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Section: Asian Breast Surgery

Self-Decision Breast Augmentation

First described in Japan over 15 years ago and now used many thousands of times, self-decision breast augmentation allows a patient to inspect the effect of different sized implants during the actual surgical procedure and make changes in real time.

Epidural (spinal) anesthesia is utilized so that the procedure is pain-free even though the patient is fully conscious. An expander tool is placed into the incision and used to simulate different sizes and shapes by adding or subtracting the amount of filling.


breast implant decision

During surgery, the patient can be raised into a sitting position on the operating room table and examine the effect in a mirror. Once the patient is satisfied, the expander is replaced by an actual breast implant.

While the procedure takes longer than traditional breast augmentation, recovery is faster and easier than with general anesthesia and, obviously, the size and shape can be altered on the spot by the patient.

Especially when a patient is conflicted over the decision on breast implant size and shape, this give-and-take method can yield a higher level of satisfaction with less postoperative surprises.


Next: Augmentation By Fat Transfer

More on Breast Surgery >

Breast Augmentation Overview
Enlargement of the Asian breast and related procedures

Breast incision Options
Incision locations designed to minimize scarring and visibility

Breast Implant Size Options
Most petite Asian women prefer breast implants sized proportional to their frame

Breast Implant Placement Options
The effect of the tight Asian chest envelope on level of implant placement

Endoscopic Breast Dissection
A less invasive method for placement of the implant below the muscle

Self-Decision Breast Augmentation
Method for allowing real time patient feedback during breast surgery

Augmentation By Fat Transfer
A less invasive and more natural method of augmentation using the patient's own fat

Breast Lift
Raising and reshaping a sagging breast to a more youthful contour

Breast Reduction
Removal of skin, fat, and glandular tissue to address cosmetic and functional problems

Nipple Reduction
Cosmetic reduction surgery for excessive forward projection of the nipple

Nipple Augmentation
Procedures to increase the size and shape or alter the color of the nipple

Male Breast Reduction
Gynecomastia in the Asian male patient and methods for fat and glandular reduction

Breast Augmentation Cost Comparison
Does cosmetic breast augmentation in Beverly Hills cost more than in Seoul, South Korea?

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Frank Meronk, Jr., M.D.
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Note: Information, observations, and opinions are offered for general reference only and should not be taken as medical advice or diagnosis.

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