Breast augmentation surgery, also known as augmentation mammoplasty, is a cosmetic surgical procedure designed to enhance the size and shape of a woman’s breasts. This is typically achieved through the placement of implants or, in some cases, fat transfer. Here is an overview of the procedure:
Types of Breast Implants
Saline Implants: These are filled with sterile salt water. They can be pre-filled to a predetermined size or filled at the time of surgery to allow for minor modifications in implant size.
Silicone Implants: Filled with silicone gel, these implants feel more like natural breast tissue. They are pre-filled and require a slightly larger incision.
Gummy Bear Implants: A type of silicone implant that maintains its shape even if the shell is broken. These are often referred to as form-stable implants.
Fat Transfer
This method involves liposuction to remove fat from other parts of the body, which is then purified and injected into the breasts.
Procedure
Anesthesia: General anesthesia or intravenous sedation is administered for patient comfort.
Incision Options:
Inframammary: Under the breast.
Periareolar: Around the nipple.
Transaxillary: In the armpit.
Transumbilical: Through the navel (less common).
Implant Placement:
Submuscular: Under the pectoral muscle.
Subglandular: Directly behind the breast tissue, over the pectoral muscle.
Closing Incisions: Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive, or surgical tape to close the skin.
Recovery
Initial Recovery: 24 to 48 hours with an additional few days of reduced activity.
Full Recovery: Typically 4 to 6 weeks. Patients may experience swelling and discomfort which can be managed with medication.
Follow-up: Regular check-ups to monitor healing and the condition of the implants.
Risks and Considerations
Complications: Infection, bleeding, implant leakage or rupture, capsular contracture (scar tissue squeezing the implant), changes in nipple and breast sensation, implant displacement.
Long-term Maintenance: Implants are not lifetime devices and may require replacement or additional surgeries over time.
Choosing a Surgeon
Board Certification: Ensure the surgeon is board-certified in plastic surgery.
Experience: Look for a surgeon with extensive experience in breast augmentation.
Patient Reviews and Before/After Photos: These can provide insights into the surgeon’s skill and patient satisfaction.
Consultation
Discussion: Detailed discussion about your goals, medical history, and expectations.
Options: The surgeon will explain the different types of implants and procedures available, and recommend the best approach for you.
Realistic Expectations: Understanding what the surgery can and cannot achieve.
Breast augmentation can have a significant impact on self-esteem and body image, so it’s essential to thoroughly research and carefully consider all aspects of the procedure before making a decision.