The article is for informational purposes only.
Here is an excerpt of an exclusive interview with Dr. Malcolm Lesavoy on breast augmentation.
Q.What is breast augmentation?
A. Breast Augmentation is for women who have small breast and want to have larger breast. Now in my opinion if you want natural looking breasts you’ve come to the right place. In my hands the surgery itself takes 45 minutes to an hour under general anesthesia. They’re three incisions that are commonly used, one of them is in the crease underneath the breast, the other is an incision around the nipple in the areola area, third is done in the armpit. About 60% of surgeons use the crease underneath the breast, 20-30% do it around the areola and about 5% or so of us which is the method I prefer to use the armpit for the incision because there’s no scar. It’s in the upper crease where you shave. It works out real well. There are two different kinds of implants saline and silicone. Both of which have a silicone shell. One feels like a balloon filled with water which is the saline. While the other feels like a balloon filled with gel which is silicone. 90% of surgeons now use silicone implants. I prefer the silicone implants because there is a down side. There’s a downside to both, but with saline implants they have a tendency to ripple. So if you have thin breasted skin sometimes you can see or feel those ripples, the silicone implants you can’t. There’s no disease aspect for either one because they’re both silicone shell. One is filled with water the other is filled with gel. The main problem with breast augmentation is that scar tissue forms around the implant which basically starts to contract and gets tighter around the implant. For example if you have a balloon that is filled with water and you’re squeezing that balloon with your two hands the part that comes out between your fingers feels firmer. That’s what we call encapsulate contraction. We don’t know what causes it, we don’t know how to prevent it. When it occurs the issue can be fixed it only happens as of lately 2-3% of the time. Now twenty years ago that number was 15% that it would occur. I tell my patients what you’re paying for is my judgement. You can’t estimate a size because it comes in centimeters. I tell my patients you can’t fit a size 5 in a 4 shoe. So we put different sizes in and out until we find the largest size that look natural at the time of surgery.
Q. What is the recovery time for breast augmentation?
A. Normally patients are in the recovery room for 45 minutes to an hour then they go home. The following day they will feel sore like they’ve been doing a ton of push-ups. You can drive in two to three days, and are totally back to normal in 2-3 weeks.
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