Breast Augmentation Surgery (Mammaplasty)

What is breast augmentation surgery?

Breast augmentation surgery, also known as breast implants, breast enlargement or augmentation mammaplasty, is a cosmetic procedure that aims at increasing the shape and size of a woman’s breast. It increases or restores the breast size of a woman using saline implants, fat transfer or silicone gel implants. It has successful track record in satisfying women who want to regain, restore or enhance their bosoms.

breast augmentation surgery

Who is the ideal candidate for the procedure?

Here are a few reasons who you might consider undergoing breast augmentation surgery:

  • • One breast is noticeably smaller than the other.
  • • You think that your breasts are small for the body.
  • • Your breasts have become smaller because of weight loss.
  • • Clothes that fit your hip appear too large at the bust line
  • • You become self-conscious wearing low-cut or form-fitting tops or a swimsuit.
  • • Your breasts have become less firm or smaller after childbirth.

If you have a positive attitude, good health and realistic expectations then you are the ideal candidate for this procedure.

How is breast implants or augmentation surgery done?

In this procedure, the cosmetic surgeon would make an incision for lifting the breast and creating a pocket in the breast area or chest and would place an implant in the pocket.

Yet another option for breast augmentation procedure is autologous fat transfer, a process in which the surgeon removes the own fat of the patient making use of the liposuction technique, from a fat yielding body part such as flanks, thighs and abdomen and then process it before injecting into the breast. This procedure is currently at the experiment stage however studies conducted so far have shown promising results.

Where breast implants be inserted?

Multiple factors, including the recommendation of the surgeon and the anatomy of the patient’s own body, would determine how breast implant is positioned and inserted. The implant is placed in a pocket either:

  • • Below the breast tissue and on top of the pectoral muscle
  • • Below the pectoral muscle that is located between the chest wall and the breast tissue.

Placement of the implant below the pectoral muscle might interfere less with mammograms as well as breast-feeding. The plastic surgeon would discuss with you.

What are the available options?

In recent years, there have been many choices for breast implant and augmentation. The following are the available options, on the basis of the aesthetic goals, body shape and medical history.

Saline-filled breast implants

They are filled with sterile salt water. They might be prefilled at a predetermined size or filled at the time of the surgery to allow for minor modifications in implant size.

Structured saline-filled breast implants

These are filled with sterile salt water however containing a structure inside so they act as if filled with soft, elastic silicone gel. This structure allows them to hold their shape better than conventional saline implants. These are approved by the FDA and Health Canada in the year 2014. These implants have been available in the market since 2015.

Silicone gel-filled breast implants

This type of implants are filled with soft and elastic gel and are easily available in different types of shapes. All silicone gel breast implants are pre-filled and might need a longer incision for placement.

Cohesive gel silicone gel-filled breast implants

Also known as “gummy bear” or “form stable” implants, these are filled with a cohesive gel. These are made of crosslinked molecules of silicone that makes them a bit firmer and thicker than traditional silicone gel implants. This allows them to hold their shape better. These are approved by the FDA to be used in the United States in the year 2012.

Autologous Fat Transfer

It removes fat through liposuction from one part of your in which they are abundant fat cells such as hips, abdomen and thighs. After a process of refinement and preparation, the fat cells are injected into the breasts. This is relatively a less common technique than breast augmentation and is still undergoing research and clinical studies for effectiveness and safety.

In case, a patient has drooping or sagging breasts, the plastic surgeon might combine any of these options with a breast lift to achieve better results.

The anatomy of the patient along with personal preferences would help her and the surgeon determine:

  • • The location of incision and the type of implant that would best fit your needs
  • • The optimal size of the breast
  • • The best type of surgical procedure and implant for you

Factors that influence the shape and size of the breast implant recommended for you might include:

  • • Preferences of the patient related to the incision placement and size
  • • Goals for breast enhancement
  • • Existing breast tissue
  • • Medical history
  • • Existing body mass and frame

The goal of the aesthetic plastic surgeon and staff is to help a patient achieve the best results and to make entire surgical experience comfortable, safe and easy as possible.

Treatment plan

On the basis of physical characteristics, goals and the experience and training of the surgeon, doctor would share recommendations and information including:

  • • Options for surgery location and anaesthesia
  • • Associated complications and risks
  • • The results that you can anticipate
  • • Financial investment for the procedure
  • • An approach for the procedure, including the combination of procedures and the type of procedure.
  • • What you can expect to experience after the procedure

What can be expected on the day of the breast augmentation surgery?

Your breast augmentation surgery might be performed at an accredited hospital or office-based facility. The duration of the procedure lasts for two to four hours.

  • • Medications are administered for patient’s comfort during the surgical procedure.
  • • The surgery is performed under general anaesthesia although intravenous sedation or local anaesthesia might be desired in some instances.
  • • For the safety of the patient during surgery, several monitors and equipment are used for checking blood pressure, amount of oxygen circulating in the blood, check heart rate and pulse.
  • • The surgeon would discuss the surgical plan prior the procedure
  • • After the procedure is done, you will be taken to the recovery room where you will be closely monitored.

Recovery and aftercare

Prior the surgery, the plastic surgeon would discuss when you can return to work and normal level of activity. Once the procedure is performed,patient along with the caregiver would receive detailed instructions about the post-surgery care including information mentioned below:

  • • Potential signs of complications
  • • Drains, in case they are placed
  • • Normal symptoms that a patient might experience

Immediately after the surgery

After the breast augmentation surgery, surgical dressing might be placed that might include a support garment or bra.

This kind of surgical procedure stretches the breast tissue and can be painful. This stands specially true when breast implants have been placed under chest muscle. In most cases, patients experience maximum pain within first forty eight hours of the surgery. The level of pain would decrease each day and is treated with pain medications. Breasts might feel sensitive and tight to the touch and skin might feel itchy and warm. You may experience difficulty in raising your arms. You will experience some swelling and discolouration in initial days however this would disappear soon. Most residual swelling subsides within a month.

When the effect of anaesthesia wears off, you might have some pain and discomfort. If the pain is long lasting and extreme then contact the surgeon. You would also have swelling and redness after the procedure. Consult the surgeon to find out if swelling, pain and redness are a sign of problem or normal.

Recovery time frame post breast augmentation

  • • You should be able to walk without any help right after the procedure. Make sure you walk a few minutes after the surgery to reduce the peril of blood clot formation in the legs.
  • • No matter what, adhere to the patients care instructions provided by the plastic surgeon. This might include detailed information regarding wearing compression garments, taking an antibiotic or other prescribed medication, care of drains and the type and level of activity that is safe. In addition, the plastic surgeon would provide information about the normal symptoms that you might experience and the potential signs and symptoms of complications. It is important to know that recovery time varies greatly from one patient to the other.

How long the results will last?

In most cases and under normal circumstances, the results of the breast implant procedure would be long lasting. However, it is important to know that implants have to be replaced in case of damage or leak. Routine follow up with the surgeon is essential. Fat transfer procedure has different expectations, including volume loss over the period of time.

The appearance of breasts can change because of:

  • • Gravity
  • • Aging
  • • Hormonal factors
  • • Childbirth
  • • Weight loss or gain

After several years of the breast augmentation surgery, if you become less satisfied with appearance of your bosoms, you might have to undergo a breast revision to exchange implants or breast lift for restoring better contour and youthful shape.

Cost of the breast augmentation surgery

The cost of breast augmentation surgery in India varies and depends on several factors. Upon consultation with the surgeon, you will get to know the exact cost.

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