Breast Augmentation

Breast Augmentation

 

 

Breast augmentation is a cosmetic surgery that enhances the size and improves the shape of the breast. Breast augmentation is also useful in treating saggy breasts of minor to moderate severity. There are two methods of breast augmentation: by using either breast implants or the patient’s fat. (see Fat Graft)

 

Worldwide, the most popular method of breast augmentation is breast implants. A breast implant has two main components: an outer shell and the content inside the shell filled with either silicone gel or saline. The outer surface of the implant is either smooth or textured. One of the benefits of a smooth implant is the ease of inserting the implant. On the other hand, a textured implant’s advantages are better tissue-implant interaction and reduced capsular contracture incidence. Capsular contracture adversely affects the results of breast augmentation, especially in terms of appearance and feel of the breast.

Silicone gel implants provide superior results because of a more natural feel and much lower rippling and leakage incidence than a saline implant. The latest generation of form-stable silicone breast implants can maintain its form and shape even when the implant’s outer shell is cut or punctured. This advantage significantly reduces the incidence of implant gel leakage compared to previous generation implants.

 

Breast implants are available in two different shapes: round or anatomical (teardrop) shape. The round implant is the traditional design and remains very popular, especially in the West. A round implant can create a round and well-balanced breast. On the other hand, the shape of an anatomical implant resembles the breast’s natural form, rounder at the bottom and tapered at the top. An anatomical implant is excellent in creating a more natural-looking breast. The anatomical implant is more popular among Asian patients and is suitable for patients with smaller body frames and thinner skin.

 

The breast implant is either put under the breast or under the muscle, not inside the breast. The presence of breast implants would not affect milk production and breastfeeding. It is possible to perform mammography on patients who have breast implants.

 

A breast implant is a medical device inside the body. Thus, it is imperative that the breast implant used is of high quality and is an approved product. In 2006 the U.S. Food and Drug Administration (FDA) officially approved the use of silicone gel breast implants manufactured by approved manufacturers. The breast implants we are using have FDA approval and sourced from licensed local distributors. An official implant ID card will be given to the patient to ensure the authenticity and provide the implant warranty. Currently, our clinic uses breast implants from Mentor™and Motiva™.

 

 

 

Preparation

    1. Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.
    2. Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.
    3. Stop the following medications and supplements from one week before surgery until one week after surgery.
      1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.
      2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.
    4. On the day of surgery, wear simple and comfortable clothing. Do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.

 

 

 

Surgery

Duration: 1-2 hours

Anaesthesia: General Anaesthesia

Hospitalization: Half a day (daycare)

Recovery*: Back to work in 3-7 days, light exercise after 1 week, heavy exercise after 4 weeks. * The actual speed of recovery may vary from person to person.

 

Surgery Technique: There are 3 routes to insert the breast implant. The selection depends on the indication of breast augmentation, the patient’s anatomy, and the patient’s preference.

    1. Infra-mammary route: The incision is on the breast’s lower boundary, the place where the breast and the chest meet. Worldwide, this is the most popular option used for breast augmentation. The technique offers excellent control and safety during pocket dissection and implant placement. The scar is well hidden under the breast and usually heals very well and will not be obvious after full recovery.
    2. Periareolar route: The incision is around the lower half of the nipple-areola circle, at the junction between the areola and the surrounding skin. The scar is usually not prominent. However, this technique is not suitable for patients with small areola because the incision will be too small for the implant to pass through.
    3. Transaxillary route: The incision is in the armpit. The use of endoscopic camera and dissection enables accurate pocket dissection and implant placement.

 

 

 

Post-operative Care**

    1. What to expect:
      1. Swelling usually peaks on the second to third day after surgery and will gradually subside after that.
      2. Tight sensation in the chest may be present for one to 2 weeks, especially if large implants are used. A supportive bra to support the breasts is used during the first month.
      3. Gently massage the breasts for the first 1-2 months.
    2. General care:
      1. Avoid smoking for at least one month. Smoking increases the risk of wound complications.
      2. Sleep on the back. Avoid sleeping on one side to prevent pressure on the breasts.
      3. Adequate rest and sleep are helpful for a speedy recovery.
      4. Be relaxed and calm. Contact the clinic if there are any queries.
    3. Medicine:Finish the oral antibiotics as prescribed. Take the painkiller as prescribed when necessary.
    4. Wound care:After the removal of wound dressing, clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment.
    5. Physical activity:Avoid heavy physical activity and exercise for at least one month.
    6. Follow-up: Come back one week after surgery for review.
    7. Emergency: If there is heavy bleeding, a rapid increase in swelling or severe pain, immediately contact the clinic/doctor for advice.

 

** The instructions in this list are only for general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.

 

 

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