Breast Augmentation
Breasts are the pivots of the feminine figure. When they are too small, or asymmetric in their sizes, one may feel insecure. The insecurity can affect their daily lives, what they choose to wear, their intimate relationships, too. People who survived breast cancer but lost their breast or both breasts along the way, can also feel like they have lost their femininity. Weight loss, pregnancy and breastfeeding, can leave the breasts look deflated, and that too can lower one’s self esteem.
Breast augmentation is the surgical procedure done to increase the breast size. It can be done with implant placement, or less common fat transfer. It is the most performed cosmetic surgery worldwide. With breast augmentation, you can recover your femininity and your self-confidence.
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There are 2 main types of breast implants; saline and silicone filled implants. Both of their outer shells are made of silicone. These outer shells can be either textured or smooth, and the implant can be round or shaped. An important aspect in this procedure is the location of the placement of the implant. It can be placed in the subglandular, or submuscular pockets.
Saline implants are silicone shells that are filled with sterile saline. These can be pre-filled, or can be filled during the surgery after the shell has been inserted into its position. In a case of rupture, saline implants are very safe as they are just sterile saline solutions. Saline implants can show rippling on the implant edges, especially in thin patients. Silicone implants, on the other hand, are fully silicone; the outer shell is solid silicone whereas the inner part is filled with viscous silicone gel. These are often preferred as it gives a softer and more natural tissue feel than the saline implants. In a case of rupture, these implants need to be removed immediately. Silicone implants are less likely to cause a rippling effect.
Round implants stick out more and give a more full but sometimes unnatural look to the breasts. Shaped implants, on the other hand, are made to look like natural breasts. Round implants are resistant to rotation as they are uniform in their shapes. Texturing on the shaped implants protects against rotation, but smooth surfaced ones may rotate, which will result in unnatural shaped breasts
The implant can be placed above the chest muscle (subglandular) or beneath it (submuscular). Depending on the patient's anatomy and the surgeon’s preference either can be chosen. Submuscular implantation often results in less capsular contracture rates and less moving after the surgery. Regardless, the subglandular approach is preferred by most surgeons as they provide a fuller look, and cause less long-term pain than the submuscular one; recovery lasts longer in submuscular implant placement.
Complications are normal side effects of any surgery. Although some are expected and are temporary and easily treated, some may be dangerous and usually happens when the surgeon is inexperienced, but accidents can happen anytime, to anyone. Most common complications associated with breast implants are:
Both silicone and saline implants can rupture, while saline implant rupture is safer in comparison, in a case of rupture, a revision implant surgery is needed in both types
Pain is a normal part of the recovery process. It can be eased by painkillers.
When the body finds a substance as foreign object, it creates a wrapping scar tissue that is calcified therefore rock hard. In such cases, immediate revision surgery is needed.
Infection can be prevented by cleaning the scars periodically. If infection occurs, antibiotics prescribed by your doctor can help resolve it.
Hematoma is blood collecting at the injury site. It happens when a vein is damaged and the blood spills into the tissue. It can be prevented by compression garments and cold compression.
Temporary loss of sensation is rather common and goes away with time, and permanent loss of sensation is rare and usually happens when the surgeon is inexperienced with the anatomical structures.