Breast Enlargement or Augmentation
Breast enlargement has become a very common and reliable procedure. The result of the surgery is excellent and permanent. The procedure requires a lot of experience from the surgeon, regarding the specific technique that is used and the choice of implants.
During the last years quality and reliability of the different types of implants has increased greatly. Nowadays implants come in all sorts of sizes, shapes and materials. This makes it possible to choose the right implant to achieve the best result.
Breast enlargement does not only change the size of the breast, but renders a lifting effect to sagging breasts as well.
Types of Implants:
The most commonly used implants are filled with either silicone gel or a salt-water solution. For silicone gel implants two types of fillings can be distinguished: a liquid silicone solution and a more solid silicone gel solution. The advantage of solid silicone gel implants is that there is absolutely no risk of gel bleeding (leakage).
Regarding the shape, implants are categorized as round (with high, medium or low profile) or anatomical (teardrop-shaped). The choice of implants will be discussed at the pre operative consultation and depends on patient preference and the shape and size of the breasts before surgery. Also, size preferences will be discussed and a decision will also depend on the pre surgery size and aspect of the mammary gland.
Procedure:
Surgery can be performed with general anaesthesia or with sedation. In our practice we often use a sedation which is 100% safe. The implants are inserted through a small incision in either the armpit, the breast crease or under the nipple. The implants can be placed on top or underneath the chest muscle, depending on different factors: saline (salt-water solution) filled implants are always inserted underneath the chest muscle, while silicone implants are placed on top of the chest muscle in case of pre operative drooping breasts. If the breasts aren’t sagging, placement occurs underneath the chest muscle.
The incisions are sealed with special tissue glue, so no stitches need to be removed afterwards. Tissue glue disappears after a period of ten days.
Immediately after surgery you‘ll be given a sports bra and after two hours you will be discharged. Arrangements should be made for someone to accompany you on the way home.
After Surgery:
The sports bra needs to be worn day and night for one month and may only be taken off to launder it or to wash yourself. From the day of the operation onwards it is permitted to shower, allowing you to judge the results on the first day.
The first three days after surgery are discomforting and pain killers will be prescribed by the surgeon.
In the beginning the skin needs to adapt to the new cup size, so the breasts will appear swollen and will feel tense . Afterwards the swelling will subside progressively and the breasts will become more supple. In no case the implants should be massaged after surgery!
Quality of implants has improved over the last years, so no replacements are required and a lifetime warranty is issued.
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