Breast augmentation, also known as augmentation mammaplasty, is a surgical procedure aimed at improving the size, shape or fullness of the breasts. It is one of the most commonly performed cosmetic surgeries worldwide. Here is a detailed overview:
Reasons for Breast Augmentation
1) Cosmetic Enhancement
- To improve overall body proportions.
- Enhance self-confidence and body image.
2) Reconstruction
- After mastectomy (breast cancer surgery).
- To correct congenital conditions or deformities.
3) Revision Surgery
- To replace or remove old implants.
- Address complications from previous surgeries.
Types of Breast Implants
1) Saline Implants
- Filled with sterile saltwater.
- Can be adjusted for size during surgery.
- Risk of rupture is less severe as the saline is safely absorbed.
2) Silicone Implants
- Filled with silicone gel for a more natural feel.
- Choice Requires regular monitoring (e.g., MRI) to check for rupture.
3) Gummy Bear Implants
- Cohesive silicone gel implants that hold their shape better.
- Firmer than traditional silicone.
4) Fat Transfer
- Uses the patient’s own fat tissue (liposuction from another part of the body) for a more natural approach.
Procedure Overview
1) Consultation
- Discuss goals, expectations, and medical history.
- Determine implant type, size, and placement.
2) Surgical Technique
Incision Locations:
- Inframammary (under the breast).
- Periareolar (around the nipple).
- Transaxillary (in the armpit).
Placement of Implants:
- Submuscular (under the chest muscle).
- Subglandular (over the muscle, under breast tissue).
3) Duration
- Usually 1-2 hours under general anesthesia.
Recovery
1) Immediate Post-Surgery:
- Pain, swelling, and bruising are common.
- Compression garments may be required.
- Avoid strenuous activities for 4-6 weeks.
2) Long-Term Care:
- Regular check-ups to monitor implant condition.
- Silicone implants may require MRI scans every few years.
Risks and Complications
- Capsular contracture (scar tissue around the implant).
- Implant rupture or leakage.
- Infection or hematoma.
- Changes in nipple sensation.
- Implant malposition or asymmetry.