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Do the breast implants used in cosmetic breast augmentations

 
Dr. Herb Goldberg's Avatar
  • Answered by:Dr. Herb Goldberg
  • Board Certified Plastic Surgeon
  • Positive Feedback: 97.2 %
  • Accepted Answers: 233
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Customer Question

Do the breast implants used in cosmetic breast augmentations obscure mamograms and make breast feeding difficult if not impossible?

 



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Just a question.

Submitted: 389 days and 11 hours ago.
Category: Plastic Surgery
Value: $20
Status: CLOSED

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Expert:  Dr. Herb Goldberg replied 389 days and 10 hours ago.


Dr. Herb Goldberg :

Thanks for your question. Breast implants do cause a problem for some in reading mammograms although an experienced radiologist usually does not have a problem with reading the mammograms. The implants compress the breast tissue which can make it more difficult to see all of the breast tissue. Occassionally calcifications form after a while and the augmented breast may rarely confuse the mammogram readings. The implants can be salt water filled or silicone filled and are not hiding any tissue because they are not opaque. Usually there is not a problem with reading the mammograms of an augmented breast and if there is any question then a scan can usually look closer. Breast feeding is almost never a problem after implants, although in rare cases, breast feeding is difficult because of the original small amount of breast tissue before implants or the pressure of the implants. Risk is very small. Strong family history should indicate at least yearly mammograms and exams. Best of luck to you!

Customer :

what are the health consequences of not enlarging a womans breasts? I think cosmetic breast augmentations should be illegal.

Customer :

the right bra and some weight gain can improve the appearance of most breasts.

Expert TypeBoard Certified Plastic Surgeon
Category: Plastic Surgery
Pos. Feedback: 97.2 %
Accepts: 233
Answered: 4/7/2012

Experience: 35 years experience in cosmetic and reconstructive plastic surgery. Certified by the American Board

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Expert:  Dr. Herb Goldberg replied 389 days and 9 hours ago.

There is no health problem with not having enlarged breasts. If breasts are uneven or do not develop then this is a cosmetic problem. Abscence of the breasts do not cause signaficant problem but are associated with inability to breast feed (this would not be improved by implants). If the breasts are small and do not feel comfortable appearing to the patient, or the breast are removed because of cancer, improvement of appearence requires breast implants or other reconstruction to make someone feel better and if safe , is indicated.

Customer replied 389 days and 7 hours ago.

I am against cosmetic breast augmentation. Psychotherapy should be an option first - and bias charges against men or people who pressure her to enlarge them should be considered.

 

Safety of breast implants is always in question - it is a prothetic under tissue that is vulnerable to cancer.

 

Breast reconstruction after cancer is a different matter and I think should be a different area of medicine.

 

Absence of breasts sounds questionable, how do you know that tissue will develop or expand when the woman becomes pregnant?

 

Can your practice exist without performing this procedure? Think of the ethical implications of this and consider my perspective. Have a nice day.

 

 

 

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Expert:  Dr. Herb Goldberg replied 389 days and 6 hours ago.

Thanks for your opinion. Everyone's opinion should be considered. Some are against augmentation and some are in favor of it. Human nature is funny and human needs are different. Of course , all cosmetic surgery is elective, and people have a choice. They should be informed of all aspects including risks. It is a risk for humans to use alcohol and drugs, yet they still chose to do so. It is a risk to live in a tornado, tsunami or earthquake zone, but some chose to do so. If some ethical physicians ( and unfortunately there are a few who are not) do not chose to do this work, then others will. What should be done? Some unfortunate women are born with uneven or absence of the breast and some have surgery which distorts. They deserve reconstruction.

Expert:  Plastic Surgeon replied 389 days and 5 hours ago.

I agree with the other plastic surgeon. Life is about choices. If someone does not want to involve themselves with breast augmentation, then you have a right not to be associated with that procedure. But, there are many, many women who are very satisfied with breast augmentation. Everyone is entitled to their opinion. The majority of women who undergo breast augmentation are not pressured by anyone to undergo this procedure.

 
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