Breast augmentation (augmentation mammoplasty) is the most popular form of plastic surgery in the world, with over 300,000 procedures performed every year. The procedure is characterized by the surgical implantation of silicone- or saline-filled breast implants in order to restore a fuller, more youthful appearance to the breasts, increase their size or firmness, or repair disfigurement resulting from substantial weight loss or childbirth.

The breast augmentation procedure itself is delicate and requires great skill on the part of the surgeon. The size, fullness and firmness of the breast are enhanced by the insertion of implants either above or beneath the pectoral muscle; beneath the breast itself. These implants are made of silicone and are filled with a gel or a sterile saline solution.

The implant is designed to mimic the natural shape, size and feel of natural breast tissue, and must be custom- fitted to each woman based upon her individual frame, build, and appearance. Great skill is required to create a natural-looking breast using implants; a surgeon who uses implants that are too large or otherwise out of proportion to the patient will result in breasts with a grotesque, clownish or ?glued on? look.

While the techniques involved in breast augmentation surgery have become standardized over the years, the need for a precise fit can result in procedures lasting three hours or more. Although breast augmentation is frequently performed on a clinical basis, some surgeons may choose to perform the procedure in hospital due to possible complications, including hemorrhaging, secondary infection, adverse reactions to anesthesia, shock and psychological trauma.

However, when breast augmentation surgery is performed under typical conditions the risk of major complications is small.

Recovery from breast augmentation is in most cases reasonably rapid, although swelling, bleeding, pain and numbness may be experienced during the process. More serious complications, such as scarring, deadening of nerves and uneven positioning of the nipples are also frequently experienced by recovering breast augmentation patients.

Other common side effects from breast augmentation surgery include

?Stretched tissue

?Restriction of physical activity (e.g. lifting, carrying) during recovery

?Acute pain requiring prescription medication for relief

?Bruising and tenderness in the areas surrounding incisions

?Edema (swelling)

Is breast augmentation surgery worth it? This is a determination only the patient can make. If the risks and cost of surgery are greater than the potential benefits, the answer is no. For many patients, however, the increase in self confidence and psychological benefits of having a shapely and attractive figure more than outweigh any potential negatives. In any case, the decision to seek breast augmentation surgery is not one to be taken lightly.

The first step toward finding out if breast augmentation is appropriate for the prospective patient is to consult with a board-certified plastic surgeon in her area. By sitting down with a doctor and exploring the risks and potential rewards of breast argumentation surgery, a woman can gain the information she needs to make an informed decision about her own best course of treatment.