The female breasts have always been one of the symbols of femininity and sexuality. Over time, even the firm, good-shaped breasts change losing their youthful appearance: firmness is reduced, and the breasts sag as well as lose their volume. Not only older women, but also mothers who have breastfed, frequently experience sagging breasts.
Breast augmentation is performed when a women desires larger breasts and wants to restore breast volume lost after pregnancy or to correct a marked asymmetry due to the different size of the breasts.
The first step toward a breast augmentation procedure is a consultation with a plastic surgeon. During the consultation, be honest and open with the surgeon about your wishes and expectations, as the final surgical outcome will depend on this.
The breasts are enlarged with implants. There are saline- or silicone gel- filled breast implants. They can be round-shaped or teardrop-shaped (anatomical).
During the consultation, the patient’s anthropometric parameters will be evaluated, which directly influence the outcome of breast augmentation and the shape of the breasts:
- Patient’s body weight, constitution, and height;
- Natural size, shape, and symmetry of the breasts;
- Location of the nipple;
- Elasticity of breast skin;
- Shape and dimension of the chest wall.
You will discuss the main surgical aspects of breast augmentation with your surgeon:
- Placement of surgical incision. There are three opinions for incision placement during breast augmentation: beneath the breast (in the inframammary line), around the areola of the nipple, or in the armpit. The choice of incision placement depends on patient’s desires and her anthropometric data.
- Shape and size of breast implants. The implants are selected considering woman’s expectations and desires as well as surgical possibilities.
Round-shaped implants are an ideal choice for women with firm, good- and round-shaped natural breasts wishing a simple breast enlargement.
Teardrop (anatomical) implants are an ideal chose for women who have the breasts of the similar shape. In addition, these implants are a good option for patients wishing less fullness in the upper part of the breast.
During the consultation, a 3D simulation technique can be utilized to simulate possible surgical results of breast augmentation, and this can help a woman better imagine the potential size and shape of the breast that may be achieved.
How Is the Surgery Performed?
The surgery is performed under general anesthesia, and time in surgery is about 2 hours.
The placement of the incision is selected during the consultation.
Most commonly, the implants are placed by employing a so-called dual-plane technique: the upper part of the implant is covered by the muscle, while the lower part of the implant remains behind the glandular tissue. This technique provides a slight breast lift from the chest wall, and the breasts look more natural.
What Should Be Known After Surgery?
- The swelling in the breasts remains for 2–3 weeks;
- Bandages over the surgical sites should be changed every 2–3 days;
- The stitches are removed on the 8th–12th day after the surgery;
- During the first weeks after the surgery, the patient is not allowed raising her arms above her head, as it can cause repositioning of the implants from their location;
- A special surgical bra should be worn for 6 weeks after surgery (22–23 hours per day);
- Strenuous physical activities and exercising are strongly discouraged for 2–3 months after the surgery;
- The patient can return to work within a few days if her occupation does not require strenuous movements and arm raising.