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Breast Augmentation

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BREAST AUGMENTATION

OVERVIEW

Breast augmentation (sometimes known as mammoplasty, breast enlargement or boob job) is a surgical procedure that uses breast implants to enhance the size and shape of a woman’s breasts.

Importance of breast size

Breast size is important to many women. Some women feel that small breasts not only limit their fashion choices, but also cause dissatisfaction with body image. Breasts contribute to female body proportions. A proper and proportionate body contributes to overall attractiveness. For many women, breast size is an important part of feeling good, desirable and normal.

Breast augmentation helps to increase fullness and projection of the breasts.

This improves the balance in a woman’s figure, and enhances her self-image and self-confidence. It can make a woman feel more close to the ideal, and can drastically improve the way she views herself.

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What are the results and the outlook?

The results of breast augmentation are immediately visible. Final results appear gradually over the next few weeks when swelling resolves and breast size and shape settles. Incision lines typically 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 would bring you added self-confidence, whether at the beach or the boardroom.

Who are the ideal candidates?

Breast augmentation is most suitable for women who have small, underdeveloped, asymmetric breasts, 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. Reconstruction of breasts after mastectomy is also possible using implants.

Adult women of any age can benefit from breast augmentation. However, we recommend you to ensure that your breasts have fully developed before you consider breast augmentation.

Breast augmentation is a matter of one’s individual choice. You should undergo it to fulfill your own desire for enhanced breast size, not the desire of others.

Which breast implant should I choose?

The cup size of the breasts increases in proportion with the original cup size and the volume of implant used. We, at Aesthetics Medispa, use pre-operative sizing techniques such as the “BioDimensional Planning system for Matrix Implants”, Tebbitts method of sizing, or 3D sizing using Crisalix software to assess the breast implant size most suitable for you. Digital simulation software may also aid in taking a decision.

You and our surgeon at Aesthetics Medispa may choose either a round or anatomical/contoured implant depending on the shape you hope to achieve.

How long will I be in the hospital?

You will be allowed to go home either on the same day or whenever you feel comfortable.

How much life do breast implants have?

The newer generations of implants last for a lifetime. Implants produced by reputed manufacturers usually do not have manufacturing defects such as a leak or rupture/degradation. These newer generation implants have been in use for the last eight to ten years.

It is, however, advised to to have your implants routinely reviewed by a surgeon at our clinic

Could implants add to the risk of cancer?

The Independent Review Group (IRG) has concluded that there is no increased risk of cancer due to use of silicone implants. They, however, advise women to take mammography readings from time to time.

How Breast Augmentation Is Performed?

Breast augmentation is usually done under general anesthesia. The surgeon commonly inserts implants through an incision in the fold below the breasts. Alternatively, they may use other access sites such as periareolar and axillary. Our surgeon at Aesthetics Medispa will be able to guide you as to which one is the most suitable for you. The inframmary incision is of about five to six cm length. The surgeon creates a pocket under the breasts. They place the implants in this pocket. This pocket will either be under the chest muscle or above it, depending on the pre-existing volume of your breasts. The surgeon closes the wound meticulously.

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 silicone with saline, silicone gel or cohesive silicone gel as its content.

The implants may have a smooth or textured surface. Smooth surfaced implants are more mobile, while textured ones 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. This is why they are called as anatomical implants.

Saline and silicone gel implants have a higher risk of leaking and subsequently deflating. Cohesive gel silicone implants are semisolid in consistency and retain their shape even if cut open.

What Can I Expect After The Breast Augmentation Surgery?

You will notice the difference in the size of your breasts almost immediately. Your breasts will be strapped in a firm compressive dressing, and then you will be advised to wear a firm supportive bra continuously for eight weeks. This helps in fixing the implant in its proper position, and reduces the risk of rotation of implant. As the wounds are closed with absorbable sutures, stitch removal is not usually necessary.

Immediately after the operation, most women experience mild swelling, bruising and tenderness. These symptoms subside in a short time. Your breasts will ride 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 up to three to six months.

After the operation, you may have mild to moderate realization of discomfort, most noticeable only on movement. This is easily controlled with oral medication. In a week’s time most of the medications can be stopped. We advise you to refrain from vigorous activity for two weeks and aerobic upper body exercise for six weeks to allow your wounds to heal.

Are There Any Risks And Complications Involved In Breast Augmentation Surgery?

Possible complications of general anesthesia, along with nausea, vomiting and fever may occur. Our anesthetist will discuss these with you in detail.
There is a risk of infection. 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 it is re-inserted 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 augmentation.

Are there any risks involved with implants?

Capsular contracture (hardening of the breast due to scar tissue) – The body lays down a layer of scar tissue around any foreign object, which in some individuals can become very hard, and can distort the implant. However, the risk of this happening is only about five to ten percent with the newer generation of implants.
Leak or rupture – Silicone implants may leak or rupture slowly, releasing silicone gel into surrounding tissue; saline implants may rupture suddenly and deflate, usually requiring immediate removal or replacement. Cohesive gel implants have not been found 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 silicone 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 for the breasts is necessary after surgery.
Interference with mammography readings, possibly delaying breast cancer detection by “hiding” a suspicious lesion. To reduce this risk, some surgeons’ advise placing implants behind the chest muscle.

The government of UK appointed the Independent Review Group (IRG) in July, 1998. They have 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 silicone implants manufactured by Mentor.