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Breast Augmentation

Breast Augmentation

Popular procedure to enhance cup size by placing implants under breast tissue or chest muscles.

Breast augmentations are one of the most popular cosmetic surgeries. There are many different ways of performing breast augmentations and our experienced surgeons can help find the most suitable option for you.

Many women are unhappy with the shape and size of their breasts. Breast augmentation surgery is a very popular procedure among women to enhance their cup size and get the look they want as well as improving self-confidence and body image.

Types Of Breast Augmentation

Breast Implants

Breast implant surgery is a very popular procedure among women to enhance their cup size and get the look they want as well as improving self-confidence and body image.

Breast implants can be filled with either silicone or saline. Both implants are considered safe for breast augmentation and breast reconstruction. Your surgeon might recommend one type over another based on a number of factors including the anatomy of your breasts and your body type. Ultimately, the final choice is always yours.

Silicone Gel-Filled Implants

These implants consist of a silicone outer shell and a gel-based filler. Silicone implants are stronger and have a more natural feel than saline-filled implants.

There are two types of silicone gel-filled implants:

1) Silicone Gel Implants:

These implants are filled with a cohesive gel that maintains its shape in all positions and doesn’t leak. They are also light and soft to touch with a very natural feel. Silicone gel implants cost more than saline ones, but they also tend to last slightly longer.

2) Gummy Bear Implants:

These are teardrop-shaped gel-based implants, also known as highly cohesive gel implants. They are known to retain their shape better than other types while still being soft to touch. Due to their strength, they are less likely to rupture than other silicone or saline-based implants.

Different Shapes and Sizes of Implants:

a) Round Implant

Due to the different sizes and heights of the pads, these types of implants are round and flat at the base. They usually don’t look natural as the pad doesn’t slide on the side when someone lies down and as opposed to the teardrop shape, the round breast implant shape was designed to closely imitate the natural breast gland.

b) Anatomical Implant

The pad on implants with this kind of shape has a sandy matte texture that helps the pad not to move because it needs to stick with the tissue that is inside the breast. The operation of this kind of shape is usually a bit more complicated than the round implant procedure as it requires the surgeon to shape and size the breast after implantation correctly.

Size: Emphasis is usually on the brand of the implant, but they usually measure between 100cc-800cc.

Surfaces of Implant Shells

Textured Implant

Thick in nature and designed to decrease the occurrence of Capsular Contracture where scar tissues form around the breast implants. They roll down smoothly and do not move as much as the smooth-surfaced implants.

Smooth Surfaced

They are thinner and softer, unlike their textured counterparts. They tend to go around the breast more. Chances of fascia creation around the breast are usually evident with these types of surfaces.

Micro Textured

Provides a superior shape, lift, and feel to the smooth-surfaced implants. Lower rates of capsular contracture (when the scar tissue that normally forms around the implant tightens and contracts around the implant).

Textured surfaces implants are best for breast implantations that are placed under the breast tissue as they are highly vulnerable to contracture. Textured surfaces are designed to reduce Capsular Contracture. Smooth surface implants, however, are recommended for placements that will go under the muscle. Smooth surface implants also have a lower rate of rippling compared to the textured surface implants.

Breast Implant Manufacturers

Our surgeons use the highest quality breast implants for patient safety and optimal results. The following brands are available:

Motiva offers a range of silicone gel-filled implants that can adapt to the breast shape for a more natural look and feel. Motiva is also the first implant in the world that comes with an optional microchip that helps monitor the implants. All materials used in the manufacture of Motiva implants are approved by both European and US (FDA) authorities. Motiva implants are available in two outer shell surfaces: VelvetSurface, which is micro-textured and Silk Surface, which is a nanotextured implant.

One of the leading breast implant brands in the world, Mentor offers a wide range of silicone and saline implants for breast augmentation and reconstruction. The silicone implants are prefilled with a cohesive silicone gel that helps the implants retain a natural feel. The saline implants come in a variety of shapes, sizes, and profiles. They are inserted into the body without fluid and filled during surgery to the required size. The implant then seals itself. Mentor saline implants are available in two surface options – smooth and textured.

Contour Profile Gel (CPG) breast implants are teardrop-shaped gummy bear implants manufactured by Mentor. They are filled with a highly cohesive gel and shaped to mimic the silhouette of a natural breast.

Sebbin offers a range of cohesive gel-filled silicone implants for breast augmentation and reconstruction. The implants, which can be textured or nanotextured, come in various shapes, sizes, and projections.

  • Read the pre-surgery instructionsThis will help prevent complications and improve the outcome of your surgery.
  • Plan to take at least 2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything 8 hours before your surgery.
  • Read the recovery instructions. 
  • The incision site may feel sore for the first 2-3 days.
  • It is normal to feel that the implants are not part of your body at first. It can take 2-3 weeks for your breast implants to soften and begin to feel more natural. 
  • Wear a sports bra or no bra at all for the first month. You can start wearing an underwire or push up bra after about 4-6 weeks.
  • Avoid physical exercise and lifting heavy objects for the first 3 weeks after surgery.

Fat Grafting

In addition to silicone implants, breast augmentation can also be performed by using autologous fat grafting. This involves extracting fat tissue from other parts of your body and injecting it into the breasts to make them bigger. Typical donor-sites used for fat grafting include the hips, the thighs, and the stomach.

For a moderate augmentation of the breast, approximately 100-200 ml of fat may be used per breast. If desired, the process can be repeated to increase the breast size later. Approximately 50-80% of the transferred fat will survive and remain permanently in the breast. The rest will be reabsorbed by the body. It usually takes about three months to see the final results of the operation.

Fat grafting may be a good option for women who want to avoid the risks of implants and/or desire moderate and natural breast enhancement.

  • Read the pre-surgery instructions.
  • This will help prevent complications and improve the outcome of your surgery.
  • Plan to take at least 2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything 8 hours before your surgery.
  • Read the recovery instructions. 
  • The incision site may feel sore for the first 2-3 days.
  • It is normal to feel that the implants are not part of your body at first. It can take 2-3 weeks for your breast implants to soften and begin to feel more natural. 
  • Wear a sports bra or no bra at all for the first month. You can start wearing an underwire or push up bra after about 4-6 weeks.
  • Avoid physical exercise and lifting heavy objects for the first 3 weeks after surgery.

Hybrid Breast Augmentation

Hybrid breast augmentation surgery is an advanced procedure combining breast implants and fat grafting. It is also known as hybrid breast augmentation.

Hybrid breast augmentation may be the ideal procedure if:

  • You are looking for a more customized solution to breast implants
  • Your breasts are very wide apart or unsymmetrical
  • You have a very bony upper chest or thin skin tissue on breastbone
  • You want to achieve maximum fullness in the upper breast while maintaining natural-looking results

Hybrid breast augmentation can be used to enhance breast size more than fat grafting alone and provides more localized contouring compared to just implants. The combination approach provides a safe and reliable method for breast augmentation that produces more natural, customizable results.

  • Read the pre-surgery instructions.
  • This will help prevent complications and improve the outcome of your surgery.
  • Plan to take at least 2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything 8 hours before your surgery.
  • Read the recovery instructions. 
  • The incision site may feel sore for the first 2-3 days.
  • It is normal to feel that the implants are not part of your body at first. It can take 2-3 weeks for your breast implants to soften and begin to feel more natural. 
  • Wear a sports bra or no bra at all for the first month. You can start wearing an underwire or push up bra after about 4-6 weeks.
  • Avoid physical exercise and lifting heavy objects for the first 3 weeks after surgery.

Breast Lift

Procedure to raise and reshape your breasts by board-certified surgeons with over 20 years of experience.

Pregnancy, breastfeeding, and weight loss can all stretch the breast tissue, which can leave women unsatisfied with the shape of their breasts.

Breast lift, also known as mastopexy, is a cosmetic surgery procedure that aims to restore a more youthful, perkier appearance to sagging breasts.

During the surgery, excess skin is removed, and breast tissue is reshaped to raise, reshape, and firm the breasts.The procedure is best suited for women who are generally happy with the size of their breasts but seek to enhance their appearance for a perkier result.

Types of Breast Lift Surgery

Breast Lift (Mastopexy)

Breast lift is a common procedure to raise and reshape your breasts. Interplast Clinic provides breast lift surgery by board-certified plastic surgeons with over 20 years of experience.

Breast Lift Operational Techniques

Crescent Lift

The crescent lift technique involves using a crescent-shaped incision to remove a small amount of skin from above the areola and reattaching the ends with very fine stitches. The crescent incision pattern is typically used in cases where there is only mild sagging or drooping, and it is best suited for patients with smaller breasts.

Donut Lift

Donut mastopexy is an option when the breast lift is combined with breast augmentation. The technique involves removing a circular-shaped piece of skin from around the areola and closing the incision with stitches along the gap where skin has been removed. One of the main advantages of the donut lift is that the incision marks are hidden in the natural creases of the areola with no vertical scars on the breasts. Good candidates for the donut lift are women with small or medium-sized breasts with only mild breast sagging.

Lollipop

The most versatile of breast lift techniques, the lollipop lift involves combining an incision around the areola with a vertical incision that runs downwards from the bottom of the areola. The surgeon will then lift the nipple and the areola to their new position and close the incisions with stitches. The final result is an incision pattern in the shape of a lollipop. This approach is often favored because it produces a better appearance of the vertical scar, and it allows the surgeon to elevate the areola to a higher, more youthful-looking position. Women with mild to moderate sagging of the breasts can expect favorable outcomes with the lollipop technique.

Anchor lift

If you have a significant amount of breast sagging, your surgeon may recommend an anchor lift. The anchor lift is the oldest breast lift technique and it is often performed when a breast lift is combined with breast reduction.

The surgeon will make an incision around the areola and then a vertical one running downwards from the bottom of the areola to the breast crease. A third incision is made horizontally along the breast crease, with the final incision pattern forming an anchor shape. It is also known as the inverted T breast lift. This technique produces the most amount of scarring, and therefore it’s typically recommended for women who need a more effective correction of sagging breasts compared to other, less invasive techniques.

  • Read the pre-surgery instructions.
  • This will help prevent complications and improve the outcome of your surgery.
  • Plan to take at least 2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything 8 hours before your surgery.
  • Read the recovery instructions.
  • An overnight stay in the hospital is required.
  • Take all the medicines prescribed by your doctor.
  • Avoid heavy lifting and strenuous activity for 2-3 weeks.
  • Avoid adding any unnecessary pressure to your chest or sleeping on your stomach.
  • Avoid wearing an underwire bra for at least 3 weeks.
  • Sutures will usually be removed after 2 weeks.

Breast Lift (Mastopexy) + Augmentation

A breast lift is often combined with breast augmentation surgery. A combined technique may be preferable to stand-alone surgery when the breasts have lost significant volume as a result of breastfeeding or weight loss.This combination procedure aims to help women achieve the ideal size and shape of the breasts.

Advantages of breast lift with augmentation

  • Elevates breasts and enhances their size with one procedure, which eliminates the need to go under general anesthesia twice.
  • You probably won’t need to add as much volume compared to breast implants only.
  • Can help breasts maintain their youthful, perky appearance for a long time.
  • Read the pre-surgery instructions.
  • This will help prevent complications and improve the outcome of your surgery.
  • Plan to take at least 2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything 8 hours before your surgery.
  • Read the recovery instructions.
  • An overnight stay in the hospital is required.
  • Take all the medicines prescribed by your doctor.
  • Avoid heavy lifting and strenuous activity for 2-3 weeks.
  • Avoid adding any unnecessary pressure to your chest or sleeping on your stomach.
  • Avoid wearing an underwire bra for at least 3 weeks.
  • Sutures will usually be removed after 2 weeks.

Breast Reduction

Alleviates self-consciousness associated with large, heavy breasts and allows you to participate in activities.

Breast reduction, also known as reduction mammoplasty, is a surgical procedure performed to reduce the size of the breasts. During the procedure, your plastic surgeon will remove excess skin, fat and tissue in order to resize the breasts.

Breast reduction surgery aims to address a number of issues caused by large breasts. Patients choose to undergo this type of surgery in order to fix health problems associated with large breasts, including back and neck pain, skin irritation, bra strap indentations, poor posture and interference with normal daily activities such as exercise.

Breast reduction surgery can also alleviate self-consciousness associated with large, heavy breasts as well as allowing you to participate in activities that were impossible before. It will also open up a number of new possibilities to explore as far as clothing and fashion are concerned.

Ideal candidates for breast reduction

There is no optimal age for breast reduction, although ideally your breasts should have fully stopped developing. Weight fluctuations can also affect breast size, so it is important to have maintained a steady weight for at least 6 months before surgery.

Breast reduction surgery can be performed using a number of different techniques. Your plastic surgeon will choose the most appropriate technique based on your physical needs and aesthetic goals.

The most common technique involves making three incisions: one around the perimeter of the areola; a vertical incision running downwards from the bottom of the areola and a further horizontal incision along the breast fold.

This ultimately results in an incision pattern shaped like an anchor or inverted “T”, which is why it is also known as the inverted-T technique.

After the incision is made, the surgeon will remove excess skin, fat and tissue in order to resize the breasts. The nipple and areola are also repositioned, so they sit higher, in a more youthful and agreeable position.

After surgery, gauze dressings are applied to the breasts, followed by selecting the right-sized surgical bra. You will be given painkillers to relieve pain after the operation, and the pain will usually subside within a few days.

  • Read the pre-surgery instructions.
  • This will help prevent complications and improve the outcome of your surgery.
  • Plan to take at least 2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything 8 hours before your surgery.
  • Read the recovery instructions.
  • You may start to perform light household chores after 2-3 days.
  • Bruising and swelling will begin to subside after a few weeks.
  • Your surgeon may suggest wearing a sports bra 24 hours a day for the first few months after surgery.
  • Sutures will usually be removed after a week or two or they may dissolve on their own.
  • You will probably have some scarring around your nipples and running down your breasts. These scars will naturally fade within a year.

Breast Capsulectomy

Breast capsulectomy involves the surgical removal of scar tissue or capsule and removing the breast implant.

One of the most common complications after breast augmentation surgery is capsular contracture. This happens when the scar tissue that normally forms around the implant tightens and contracts around the implant and starts to squeeze the implant. As a result, the appearance of the breasts may become distorted. There may also be pain or discomfort from the tissue tightening around the implant.

Breast capsulectomy involves the surgical removal of this scar tissue or capsule and removing the breast implant. The implant itself may then be reinserted or replaced with a new one.

Capsulectomy is usually performed under general anaesthesia. The surgery may be performed on one or both breasts, depending on the position of the capsule and the level of discomfort it is causing.

The plastic surgeon will use small incisions to open up the capsule and release the implant. He may also attempt to remove all or some of the hardened tissue. Finally, the implant is reinserted or replaced with a new one.

The incisions are closed with fine stitches, which may need to be removed later or dissolve on their own. Tapes will be placed over the stitches for additional support. A light dressing will also be applied. The whole procedure takes around 2-3 hours to perform.

  • Read the pre-surgery instructions.
  • This will help prevent complications and improve the outcome of your surgery.
  • Plan to take at least 2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything 8 hours before your surgery.
  • Read the recovery instructions.
  • Your breasts may feel somewhat sore after surgery. This is normal and can be controlled with painkillers.
  • The surgical dressing put in place can be removed after 3 days. You may shower and use soap normally after that.
  • Soreness and bruising will disappear after a few days.
  • Avoid heavy lifting and exercise for 2 weeks.
  • You will have to wear a surgical bra for a few weeks. Your surgeon may ask you to wear this for 24 hours at first.
  • A follow-up appointment will be made after 5-7 days to remove sutures.

Breast Implant Removal

Our plastic surgeon will carefully assess your situation and talk you through the whole process

There are many reasons a patient may want to have their breast implants removed. Implants may no longer feel necessary due to lifestyle or personal reasons. Although breast implants last for a long time, unfortunately they don’t last forever. Most healthcare practitioners recommend changing silicone implants after 10-20 years. Ruptured breast implants should always be removed. Signs of ruptured implants include changes in breast shape or size, firmness, or swelling.

If you are worried that your breast skin has been stretched, your surgeon may recommend further work such as breast lift to restore youthful appearance and perkiness to your breasts.

Reasons a patient may want to have breast implants removed

  • You want to reduce your breast size or make them bigger
  • The original augmentation surgery didn’t meet the expected results
  • You would like to switch to a different type or brand of implant
  • Complications arising from the existing implants, such as capsular contracture, rupture, or leak
  • You’ve decided you don’t want breast implants anymore

The process to remove breast implants always starts with a consultation. Our plastic surgeon will carefully assess your situation and talk you through the whole process. Based on this, you can make the final decision on whether you’d like to go ahead with the surgery.

Breast implant removal is almost always performed under local anaesthesia. The surgeon will cut through the incision sites from your previous surgery to remove the implants. Some or all of the capsule (scar tissue) surrounding the implant may also be removed.

Implant removal is a relatively straightforward procedure and the whole operation takes less than an hour. You can usually return home straight away and will be able to resume your normal activities within a few days.

  • Read the pre-surgery instructions.
  • This will help prevent complications and improve the outcome of your surgery.
  • Plan to take at least 2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything 8 hours before your surgery.
  • Read the recovery instructions.
  • Your breast may feel sore for a few days after surgery. This is normal and will subside on its own.
  • Wearing your compression garment will help ease any discomfort.
  • Take all medicines prescribed by your doctor.
  • You will be able to resume most of your daily activities within a week.
  • Avoid heavy lifting or strenuous exercise for 3 weeks.

Areola Reduction

Areola reduction is a simple procedure performed with the aim of reducing the diameter of the areola

Areolas are the darker skin areas surrounding each nipple. Just like the breasts and the nipples, areolas can come in all shapes and sizes.

The average areola is approximately 4 sizes in diameter. It can also be much bigger than this. Genetics plays a big role in determining the size of the areola as well as the breast that surrounds it. The size of the areola can also be affected by breastfeeding.

Although not a health concern, some people with large areolas may choose to have them reduced. Areola reduction is a relatively simple procedure performed with the aim of reducing the diameter of the areola. The purpose of the operation is to create a round, symmetrical shape and a cosmetically pleasing size for the areola in relation to the breast size.

Good candidates for areola reduction are generally healthy men and women who are not satisfied with the size of their areolas. Areola reduction can be performed at any age, although women’s breasts should be fully developed before surgery.

Just like any type of plastic surgery, areola reduction starts with a consultation. Your surgeon will examine your breasts, listen to your concerns and talk you through your surgical options.

The surgery is performed by removing a doughnut-shaped area out of the areola to create its future shape and size. Excess skin is then removed, and the surrounding skin is brought inwards using a “purse-string” stitch so that it surrounds the areola.

Finally, the incision site is closed using dissolvable stitches.

  • Read the pre-surgery instructions.
  • This will help prevent complications and improve the outcome of your surgery.
  • Plan to take 1-2 days off work and your normal activities
  • Read the recovery instructions.
  • You may experience some bruising, swelling or numbness after surgery. These symptoms are normal and will subside after a few days.
  • Avoid placing weight on your chest for 3-4 weeks.
  • Take all medications prescribed by your doctor.
  • You should be able to return to work and resume most normal activities within a few days
  • Avoid strenuous exercise for 10 days
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