Breast implants surgery or Breast augmentation
Breast implants surgery is a surgical procedure to improve the size and shape of the breasts using implants. Breast implants are performed for a variety of reasons that vary from patient to patient, breast lift, some cosmetic and other medical.
The Breast implants can be silicone, with silicone gel filler or with a saltwater solution known as saline water.
Who is a good candidate for Breast implants surgery?
This procedure is targeted for women who want to improve the size and shape of their breasts because:
- They want to correct unequal breasts.
- They want to recover or improve the shape and size of their breasts after a pregnancy or a large weight loss.
- They are dissatisfied with the original size of the breasts.
- They want to correct a unilateral or bilateral congenital deformity of the breasts.
Knowing if you are a good candidate for Breast implants is a question that only the plastic surgeon can answer after a full consultation. Some determining factors are your health and age.
In general, the best candidates for Breast implants are patients who:
- They are of legal age.
- They are not pregnant or nursing.
- They have a good state of health.
- They are psychologically stable.
- They want to improve their appearance.
- They have realistic goals and expectations.
How should I prepare for surgery?
The surgeon may ask you to have a mammogram or an x-ray test before surgery to rule out any abnormality. The surgeon will also obtain a pre-operative image of your breast tissue. Usually, the patient will be asked not to eat or drink anything before surgery and to wear loose clothing, including a bra that does not have a rod, to use after surgery. It is also important that the patient asks a relative or friend to take him home after surgery and, if possible, to accompany him for 24 hours after the surgery.
How is Breast implants surgery performed?
The method of inserting and placing the implant depends on the preferences of the patient, his anatomy and the recommendations of the plastic surgeon. However, the implant is usually inserted through an incision made in a natural crease below the breasts. It is also possible to make the incision in the armpit or around the edge of the areola.
The place where the incisions will be made is a matter that should be discussed with the plastic surgeon. This also depends on the size and type of implant that will be placed.
There are 3 types of incisions:
- Periareolar, in the natural margin of the areola and the skin of the breast, scarcely leaves visible scars.
- Inframammary is the most common, the incision is made under the natural fold of the breasts.
- Transaxillary is performed at the level of the armpit, this incision is indicated for patients who do not want to have scars.
There are two types of methods when placing implants, the submuscular and sub-glandular method.
In the case of placing the implants sub-muscularly, the implant is inserted under the main muscle of the chest.
Some of the advantages of this method are:
- Deeper placement and more filling on the implant.
- Mammograms are almost never required.
- There is less possibility of a capsular contracture.
Some of the disadvantages:
- The breasts may feel harder.
In the case of the sub-glandular method, some of the advantages are:
- This is a more atomic position to position Breast implants.
- It causes less pain after the operation.
- The recovery is faster.
This procedure also has some disadvantages, which are:
- There is a greater risk of a capsular contracture.
- It is more difficult to make a monogram.
After the placement of the implants, the incisions are closed using fine sutures that are also covered with adhesive tape to give greater support. In some cases the surgeon places a temporary drain on the incision before closing it, this serves to prevent the accumulation of fluids or blood. Temporary drainage is removed at the next revision visit.
How long does the surgery last?
Breast implants surgery takes about an hour and a half, in which general anesthesia is usually used and performed on an outpatient basis (you are discharged on the same day).
What happens during the recovery period?
It is normal for the patient to feel a little tired and sore for a few days, in addition to presenting some inflammation and some bruising, this is completely natural after a Breast implants surgery. The vast majority of discomforts can be treated with medication prescribed by your surgeon.
After the operation, the patient will have to carry a dressing that must be kept dry for 2 weeks. After two weeks the dressing is removed and the wound is checked, and the treated area is lightly cleaned.
The scars will feel hard and a little flushed for at least six weeks and could stay the same size for a few months, it is important to take into account that it could take up to two years for them to fade.
Also, it will be necessary to return to review visits in the following months after the surgery so that the surgeon can examine your progress.
How long is the recovery?
This depends on each patient, however, most patients can return to work after a few days. Although the patient will be able to walk and do light activities one day after surgery, it is recommended that you do not do any strenuous activity for 7 to 10 days after surgery. The average recovery time is between one to two weeks.
What can I expect from the surgery?
It is important that the patient has realistic expectations and goals. The vast majority of patients feel satisfied with the results and also feel more confident, especially when they can wear those items they had wanted so much.
In general, the goal of a Breast implants surgery focuses on giving the patient a natural appearance that complements his figure.
What are the benefits of Breast implants?
Breast implants is one of the safest and most satisfactory procedures of cosmetic procedures performed today. However, the desires that a woman has to increase her breasts are somewhat complex, these include personal, cultural, sociological preferences, among others. Medical studies have shown that the perspective of the media about the human body and how it should be, greatly influences the public.
Patients who want to undergo Breast implants surgery must be confident in their decisions and have realistic expectations.
This surgery is mainly focused on patients who possess the following characteristics:
- Patients with small breasts, disproportionate compared to the rest of their body.
- Patients who want to pronounce the size of their breasts.
- Women suffering from unilateral or bilateral breast hypoplasia (incomplete breast development).
- Women who experience unilateral or bilateral agenesis of sinuses.
Regarding the type of patients mentioned, some of the benefits of Breast implants surgery are the following:
- Increase in breast size.
- Improves the overall appearance of the figure of the body, balancing and giving proportion.
- Achieves a better appearance and size after a pregnancy or weight loss.
- Restores the appearance of the breasts through reconstruction after a mastectomy (breast amputation due to cancer).
What are the risks of Breast implants surgery?
As with any type of surgery, there are possible risks and complications that should be borne in mind. Surgical complications are rare. However, these are more common in patients who have low defenses, bleeding disorders, or conditions that interfere with wound healing. The common risks in any type of surgery are the following:
In the event that these occur, it may be necessary for the implant to be removed temporarily (for six weeks). In the event that the patient presents pain or redness after surgery, it is necessary to contact the surgeon immediately. However, in some cases, antibiotics may be administered before and after the procedure, to prevent a complication.
Bleeding and bruising
Some patients may lose blood after Breast implants surgery and the drains placed may not drain the blood properly. Blood begins to accumulate in the pocket created for the implant. As a result, the breasts become inflamed and cause pain. If this were to occur it would be necessary for the patient to undergo another surgery to remove the hematoma and stop the bleeding.
This is a result of hardening of the scar tissue around the Breast implants. Even when the occurrence of a capsular contracture cannot be predicted, the probability of this happening increases with time. In the event that this causes pain or a malformation in the appearance of the chest, it would be necessary to have a second surgery to release the tissue. The surgeon may suggest that the patient take anti-inflammatory medicine to soften the hardening. In some cases, a light massage and the use of compression strips may be enough.
Altered impaction on the nipples
Some patients may experience loss of sensation in the nipples. But on the other hand, a minority of patients could develop hypersensitivity.
Breast Implants Before and After