Correction of Breast Asymmetry in Corona CA
A slight breast asymmetry is very common, when the asymmetry is very remarkable you might want to correct the asymmetry. The correction can be done either by augmentation of the smaller breast or reduction of the large one. The decision between the options is made together with the surgeon, depending on your anatomy and the degree of asymmetry.
You should be above age 18, not nursing or pregnant and in good general health to undergo the correction.
If you're going through the augmentation procedure, the surgeon will make the incision in your armpit, around the nipple or under the breast fold. Then he'll separate the skin from the breast tissue in order to insert the implants. The insertion can be above or below the chest muscles. Most of the implants today are filled with silicon and come in different sizes and shapes.
The reduction procedure involves a vertical incision from the nipple down and a horizontal incision below the breast fold. The extra fat is removed using a liposuction and the breast size is adjusted to the other one.
The length of each procedure depends on the degree of asymmetry and procedure technique. After the surgery you'll have bandages around your chest, sometimes a drainage tube is also placed to avoid blood and fluid collection. Breast augmentation stretches the tissue, therefore there may be a significant amount of pain after the surgery, especially during the first 48 hours. Painkiller antibiotics and anti inflammatory drugs are often prescribed.
Breast reduction involves a larger scar but it goes through less sensitive areas, therefore the pain is less and can be easily treated with painkillers.
Every procedure has its risks. Augmentation may result is implant contraction, rupture of the filling, the implant may move and nipple sensation may be lost. Reduction is usually safe, but can cause bleeding, infection and delayed healing.
Expect to feel tired and sore during the first 48-72 hours. You'll be able to go to work after a week or so, but you should avoid strenuous activities for up to 6 weeks. Complete recovery usually takes 2 month. Until then expect that your scars will be pink and sensitive for 6 weeks, then they'll begin to fade. It is normal for your breasts to be swollen for 3-4 weeks.
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Plastic Surgery News...
- Following a poll of its BMJ readers about what information was most needed to improve the quality of care of patients in clinical practice, six topics were identified for inclusion in a series of BMJ articles on ‘making a difference.’ One of these topics is the palliation of chronic pain and is dealt with in two articles; the first by Professor Henry McQuay from the University of Oxford notes “the burden of chronic pain for those who have it and their families is substantial and these patients deserve better.” In the second article, Dawn Stacey, assistant professor at the University of Ottawa School of Nursing and colleagues describe an example of quality improvement in practice for people with osteoarthritis.
Prof McQuay notes that:
• The Pain in Europe survey found that 19% of almost 50 000 people questioned in a telephone poll had chronic pain, and 1 in 5 of these respondents had pain for more than 20 years, and most had pain for more than 5 years.
• The main causes of chronic pain are back pain and arthritis.
• The incidence of chronic pain increases with age and populations are ageing.
• Chronic pain has a substantial impact on quality of life; this impact is something that has yet to be fully appreciated by those who organise health services and allocate resources.
He briefly touches on drug treatments and their side effects, neuropathic pain, and unresponsive pain. In terms of economics, he adds that patients with chronic pain who are managed poorly will bounce around the healthcare system, and consume considerable resources, whereas well managed pain contains this excess use of resources, saving an estimated £1500 per patient per year. He calls for more and better basic research, adding that the most tangible products are likely to come from the major drug companies, but there have been pitiably few new painkillers in the past 30 years. Lastly he states that “chronic disease comes low on the political priority list, and chronic pain just gets forgotten. The burden for the sufferers, their families, and society is substantial and merits better treatment.”
Stacey et al discuss patient decision aids, which aims to improve the process, by which the patient and clinician together reach an informed decision about the plan of care on the basis of the patient’s clinical needs, priorities, and values. This is discussed in the context of osteoarthritis, where patients use such aids, together with balanced, evidence based information on the treatment options and the likelihood of the benefits and harms of those treatments.
- In the largest trial ever reported in CIDP (chronic inflammatory demyelinating polyradiculoneuropathy), Gamunex® (Immune Globulin Intravenous [Human], 10% Caprylate/Chromatography Purified) was shown to reduce functional disability, while also demonstrating a prolonged time to relapse and a decreased probability of relapse longer-term (up to one year).