Breast Enlargement by Implants

About The Treatment

Breast augmentation with implants is a surgical procedure designed to enhance the size, shape, and symmetry of the breasts using medical implants. This is one of the most popular cosmetic surgeries worldwide and can significantly improve body image and self-confidence.

Types of Breast Implants

Silicone Implants:

• Filled with silicone gel, which feels more like natural breast tissue.

• Pre-filled before insertion.

• Benefits: More natural look and feel.

• Risks: Silent rupture (leaks are less obvious), may require MRI for detection of rupture.

  
  

Round Implants:

• Shaped like a sphere and provide a fuller appearance.

• Benefits: More projection, less concern about rotation.

• Risks: May appear less natural if not properly positioned.

Teardrop (Anatomical) Implants:

• Shaped like a teardrop to mimic the natural slope of the breast.

• Benefits: More natural appearance, especially in leaner patients.

• Risks: Risk of rotation leading to misshaped breasts, may require textured shell to stay in place.

Surgical Procedure

Consultation and Planning:

• Goals, expectations, and options are discussed with the surgeon.

• Selection of implant type, size, and placement methods are discussed.

• Preoperative instructions are provided.

  
  

Anesthesia:

• General anesthesia is typically used, ensuring the patient is asleep and pain-free during the procedure.

  
  

Incision Options:

• Inframammary: Under the breast fold; most common, offers good access for implant placement.

• Periareolar: Around the lower edge of the areola; less visible scar, but can impact breastfeeding and sensation.

• Transaxillary: In the armpit; no scar on the breast, but more challenging positioning.

• Transumbilical: Around the navel; less common and only suitable for saline implants.

Implant Placement:

• Subglandular: Over the pectoral muscle and under the breast tissue; shorter recovery, but higher risk of visible rippling.

• Submuscular (Subpectoral): Under the pectoral muscle; longer recovery, but more natural look and lower risk of rippling.

  
  

Closing the Incisions:

• Incisions are closed with sutures, skin adhesives, or surgical tape.

  
  

Recovery and Aftercare

• Initial recovery period involves rest and limited activity for a few days to weeks.

• Pain, swelling, and bruising are common initially.

• Wearing a surgical bra or compression garment helps support healing.

Risks and Complications

Capsular Contracture: 

• Formation of tight scar tissue around the implant, causing hardening and distortion.

  
  

Implant Rupture or Leakage: 

• Can occur with both saline and silicone implants; requires surgical intervention to replace the implant.

  
  

Infection: 

• Risk associated with any surgery; may require antibiotics or additional surgery.

  
  

Changes in Sensation: 

• Temporary or permanent changes in nipple or breast sensation.

  
  

Asymmetry:

•  Differences in size or shape between the two breasts.

Long-Term Considerations

Regular Monitoring: 

• Regular check-ups with the surgeon and periodic imaging for silicone implants.

  
  

Implant Longevity:

•  Breast implants are not lifetime devices; they may need to be replaced or revised after 10-15 years.

  
  

Lifestyle Impact: 

• Patients should maintain a stable weight and healthy lifestyle to preserve results.