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A woman’s breasts have always been considered to be one of the symbols of femininity, beauty and sexuality. It’s not surprising, then, that women would like to have high, full, and rounded breasts. However, in some cases, the breasts may not be as full as desired. Also, even the firmest and most well-shaped breasts will lose their youthful appearance as the years pass. They will become less firm and may begin to sag. These changes may be more pronounced in the case of women who have breast-fed their babies.
This is where Breast Augmentation comes to the rescue. It is the method of choice to uplift saggy breasts, correct any asymmetry in the size of breasts, or to increase their size.
It is very important to note that breast implants will not affect the normal functioning of the breast, and that they have been proved to be absolutely safe. They will not cause breast tumours (cancer) nor will they affect breast feeding at a later date.
If you wish to increase your breast size, the first step is to consult a reputed plastic surgeon. Basically, there are two types of Implants – silicone gel filled implants and saline filled implants. The implants may be either round or anatomically (teardrop) shaped.
Consultation
When you meet your Plastic Surgeon, it is essential to speak honestly and openly about your goals and expectations for the surgery. This is the first step towards ensuring a successful outcome for the procedure. Your surgeon will examine your breasts, and evaluate a number of factors which will determine the best type of surgery for you. These parameters will include your body weight, height and constitution; the natural shape, size and symmetry of your breasts; the elasticity of your skin, the position of your nipples, and the amount of sagging of the breasts. This will help your surgeon to determine the best options for you.
You will also discuss the main surgical choices available to you.
Placement of surgical incision.
The three main options for placement of the incision during breast augmentation surgery are:
- In the fold beneath the breast,
- Around the areola of the nipple,
- In the armpit.
Shape and size of breast implants.
The shape of the implants will be selected after consideration of your expectations and desires, and also the surgical implications.
Round implants are the perfect choice for women with firm, round natural breasts, who just want a simple breast augmentation.
Teardrop shaped (anatomical) implants are the ideal choice for women who have breasts of a similar shape. Further, such implants are a good option for those patients who want less fullness in the upper part of the breast, and a more natural shape.
During the consultation, your surgeon may use a 3D simulation technique to simulate the possible results of breast augmentation, and give you an idea of what your breasts will look like after the procedure
How Is the Surgery Performed?
The procedure will be performed under a general anaesthetic. The time required may be approximately 2 to 3 hours.
TYPES OF BREAST IMPLANTS
Breast Implants can be broadly classified as SALINE GEL FILLED implants and SILICON FILLED implants, depending on their contents.
Silicone gel implants contain a highly cohesive matrix of silicone gel. These implants are preferred in most cases as they have a more natural look and also feel more natural. However, a lot depends on the quality of the implant you select. A high quality implant will be “form-stable”, i.e. it will keep its shape, and will also be more stable and longer lasting.
Silicone implants are available as circular implants, as well as in the ‘teardrop’ shape.
Implants are usually inserted by employing what is known as a “dual-plane technique”. Here, the upper part of the implant is placed in a pocket behind the pectoral muscle, and the lower part of the implant is placed behind the breast’s glandular tissue. This technique also gives you a breast lift from the chest wall, and your breasts will look more natural.
AFTER YOUR SURGERY
Your surgeon will also explain what you can expect in the days and weeks following your procedure.
- The breasts may remain sore and swollen for up to 3 weeks.
- The surgical dressings should be changed every 2 or 3 days.
- The stitches will be taken out after a week or 12 days after the procedure.
- For the first month or so, you should be careful not to raise your arms above your head, as this may lead to the implants shifting from their position.
- You will need to wear a special surgical corset or garment for at least a month and a half after your surgery, for at least 22 hours every day.
- You must not carry out any vigorous activity, or take part in strenuous exercise or sports, for at least 2 or 3 months.
- You will be taught certain specialized exercises, to carry out from the first day after the procedure. These will help to reduce post-operative discomfort.
- You will be able to go back to work in a few days, as long as your job does not involve any strenuous activity, or raising your arms.
- The surgical scars are hidden, and almost unnoticeable. The breasts will appear and feel normal and natural.
Complications
Complications after breast augmentation are very rare.
Certain complications such as infection, shifting or mal-positioning of the implant, collection of blood or body fluid in pockets, or sensory changes, may develop in rare cases.
In a very few cases, a “Capsular Contracture” may develop after some time. This means that a thick capsule or covering may develop around the implant, which could distort the implant.
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