Breast Surgery

What is cosmetic breast surgery?

The aim of cosmetic breast surgery is to create beautiful and symmetrical breast. What define beautiful breast shape depends on the individual patients body stature and what she consider attractive ,as well as on her particular cultural concepts of beauty.

What are cosmetic breast surgery?

Breast augmentation- Increase in size of breast.
Fat grafting.
Mastopexy- firming of breast.
Reduction Mammaplasty- reduction in size of big breast.
Breast reconstruction- usually done after breast cancer surgery.

Breast Augmentation

Augmentation is procedure to increase in size of breast.This can be done with
1.Autologus tissue like fat grafting
2. Breast Implants.

Breast Implants

All implants on the market today are made of two separate components, outer silicon shell and inner filling that can be of Saline or Silicone.

What are shapes of Implant?

Breast implant may be round or anatomical shape. The newest generation of implants –the cohesive silicon gel implant-promises increased gel integrity and a more natural appearance.

That are the approaches for breast agumentation?

Inframammary.
Sub-areolar (Trans-nipple).
Transaxillary.
Periumbulical.

Commonly dual plane breast augmentation is done in which implant is placed under both muscle and breast tissue.

Advantages of dual plane implant placement

Minimal capsular contracture.
Implamt is not visible hence no rippling.
No alteration in normal breast function as breast feeding

What are complication?

Most common complication is capsular contracture.
Implant malposition
Asymentry
Infection and implant removal.

Indications

Augmentation of the breast in patients with small breast, tuberousbreast, or Poland syndrome or the patient refusesilicone implants.
Correction of contour breast deformity or asymmetrical after removal of breast implant or breast lumpectomy or after reconstructive surgery.
Creation of thick envelope of breast tissue after placement of silicon implant.

The most common donor siteare

1) Abdomen.
2) The thigh.

Procedure

Procedure is performed under general or regional anaesthesia.
Fat is aspitratedmanualy with liposuction cannula attached to syringe or vaccume pump.
Lipospirated is washed with 0.9 % normal saline solution
Centrifugation is done at 1000 rpm for 2 minutes.
Then this purified fat is injected in to breast.

Mastopexy

Mastopexy is asthetic breast surgery in which breast is lifted and reshaped without increasing size of breast to look aesthetically pleasing and more youthful.
In modern mastopexy ,restoration of upper pole fullness with possible parenchyma rearrangement can be an essential part of the procedure, even without implant augmentation.

Why breast reconstruction

The presence of breast is a defining feature of adult mammalian gender. It must therefore be considered an essential element of human feminity, and the role it play in female psychology cannot be understated. Hence reconstruction of breast is almost exclusively consequent on surgery for breast cancer.

What are aims of breast reconstruction

Creating a symmetrical ptotic conus precisely positioned on the breast footprint embodies the art of breast reconstructive sculpture. The ultimate goal of breast reconstruction is to create symmetrical,natural-looking breast and not necessarily a specific shape or volume.

Indication for breast reconstruction

Mastectomy for breast cancer.
Development of breast conservative surgery for breast cancer.

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