[vc_row][vc_column][vc_column_text]Breast size is important to many women. Some individuals feel that small breasts not only limit their fashion choices, but can also cause dissatisfaction with body image. Breast augmentation to increase fullness and projection of the breasts improves the balance in a womans figure and can enhance her self-image and self-confidence.
Breast augmentation enlarges a womans breasts through the surgical placement of breast implants. In general, it is a cosmetic procedure strictly performed to fulfill your personal desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy. Implants may also be used for reconstructive purposes to restore a breast that is lost due to mastectomy, injury or for other reasons. In any case, breast implants allow women the choice of fuller, natural appearing breasts and a more balanced figure.
This brochure presents an overview of breast augmentation. The best way to learn how breast augmentation can help you fulfill your personal goals is a consultation with a plastic surgeon.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_tta_accordion][vc_tta_section title=”What is a breast enlargement?” tab_id=”1632414759266-2c52d069-3dc6″][vc_column_text]
Breast enlargement (augmentation) is the surgical placement of breast implants to increase fullness and projection of the breasts or to improve symmetry of the breasts. Clinically referred to as augmentation mammaplasty, the procedure is used cosmetically to:
- Restore breast volume lost following pregnancy, as a result of breast-feeding or due to weight loss
- Enlarge a naturally small breast, most commonly the result of heredity
- Achieve better symmetry when breasts are moderately disproportionate in size and shape
Breast augmentation does not however correct sagging breasts. In cases where a woman desires to enhance breast fullness and at the same time improve the position and shape of sagging breasts, a breast lift may be performed in conjunction with breast augmentation.
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. Permanent breast enhancement can only be achieved surgically. There is currently no medical treatment of any kind for breast enhancement with the proven results and satisfaction of breast augmentation.
Adult woman of any age can benefit from breast augmentation to enhance small breast size or restore fullness. However it is recommended that breasts be fully developed prior to breast augmentation. You should also be aware that breast augmentation does not generally interfere with a womans ability to breastfeed.
A woman who is motivated by her own personal desire to enhance breast contour is most likely to be satisfied with the results of breast augmentation surgery.
Good candidates are defined as:
- Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
- Non-smokers
- Individuals with a positive outlook and specific goals in mind for improving their body image
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The final result and the shape of the breast after placing the implant are determined to a large extent by the position of the implant in relation to the pectoral muscle of the chest wall. The implants may be placed over or under the pectoral muscle. The operative access when placing the implant under the muscle also plays an important role when a decision is made whether the implant should be completely or partially covered by the muscle.
The effect varies depending on the position and on the way of placing the implant. Observing certain principles would prevent some potential complications, which often go along with the procedure of breast augmention: the risk of capsule contracture is reduced, the “round” shape of the breast may be avoided, the risk of rippling the breast is reduced to a minimum, the ptosis of the breast is prevented, the mamography after the augmentation procedure is facilitated.
Placing the implant under the muscle (under the gland)
On the photo on the left the placement of the implant over the muscle in the subglandular area is shown (the area under the gland); the contact with the breast tissue is complete. In most patients this method of placement is instrumental for a more rounded form and appearance of the breast, and a lot of women prefer namely this “rounded” appearance and not so much the natural appearance of the breast. With the over-the muscle placement the implant is “inside” the breast.
Advantages:
- it is easier to perform the surgery which may be done by nearly every surgeon;
- the formation of mastopexy is limited (although the ptosis, which may appear later on, may be more clearly expressed and more difficult to correct);
- insignificant postoperative discomfort, because the cut is only of the skin and of the fatty tissue. This approach allows the placement of implants of bigger size, which is the desire of most of the women.
Disadvantages:
- considerable difficulties when mammography is done (around 40% obstruction);
- the edges of the implant are clearly visible;
- notable rippling of the skin over the implant especially of the texture (rough) implants;
- a greater risk of contracture of the capsule; ptosis of the implant is often observed;
- the correction of the ptosis, which appears after some time, is considerably more difficult.
Placement of the implant partially under the muscle
The photos show partial coverage of the implant by the muscle, when it is placed under the muscle and the cut may be both through the areola, as well as through the inframammary fold. In this way the supporting fascia in the inferior part is interrupted, and this allows the access to the plane under the muscle. With this access the implants are nearly entirely under the muscle.
Advantages:
- the implant is separated from the muscle to a considerable degree, which facilitates mammography;
- a more natural appearance of the breast is achieved, with gradual transition from the flat part of the chest wall to the round shape of the implant;
- the edges of the implant are hardly noticeable; usually there is no rippling of the breast (except with the texture implants);
- the risk of capsule contracture is significantly lower, if only the implant is not infected when placed through the chest wall.
Disadvantages:
- the postoperative discomfort is more considerable;
- the technique is a little bit more difficult to perform;
- the inferior part is supported only by the tissue (when the implant is paced over the muscle), which causes with time ptosis of the implant in some of the patients.
Placement of breast implants thoroughly under the muscle
The photos show placement of the implant thoroughly under the muscle, when the supporting fascia in the lower part remains intact. The supporting fascia is an extension of the pectoral muscles to the straight abdominal muscles and to the ring-formed lateral serratus muscles. It is a collagen “sheet” which gradually extends after the placement of the implant and ensures internal (like a bra) support, preventing in this way the “ptosis” of the implant. With this access the implant is placed entirely behind the breast. The “complete” covering of the implant by the muscle (in its inferior part 1/3-1/4 of the implant is covered only by the muscle fascia), without the cut touching the muscle itself, may be achieved only with the transaxillar access. With it the submuscular area is penetrated through the anterior axillary fold, where the muscle is found closest to the skin.
Advantages:
- easy to place; natural shape of the breast; unnoticeable edges of the implant;
- there is no risk of rippling the surface of the breast (except for the texture implants of much thinner women);
- lower risk of capsule contracture, because the breast hill is completely separated from the implant and when placed, the implant is not infected;
- mammography is affected to an insignificant degree only; there is a good internal support; no scars remain on the breast itself.
Disadvantages:
- the operation itself is more difficult to perform, that is why it cannot be done by every surgeon;
- postoperative muscle pain;
- initially the implants stay higher, until the supporting fascia gets adapted and extended;
- in some of the cases the lymph drainage of the two external segments of the breast is impaired, the so called Grossman’s way.
All the three above-described methods are applied in our clinic. The decision about the method of the implant placement is made at the consultation and according to the individual status of the patient.
Мaterials are used from www.advanced-art.com
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Your plastic surgeon performs breast augmentation using implants made of medical grade, biocompatible, textured or smooth silicone shells filled with sterile high quality medical silicone gel with different cohensitivity or with sterile saline solution. Implant placement, type and size will be determined based on your breast anatomy, body type and desired increase in size, as well as your plastic surgeons judgment. Implant manufacturers occasionally introduce new styles and types of implants among which you can choose that would fit you the best.
Breast implants have not been shown to impair breast health. Careful review of scientific research by independent groups such as the National Academy of Sciences Institute of Medicine (IOM) has found no proven link between breast implants and auto-immune or other systemic diseases in women. Implants can, however, create subtle or more noticeable changes in the look and feel of your breasts. Capsular contracture, a condition that causes the naturally-forming scar tissue around a breast implant to contract, occurs in a variable percentage of patients and can make the breast feel firmer than normal. While this condition can be addressed surgically, correction is not always permanent.
You should be aware that breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of a womans lifetime. Breast augmentation requires maintenance over time, including regular examinations for breast health and to evaluate the condition of your implants.
A mammogram may be recommended prior to your procedure to ensure breast health and serve as a baseline for future comparison. Following the procedure, mammography is technically more difficult. Obtaining the best possible results requires specialized techniques and additional views. You must be candid about your implants when undergoing any diagnostic breast exam.
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A consultation with your plastic surgeon is the first step to learn how breast augmentation can enhance your breasts appearance and improve your body image. It is important for you to:
- Honestly share your expectations
- Fully disclose health history, current medications, the use of vitamins, herbal supplements, alcohol, tobacco and drugs
- Be candid about any history of breast cancer in your family and your personal breast health
- Commit to precisely following all of your plastic surgeons instructions Safety
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Your plastic surgeon will carefully explain your breast augmentation procedure. Prior to surgery, you will be given specific instructions that may include:
- Pre-surgical considerations, diagnostic testing and medications
- Day of surgery instructions and medications
- Specific information related to the use of anesthesia
- Postoperative care and follow-up
In addition, you will be asked to sign consent forms to assure your plastic surgeon that you fully understand the procedure you will undergo and any potential risks or complications. Possible risks of breast augmentation include bleeding, infection or poor healing of incisions and changes in nipple or breast sensation. Capsular contracture, implant leakage or rupture, or wrinkling of the skin over the implant is also possible and may require a second procedure. All surgery carries risks associated with anesthesia. These and additional risks will be discussed prior to your consent. It is important to have all your questions answered and it is natural to feel some anxiety about surgery. Discuss these feelings with your plastic surgeon.
Breast augmentation may be performed in your plastic surgeons accredited office-based surgical facility, an ambulatory surgical facility or a hospital. The decision for anesthesia will be based on the requirements of your specific procedure and considerations of patient and surgeon preference. Your plastic surgeon and the assisting staff will fully attend to your comfort and safety.
[/vc_column_text][/vc_tta_section][vc_tta_section title=”Following surgery” tab_id=”1632414986725-bce9a4b7-3fb5″][vc_column_text]
Once your procedure is completed, dressing or bandages may be applied to your incisions, and an elastic bandage or support bra will minimize swelling and support the breasts as they heal. Before being released, you and an accompanying family member, friend or caregiver will be given specific instructions that may include:
- How to care for the breasts following surgery
- Medications to apply or take orally to aid healing and reduce the risk of infection
- Specific changes at the surgical site or in overall health
- When to follow-up with your plastic surgeon
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Initial healing may include swelling and discomfort at the incision sites and in breast tissue overall. Discomfort is common and can be controlled with medication. A support bra may be recommended around the clock for the first week or two. It is important to cleanse the incision sites and apply any ointment as directed. Follow all instructions carefully; this is essential to the success of your outcome. A return to light, normal activity is possible as soon as you feel ready, usually within a day or two of surgery.
Initial wound healing may take 5 to 10 days, at which time any sutures will be removed. You will be ready to return to work and normal activity at this time, if you feel comfortable, so long as you do not engage in any heavy lifting or vigorous exercise. Intimate contact with breasts may resume when healing is more fully completed, usually within 4 to 6 weeks.
Healing will continue for several weeks as swelling resolves, implant position settles and incision lines continue to refine. Incision lines are permanent, although inconspicuously located. Continue to follow your plastic surgeons instructions and attend follow-up visits as scheduled.
[/vc_column_text][/vc_tta_section][vc_tta_section title=”Results” tab_id=”1632414984517-8c6f2e8b-9b74″][vc_column_text]
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 breasts 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 in the conference room.
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