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Breast Augmentation  [Mammaplasty]

Whether you were born with small breasts or you have undergone an undesirable change in your breasts after childbearing and nursing, there is a way to enhance your breasts so they look natural and pleasing.

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Silicone or Saline Breast Implants?

Women have been debating saline or silicone breast implants for years.  Now the FDA has also approved the use of silicone Gel Breast Implants in the U.S.  Mangat-Kuy Plastic Surgery is offering the most available FDA approved saline or Cohesive Silicone breast implants for breast augmentation.  Also Mangat-Kuy Plastic Surgery Center is one of 23 centers nationwide participating in the study of highly cohesive gel implants.

Cohesive Gel Implants feel softer and more natural than saline implants and, unlike saline implants, they rarely wrinkle. If a Cohesive Gel Implant were to ever rupture, it better maintains both its shape and integrity. Cohesive Gel Implants come in many models offering both the patient and surgeon flexibility and the appropriate implant to balance the body’s proportions.

Dr. Kuy will determine at the time of your consultation if you are a candidate for aline or silicone.

About the Procedure

Breast augmentation is a surgical procedure used to enhance the size and shape of the breasts, correct a reduction in breast volume after pregnancy, to balance a difference size breast, or reconstruction after breast surgery.

Breast augmentation is accomplished by inserting an implant behind each breast. The breast implant is a silicone shell filled with a saline solution (salt water).

The incision for breast augmentation can be made either in the breast fold, around the areola (dark skin around the nipple) or armpit. The incision is usually 1-½ inches long and in time will become inconspicuous. The implants are placed either directly behind the breast tissue or underneath the chest wall muscle.

Women are able to nurse their children after breast augmentation. However, if you have nursed a baby within the year before augmentation, milk may be produced for a few days after surgery. Although uncomfortable, this condition can be treated with medication.

It is important that women who have had breast augmentation chose a radiology center where technicians are experienced in the techniques required to get a reliable mammogram of a breast with an implant.

Some women chose to have ultrasound examinations of their breast to detect lumps or to evaluate the implant. Breast augmentation is a relatively risk-free surgery. A rare problem associated with breast augmentation is capsular contracture. Capsular contracture occurs if the scar or capsule around the implant begins to tighten. This, in turn, will cause the implant to feel firm. Capsular contracture is a treatable condition. By placing the implant behind the chest wall, the potential of capsular contracture is greatly reduced.

Occasionally an infection can occur around the implant. This is most often seen the week after surgery, but can, in fact, happen at any time. In some cases, the implant may have to be removed and inserted at a later time.

Nipples may become oversensitive, undersensitive, or in some cases numb. This is usually a temporary condition and will improve with time. Permanent numbness of the nipples has occurred in some patients.

Breast implants can break or leak. The fracturing of the implant may be the result of injury or even normal compression and movement of the breast over many years. A leak or break in a saline implant will cause the implant to deflate in a matter of a few hours. The saline solution will be absorbed by the body and causes no harm.

Breast augmentation is normally performed under general anesthesia or twilight anesthesia.

The patient will feel soreness for 24 to 48 hours. The swelling of the breasts will take several weeks to subside. Most patients return to work in a few days.