Breast Augmentation/Implant

Augmentation

Breast augmentation, sometimes referred to as a "breast aug" or "boob job" by patients, involves using breast implants or fat transfer to increase the size of your breasts. This procedure can also restore breast volume lost after weight reduction or pregnancy, achieve a more rounded breast shape or improve natural breast size asymmetry.

 Breast Augmentation Before & After Photos

Breast augmentation is also referred to as augmentation mammoplasty. When fat from another part of the patient's body is used to create the improved breast volume, the procedure is referred to as fat transfer breast augmentation.

What breast augmentation surgery can do

  • Increase fullness and projection of your breasts
  • Improve balance of breast and hip contours
  • Enhance your self-image and self-confidence

Breast implants may also be used for breast reconstruction after mastectomy or injury.

What breast augmentation surgery can't do

Breast augmentation does not correct severely drooping breasts. A breast lift may be required along with a breast augmentation for sagging breasts to look fuller and lifted.

Breast lifting can often be done at the same time as your augmentation or may require a separate operation. Your plastic surgeon will assist you in making this decision.


Case Study

In preparing for breast augmentation, you may be asked to:

  • Get a blood test
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin and certain anti-inflammatory drugs as they can increase bleeding
  • Stop taking recreational drugs, such as cocaine

Breast augmentation surgery should be performed in an accredited outpatient or ambulatory surgical center or a hospital. This is for your safety. If your surgeon has a may informal setting, he or she may not be a board-certified plastic surgeon.

If your breast augmentation is performed on an outpatient basis, arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.

breast augmentation procedure includes the following steps:

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options include: along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (axillary incision). A belly-button approach is associated with a higher complication rate.

Incisions vary based on the type of breast implant, degree of enlargement desired, your particular anatomy and patient-surgeon preference.

Step 3 – Inserting and placing the breast implant

After the incision is made, a breast implant is inserted into a pocket either:

A. Under the pectoral muscle (a submuscular placement)

B. Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)

The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon's recommendations.

Step 4 – Closing the incisions

Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin.

Over time the incision lines will fade. The quality of scar depends on many things, including your genetics, exposure of your body to nicotine and infection.

Step 5 – See the results

The results of breast augmentation are immediately visible. Get more information about breast augmentation results.

Specialist

During your breast augmentation consultation be prepared to discuss:

  • Why you want breast augmentation surgery, your expectations and the desired outcome
  • Medical conditions, drug allergies and previous medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Family history of breast cancer and results of any mammograms or previous biopsies

Your plastic surgeon will also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Examine and measure your breasts, including detailed measurements of their size and shape, skin quality and placement of your nipples and areolas
  • Take photographs
  • Discuss your options and recommend a course of treatment
  • Discuss likely outcomes of breast augmentation and any risks or potential complications

The consultation is the time to ask your plastic surgeon questions. To help, we have prepared a checklist of questions to ask your breast augmentation surgeon that you can take with you to your consultation.

It's important to understand all aspects of your breast augmentation surgery. It's natural to be nervous about it, whether it's excitement for your anticipated new look or a bit of preoperative stress. Don't be shy about discussing these feelings with your plastic surgeon.

Disclaimer

The decision to have plastic surgery is extremely personal and you will have to weigh the potential benefits in achieving your goals with the risks and potential complications of breast augmentation. Only you can make that decision for yourself.

You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.

Possible breast augmentation surgery risks include:

  • Anesthesia risks
  • Bleeding/Hematoma
  • Infection
  • Changes in nipple or breast sensation
  • Poor scarring
  • Wrong or faulty position of the implant
  • Implant leakage or rupture
  • The formation of tight scar tissue around the implant (capsular contracture)
  • Fluid accumulation (seroma)
  • Wrinkling of the skin over the implant
  • Persistent pain
  • Possibility of revision surgery

These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.

Breast implant safety

Breast implants do not impair breast health.

Careful reviews of scientific research by independent groups such as the Institute of Medicine have found no link between breast implants and autoimmune or other systemic diseases.

 Information on Breast Implant-Associated ALCL

Other important considerations:

  • Breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants
  • Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of your lifetime
  • Breast augmentation requires regular examinations of your breasts' health and to evaluate the condition of your breast implants

Frequently Asked Questions About This Procedure

What’s the difference between round and tear-drop shaped implants?

Round implants add volume to the upper part of the breast giving a lifted look. Tear-drop shaped (anatomical) implants are more in keeping with the natural shape of the breast, so may be considered depending on the desired result.

Where will the incision be made to put in the implant?

There are three main places for incision (cut) to be made; in the crease under your breast (inframammary), under your arm (transaxillary) and around the nipple (peri-areolar). Your surgeon will decide the procedure and size of incision that will best suit your body, the implants chosen, and your body shape.

What’s the difference between under the muscle and over the muscle insertion?

Implants may be placed either on top of the pectoralis muscle but under the breast tissue (this is known as subglandular insertion) or partially beneath the pectoralis muscle (submuscular insertion).

What is the most common incision site used in the Avoca Clinic?

Inframammary is the most common incision site we use, but at your consultation your surgeon will discuss the best method for you.

What is in a breast implant?

All breast implants have an outer shell of silicone elastomer (a very strong synthetic shell) and are filled with either silicone gel or sterile salt solution (saline). Here at The Avoca Clinic we use silicone implants only as most women feel that silicone breast implants look and feel more like natural breast tissue.

  • What is the most common implant you use?

    We use Nagor and Mentor ranges of implants. Nagor implants are made in the UK, and have an excellent reputation for quality and a lifetime warranty. The implant we use the most of in their range is called the Impleo Implant: it is a  premium round implant with a textured surface filled with high cohesive silicone. However there are many choices of shape and size and profile for implants.

    At The Avoca Clinic we also use Mentor Breast Implants. Mentor, a Johnson & Johnson brand, has been producing the highest quality of implants for more than 20 years. They are approved by the FDA (US Food and Drugs Administration), come with extensive warranties and exceed CE and MHRA testing standards following more than 20 years of clinical data. They are also one of the worldwide leading providers of breast implants.

What is the ‘profile’ of an implant?

‘Profile’ refers to how far the implant will stand out. There are a variety of different profiles designed for different women and the looks they want to achieve. High and extra high are the largest, while medium and low are more subtle. Your surgeon will advise you which profile will best suit your breasts.

  • How will I know what type, size and shape of implant is for me?

    You will discuss the size and shape with your surgeon, who’ll take into account your body size and natural shape.They’ll be able to advise on whether such shape and size is possible for your body.

    In the Avoca Clinic, our Breast Suite has a visualisation system so women can see what the different sizes and shapes will feel and look like on their own body.

What kind of anaesthesia does Avoca offer?

We carry out all our breast surgery under general anaesthetic.

Where are the surgeries performed?

Breast Augmentations are performed in our own private, purpose built, multi-disciplinary surgery and aftercare facility. We have access to the very latest procedures and techniques in the cosmetic surgery industry.

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