Breast Augmentation

Rarely do implants interfere with a woman’s ability to breastfeed her children.

The final results from breast augmentation surgery are gradual, this is why we recommend not to go out and buy new bras and clothing right away. Breast implants commonly sit high on the chest for the first few weeks following surgery, until swelling subsides and muscles relax then the implants settle into a more natural position on the chest. Most woman will have a good idea of their final result 6 weeks after surgery, but they can continue to change for several weeks or months after surgery.

In some cases breast implants can lift mildly sagging breasts, but implants alone will not help woman who are concerned with moderate to severe sagging. This is when a lift is needed in combination with implants, to remove excess skin and ensure the nipple placed in the center of the implant.

Breast implants come in several types, each with its unique characteristics:

Saline implants: These implants are filled with sterile saline (saltwater) solution. They are adjustable and can be filled to the desired size during surgery. Saline implants tend to feel firmer than natural breast tissue.

Silicone implants: Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. They are less likely to ripple or wrinkle compared to saline implants and are a popular choice among patients.

Gummy bear implants: Also known as cohesive gel implants, these are filled with a thicker, more cohesive silicone gel. They maintain their shape even if the implant shell is compromised, making them less prone to leakage or rupture.

The choice of implant type depends on individual preferences, body type, and desired outcomes. Your plastic surgeon will discuss the pros and cons of each type during the consultation to help you make an informed decision.

Breast implants are not considered lifetime devices. On average, implants have a lifespan of approximately 10-15 years. However, this can vary depending on factors such as the type of implant, lifestyle, and individual physiology. Over time, implants may require replacement or removal due to issues such as leakage, rupture, or changes in aesthetic preferences.

Recovery time following breast augmentation can vary from person to person. Most patients can resume normal activities within a few weeks, but it’s essential to avoid strenuous activities and heavy lifting during the initial recovery period.

Full recovery, including the settling of the implants and resolution of any residual swelling, may take several months. Your plastic surgeon will provide you with specific post-operative instructions to facilitate a smooth recovery process.

Like any surgical procedure, breast augmentation carries certain risks and potential complications. These may include:

• Infection
• Changes in nipple sensation
• Implant leakage or rupture
• Capsular contracture (hardening of the tissue around the implant)
• Scarring
• Anesthesia-related risks

It’s crucial to thoroughly discuss these risks with your plastic surgeon during the consultation and follow all pre and post-operative instructions to minimize potential complications.

Breast implants can make mammograms more challenging, but they should not deter individuals from undergoing breast cancer screenings. It’s crucial to inform the radiologist about the presence of implants before the mammogram.

Radiologists can use special techniques, such as Eklund displacement views or magnetic resonance imaging (MRI), to obtain clear images of the breast tissue and ensure an accurate assessment.

Capsular contracture is a complication that can occur after breast augmentation. It involves the hardening and tightening of the scar tissue (capsule) that naturally forms around the implant. This can lead to discomfort, changes in breast shape, and potentially implant displacement.

Treatment for capsular contracture may involve surgical intervention, such as removing the scar tissue (capsulectomy) or replacing the implant. Your plastic surgeon will assess the severity of the condition and recommend the most appropriate course of action.

Selecting the right implant size is a crucial decision that should be made in consultation with your plastic surgeon. It involves considering factors such as your body type, aesthetic goals, and the surgeon’s expertise.

During your consultation, your plastic surgeon may use 3D imaging or sizers to help you visualize how different implant sizes will look on your body. It’s essential to have realistic expectations and prioritize proportions and balance over achieving an overly large size.

Breast augmentation can indeed help improve breast symmetry. Depending on the extent of asymmetry, your plastic surgeon may recommend using different-sized implants, adjusting the positioning of the implants, or performing additional procedures to achieve a more balanced appearance. Addressing asymmetry is a common goal of breast augmentation, and your surgeon will work with you to create a customized treatment plan.

Scarring is an inevitable part of any surgical procedure, including breast augmentation. The extent and visibility of scars will depend on the surgical technique used and your body’s healing process.

Most commonly, incisions for breast augmentation are made in inconspicuous locations, such as the breast crease, around the areola, or in the armpit. These incisions typically fade over time but may not disappear completely. Scar management techniques and creams can help minimize their appearance.

Preparation for breast augmentation surgery is crucial for a successful outcome. Steps may include:

• Getting lab tests or a medical evaluation
• Adjusting or discontinuing certain medications, including aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs)
• Quitting smoking, as smoking can increase the risk of complications and impair the healing process
• Arranging for a responsible adult to accompany you to and from the surgical facility on the day of the procedure
• Ensuring you have a comfortable recovery space set up at home, with necessary supplies and support in place