Russell V. Young MD, P.C.

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Breast Enlargement (Augmentation Mammaplasty)

Best Candidates:	Women wishing a larger or more full breast appearance Healthy women with realistic expectations Good elasticity of breast skin Little or no sagging of breast (minor lifting may occur)
About Procedure:	Saline implants used most commonly Silicone implants now approved (Nov 17, 2006) for adults at least 22 years old Axillary (armpit), submammary, or periareolar incisions may be used Submuscular or submammary placement of implant (submuscular is preferred)
Location:	Office surgical suite available (used most commonly) Surgical center (additional costs may apply)
Anesthesia:	IV Sedation/ Local anesthetic (possible) General Anesthesia (most commonly used)
Risks:	Known Risks: Bleeding, hematomas, infection, capsular contracture (hardening of scar around implant), deflation (rupture), changes in nipple or breast sensation, delayed wound healing, shifting of implants, pain, calcium deposits, interference with mammograrns, scarring, stretch marks, movement of implant with muscle flexion, swelling, asymmetry, skin contour irregularities, lactation Unknown Risks: Autoimmune diseases, breast feeding, cancer, capsular contracture, pregnancy Gel Implants: Exposure to silicone gel, rupture with gel migration, silent rupture, silicone bleed, granuloma formation, need for future tests (MRIs), additional cost, read the brochure See www.memorygel.com or click here for the patient brochure (Need to ready 1-2 weeks prior to surgery)
Preop preparations:	No anti-inflammatory medications for 2 week prior to or after the surgery Patient in good health
Recovery:	No exercise or strenuous activity for 3 weeks Can usually return to work after 3-5 days Vitamin E 400 IU's twice a day for 3 months Breast massage four times a day Use of a support Bra for 3 weeks
Cost:	Prices do NOT include: bra post op medications additional costs should complications arise

	Surgeon Fee	Facility Fee	Anesthetic Fee	TOTAL COST
Breast Augmentation
Saline Implants	$2,750	$750	$250	$3,750
Silicone Gel Implants	$4,050	$750	$250	$5,050

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