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Has age and gravity combined to cause your breasts to sag in a way that
just isn’t acceptable to you any longer?
Or perhaps you feel you were at the end of the line when beautiful, full and proportionate
breasts were passed out?
Whatever the reason, are you ready for the beautiful breasts you desire and want?
A breast augmentation is just what you need. Now you can be beautifully proportionate,
have just the right volume and shape and look your best all the time, whether dressed for the
Ball or the Beach.
Have more confidence than you have in years, feel a surge of self esteem and turn heads
where ever you go with a breast augmentation from Dr. Kim-Chi Vu, Plastic Surgeon,
Portland, OR.
Breast augmentation is a surgical procedure for breast enhancement to restore the natural
and esthetic beauty of the breast to achieve harmony between the breast skin envelope, the
volume of breast tissue (parenchyma) and the nipple position. During your breast
augmentation consultation, Dr. Vu will address all the breast augmentation issues with you.
Based upon the breast augmentation examination and breast measurements, you will be
provided with the proper information and recommendations about different options for your
Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient
is responsible for payment.
THE SPECIFIC RISKS AND THE SUITABILITY OF THE BREAST AUGMENTATION PROCEDURE FOR A
GIVEN INDIVIDUAL CAN BE DETERMINED ONLY AT THE TIME OF CONSULTATION. ALL SURGICAL
PROCEDURES HAVE SOME DEGREE OF RISK. MINOR COMPLICATIONS THAT DO NOT AFFECT THE
OUTCOME CAN OCCUR OCCASIONALLY. MAJOR COMPLICATIONS ARE UNUSUAL.
A. Capsular Contructure
Capsular contraction is the most common side effect of breast implants. During surgery, a
pocket is created for the implant that is somewhat larger than the implant. A fibrous
membrane, called a capsule, then forms around the device. Under ideal circumstances, the
pocket maintains its original dimensions and the implant stays inside, remaining soft and
natural. For reasons that appear to relate to the individual characteristics of the patient,
however, the scar capsule shrinks in some women and squeezes the implant, resulting in
various degrees of firmness.
This contraction can occur soon after surgery or many years later and can appear in one or
both breasts. Some theories suggest that a low-grade infection may “trigger” some
contraction. Capsular contraction is not a health risk, but it can detract from the quality of the
result and cause discomfort, pain, or distortion of the breast contour. When contraction of the
capsule occurs, correction may be possible, depending on the degree to which it has
progressed. Treatment may be as easy as massages to severe circumstances where surgery
is required for removal of the capsular tissues.
B. Hematoma
Some postoperative bleeding into the pocket containing the breast implant occurs in 2-3% of
women. If the bleeding has been minimal, the body will absorb it with time. However, marked
swelling resulting in expanding hematoma may require surgery for evacuation of the
hematoma, which rarely occurs.
C. Infection
Postoperative infection is uncommon, but possible. We reduce this to a minimum by giving
intravenous antibiotics during surgery and oral antibiotics after surgery. Most infections are
mild and resolve without incident. If a serious infection should develop, the implant will
probably need to be removed.
F. Asymmetry
If your breasts had slightly different shapes before surgery, they may remain slightly different
after surgery. Rarely, in spite of careful attention to detail, the dissected pockets may end up
slightly different in shape or height. If this is not noted while you are in surgery, and poses a
problem after healing, you may later need a small adjustment procedure.
G. Deflation
If, for any reason, the valve or implant covering fails, the saline will leak and be excreted by
your body. This causes no medical harm, but requires replacement of the implant in a
secondary procedure. The rate of saline-implant leakage is quoted at about 1-2% over many
years.
H. Breast Feeding
Many women with breast implants have nursed their babies successfully. Nevertheless, any
breast surgery can theoretically interfere with your ability to breast feed.
I. Breast Cancer
There is no evidence linking saline or silicone gel implants and breast cancer. The only
clinical studies available show that the prevalence of breast cancer in women with implants is
the same or even slightly lower than that in women without implants! Furthermore, two studies
have shown, to date, that the stage of breast cancer detection in women with implants
appears to be identical to that found in the overall population.
J. Mammography
You should tell the technician that you have implants. Special techniques will be used and
extra views may be needed in order to see as much of the breast tissue as possible. Even
under the most ideal circumstances, some breast tissue will remain unseen, and a suspicious
lesion may be missed.
Because the breast is compressed during mammography, it is possible, but rare for an
implant to rupture.
M: Sloshing
You may hear and feel “sloshing” in your breast after surgery. This is not the implant! It is the
air that is trapped in the space around the implant and the natural fluid that accumulates after
an operation. It will all be absorbed by the body within a few weeks.
N: Immune Disorder
Some women have claimed that silicone gel prostheses have contributed to or stimulated
connective tissue disorders such as systemic lupus erythematosis, scleroderma, rheumatoid
arthritis etc.
Other complaints involving the nervous system, skin and immune systems have been
reported. After extensive studies and data collections from two manufacturing implant
companies, Mentor and Inamed, reports claiming a causal relationship between silicone gel
and such symptoms have been published in the medical literature and widely reported in the
press. To the present time, no such relationship has been established scientifically to claim a
causal relationship between silicone gel and symptoms published. The FDA as of 2007, have
approved Gel implants to be available for primary breast augmentation, as well as for
mastopexy with augmentation and breast reconsctructions. The saline (salt water) used to fill
saline implants is harmless and is absorbed from the body should there is leakage of the
implants.
A. Dressings
During your postoperative period, you will be provided with a bra strap to wear. The bra strap
will help keep the implants from rising too high. In addition, we will have you start doing breast
exercises the following day. This will help keep the implants mobile and soft. Approximately
after about one to two weeks, proper fitting bra will be recommended, to help maintain the
shape of your new breasts. The sutures will be removed approximately five days
postoperatively.
During the first week, attempt to sleep on your back instead of on your side. We want
your implants to stay in a perfect position during the initial healing process. If you cannot
sleep on your back, sleep in another comfortable position.
B. Bathing
We recommend sponge baths for the first couple of days. You may shower about
postoperative day three. We recommend that the steristrips be left alone during shower. Keep
the surgical site clean and dry. Dr. Vu will remove the sutures about day five postoperatively.
C. Sun Exposure
Scars take at least one year to fade completely. During this time, you must protect them from
the sun. Even through a bathing suit, a good deal of sunlight can reach the skin and cause
damage. Wear a sunscreen with a skin-protection factor (SPF) of at least 15 at all times when
in the sunshine. Be extremely careful if areas of your breast skin have reduced sensitivity.
D. Driving
You may drive when driving does not cause pain. This usually occurs in 4-6 days if you have
a car with power steering.
E. Exercises
You may take gentle walks within a few days. Do not return to aerobic exercise for 3 weeks.
Return to unrestricted activities take approximately six weeks.
View Breast Augmentation Photos.
Schedule Your Breast Augmentation Consultation With Dr. Vu Today By Calling 503.297.8555
or Toll Free 866.297.8522.