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Breast Augmentation

Breast Augmentation 

If you feel that larger breasts could help you look more proportionate, be more confident, or feel more feminine, then breast augmentation surgery could be the solution. Modern generation breast implants and advanced surgical techniques offer patients the chance to have fuller breasts while maintaining a natural look and minimizing long term issues.

It is a surgical procedure done for the purpose of increasing the breast size and enhancing the shape of the breast. Breast augmentation procedure has various benefits for women who want to reveal their feminine side to the world. Breast augmentation increases the beauty of your body and boosts your confidence level. If you have any specific desires regarding the shape and size of your breast, then one of our best cosmetic surgeons will brief you on the procedure that could help you get your dream breasts.

THINGS TO KEEP IN MIND BEFORE OPTING FOR BREAST AUGMENTATION

Breast augmentation is a perfect treatment for all those women who want a reduction in the size of their breasts or want to increase the size of their breasts. It is also a perfect solution for you if one of your breasts is larger than the other or if your breasts have sagged due to aging. Breast augmentation can provide you with stunning-looking breasts that will look amazing in proportion to your body.

WHO CAN GET BREAST AUGMENTATION?

If you are planning to have breast augmentation in the near future, then there are certain things that you should keep in mind. After having the breast augmentation, breastfeeding might become a complicated task for you. If you get breast implants, then it doesn’t mean that your breasts won’t sag neither the implants are going to stay put in your breasts forever. If your breasts have sagged, then it’s best to go for the breast lift after getting the breast augmentation.

You must also keep in mind that the maximum age of breast implants is ten years. After ten years, you might need to get new implants. If you get implants, then it doesn’t mean that your breasts will look the same for almost ten years. Issues like aging or weight gain might change the shape of your breasts with the passage of time. So, when you contact Fattan Polyclinic for Dubai plastic surgery then feel free to discuss all these issues with your plastic surgeon.

DURING THE BREAST AUGMENTATION

The procedure of breast augmentation is usually conducted with the help of local anesthesia, but depending on the health condition of the patient, the doctors sometimes also provide you with general anesthesia. The surgeon will insert the breast implant by making an incision under your breast, arm or around your nipple. There are two different types of implants that are usually inserted into the breasts. The first is the saline implants and the second one is silicone implants.

AFTER BREAST AUGMENTATION

After you are done with the breast augmentation, you will experience some pain and swelling for a certain period which will subside within two to three weeks. You must keep in mind that at the start, the scars under your breasts, arms, or around your nipples will be clearly visible. However, with the passage of time, they will get lighter. During the initial weeks of the surgery, it might be better for you to wear a sports bra as it will provide support to your breasts and will keep them comfortable. It would be best if you take some time off from your work for a few days as you will need complete rest.

Your plastic surgeon might schedule you for a follow-up appointment during which he will monitor the condition of your breasts. If you feel any sort of abnormal pain in the breasts or high fever, then you must instantly visit your doctor.

Breast augmentation has been designed to improve the look of your personality so if you think your personality lacks that special touch then maybe you are in dire need of breast augmentation.

SILICONE BREAST IMPLANTS

In the early 1990’s it was reported that silicone breast implants were responsible for connective tissue diseases in some women. After a comprehensive evaluation of the evidence for the Association of Silicone Breast Implants with human health conditions, the Institute of Medicine concluded in June that there is “no definitive evidence linking breast implants to cancer, neurological diseases, neurological problems or other systemic diseases.” However, silicone implants are still not available to the general public in the United States. They are still widely used in Europe and South America and are available again in the USA.

PROCEDURE

Minimal Incision breast augmentation is performed on an out-patient basis using a general or local anesthesia. No incisions are made on the breast or into the breast tissue. The procedure usually takes less than two hours. Through this tiny incision, a space or pocket is made under the pectoral chest muscle to accommodate the saline implant. Placing the implant below the muscle helps it appear and feel more natural. For this procedure the surgeon utilizes an endoscope. This device is a small diameter tube containing a camera that is inserted into the pocket. The space is visualized on a monitor so that an exact pocket dimension can be created and any bleeding controlled. An empty saline implant is placed in the pocket and then filled with IV sterile saline. The majority of implants being used today are saline-filled implants. These have a silicone rubber shell and are filled with sterile salt water.
The surgeon then can adjust the amount of saline injected into the implant based on the size you have selected and correct any asymmetry of your breasts.

Breast augmentation will enlarge your breasts. It will not improve nipple asymmetry, move breasts closer together, or lift droopy breasts.

Most patients can resume to normal activities within 5-6 days following surgery. Sutures are removed in 7 to ten days and your surgeon may recommend a surgical support bra. Exercise and other strenuous activities may be resumed in about one month.

SURGICAL TECHNIQUE

Inframammary incision:

The incision is made on the lower portion of the breast, in the crease where the breast meets the chest, so that any scar will still be hidden. This incision allows your surgeon the best visibility during surgery. Most commonly done.

Periareolar incision:

The second most common incision is made in the areola. The incision is usually a small semi-circle. The scar is camouflaged by the nipple. However, if there are any imperfections in the scar, it will be highly visible. This type of incision has an increased risk for diminished nipple sensation.

Axillary incision:

The incision is made in the armpit, and may require the use of an endoscope. The scar is well-hidden, but provides poor visibility for the surgeon.

Umbilical incision:

The incision is made in the BELLY BUTTON. No scars are anywhere on or close to the breast. Only Saline filled implants can be used with approach. It is very popular with young, single women, who desire no scars on or around their breast prior to getting married.

There are several criteria that patients should meet in order for a plastic surgeon to classify you as a good candidate for breast augmentation.

  • In general, you should be in good physical health. This means no active infections, untreated cancer or serious illnesses. If you have medical issues, it’s important to discuss them with your surgeon so that he or she can help you decide whether or not breast implant surgery is suitable for you.
  • If your breasts are sagging, flattened, elongated, asymmetrical or lacking adequate cleavage or volume, there is a good chance that you’re an excellent candidate for this surgery.
  • Most surgeons prefer that you do not smoke or consume significant amounts of alcohol.
  • Because this surgery can permanently alter your appearance, it’s important for you to be in a healthy frame of mind when you decide on this surgery.
  • While this is a surgery that will change how you look, it’s important to remember that it cannot fix body image issues or give you a wildly different appearance. You should maintain realistic expectations and listen to your surgeon’s honest assessment of your goals.
  • The best candidate for breast augmentation understands the risks as well as the rewards. The surgery is generally considered safe.
  • You understand that breast enhancement should be done strictly for yourself and because you believe it will increase your own happiness or confidence. You should never get cosmetic work done because someone else wants you to.
  • You should have the ability to properly rest and recover post-surgery. You will not be able to perform certain tasks or do any heavy lifting, so it’s important for you to have help in place.

Typically, breast augmentation surgery takes several hours to perform. If you are undergoing a more extensive surgery, such as breast augmentation with lift, the procedure may take longer. 

Once your breast augmentation has been performed, the results typically last for several years. Breast implants do not last forever, though, and there is a chance that you may need to replace them after a decade or two. Implants usually come with a warranty that may cover some of the cost of replacement, though.

The surgery can be done under local anesthesia, where the patient remains awake and only the breast is numbed to block the pain, or under general anesthesia, where medicine is given to make the patient sleep. Most women receive general anesthesia for this surgery.

Rupture of the implant (often due to injury):

• Rupture of Saline Implant
If a saline implant breaks, it will deflate, and the salt water will be absorbed by the body. Alert your physician right away as the implants will have to be replaced. Some implants deflate or rupture in the first few months after being implanted and some deflate after several years. You should also be aware that the breast implant may wear out over time and deflate. Additional surgery is needed to remove deflated implants. In a study conducted by Mentor , 3% of 1264 patients had deflation after 3 years. In a similar study by McGhan, the deflation rate was 5%of 901 women after 3 years. Another study indicates that 10.1% of women followed for an average of 6 years had at least one implant deflated.

• Rupture of Silicone-Gel Implants
When silicone gel implants rupture, women may notice decreased breast size, hard knots, uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning, or changes in sensation. According to the FDA, 69% of 344 women had at least one ruptured breast implant. Factors that were associated with rupture included increasing age of the implant, the implant manufacturer, and submuscular rather than subglandular location of the breast implant.

• Implant displacement
Implants can move out of position at anytime after surgery. If they move only a little, it may not be noticeable. If they move a lot, you may need surgery to put them into position. This is very uncommon except in women who have very large implants. The larger the implant, the greater the chance that it will displace.

• Scars
Surgical scars are permanent. However, the incisions are placed so that they are not normally noticeable except on very close observation. Scar location will depend on the incision site (either in crease below breast, armpit, belly button or areola).

• Anesthesia reaction
• Asymmetry
• Bleeding
• Breast droop
• Capsular Contracture (hardening of scar tissue around breast implant)
• Deflation (approximately 7%)
• Hematoma (pooling of clotted blood; risk is 3-4%)
• Implant leak
• Infection (risk is less than 1%; always involves removal of implant)
• Interference with mammography
• Keloid (heavy scar)
• Nerve Damage
• Nipple numbness
• Pain
• Permanent numbness (risk is 15%)
• Reactions to medications
• Rippling
• damage by surgical instruments during surgery
• under filling of saline (only) breast implant
• capsular contracture
• trauma, injury, or intense physical manipulation
• excessive compression during mammographic imaging
• placement through the belly button
• normal aging of the implant
• Seroma (pooling of watery blood)
• Skin irregularities
• Sloshing
• Slow healing
• Swelling Symmastia (breasts merge into one mass)

Breast augmentation can be done as an outpatient procedure with twilight anesthesia (patient goes back home the same day), or as an inpatient procedure with general anesthesia (requires overnight stay at hospital or clinic).

The cast is removed approximately 7 days post-operatively. You will feel a slight stiffness in the upper lip as the swelling “moves downward”. This will subside in a matter of hours. You must be very careful not to bump it as it is vulnerable to breakage. If you had a rhinoplasty where the nostrils were narrowed you will have your sutures removed. This may sting a bit, especially since it is in a sensitive area. Although most people still feel numb in the tip area and report only minor discomfort.