Breast Enlargement (or Augmentation) surgery consists of increasing the volume of the breasts, therefore giving a more pleasant shape in proportion with the rest of the body. Breast Augmentation is one of the most frequently performed aesthetic surgery procedures, and has the highest degree of patient satisfaction. It is usually performed under general anaesthesia and takes approximately 1 hour.
The implants chosen by the Surgeon together with the patient can be placed according to the patient’s needs either through a small incision in the axilla (the armpit), around the areola (nipple) or within the intra-mammary fold (beneath the breast). The implants are placed above or beneath the muscle depending on the patient’s physiology, the effect she is trying to achieve and in discussion with the Surgeon.
During the first week after surgery the patient will need to take things easy and avoid any excessive physical exercise. Normal light activities can start during the 2nd week, and the patient will finally be able to resume heavy lifting/upper body exercise from the 3rd or 4th week. Modern implants, filled with cohesive silicone gel, give excellent results and the highest standards of safety. The surgeon is able to choose from a very wide range of implants with various shapes (anatomical/teardrop shaped or round), volume and consistency of the gel. He/she is therefore able to choose the best possible implant to achieve the “look” that the patient wishes to obtain.
The results of Breast Augmentation are immediate, providing fullness, shape, symmetry and improved position to the breasts whilst retaining a soft and natural feel. The results will improve over time as the swelling reduces.
The surgical dressing is removed after the first day and thereafter patients are asked to wear a surgical bra, day and night, for 4 weeks. If external stitches are used, they are removed after 10 – 14 days. Discomfort is effectively controlled with medication prescribed by the surgeon. The breasts are usually swollen for a few weeks, but this begins to decrease gradually. The patient can return to work 7 days after the operation, but should avoid lifting their arms above the head or sudden movements for the first 4 weeks.
How long do the prostheses last?
Modern implants are built to last a lifetime but it is impossible to say if or when they will need to be changed. The latest prostheses are of a very high quality but if they are implanted at a young age it is very likely that they will need to be replaced at a certain point. During your free consultation, the surgeon will discuss this with you.
What are the most common risks of breast implants?
The most common risk is a local problem called incapsulation. In about 5 % of patients the body produces excessive scarring tissue (capsula) around the implant causing excessive hardness of the implant. With some patients the solution to the problem requires revision surgery.
Can I breast feed?
The ability to breast feed is maintained when the implant is placed through the inframammary fold or the armpit and in most cases when they are placed through the areola. The presence of the implant does not interfere at all in the quality of the milk provided by the mother.
Are there any contraindications to surgery?
As with every other cosmetic procedure, this surgery is only performed if the patient is in good general health and the results of the pre operative tests are satisfactory. The breast has to be fully developed and after a pregnancy or after stopping breast feeding the patient cannot go ahead with the procedure for at least 6 months.
Will the scar be visible?
The scars are minimal and well hidden within the submammary fold, in the armpit, or in the margin of the areola. With time they usually tend to fade significantly.
Can you sunbathe topless?
It is important to protect the scars from the direct sun during the first year following surgery. After that time they can be exposed to the sunlight without any problem.
Will I be able to have mammogram after this surgery?
Women with breast implants can undergo their routine mammograms without any problem although they must inform the radiologist about the presence of the prosthesis prior to the exam.