Then cut the legs off, again at the joint. Seperate the breast part from the back. (Cut where the ribs meet the back.) Use your knife to cut where the breast bone is on both sides then slide the tip of the knife into one side of the breast between the meat and the bone and slowly cut till the breast is removed, repeat on other side. You should just have the thighs left at this point and it is just a matter of finding that joint again and cutting them free.
DefinitionAfter a mastectomy, some women choose to have cosmetic surgery to remake their breast. This type of surgery is called breast reconstruction.During breast reconstruction therapy using natural tissue, the breast is reshaped using muscle, skin, and fat from another part of your body.This surgery can be performed at the same time as mastectomy or later.Alternative NamesTransverse rectus abdominous muscle flap; TRAM; Latissimus muscle flap with a breast implant; DIEP flap; Gluteal free flapDescriptionIf you are having breast reconstruction at the same time as your mastectomy, your surgeon may do a skin sparing mastectomy. This means only the area around your nipple and areola is removed, and more skin is left to make reconstruction easier.If you will have breast reconstruction later, your surgeon will remove enough skin over your breast to be able to close the skin flaps.The two most common methods of breast reconstruction are transverse rectus abdominous muscle flap (TRAM) and latissimus muscle flap with a breast implant. For both of these procedures, you will have general anesthesia (asleep and pain-free)For TRAM surgery:Your surgeon will make a cut across your lower belly, from one hip to the other. Your scar will be hidden later by most clothing and bathing suits.Your surgeon will loosen skin, fat, and muscle in this area. The surgeon will then tunnel this tissue under the skin of your abdomen up to the breast area. Your surgeon will use this tissue to create your new breast. Blood vessels remain connected to the area from where the tissue is taken.In another method, the skin, fat, and muscle tissue are removed from your lower belly. Then the surgeon places this tissue in your breast area to create your new breast. In this method, the arteries and veins are cut and reattached to blood vessels under your arm.This tissue is then shaped into a new breast. Your surgeon will match the size and shape of your remaining natural breast as closely as possible.Your surgeon will close your belly cut with stitches.If you would like a new nipple and areola created, you will need a second, much smaller surgery later.For latissimus muscle flap with a breast implant:Your surgeon will make a surgical cut in your upper back, on the side of your breast that was removed.Your surgeon will loosen skin, fat, and muscle from this area and then tunnel this tissue under your skin to the breast area. This tissue will be used to create your new breast. Blood vessels will remain connected to the area from where the tissue was taken.This tissue is then shaped into a new breast. Your surgeon will match the size and shape of your remaining natural breast as closely as possible.An implant may be placed underneath the chest wall muscles to help match the size of your other breast.If you would like a new nipple and areola created, you will need a second, much smaller surgery later.When breast reconstruction is done at the same time as a mastectomy, it adds about 2 to 4 hours to the surgery. When it is done as a second surgery, it may take more than 2 or 6 hours.Why the Procedure Is PerformedYou and your doctor will decide together about whether to have breast reconstruction, and when. The decision depends on many different factors.Having breast reconstruction does not make it harder to find a tumor if your breast cancer comes back.The advantage of breast reconstruction with natural tissue is that the remade breast is softer and more natural than breast implants. The size, fullness, and shape of the new breast can be closely matched to your other breast.But muscle flap procedures are more complicated than placing breast implants. You may need blood transfusions during the procedure. You will usually spend 2 or 3 more days in the hospital after this surgery compared to other reconstruction procedures. Also, your recovery time at home will probably be longer.Many women choose not to have breast reconstruction or implants. They may use a prosthesis (an artificial breast) in their bra that gives a natural shape, or they may choose to use nothing at all.RisksRisks for any surgery are:Blood clots in the legs that may travel to the lungsBlood lossBreathing problemsHeart attack or stroke during surgeryInfection, including in the surgical wound, lungs (pneumonia), bladder, or kidneyReactions to medicinesThe risks for breast reconstruction with natural tissue are:Loss of sensation around the nipple and areolaNoticeable scarOne breast is larger than the other (asymmetry of the breasts)Skin loss or chronic wounds on the chest wallThere is also a risk of bleeding into the area where the breast used to be. Sometimes a second operation is needed to control this bleeding.Before the ProcedureAlways tell your doctor or nurse if you are taking any drugs, supplements, or herbs you bought without a prescription.During the week before your surgery:Several days before surgery, you may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.Ask your doctor which drugs you should still take on the day of your surgery.On the day of your surgery:Do not eat or drink anything after midnight the night before surgery.Take your drugs your doctor told you to take with a small sip of water.Shower the night before or the morning of surgery.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureYou will stay in the hospital for 2 to 5 days.You may still have drains in your chest when you go home. Your surgeon will remove them later during an office visit. You may have pain around your cut after surgery.Fluid may collect under the skin of your armpit. This is called a seroma. It is fairly common. Seromas usually go away on their own, but sometimes they need to be drained.Outlook (Prognosis)Results of reconstruction surgery using natural tissue are usually very good. But reconstruction will not restore normal sensation on your new breast or nipple.Recovery is usually faster when reconstruction is done after the mastectomy wound has healed.Having breast reconstruction surgery after breast cancer can improve your sense of well-being and quality of life.ReferencesWilhelmi BJ, Phillips LG. Breast reconstruction. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 35.Reviewed ByReview Date: 01/26/2011Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
You could try exercises that strengthen the chest muscles. It wont shrink the breast but it will firm them making them appear smaller. There are also some plastic surgery techniques that are non invasive (meaning they wont cut you open). One is lipo suction and one is the lipo dissolve but the plastic surgeon would have to judge wheather that was the best way.
How many 3s in 313433535333?
Is it true that one human year is equal to seven dog years?
What is half of 74?
The more you take the more you leave behind what am I?
Why is it bad luck to walk under a ladder?
Is 13 cm or 13 mm greater?
Who has won World Series both as a player and manager for the New York Yankees?
How did the Wiffle Ball get its name?
Do schools still teach cursive writing?
Can eggs break inside a chicken?
Why do books come out in hardback first?
What happens when a beehive gets too full?
What is the difference between an optometrist and an ophthalmologist?
How can you tell when someone's lying?
Why do some people celebrate Christmas in July?
What is the setting in the story creole democracy?
Which of the following best describes what is required to be reported to congress?
What makes dr sadao comment 'this man must have extraordinary vitality?
What is a classified data spill or negligent discharge of classified information?
Did Jim Quinn leave occ?
What does 692K mean?
What is APA Treas 310?
Why did the professor start off with a brief overview of emerging challenges?