Question:I’m interested in getting a breast augmentation but also want to breast feed in the future. What is the best option for me? What are the risks and the benefits? Tell me everything you know about breast augmentation!RobinAnswer:There are four ways to enter. Through the belly button, under the armpit, under the breast and through the nipples. Why someone would choose to go through the belly button is beyond me. To me, it just seems like another option. This route would make the placement of the implant the most difficult just because of the proximity from the entrance. The reason some choose to go under the arm is because they want to minimize visibility of surgery scars. Placement of the implant would be easier in comparison to the belly button but is the third most difficult. The doctor just simply doesn't have the flexibility to move it around. Also, this route possibly causes the doctor to intrude on glands to make and get to the pocket under the muscle. Going under the breast is the least intrusive (minimum chance of nerve damage) and since it's closer than the other two options, it is easier for the doctor to place properly. This way looks the 2nd best but you will have a visible scar. Also, this scar under your breast tends to build hard tissue that can prevent the breast from dropping as naturally as you might like. It's almost as if the hard tissue holds it up rather than giving it that tear-drop look. Through the nipple is the most popular. However, this way is the most intrusive and can cause problems if the doctor damages the vascular and nerve tissue during surgery. If you choose to go this route, please understand the importance of choosing a surgeon that specializes in this. Your chances of success are greatly increased. The reason people choose this way is the outcome usually looks the best and is the most easy for the surgeon- very popular with them. Surgeons can manipulate it the best and give the best results. They like when their work looks good, so they will usually prefer it. But this is your choice.
There are 2 options in placing the implant: under and over the muscle. The reason girls choose over the muscle is because they prefer the perky, fake and separated look. I don't think I have to go there... stupid. Also, this is a most detrimental decision to any future plans of breastfeeding and furthermore, increases your chances of desensitivity.
There are usually 2 choices as far as the implant itself: smooth and textured. Some people like to use textured because they like the idea of the implant not being able move around in the years to come. But most doctors will say this can be risky, because they find when they place it, it can be very difficult to move around, manipulate and place properly. Scary. Also, textured is not typically recommended for a more natural look and feel.
Now.. what kind of implant would you like to go with? There are many controversial issues surrounding silicone as you may know. As far as I understand, it seems that since silicone was the first to be introduced in the market like 40 years ago, it is going to have the most problems associated. When they first made them, they were of poor quality and often ruptured and caused many problems. They have made many advances since then and for the last decade or so have performed many tests that suggests the problems really don't have to do with the silicone itself. They just came out with this option on the market for all last year. You have to make this judgement call for yourself so I suggest you do further research to make the best decision. But here is the deal... I have felt both silicone and saline in women and in my hand. Basically the silicone feels like a cohesive and soft, well, boob. Saline on the other hand feels like a, how do I put this? like a really thick balloon filled with salt water- like a water balloon. In the women, it feels the same- you can actually FEEL the bag inside her breast. I don't know about you, but I would prefer to feel like a boob. With silicone, because it is so new on the market, they will monitor you and have you get an MRI in 2 years and every so often after that.. I think that is a good idea anyway.
This is very important to remember: Doctors and consultants, as important as it is to trust them, will almost always tend to sway you to whatever they prefer, with entrance, implant options, etc. You have to understand this beforehand. So here is what I suggest; make your decisions FIRST, then scout out a doctor that specializes
in your choices- you want the best! If this means you need to drive up to LA, then so be it- this is your body. And you want to read past stories from patients, look for any possible complaints online, etc. I would suggest choosing a doctor that your friends recommend- that way you can see, feel and hear for yourself. Pictures online don't give you the best picture, but still make sure that ALL the pics are amazing.
As far as breastfeeding post surgery goes, bar none the safest way to go through is under the breast and under the muscle, with a smooth implant- with whichever you decide (saline or silicone). Remember, there are always risks associated with this surgery- you must accept this before committing, then choose what is best for your benefit and future. The smarter you are about your choice the better off you are!
There it is straight up.
