Breast Augmentation – Breast Implants

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.

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 .

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.

It takes about 2 hours in operation theatre.

Breast implant surgery is done under General Anesthesia.

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.

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.

You can have shower and have bath after just 2 days.

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.

You can resume driving a car after advised by your doctor. Make sure that all your pain medications have stopped, usually at one week.

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.

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.

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 )

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).

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.