Breast Augmentation Videos
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Breast augmentation surgery involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy.

Breast implants have been proven to be safe and does not affect functions of the breast.

Nor do they cause or increase the chance of tumors or breast cancer.

Even breast feeding can be done normally later.

The scars of surgery are well hidden and the breasts look and feel natural.

Fondling of breasts are to be avoided for a month.

The incision can be made under the breast, around the nipple or in the armpit.

It generally takes two to three hours to complete the entire procedure.

The US FDA has approved silicone gel implants for breast augmentation.Implants are available in various sizes. The outer surface may be smooth or textured, and implants come in various shapes to meet the individual woman’s needs.

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TYPES OF BREAST IMPLANTS


Implant can be broadly classified as SALINE and SILICONE breast implants depending on its contents.

Saline implants have saline (salt water) solution inside the pliable silicon shell. Saline implants were extensively used prior to USFDA approval for cohesive gel implants. Saline breast implants are very safe, but have shown long term problems of rippling and deflation.

Silicon implants are available in the round or circular (most commonly used) as well as the anatomic or ‘teardrop’ shape. We use only US FDA approved Silicon implants.

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BREAST AUGMENTATION PROCEDURE

Performed under general anesthesia, breast enhancement surgery takes about 2 hours to complete. Implants are inserted in any of the following locations-

1. Underneath the gland called sub glandular

2. Beneath the muscle known as sub muscular

3. Both below the muscle (upper half of the implant) and below the gland (lower half of the implant) known as Dual plane.

The doctor decides to create a specific pocket after taking into consideration the tissue character of breasts and type of implant.


INCISION FOR BREAST AUGMENTATION

Infra mammary crease approach and the circum areaolar approach are most frequently used for breast augmentation by surgeons all over the world.

Infra mammary crease incision is a well hidden portion of breast, infra mammary crease approach is the most favored by both doctors and patients. A 5 -7 cm incision is made under the breast in such a way that final scar falls in a natural crease below the breast and fades away in the due course of time.

Circum areaolar incision makes use of natural color interface of nipple and breast skin for hiding the scar since incision is made in the lower half circle of the nipple or areola. The advantage in this approach is that the final scar blends in well in the natural color interface of the areola and breast skin.

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RECOVERY AFTER BREAST IMPLANT SURGERY
  • It is normal to feel slight discomfort, stretch, swelling and bruising after the surgery.
  • Most women resume light daily activities after 24 hours or so. Desk job can be resumed in 3-4 days time.
  • Diminished sensation over the breast is expected and it goes away in a fortnight or so.
  • You can take normal shower of bath after 3 days
  • Their are two follow ups required 1st followup is after 2-3 days for general inspection and 2nd followup is on 7th day for suture removal


COMPLICATIONS AFTER BREAST SURGERY

Collection of serous fluid or blood, infection, sensory alteration, wrongly positioned implants are some of the complications post breast enlargement surgery.

These are rare and can be easily resolved at the clinic.

Infection after the breast treatment is less than 1% for which course of antibiotic prescribed by the doctor suffices. If infection persists, then implant are removed and reinserted after a few weeks once infection has been taken care of.

In some cases, capsular contraction may occur at a later date wherein body forms a capsule around the implant. This capsule may thicken and disfigure the implant.

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Frequently Asked Questions

WHAT IS THE SIZE OF IMPLANTS CALCULATED FOR MY BREAST ?
The size of breast implants varies from case to case keeping in mind various factors. It depends upon the present size of your breast looseness of skin envelope diameter of your breast degree of ptosis of breast your weight height width of the shoulders etc. Doctor will also consider your expectation or desire for the cup size you want to reach.
WHAT ARE DIFFERENT INCISIONS FOR BREAST ENLARGEMENT SURGERY? OR WHERE WILL THE SCAR BE PLACED IN BREAST IMPLANT SURGERY ?
Incision used for breast implant surgery will decide where the scar will be placed. The most popular approach is by a Infra mammary crease incision. The incision is given in the infra mammary crease and measures about 5-7 cm. The advantages are It is hidden in the crease, less painful the glandular tissue is saved sensation of nipple is not affected nerve injury is avoided Even large size of implants can be implanted. Circum-areolar incision- It gives a scar around the lower half of areola which is barely visible. But it can be used only in cases with larger areola diameter. The advantage is that the scar is less obvious but the disadvantages are decrease in nipple sensation only a smaller size of implants can be inserted more pain and swelling There is cutting of the milk ducts as they converge towards the nipple. These ducts have bacteria within them and there is increased risk of infection around the implants and higher chances of capsular contracture. The axillary or arm pit incision is the popular choice in women who want to avoid scar on their breast. This approach is possible only in women with smaller breast tissue and who desire a small to medium augmentation . The advantage is that the scar is hidden in the axilla and the disadvantage is that it is a blind dissection procedure. This means the pocket created is not under direct vision and chances of bleeding are more .
WILL THERE BE LOSS OF SENSATION AT NIPPLES OR BREAST?
There can be loss of sensation, usually in the lower part of the breast and at the nipples. Mostly this loss of sensation is temporary and recovers over few weeks.
HOW LONG IT TAKES FOR BREAST IMPLANT SURGERY ?
It takes about 2 hours in operation theatre.
WHAT TYPE OF ANESTHESIA IS ADMINISTERED FOR BREAST IMPLANT SURGERY?
Breast implant surgery is done under General Anesthesia.
ARE THE BREAST IMPLANTS SAFE?
There are many researches and scientific data gathered over many years and US FDA has approved the silicone gel implants to be safe in breast enhancement surgery. There is no association between breast implants and breast cancer or autoimmune diseases or reproductive problems.
DO BREAST IMPLANTS LAST FOR LIFETIME?
Breast implants are safe and manufacturers guidelines assure that they last up to 15-20 years. You may require to replace them as the appearance of the augmented breast may change over lifetime due hormonal changes in pregnancy and menopause, significant weight loss or weight gain, ageing process, etc.
WHEN CAN I TAKE SHOWER OR BATH?
You can have shower and have bath after just 2 days.
WHEN CAN I START EXERCISE AFTER BREAST IMPLANTS?
You can start light walking just after 2 days but brisk waking and sweating can be started at 2 weeks. You can resume weight training and other cardiac exercises at 4 weeks after your breast surgery.
WHEN CAN I START DRIVING AFTER BREAST IMPLANTS?
You can resume driving a car after advised by your doctor. Make sure that all your pain medications have stopped, usually at one week.
HOW INTENSE IS THE PAIN AFTER BREAST IMPLANT SURGERY?
Mostly she complains of a stretching pain or heaviness in her breast. You are prescribed with not more than tablet ibuprofen as pain relief medication. Usually the pain is labelled as mild pain by most of our clients. You are able to do all normal activities at home from the next day only. It is important to note that pain sensation is a subjective experience and pain threshold varies from person to person.
IS THERE ANY WARRANTY OF BREAST SILICONE IMPLANTS?
Yes, we always use implants from reputed manufactures which offer the warranty for 15 years in most brands. The warranty covers the issues of implant breakage or leakage. The warranty does not include other issues to remove the implants such as infection.
DOES THE SCAR OF BREAST IMPLANT SURGERY FADES AWAY OVER TIME?
The scar in most cases is placed in the infra mammary crease where it is hidden and heals well. A silicone gel is advised to be applied at the scar and over the time period of one year the scar is fully matured and hardly visible. ( varies from person to person depending upon individual skin type )
HOW MANY FOLLOW UP VISITS ARE REQUIRED AFTER BREAST AUGMENTATION SURGERY?
First follow- up visit is after two-three days for dressing change and second visit is at 8 days after surgery for suture removal (if any).
WHAT ARE THE COMPLICATIONS OR RISKS INVOLVED IN BREAST IMPLANT AUGMENTATION SURGERY?
All surgical procedures have some risks involved. But these are rare in the hand of an experienced Plastic surgeon. Potential complications are listed as under:- Infection Seroma Heamatoma Delayed healing Scarring Tissue loss Altered sensation Adverse reaction to anaesthesia Unsatisfactory result that may require additional procedure. Implant leakage and rupture Capsular contracture- Formation of scar tissue around the implant. Rippling – wrinkling or waves at implant surface.

Patient Reviews


I always wanted to have a fuller Breast since my college days. I wanted to wear dresses and look attractive. I met Dr. Vikas Gawri for my Breast Implant surgery. I got the desired result and am happy to make this decision.
Bhavna
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