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Allergan took this step as a precaution following notification of recently updated global safety information concerning the uncommon incidence of BIA-ALCL provided by the FDA. Allergan's announcement with the list of the recalled implants is here. For women who have Biocell, the FDA concluded that the risk of developing BIA-ALCL is low.
The exception is if a woman with these implants experiences the symptoms of BIA-ALCL. In this case, women are urged to contact their plastic surgeon. More information about BIA-ALCL is available at After Surgery Care Because every woman's body is different, there is no universal length of time for recovery from breast augmentation.
Post-recovery, practicing good breast implant maintenance is the key to keeping breasts healthy and ensuring that the implants last for many years. Although breast implants do not last a lifetime, ASPS reports that implants today can be expected to last more than a decade. Thus, the goal of breast implant maintenance is to catch problems early.
Recommendations from the American Cancer Society state that women at average risk of breast cancer (no personal history) who are between 40 and 44 years have the option of a yearly mammogram. ACS further encourages women aged 45 to 54 to get an annual mammogram and says those over age 55 can switch to a mammogram every two years.
Getting an MRI or ultrasound scan five years after surgery with silicone gel-filled implants and then getting MRIs or ultrasounds every two to three years to check for silent rupture. Silent rupture occurs when a breast implant ruptures and leaks, trapping the silicone gel in the capsule that surrounds the implant.
Breast Reduction Also called reduction mammaplasty, a breast reduction is surgery to remove excess breast fat, glandular tissue and skin so the breast size is more in proportion with the body. This is especially important for women with excessively large breasts (macromastia) who experience physical discomfort and emotional distress from the weight of their breasts.
Breast reduction is meant for healthy women with macromastia, described as disproportionately heavy breasts on an otherwise average size woman. Other candidates for surgery are women who: Experience back, neck and shoulder pain caused by the weight of their breasts Have shoulder indentations from bra straps and/or skin irritation beneath the breast crease Have breasts that limit their physical activity due to their large size Breast reduction surgery can be performed at any age and is usually done under general anesthesia, either in a hospital or outpatient surgical facility.
The next step is to reposition the nipple and the areola. However, there are situations when surgeons combine liposuction and the incision technique or only use liposuction if excess skin is not contributing to the large breast size. After the surgery, the surgeon may use drainage tubes and then stitch up the breasts and wrap them in a special gauze.
Other possible risks include: Excess fluid in the breast tissue Loss of sensation in the nipples, areola or the breasts Cellulitis, or infection of the connective tissue Skin discoloration, permanent pigmentation changes, swelling and bruising Excessive firmness of the breast Temporary or permanent damage to deeper structures, such as nerves, blood vessels, muscles and lungs Differences in the size, shape and symmetry of the surgically altered left and right breasts, which might lead to further surgery to improve appearance Prominent or thick scars The possibility of not being able to breastfeed Blood clots, deep vein thrombosis, heart and lung complications Decision-Making If you are considering surgery to change the shape and size of your breasts, it is important to learn all you can about the different options and how to select the plastic surgeon who is best for you.
Once you decide on a "short list" of top candidates, schedule a consultation with each potential surgeon so you can ask questions, discuss your goals and concerns and learn more about the surgery and your options. Understanding what happens during a breast surgery consultation will help you to make the most of these meetings with potential surgeons.
The surgeon will also ask you about your goals for surgery, explain procedure options and the likely results, and address recovery time, possible risks, potential complications and costs. To make the most of the consult, the American Board of Cosmetic Surgery (ABCS) created a checklist of ways to plan for the session and what to do when meeting with the surgeon.
Bring information about medical history with you or ask if you can fill out your medical information in advance. Compile a full list of medications and supplements you are taking. Write down a list of questions to ask the surgeon and bring the list to the meeting. Use the same list of questions for each surgeon you meet with so you can compare the different surgeons' experience, techniques, approaches and personal styles.
Ask each surgeon about their track record, including how long he or she has performed aesthetic breast surgery, the number of procedures performed each year, the most common complications, the reoperation rate and whether the surgeon has been involved in any malpractice suits. Getting everything out in the open is the best way to establish trust, so don't be afraid to ask tough questions.
During the consultation, ask to review the surgeon's gallery of patient cases and before-and-after photos to get a sampling of the surgeon's work. Because most aesthetic breast procedures take place in an outpatient setting, it is important to make sure the facility meets the highest safety standards. Ask the surgeon if the outpatient surgery center is licensed by the state or accredited by a leading credentialing body.
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