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Trends in Breast Augmentation

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Last month the American Society for Aesthetic Plastic Surgery (ASAPS) surveyed their member surgeons to get an idea about current trends in breast augmentation. Most of the answers they received are not at all surprising, with one big exception.

The preference for natural looking results continues for the vast majority of plastic surgeons and their patients. For example, the average implant size used by most of the surgeons who responded to the survey is 300 – 400 cc. For most patients, this size will result in full C cup breasts. More than 60% of surgeons place the implants under the chest muscle rather than on top of the muscle, again aiming for a natural slope to the chest wall.

An overwhelming majority of ASAPS plastic surgeons prefer round implants as opposed to “anatomical,” or teardrop shaped implants. No reason was given for the preference, but the plastic surgeons I’ve worked with say that implants occasionally rotate inside the breast capsule. Obviously, anatomical implants would look funny upside down. Not only that, most plastic surgeons feel that round implants look very natural when the right size and position is selected, and particularly when placed under the chest muscle.

The ASAPS survey found that 64% of surgeons prefer an incision near the crease underneath the breast. Although there are other options, notably around the areola, an incision under the breast can give the surgeon optimal access.

The big surprise, at least to me, is how many plastic surgeons and their patients continue to choose saline-filled implants. The ASAPS survey showed that 60% of their members are still using saline implants, with a huge majority of those selecting saline implants for first time patients. Furthermore, when silicone gel was chosen over saline filling, the reason most often cited was “patient preference.”

So, it would appear that many plastic surgeons still select saline-filled implants quite often. The question is, “Why?” Not only has the filling been shown to be safe and unlikely to leak, it both looks and feels more like real breast tissue as well.

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EmpowHER Guest

Check out (www.ThePatientsAdvantage.com). I ran into them looking for breast augmentation surgeons. They have a great way to find the best surgeons and it is completely free.

May 2, 2009 - 9:18pm
EmpowHER Guest

Are you serious?! Why on earth would anyone be stupid enough to trust anything the FDA has to say with their record of fatal screw ups?!!! Have you not known at least several people whose health has been destroyed due to silicone implants? I knew several and thought everyone else must know at least that many. When real life experience gives you that many warnings, who cares what the FDA says?

The question I was looking for an answer to in reading this article was how many of those seeking implants are taking antidepressants?

Why? Because I have taken reports since the introduction of Prozac where the patient has had cosmetic surgery, generally implants. They state that the reason is they wanted to cut themselves, but they did not have the courage so they hired someone else to cut them. Thus they opted for an elective surgery - basically "self mutilation for hire" in their eyes.

Of course another thing is that they hope it will make them feel better about themselves because on the drugs they believe they are insane, unaware that the drug is causing it.

Plus they admit how confused their thinking was at the time they made the decision. Thus, if anyone checked, I am sure they would find an upsurge in the cosmetic surgery business about 1990 just as there was an upsurge in the rate of diabetes & murder/suicide & mother's killing children - other serious side effects of antidepressants. Check out ssristories.com to see many others.

Dr. Ann Blake-Tracy, Executive Director,
International Coalition for Drug Awareness
www.drugawareness.org & www.ssristories.com

April 28, 2009 - 4:32pm
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