Breast enlargement, technically known as augmentation mammoplasty, is a surgical procedure to increase the size and shape of womens´ breasts in the following situations:
- To improve the silhouette of a woman who thinks her breasts are too small.
- To correct the reduction in size of breasts that sometimes occurs after surgery.
- To correct a size difference between breasts as a reconstructive procedure after breast surgery.
If you are considering undergoing this procedure keep in mind:
- If you are very young, breast development must be complete.
- You must be emotionally mature and be totally certain as to why you want to have the operation.
- You must have realistic expectations, knowing that this procedure will improve your appearance but that perfection doesn`t exist.
During the first visit with the doctor he or she will evaluate your physical and emotional condition and discuss the options. It´s important that all the following information is given to the doctor:
- Previous surgical procedures.
- Medical history.
- Current and past medications including homeopathic medicines.
- Mammogram results.
- Any history of breast cancer in the family.
The doctor will explain different factors that may affect the result of the operation, such as pregnancy shortly after the procedure or excessive weight loss or gain. These circumstances can change breast shape and size.
At the first appointment the breasts will be examined and some photographs will be taken, the type and size of implants will be decided and the skin type will be examined. The doctor will explain how the breast will look after the operation.
The technique the surgeon employs will be decided by both the surgeon and the patient. The incision is small and is normally done in one of three places: under the breast, in the armpit or around the areola.
Once the incision is made the surgeon makes a pocket into which the implant is placed. The pocket is made behind the breast tissue or under the pectoral muscle which is below the breast tissue.
No, and it always depends on the amount of fat available on other parts of the body. Bear in mind that a procedure using fat will involve more than one surgery.
The surgeon will give advice about the type of implants available and their characteristics. Every year thousands of women undergo this procedure without any complications. However, the advantages and disadvantages of this procedure must be explained as must any possible complications.
Make sure that any doubts are answered and that you understand everything perfectly.
Your surgeon will explain and give instructions as to what must be done before and after surgery. If you follow these instructions the risks will be minimized.
You must follow some important points:
- Avoid certain medications which may complicate surgery or recovery.
- If you smoke you will have to stop for a time before and after surgery.
- After the procedure special care will have to be taken.
A very small percentage of anatomical implants can rotate, especially with implant changes, strong manipulation before 6 months or in patients with loose tissue.
Although it´s very uncommon, the implant may break for no apparent reason. If the breakage occurs within 10 years of the procedure and spotaneous breakage is confirmed after examining the implant, the manufacturers will cover the cost of new implants, but not the surgery.
Of the same size and according to the type of anatomical implant, they have a bigger vertical diameter than the round implants whichallows for more filling of the cleavage creating the opposite of a drooping breast.
This procedure is performed in a hospital or clinic and involves an overnight stay. The procedure is done under general anaesthetic and at the end of the procedure a gauze bandage will be placed on the wound.
In the first days following the procedure a lot of care must be taken with movement. Any discomfort will be eased using the medication prescibed by your doctor.
Although every patient recovers at a different rate, in general the recovery will be as follows:
One week after procedure:
- Showering is possible.
- Stitches will be removed.
- Return to work as long as work is not strenuous.
- Sexual relations are possible taking care not to manipulate breasts.
A few weeks after procedure:
- Swelling will have reduced and results of the procedure will be easier to see.
- The bra need not be worn the whole day.
- Excercising can be done with arm movement.
- Sleeping on your side is possible.
The majority of women who undergo this procedure are satisfied with the results, They are happy with their new image and with a changed figure can experiment with new clothes. Many women have more self confidence.
Although the results may last for a long time, remember that breasts are not immune to the passing of time or changes in weight.
After the procedure you will have to visit your doctor to evaluate the recovery process. In the following months you will have to visit the doctor periodically to be able to see the results of the procedure and answer any questions you may have. These appointments will normally be at 1 week, 1 month, 3 months, 6 months and a year.
Whatever the procedure you are considering, an important factor in the result is the correct choice of surgeon. Make sure it´s a plastic surgeon.
Candidates: Women who are happy with existing breast shape ( no sagging ) and want to increase volume.
Age: Breast development complete, 18 -20 years.
Radiological studies: X -rays, mammograms and/or ultrasound if patient has MRI prostheses.
Type of enlargement:
Silicon gel implant, round or anatomical ( depending on wishes and surgical criteria ) Allergan and Mentor.
Fatty tissue: Patients with areas of accumulated fat or after liposuction for those patients with important differences in breast symmetry or who only want a minor increase in volume.
Surgical entrance points: Areola, breast crease and armpit (according to surgery requirements and patients preference).
Implant position: Subpectoral ( most common ), subfascial or subglandular.
Pain type: Stiffness in pectoral muscles, premenstrual tightness in breast, pain increases with movement.
Annual breast scan to check implant and NMR if thought necessary.
In patients with low weight the loss of weight will make the appearance of the breasts deteriorate, increasing the visibility of the implant.
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