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BREAST AUGMENTATION


BREAST AUGMENTATION

Breast augmentation is performed to enhance the size and the shape of the breast. Breast augmentation can be performed by the use of breast implant (explained in this section) or by the use of patient’s own fat (see Fat Graft).


Patient 1
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                  Before                                          After                                           Before                                        After        


Patient 2
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                  Before                                        After                                           Before                                        After

The most popular method of breast augmentation is breast implant. The implant consists of an outer silicone shell that is filled inside with either saline or silicone gel. The outer surface of the implant is either smooth or textured. The benefit of smooth-surfaced implant is the ease to insert. The advantage of textured implant is better tissue-implant interaction and reduced incidence of capsular contracture, which affects the touch and visual results of the implant. Silicone gel filled implant provides superior results in terms of better feel and much less incidence of rippling and leakage. The latest generation of form-stable breast implant is filled with cohesive silicone gel which  will maintain its form and shape even the outer shell of the implant is cut and removed. This helps to maintain the desired shape of the breast and greatly reduces the incidence and complications from implant leakage.

In 2006 the U.S. Food and Drug Administration (FDA) officially approved the use of silicone gel breast implants (made by certain manufacturers) in breast augmentation. Our clinic only uses breast implants that have FDA approval and sourced from licensed local distributors. Patients will be given the Implant ID Card after surgery to ensure authenticity of the implant products.

Breast implant can be of round shape or teardrop shape. Round shape implant is the traditional design and remains a very popular choice especially in the West. Round implant can create a soft, round and well-balanced breast. The shape of teardrop implant resembles the anatomical shape of the breast, which has more volume at the bottom and less volume on top. Teardrop implant is excellent in providing natural-looking breast enhancement.

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   Round Implant                                                        Teardrop Implant

Breast implant is place either between the breast tissue and muscle or between the muscle and rib cage. As such the implant is not located inside the breast itself. According to studies including those by FDA, there is no evidence breast implant causes increase in medical conditions such as breast cancer, connective tissue disease and reproductive problems. There is also no clinical evidence suggesting there are undesirable effects on children born to mothers with breast implant. It is possible to perform mammography on patients who have breast implant. However the radiologist needs to be informed of the presence of breast implant. Breast implant is a medical device implanted into the body. Thus it is very important to check the manufacturer and type of the breast implant used to ensure it is an approved product.

Objectives

1.     Increase breast size

2.     Enhance the shape of the breast

3.     Correct mild to moderate breast sagginess

4.     Correct gross breast asymmetry

 

 

Preoperative Preparation

  1. Stabilize all existing medical condition such as hypertension, diabetes, heart problems etc.
  2. Inform the doctor regarding medication currently taking and any history of drug allergy.
  3. Stop all medications that increase bleeding tendency such as aspirin, warfarin, NSAIDs etc. at least one week before surgery. Please consult your doctor who prescribes these medicines whether it is safe to stop them.
  4. Stop all supplements that contain ginseng, ginko, garlic, fish oil, vitamin E etc. that increase bleeding tendency at least one week before the surgery.
  5. Stop smoking at least one week before the surgery.
  6. Do not wear any jewelry on the day of surgery.

 

Surgery

 
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There are 3 routes through which the implant can be inserted. The selection depends on the indication of the breast augmentation, patient’s anatomy, patient’s preference and the type of implant used.

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  1. Infra-mammary route: a very popular option especially in the West. This technique offers best exposure and control during implant insertion. Unlike what many people think, the scar underneath the breast usually heals very well and becomes inconspicuous after complete recovery.
  2. Periareolar route: incision made around the lower half circumference of the areola at the junction between the lighter breast skin and the darker areolar skin. Scar is usually minimally visible. This technique is not suitable for patient with small areola as the incision will be too small to insert the implant.
  3. Transaxillary route: incision is made in the armpit, away from the breast itself. The use of endoscopic camera enables accurate dissection to create a more precise pocket for the implant and thus provides a natural-looking breast. The incision scar usually heals well.

 

 

Recovery

  1. There may be some tightness sensation in the chest for 1-2 weeks
  2. Minimal to moderate swelling for around one week
  3. Take the medicine prescribed especially the antibiotics
  4. Start to walk one the same day after the surgery. Light daily activity after 3 days. Normal daily activity after 1 week. Heavy exercise after one month
  5. Gentle massage of the breast for 2 weeks
  6. Wear supportive brassiere for one month




 

 



 
 
 
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Jalan Perubatan 1, Pandan Indah, 55100
  Kuala Lumpur, Malaysia
+603-42892828
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