Breast Enlargement (Augmentation)
Overview
Breast enlargement, also known as breast augmentation, is a surgical procedure that involves the use of implants to increase the size and enhance the shape of the breasts.
- Overview & Causes
- Implants
- Procedure
Overview:
The breast enlargement procedure involves the surgical insertion of implants behind the breast tissue or under the chest muscle. The implants can be filled with saline or silicone gel. Saline implants are filled with sterile saltwater, while silicone implants are filled with a silicone gel that closely resembles human fat. The choice of implant material depends on factors such as the patient’s age, body type, and personal preference.
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Causes:
Breast enlargement is usually done for cosmetic reasons, to improve the appearance of breasts that are perceived to be too small or asymmetrical. Some women may also choose breast enlargement after pregnancy or weight loss, which can cause the breasts to lose volume and firmness.
There are different techniques for breast implant placement in breast augmentation surgery. Here are the four main techniques used by surgeons:
Subglandular Placement:
In this technique, the implant is placed above the chest muscle but below the breast tissue. This method is typically used for patients who have enough breast tissue to cover the implant and desire a shorter recovery period, as the surgery is less invasive than the other methods. However, subglandular placement may result in more visible rippling, which can be a cosmetic concern.Submuscular Placement:
In this technique, the implant is placed under the chest muscle. This method is typically used for patients who have thinner breast tissue, as it provides more coverage for the implant and can result in a more natural-looking result. Submuscular placement also has a lower risk of visible rippling and may reduce the risk of capsular contracture (a complication where the scar tissue around the implant tightens and hardens).Dual Plane Placement:
This technique is a combination of the subglandular and submuscular placement techniques. The upper part of the implant is placed under the chest muscle, while the lower part of the implant is placed under the breast tissue. This technique can be used to achieve a more natural-looking result and provide more support for the implant.Transaxillary Placement:
In this technique, the incision is made in the armpit rather than on the breast. The implant is inserted through this incision and placed in either the subglandular or submuscular position. This technique can provide a scar-free result on the breast itself, but the surgeon may have more limited visibility during the procedure.
Your surgeon will discuss which technique is best for you based on factors such as your anatomy, desired outcome, and personal preference. It’s important to communicate your goals and concerns with your surgeon so they can help you make an informed decision about which technique to use.
Procedure:
The breast enlargement procedure is typically performed under general anesthesia, and usually takes one to two hours to complete. The surgeon will make an incision in the breast crease, around the areola, or in the armpit, depending on the patient’s anatomy and preference. The implant is then inserted through the incision and placed in a pocket behind the breast tissue or under the chest muscle. Once the implant is in place, the incision is closed with sutures.
After the procedure, patients may experience some discomfort and swelling, but this typically subsides within a few days. Patients are advised to avoid strenuous activity and heavy lifting for several weeks after the surgery. The results of breast enlargement are usually visible immediately after the procedure, and can provide a significant boost in self-confidence and body image.