You want to do something about your silhouette, your breasts. You have normal breast development, but you would like to have “something more” to feel “more feminine”. What are your options?

The most obvious is a breast augmentation by means of a breast implant. However, there are many possibilities for inserting a breast implant and there are as many different types and brands of breast implants available in the market. In most cases you will opt for a result that is as natural as possible. Perhaps this is not exactly what you are looking for and you want a striking result. This is obviously a personal choice that you decide for yourself. Whatever your choice may be, we guarantee that you will achieve the result that you had in mind, in the safest and most sustainable way. It can always be useful to bring to the consultation some pictures or photos of ladies to whom you can mirror. This will help us to imagine how you see yourself in the future.

Breast augmentation can be achieved by placing breast prostheses (implants) or by injecting your own fat (“lipofilling”). Due to the anatomical shape of modern prostheses, a natural shape is perfectly achievable. Breast augmentation is predictable and safe if performed by experienced surgeons.

When you come to a consultation, we will give you an explanation of the technical process of the breast augmentation. After this, different dimensions of your breasts are taken, with particular attention being paid to the position of the nipples and to the width of the breast. With this information we can then help you to choose the right breast implants.

A second option for obtaining larger breasts is the use of own fat. This relatively new technique is called “lipofilling”. With this, the required amount of fat is removed from your body (usually lower tummy, love handles, inner thighs which also helps in getting rid of the unnecessary fat to a certain extent!) by means of fine liposuction, after which, this fat is processed and injected into the breast through a few key-holes. These key-holes are barely 2-3 mm in size and leave no visible scars. The advantages of these methods are clear: you do not use foreign material, you actually get two operations for the price of one (a breast augmentation and a liposuction together), and the final result stays good all your life! Moreover, you get breasts that feel and look very natural. The biggest disadvantage of this method is that during the recovery period about half of the introduced fat will melt away. Approximately 4 months after the operation, this stabilizes and the obtained result will no longer change. However, it is possible for you to ask for extra volume at the moment, if u deem necessary. This can then be perfectly executed by a second lipofilling session.

Am I a good candidate for Breast Augmentation Surgery?

Breast Augmentation procedure is suitable for you if:

• You have smaller breast size and desire a more proportionate figure
• You want a deeper cleavage
• You have lost breast size & shape due to massive weight loss
• You have lost of volume on your breasts due to natural ageing or breastfeeding/pregnancy
• You have asymmetric breasts and the uneven size is prominently visible

What are the incisions involved in Breast Augmentation Surgery?

The point of incision depends upon the patient’s body structure

AXILLARY: This incision is used when the patient has small symmetrical breasts but with the modern textures and wide-based implants, it is becoming less common.

PERIAREOLAR: We make the half-moon shaped incision on the lower edged of the areola where it touches the skin.

SUBMAMMARY FOLD: We make an incision of about 4 – 5 cm along the sub mammary fold. When the operation is over, dressing and drains are placed in both breasts if this is surgically indicated. We mostly do a drain free breast augmentation following modern techniques.

We prefer a sub-mammary incision as it is well hidden under the breast and usually fades to inconspicuous scar with time. The implants are placed either under the pectoralis major muscle or under the breast tissue.

You can opt for a natural breast shape (teardrop) by choosing an anatomical shaped implant or you can balloon up both the upper and lower poles of your breasts by using a round implant. Always choose cohesive gel silicone implants which are CE and US-FDA approved. We only use such implants.

Recovery after breast augmentation procedure

Breast Augmentation is usually an outpatient procedure, and you are usually discharged the same day. You may have some swelling, bruising & discomfort in the first 24-48 hours. This is only temporary and diminishes as the recovery proceeds.

You can start your daily routine work from next day after the surgery and can go for a walk, etc. If you are on a desk job, you will be able to return to work 2-3 days post-op. You must avoids knocks/jerks, sudden movements when driving, lifting weights, etc., for approximately 3 weeks. Do not wear any bra for about 3 weeks after the surgery since it may deform the result obtained.

By 1 month, bruising, discomfort and most swelling will disappear and you will feel “back to normal”. And by 6-8 weeks, you can begin all types of physical activities, but only after the consulting your surgeon before you undertake any heavy activity.

The breasts will still continue to settle into their final position over the course of the next few months.

Auto-augmentation of breasts (Breast reconstruction post mastectomy)

Apart from using your own fat for breast augmentation, it can also be achieved with free tissue transfer (using microvascular surgery) especially for breast reconstruction. It involves harvesting your own tissues from the tummy or the love handles with their vasculature and using the same for reconstructing or augmenting your breasts. 

Advantages

1. You lose the extra tummy / love handle soft tissue thereby giving a flatter tummy (like a tummy tuck)
2. We do not use any foreign material, if that is your concern
3. Permanent results

Relative disadvantages

1. You get a scar like a tummy tuck
2. More challenging and surgically complex procedure as it involves microvascular surgery. Downtime is slightly more
3. Less scope for re-do surgery and alterations if needed later

These modalities are more suited for women who have undergone mastectomy (of various types) for oncological/non-oncological reasons and who desire breast reconstruction which would make them feel better and more confident about themselves. It has proven benefits of enhancing one’s own self-image and self-esteem. It empowers a woman, once again!

To know more about these latest techniques of breast auto-augmentation, book your appointment with us!