Introduction to Breast Enlargement (Augmentation Mammaplasty)
Breast augmentation, also known as augmentation mammaplasty or simply Breast Enlargement surgery, is performed to balance a difference in breast size, to improve body contour, or for reconstruction following cancer resection. Clinical trials have shown that breast implants are a safe technique for breast augmentation.
Women opting for this procedure are most commonly aged in their twenties or thirties. The best candidates for breast augmentation surgery are those who are looking for improvement, not perfection, in their physical appearance, and who understand that augmentation only enhances breast size and will not change their social situation.
Anatomy of the Female Breast
The female breast is a modified integumentary and glandular structure. The dimensions vary depending on the patients’ body habitus and age. It covers the anterior chest wall from the second rib superiorly to the fourth or fifth rib inferiorly. The upper half overlies the pectoralis major muscle, the lower half overlies the serratus anterior, and part of the lateral breast overlies the axillary fascia. Blood supply to
the breast is supplied via the internal mammary artery from the medial aspect, the lateral thoracic artery from the lateral aspect and the third through seventh intercostal perforating arteries. Deep venous drainage accompanies the arterial supply and superficial drainage arises from the subdermal plexus. Lymphatic drainage is primarily from the retromammary plexus located within the pectoral fascia. Sensory innervation is derived primarily from the intercostal nerves. Nipple sensation is derived from the third through fifth anterior cutaneous nerves and the fourth and fifth lateral cutaneous nerves.
For further information on breast enlargement surgery, a recommended reference is the site for Breast Enlargement by Allen Rezai MD in London UK.
Patient Selection
As with any elective surgery, certain severe systemic illnesses may preclude a patient from being considered an acceptable candidate for breast augmentation. Severe ptosis is a relative contraindication and may concomitantly require mastopexy. The one absolute contraindication to the subglandular placement of implants is in patients with a history of breast irradiation. Radiation impairs blood supply making the submuscular approach much safer. A strong family history of breast cancer is another relative contraindication to the subglandular approach because a small amount of breast tissue may be obscured during a mammogram when the implant is in the subglandular position. Relatively contraindicated is the patient with severe psycho-social issues, grossly unrealistic expectations, or body dysmorphic disorder.
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Breast augmentation, also known as augmentation mammaplasty or simply Breast Enlargement surgery, is performed to balance a difference in breast size, to improve body contour, or for reconstruction following cancer resection. Clinical trials have shown that breast implants are a safe technique for breast augmentation.
Women opting for this procedure are most commonly aged in their twenties or thirties. The best candidates for breast augmentation surgery are those who are looking for improvement, not perfection, in their physical appearance, and who understand that augmentation only enhances breast size and will not change their social situation.
Anatomy of the Female Breast
The female breast is a modified integumentary and glandular structure. The dimensions vary depending on the patients’ body habitus and age. It covers the anterior chest wall from the second rib superiorly to the fourth or fifth rib inferiorly. The upper half overlies the pectoralis major muscle, the lower half overlies the serratus anterior, and part of the lateral breast overlies the axillary fascia. Blood supply to
the breast is supplied via the internal mammary artery from the medial aspect, the lateral thoracic artery from the lateral aspect and the third through seventh intercostal perforating arteries. Deep venous drainage accompanies the arterial supply and superficial drainage arises from the subdermal plexus. Lymphatic drainage is primarily from the retromammary plexus located within the pectoral fascia. Sensory innervation is derived primarily from the intercostal nerves. Nipple sensation is derived from the third through fifth anterior cutaneous nerves and the fourth and fifth lateral cutaneous nerves.
For further information on breast enlargement surgery, a recommended reference is the site for Breast Enlargement by Allen Rezai MD in London UK.
Patient Selection
As with any elective surgery, certain severe systemic illnesses may preclude a patient from being considered an acceptable candidate for breast augmentation. Severe ptosis is a relative contraindication and may concomitantly require mastopexy. The one absolute contraindication to the subglandular placement of implants is in patients with a history of breast irradiation. Radiation impairs blood supply making the submuscular approach much safer. A strong family history of breast cancer is another relative contraindication to the subglandular approach because a small amount of breast tissue may be obscured during a mammogram when the implant is in the subglandular position. Relatively contraindicated is the patient with severe psycho-social issues, grossly unrealistic expectations, or body dysmorphic disorder.
here to edit.