Breast implantation is usually performed to make normal breasts larger for cosmetic purposes. Sometimes a woman having a breast reconstruction after a mastectomy will need the opposite breast enlarged to make the breasts more symmetrical. Breasts that are very unequal in size due to trauma or congenital deformity may also be equalized with an enlargement procedure.
Male-to-female transsexuals may use breast implantation to achieve the physical appearance of a female.
Cosmetic breast enlargement or augmentation is usually performed as an outpatient procedure. It may be done under local or general anesthesia, depending on patient and physician preference. The incision is typically made through the armpit (axilla), along the fold line under the breast, or around the areola (the darkened area around the nipple); these techniques create the most inconspicuous scars. The implant is placed in one of two locations: between the breast tissue and underlying chest muscle, or under the chest muscle. The operation takes approximately one to two hours. The procedure may also be called breast augmentation or augmentation mammoplasty.
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