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Breast Augmentation (Breast Implants)

Breast augmentation is now one of the most widely performed and most successful cosmetic surgery procedures available in the UK.

The first breast implants of the kind that are used today were given medical trials during the 1960s. These were filled with silicone and signalled the beginning of the breast implant revolution which continues today. Saline (salt water) filled implants were introduced in 1965 and in 1974 further developments led to the production of inflatable implants.

In the early 1990s, breast implants became the subject of controversy with reports of women claiming their silicone implants had seriously damaged their health. In 1992, the US Food and Drug Administration (FDA) issued an outright ban on the use of silicone-gel filled implants for breast augmentation in the USA; which some felt was based on political pressure and not on any scientific proof that silicone is harmful. No such ban exists in the UK and silicone implants can be used here without such restrictions. In June 1999 scientists from the USA released a very detailed report on breast implants which concluded that there is no solid scientific evidence of a connection between breast implants and any diseases; similar findings were published in the UK and Europe.

Doctors still continued trying to discover a substance which might be a substitute for silicone and an implant filled with Soya bean oil seemed promising, but in June 2000, questions about the long-term safety and effectiveness of this product led to its use being discontinued in the UK.

There are now currently two types of implant available in the UK; one made from a silicone gel, which is semi-liquid and moves easily so that it can maintain a good and 'natural' shape and feel; and a saline filled implant that is usually placed inside the breast before being filled with salt water. Implants also come in many different shapes and sizes allowing you more choice in the appropriate implant for you.

Breast augmentation can be performed under a general anaesthetic, although some surgeons use a local anaesthetic, combined with a sedative to make you drowsy, so that you remain awake but feel very little discomfort during the operation. There are various methods for inserting the implant where by a short incision can be made either in the crease under the breast, around the areola (the brown skin around the nipple) or in the armpit.

Implants may then be positioned either between the breast tissue and the pectoral muscle (sub-glandular) or behind the muscle (sub-muscular). The surgery generally takes about 1½ hours to complete and you should be able to return home soon after the surgery; often in the afternoon following surgery in the morning, or after an overnight stay. Most people find that they can return to work after a few days recuperation.

Private costs for breast implants can range from approximately £3,000 - £5,000.

Please note that all clinics offering cosmetic surgery should be registered with the Healthcare Commission, as they need to follow certain standards for the safe provision of cosmetic surgery and receive regular inspections to ensure that National Minimum Standards are met.

© The Consulting Room

Reproduced with the permission of the Consulting Room™

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