Breast Augmentation
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brest Augmentation Breast are commonly enlarged by surgical placement of implants under the breast tissue and more rarely by injecting your own processed fat, also called Fat grafting. Breast Augmentation by silicone implants can dramatically improve the appearance of a woman's breasts. Breast Enlargement can only be achieved surgically there is currently no medical treatment which gives significant and satisfactory breast enlargement. Please read FAQ's for more information.


Who should have it done?

This procedure is most suitable for women who have small, underdeveloped breasts, breasts which are asymmetric (one smaller than the other), or breasts which have decreased in size after a woman has had children. It is also suitable for women who feel they should have bigger breasts to give them a proportionate figure. Implants may also be used to reconstruct breasts after mastectomy.

Breast Augmentation is a highly individualized procedure- one that you should choose to undergo to fulfill your own desire for enhanced breast size, not the desire of others.


How old should you be before you can have an augmentation?

Adult woman of any age can benefit from breast augmentation, however it is recommended that breasts be fully developed.


How are breasts enlarged?

Implants made of medical grade, bio-compatible silicon are used for augmentation. The outer shell is made of either textured or smooth silicon with saline, silicon gel or cohesive silicon gel as its content. The saline and silicon gel implants have a higher risk of leaking and subsequently deflating. The cohesive gel silicon implants are semisolid in consistency and retain its shape even if cut open.

The surface of the implants may be smooth or textured. The smooth surfaced implants are more mobile, while the textured are likely to be restricted in mobility, as the tissues grip the surface better. The advantage of cohesive gel implants is that they can be shaped like a breast, which is why they are called as anatomical implants.


What techniques are used for breast augmentation?

Breast augmentation is usually done under general anesthesia. The implants are commonly inserted through an incision in the fold below the breasts. Other access sites such as peri-arolar and axillary can also be used. Your surgeon at Aesthetics will be able to tell you the one most suitable for you. The inframmary incision is of about five to six cm length. A pocket is created under the breasts and the implants are placed in it. This pocket will either be under the chest muscle or above it, depending on the preexisting volume of your breasts. The wound is closed meticulously.


What should I expect after surgery?

You will notice the difference in the size of your breasts almost immediately. They will be strapped in a firm compressive dressing, and then you will be advised to wear a firm supportive bra continuously for 8 weeks. As the wounds are closed with absorbable sutures, stitch removal is not usually necessary. You will be allowed to go home either on the same day or whenever you feel comfortable.


Which Breast implants to choose?

The increase in the cup size of the breasts depends on the original cup size and the volume of implant used. Pre-operative sizing techniques such as the "BioDimensional Planning system for Matrix Implants" or Tebbitts method of sizing, 3D sizing using Crisalix software are used by us at Aesthetics Medispa to assess the breast implants size most suitable for you.

Digital simulation software may also aid in taking a decision. Depending on the shape you hope to achieve, you and your Surgeon at "Aesthetics Medispa" may choose either a round or anatomical/contoured implant.


What to expect after surgery?

Immediately after the operation most women experience mild swelling, bruising and tenderness. These symptoms subside in a short time. The breasts will be located high on your chest. Once the swelling has subsided, the breasts will settle to a more natural and pleasing location and shape. This may take less than or up to half of year.

After the operation you may have mild to moderate realisation of discomfort, most noticed only on movement. This is easily controlled with oral medication. In a week's time most of the medications can be stopped.

To allow your wounds to heal we advise you to refrain from vigorous activity for two weeks and aerobic upper body exercise for six weeks.

We strongly advise you to wear a firm supportive bra continuously for eight weeks. This helps in fixing the implant in proper position and reduces risk of rotation of implant.


What are the possible risks and complications?

Possible complications of general anesthesia, along with well as nausea, vomiting and fever may occur. These will be discussed in detail with your anesthetist.

There is a risk of infections. Usually it can be prevented and treated by antibiotics. If the infection cannot be controlled by antibiotics, then the implant will have to be removed till the infection is controlled and reinserted at a later date.

Hematoma (collection of blood that may cause swelling, pain and bruising, perhaps requiring surgical draining).

There also may be delayed wound healing. This is very rare after a standard breast enlargement.


What risks are involved with the implant?

Capsular contracture (hardening of the breast due to scar tissue) is one of the risks. Body lays down a layer of scar tissue around any foreign object, which in some individuals can become very hard and distort the implant. Risk is only about five to ten percent with the newer generation of implants.

Following mentioned are some of the commonly faced risks with implants:

  • Leak or rupture - older Silicon gel implants may leak or rupture slowly, releasing silicon gel into surrounding tissue; saline implants may rupture suddenly and deflate, usually requiring immediate removal or replacement. Cohesive gel implants have not been shown to leak.
  • Temporary or significant change or loss of sensation in the nipple or breast tissue.
  • Formation of calcium deposits in surrounding tissue, possibly causing pain and hardening - only a problem in silicon gel implants, if they leak.
  • Shifting from the original placement, giving the breast an unnatural look. Proper precautions have to be taken to prevent rotation or displacement of implants and hence firm support is necessary after surgery.
  • Interference with mammography readings, possibly delaying breast cancer detection by "hiding" a suspicious lesion. To reduce this risk, some surgeons' advice placing implants behind the chest muscle.
  • Recent epidemiological studies have shown, however, that there is not a large increased risk of traditional autoimmune, or connective tissue disease, from silicon gel implants.

Are silicon implants safe?

The UK Government appointed Independent Review Group (IRG) July 1998 which has concluded that there is no conclusive evidence for any link between use of silicon and immunological or connective tissue disorders. Recently US FDA has also approved use of silicon implants manufactured by Mentor.


Silicon implants and Cancer?

The IRG has concluded that there is no increased risk of cancer with use of silicon implants. They however advise that women should continue to be screened.


Do implants affect screening?

Implants do not affect screening of the breast, but they make it technically difficult and special views may be necessary. Hence, the technician should be informed prior to screening.


What is the life of an implant?

The newer generations of implants are for a lifetime from manufacturing defects such as leak or rupture/degradation by the manufacturers of reputed implants. These newer generation of implants have been in use for the last eight to ten years. Implants only need to be removed if they cause a problem. Implants should be routinely reviewed by your surgeon at our clinic.


What about the results and outlook?

The results of breast augmentation are immediately visible. Final results appear gradually over the next few weeks as swelling resolves and breast size and shape settles. Incision lines typically will continue to fade over the next year. Over time, your breast can change due to aging, weight fluctuations, hormonal factors and gravity. However, your new enhanced breast contour and the freedom to wear the clothes you enjoy without the need for padded bras should bring you added self-confidence whether at the beach or boardroom.

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