Breast augmentation, or breast augmentation or breast augmentation is a surgical procedure that increases the size, shape, or fullness of the breast.
For breast augmentation, plastic surgeons place implants filled with special silicone, saline or biocomposite materials under the pectoralis major muscle or under the breast tissue. Modern implants can provide a lifetime for the patient, and most manufacturers provide a lifetime warranty for their implants.
Why do women need to enlarge their breasts?
Breast enhancement surgery is for
- Enlarge small breasts naturally
- Restore breast size and shape after pregnancy, weight loss or breastfeeding
- Restore symmetry when breasts are asymmetric
- Breast reconstruction after mastectomy
Plastic surgery includes reconstruction and cosmetic surgery.
Reconstructive breast surgery is part of breast cancer treatment. Perform cosmetic breast surgery to improve appearance. Breast augmentation is usually a cosmetic surgery.
In 2007, a study conducted by researchers at the University of Florida showed that breast augmentation through cosmetic surgery can improve women's self-esteem and their feelings and sexual behavior. Let you get a higher salary job and get more recognition.
What is a breast implant?
A breast implant is a medical device that is placed under the breast or under the pectoralis major muscle to enlarge, rebuild or create a beautiful breast shape.
Breast implants may contain silicone, saline or other compounds.
There are three main types of breast implants:
- Saline implantsare filled with sterile saline, and sterile saline is sterile saline. The solution is located inside the silicone shell. These implants can be filled with different amounts of saline. This will affect the feeling of pressing on the breast, which may become soft or hard according to the patient's requirements. In addition, different densities will determine the different shapes of the breast. If the saline implant is damaged and leaks, the solution will not cause any harm to the patient, because the saline solution is natural to the body and will only be absorbed by the body without any traces. The only drawback is that the size of the breast increases. Reduced, the implant will have to be replaced.
- Silicone implantsconsist of a silicone shell filled with silicone. If the silicone implant leaks, the gel will remain in the sheath or fall into the pocket of the breast implant. And it will not spread to the whole body. Even if the shell is damaged, modern implants will not spread. These implants are the most commonly used today.
- Alternative composite implantsare rarely used and can be filled with biodegradable materials or soybean oil or other materials.
What needs to be decided before surgery?
Breast augmentation is a surgical procedure, so patients need to carefully consider whether they really need this kind of surgery.
- The placement of the implant must be selected-under the pectoralis major muscle or under the glandular tissue. Your surgeon will help you solve this problem. In most cases, the implant is placed under the muscle.
- Before the operation, the surgeon works with the patient to select the desired implant size. This can be done with a special sizer that fits the bra, and the patient can evaluate its size and wearing comfort. In addition, the patient and the doctor choose the density and shape (circular or anatomical structure) of the implant together. Implant manufacturer.
- The surgeon and patient should discuss incision options.
The following options are available:
- An incision under the breast, formed at the fold under the breast;
- Underarm incision under the armpit;
- Cut around the edge of the areola (periareolar) or through the areola (transareola).
The choice of incision depends on several factors, including the magnification, the patient’s anatomy, the type of implant and the surgeon’s preference for the patient.
In addition, the patient must choose the type of anesthesia, which is usually performed under general anesthesia. However, if the patient wishes, it can in principle be performed under local anesthesia.
How is the operation going?
After the patient enters medical sleep or undergoes local anesthesia, the surgeon will make a skin incision at the place according to the contact method agreed by the patient, about 4. 5 cm long, and then use a special tool to form a pocket and insert it into it. A prosthesis.
The pocket can be formed directly under the breast tissue or under the large breast muscle (this was discussed with the patient before the operation):
- With armpits, place it under the pectoralis major muscle.
Wound
In practice, plastic surgeons usually use the so-called cosmetic suture method or more accurately the intradermal suture method, usually using several rows of threads. These threads usually do not need to be removed over time. They will dissolve by themselves. In addition, plastic surgeons can use special surgical glue and special sterile tape to tighten the edges of the wound so that the scar is the least obvious after surgery.
The cutting lines will be visible initially, but they will almost disappear over time.
Evaluation result
Surgery may cause edema and hematoma (bruising), but it should go away within two to four weeks. Usually, the final result is formed within 3-6 months after the operation. Therefore, the patient can decide whether the procedure meets her expectations only after a certain period of time.
Recovery period
The recovery period will take 1 month. During this period, the doctor will inform the patient of certain restrictions and will issue a special memorandum to clearly implement it. Pain only worries patients on the first day after surgery. In order to relieve the pain, non-steroidal anti-inflammatory drugs are used. In rare cases, narcotic analgesics are used. Then, the pain almost disappeared. There are still some inconveniences. After the operation, you should not swim, bathe, sleep on your back, raise your arms, engage in active sports and hard physical labor in open and closed waters. All these restrictions are temporary and last for one month. In this way, the patient can lead a peaceful life as before the operation, and you can fly by plane and do scuba diving. The most important thing after surgery is to wear special compression underwear. Underwear must be worn strictly within 1 month after the operation, and then worn for another 3 months during sports and strenuous exercise.
On the second day after the operation, the patient can leave the clinic as needed. Patients are monitored once a week, for the first two weeks, and then one month later. Then three months later. Then conduct an annual inspection.
The absorbable (absorbable) thread usually dissolves within 6 weeks. The patient will take care of the seams individually at home. This is not difficult at all.
If the patient has non-absorbable sutures, they need to be checked again to remove them.
After the operation, the surgeon will not only tell you how to behave after the operation, but also provide you with suggested excerpts and write in it:
- How to take care of breasts after surgery;
- How to use prescription drugs;
- When is the next visit?
- When to call the doctor.
If you encounter the following conditions, you should seek medical attention immediately:
- Any signs of infection, such as fever above 38 degrees, fever or chest redness;
- Severe chest pain, or a sharp increase in breast size/
What are the risks of this operation?
Any operation will increase the risk of sudden death due to myocardial infarction, stroke, and thromboembolism during or after the operation. Fortunately, this complication is extremely rare. In modern clinics, all resuscitation and anesthesia equipment minimize these risks to almost zero.
Some risks and complications related to breast augmentation:
- breast pain;
- Breast inflammation;
- The nipples may temporarily change or become obvious, feeling in the breast;
- The implant is broken;
- Bleeding;
- Accumulation of body fluids (serum).
A special complication of this procedure is capsular contracture-a thick sac is formed around the implant. This can deform the breast or make it extremely painful and dense. During the consultation, the surgeon will inform you in detail about this complication and how to avoid it.
Moreover, even decorative stitches can become red, thick, painful or flattened and widened. This may lead to a second operation to remove this scar.