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Part II

A single ideal cannot be applied universally for all breast augmentation patients. Whether preference is for saline or silicone and other issues such as basic anatomical proportions must be considered individually by the surgeon and patient to achieve optimal and natural-appearing results. Some say gel produces a softer, more natural appearance initially, but encapsulating scar formation possibility is higher some say. Advocates of saline say the implants soften with time and rupture is less threatening to the body system.

For cancer screening purposes, radiologists report it's easier to screen a female breast for cancer with mammography when an implant is placed under the chest muscle rather than above next to the gland tissue. If a gel implant silently ruptures, radiological studies indicate it is somewhat more difficult to detect cancer of the breast.

The older generations of silicone implants were prone to leaking. Newer implants have been redesigned and improved, but neither saline nor silicone implants are meant to be devices for a lifetime.  Ultrasound and MRI can be useful for screening possible implant defect or rupture. Medical authorities and manufacturers still warn that implants are subject to breakdown and recommend implant revision be a consideration in subsequent years.

With the ongoing development of more refined surgical implants and continued studies following the FDA's recent approval, plastic surgeons are better equipped to help each patient achieve her goals and maintain proper health screening while improving her self-image and self-confidence.

Talk to trusted friends who have had the surgery. Research respected websites such as Set up consults with a number of surgeons whom you know are highly respected and whose work you have researched. You can't have too much knowledge about the surgeon you choose. It is a very serious procedure and the more you respect yourself in researching what will be best for you, the more likely you will experience pleasing and healthy results.  If a doctor does not make you feel absolutely wonderful in your consultation, move on.  Say "bye-bye" to any surgeon's office rushing you. Your body and your life are too priceless to consider this merely an 'in-and-out' procedure or a 'Dr. 90210' 1-hour television program. I've interviewed many of the docs from Extreme Makeover and Dr. 90210. None of them would advocate a woman taking any surgical procedure too lightly. Let responsibility, communication, and knowledge become your mantra.

Once you decide, get excited, get your body healthy and ready. Consult with your surgeon about pre-op and post-op vitamins and herbs and medications. ...then prepare for something wonderful.  A well performed breast augmentation can boost your self esteem, your body image, and your life. As with everything, beauty is in the eyes of the beholder. Behold your own beauty and be confident in what you define as beautiful.

Life is Beautiful,


Patty Kovacs has been the Executive Producer & Host of the weekly radio show, The Health & Beauty Revolution Show, since 2002, interviewing over 700 physicians, surgeons, lifestyle experts, and authors, over 450 of whom are NYTimes best-selling authors.


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