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Cosmetic breast augmentation surgery: a critical overview
D B Sarwer1, J E Nordmann, J D Herbert
1Department of Psychiatry and Surgery, Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
Journal of Women'S Health & Gender-Based Medicine
|November 14, 2000
Summary
Cosmetic breast augmentation is increasingly popular despite silicone implant bans. Healthcare providers need to understand the medical and psychological aspects of this procedure for patient care.
Area of Science:
- Plastic Surgery
- Medical Review
- Psychological Studies
Background:
- Silicone gel breast implants were banned in 1992, yet cosmetic breast augmentation procedures have significantly increased in the US.
- Over 132,000 breast augmentations were performed in 1998, with numbers likely higher due to non-surgeon practitioners.
- The rising trend necessitates that healthcare providers are informed about breast augmentation for patient consultations.
Purpose of the Study:
- To provide a comprehensive overview of the medical and psychological literature on cosmetic breast augmentation.
- To review the history of breast augmentation, including the silicone implant controversy and the 1999 Institute of Medicine report.
- To discuss the psychological characteristics of patients undergoing breast augmentation.
Main Methods:
- Literature review of medical and psychological studies on cosmetic breast augmentation.
- Historical overview of breast implant technology and regulatory actions.
- Analysis of pre- and post-operative psychological data.
Main Results:
- Despite the ban, breast augmentation procedures have seen a dramatic rise.
- The review covers the history, safety concerns (including the Institute of Medicine report), and psychological aspects of breast augmentation.
- Studies on patient psychological characteristics before and after surgery are examined.
Conclusions:
- Healthcare professionals require updated knowledge on cosmetic breast augmentation due to its increasing prevalence.
- Further research is suggested to address gaps in understanding the long-term effects and patient motivations.
- The clinical relevance for women's healthcare professionals is highlighted, emphasizing the need for informed patient counseling.