Breast Augmentation

BREAST AUGMENTATION
Most women believe that the size of their breasts is very important for a feminine aesthetic appearance.

Some women may have naturally small or asymmetrical breasts. Nowadays, restoring the breasts to the desired size is achievable, and the ideal method is using silicone prostheses. Additionally, this method provides completely permanent results. Breast augmentation is also possible through newer methods, such as fat injection and injection of water-retainer substances, called aquafilling, which are easier to apply but provide non-permanent results.

There are different types of breast implants, which differ from each other in their shapes and the filling material. Today, the most preferred breast implants are the ones filled with silicone gel. They are round or teardrop-shaped and available in various sizes and volumes. The outermost part is also made of silicone with a textured or smooth outer surface.
The size of the implant suitable for the patient is determined after the measurements and detailed consultation with the physician. To discover the ideal size, non-permanent implant can be used during the surgery, and the original implant can be placed after making the final decision.

The patients, especially those over 40 years of age, should have radiological examination of the breast in terms of cysts or other formations before the surgery. This is important to let the patient identify an existing pathology, which provides guidance for the next steps. Breast implants neither increase the risk of breast cancer, nor interfere with breast examination, follow-up and mammography imaging.

The major undesired complication related to breast augmentation procedures performed using silicone implant is capsular contracture. The body perceives the silicone implant as a foreign material, and may react against it over time. Thus, a membrane, called capsular contracture, may form around them. This condition may lead to stiffness and malformation in the breasts. When the reaction is mild to moderate, it netiher causes too much discomfort for the patient, nor creates impairment in appearance. It can also be removed by external massage or sometimes by additional surgical interventions. If the capsular contracture is severe, the implant may need removing. Rates of rupture are low because the implants are made with highly cohesive material. Sometimes, incidents like traffic accidents may cause compression and rupture of the implant.

The surgery involves general anaesthesia. An incision of approximately 3 to 4 cm is made on the inframammary line and a gap is prepared where the implant is inserted.  The implant can be placed directly under the breast or under the muscle; or some of it under the muscle and some of it under the breast. Depending on the breast tissue of the patient, the surgeon determines the area of placement. The incision can be made under the nipple, under the breast fold, or under the armpit.

After the surgery, the patient may have difficulty in moving her arms and a slight pain for a few days, but the discomfort is quite minimal during the healing period. Patients can usually return to work within 5 to 7 days. Wearing a compression bra is recommended for up to 6 weeks. Patients should also avoid strenuous physical exercises. Generally, the patients are highly pleased with the outcomes of the surgery, which is psychologically healing.  

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