Breast Augmentation (Breast enlargement or Breast implants)

Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures.


When to Consider Breast Augmentation

– If you want a better proportioned or more appealing figure
– If you wish your clothes fit better
– When pregnancy, weight loss or aging has affected the size and shape of your breasts
– To restore symmetry if one of your breasts is smaller than the other

Considerations

Pros
– Augmentation is a long-term solution for achieving an ideal figure.
– You will look better in clothes and swimwear.
– You will have a more youthful-looking figure.

Cons
– Breast implants require monitoring.
– Implants will eventually need to be replaced.
– Normal surgical risks are involved.

Am I a good candidate for breast augmentation?

– You believe your breasts are too small for your body.
– You feel self-conscious wearing a swimsuit or form-fitting or low-cut tops.
– Clothes that fit your hips are too large at the bust line.
– Your breasts have become smaller or less firm after you’ve had children.
– Your breasts have become smaller due to weight loss.
– One of your breasts is noticeably smaller than the other.

About your Procedure

How is a breast augmentation procedure performed?
In breast augmentation using implants, your surgeon makes an incision, lifts the breast tissue,creates a pocket in the chest/breast area and places an implant in the pocket.
An additional option for breast augmentation is autologous fat transfer, a process in which your surgeon removes your own fat, using liposuction, from a fat-yielding body part (such as your abdomen, thighs, or flanks) processes it and then injects it into your breasts.

Where will my breast implants be placed?

The implant is placed in a pocket either:
– Underneath the pectoral muscle, which is located between the breast tissue and chest wall.
– Underneath the breast tissue and on top of the pectoral muscle.

What will my breast augmentation incisions and scars be
like?

An incision can be made in one of four places:
– Inframammary: Underneath the breast, just above the crease
– Transaxillary: Near the armpit, where the arm meets the chest area
– Periareolar: Around the lower edge of the areola (the dark area surrounding the nipple)
– Transumbilical: in the navel

Is breast augmentation safe?

It is important for women with breast implants to keep in mind that while breast implants are intended to last your lifetime, replacement may become necessary. After breast implant surgery, you should have periodic examination by a board-certified plastic surgeon to monitor your implants.
Silicone gel−filled breast implants have been under scrutiny for years, but after gathering detailed and meticulous research and data, the FDA has approved them for use in cosmetic breast enhancement surgery, finding no link between silicone gel breast implants and connective tissue disease, breast cancer or reproductive problems.

Preparing for Your Procedure
– Stop smoking at least six weeks before undergoing surgery to better promote healing.
– Avoid taking aspirin and certain anti-inflammatory drugs that can increase bleeding.
– Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.

Aftercare and Recovery

Immediately after breast augmentation surgery
After your breast augmentation procedure, you may be placed in a surgical dressing that can include a support bra or garment.
Breast augmentation surgery stretches the breast tissue and can be painful—especially when implants have been placed under the chest muscle. Typically, the most pain is experienced within the first 48 hours after breast augmentation surgery. Your level of pain will typically decrease each day and may be effectively treated with various pain medications.

Your breasts may feel tight and sensitive to the touch and your skin may feel warm or itchy. You may experience difficulty raising your arms.
Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.

Recovery time frame after breast augmentation

The first week
– For two to five days, you may feel stiff and sore in your chest region.
– Any surgical dressings will be removed within several days. You may be instructed to wear a support bra.
– You will be permitted to shower between one and seven days after surgery.
– If you have external sutures, they will be removed in about a week. If your surgeon used tissue glue or tape, it will fall off on its own in a week or two.
– You may be able to return to work within a few days to a week, depending on the nature of your job.
– You should refrain from lifting, pulling or pushing anything that causes pain and limit strenuous activity or upper body twisting if this causes discomfort.
Two to six weeks
You should minimize excessive physical activity for at least the first couple of weeks after surgery.
After that, take care to be extremely gentle with your breasts for at least the next month. Intimate contact will be guided by your comfort.
Long-term Your surgeon will encourage you to schedule routine mammograms at the frequency recommended for your age group. Following breast augmentation, you should continue to perform breast self-examination.

How Long Will the Results Last?

Under normal circumstances, the results of your breast augmentation surgery will be long-lasting; however, it’s important to know that breast implants need to be replaced if they leak.

Limitations and Risks

– Adverse reaction to anesthesia
– Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
– Infection and bleeding
– Changes in sensation
– Scarring
– Allergic reactions
– Damage to underlying structures
– Unsatisfactory results that may necessitate additional procedures
– Infection
– Capsular contracture
– Implant rupture
– Mammography shadows affecting breast cancer detection.