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SurgeryAlternatives7_0.jpg (4201 bytes)Breast Implants
Making the Cut and Scarring

Most doctors use a general anesthetic during breast implant procedures.
The doctor will make a small two to three inch cut under the breast or under the armpit. The implant can also be inserted through an incision around the nipple. The nipple approach leaves very little noticeable scaring because the cut is made at the very edge of the areola where pink skin meets white skin. If this procedure is done properly, the resulting scar is almost invisible. The underarm procedure is a little more difficult for larger implants and certain body types but no one will see the scar unless you have your arms up. The underbreast scar will be slightly noticeable at various viewing angles, but will fade with time and will be better hidden as you age because even implant breasts eventually sag a little from gravity. There are also several commercial products that actually diminish scaring.

 

Internal Scarring

Although the majority of the original breast tissue is pushed forward, some internal scaring also occurs inside of the breast cavity because the surgeon may have to scrape away some of the original tissue in order to make room for the artificial implant.  Scar tissue forms in all types of breast implants and although this is seldom dangerous or unhealthy, an abnormal formation of internal scar tissue can make the new breast extremely hard, mis-shaped, un-natural looking, and uncomfortable.  Since scar tissue could virtually encapsulate the entire breast,  post-operative breast care always involves careful observation and breast implant patients are generally advised to follow a set of manipulative procedures to diminish the formation of scar tissue.  This is not a complicated procedure for the patient and usually involves no more than simple breast massage on a regular basis.   Many physicians feel that under-the-muscles implants are much less prone to the formation of internal scar tissue.  Women with new breast implants should heed the physician's advise carefully about after surgery care because the formation of excessive scar tissue will make the new breasts virtually rock hard and very un-natural looking.   In cases, where excessive scarring does occur, there are only three options for the patient.  Most commonly, the physician can break up the internal scar tissue by using external force and manipulation.  This procedure often works but it is a very uncomfortable process for the patient.  The second and third options are more complicated and involve either additional surgery to remove the scar tissue or removal of the entire implant.  Fortunately, such extreme measures are not common and properly installed breast implants can feel quite natural to the touch.    back    next

 

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