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Aesthetic and functional breast surgery.

Karol A Gutowski¹

¹The Department of Surgery, University of Wisconsin-Madison Clinical Science Center, Madison, Wisconsin 53792, USA. gutowski@surgery.wisc.edu

Clinical Obstetrics and Gynecology

|May 25, 2006

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Cosmetic breast surgeries like augmentations and reductions are common. While generally safe, with breastfeeding and cancer detection usually unaffected, most procedures are not covered by insurance, except for breast reductions.

Area of Science:

Plastic Surgery
Aesthetic Medicine

Background:

Cosmetic breast surgery is a frequent procedure, with around 500,000 operations anticipated in 2006.
Common procedures include breast augmentation, mastopexy (breast lift), and breast reduction.

Purpose of the Study:

To provide an overview of cosmetic breast surgery trends and outcomes.
To inform patients and healthcare providers about the safety, implications, and insurance coverage of these procedures.

Main Methods:

Review of common cosmetic breast surgery procedures.
Analysis of implant types, complication rates, and functional outcomes.
Examination of insurance coverage policies for cosmetic breast surgery.

Main Results:

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Saline implants are most common for cosmetic augmentations; silicone implants are used selectively.

Complications are infrequent, and breastfeeding is typically possible post-surgery.

Accurate cancer detection via mammography is achievable with specific views.

Breast reduction surgery is often covered by insurance, unlike most other cosmetic breast procedures.

Conclusions:

Cosmetic breast surgery is generally safe with minimal impact on breastfeeding and mammography.
Patient selection and specific mammographic views are crucial for optimal outcomes and screening.
Insurance coverage is limited, primarily covering breast reductions for reconstructive or therapeutic reasons.