Plastic Surgery - Breast enlargement



Dentists	Plastic Sugery	Private Hospital

Plastic Surgery

Breast augmentation is today the most common type of cosmetic surgery . Chiefly it is women in their twenties who wants to enlarge their breasts, but also women in their forties who wants to have back the volume and form of their breast the once had before childbirth. The most common method is to use silicone- or saline implants. Implants are considered to be the most safe method to have bigger breast. No gymnastic excercises, creams, comersial hormons or massage exist to enlarge the breasts.

The most common reasons to enlarge the breasts are;

	To small breasts
	Age- or volume loss because of childbirth and sagging breasts
	Different size of breasts (assymetry)


breast fold	axilla	nipple	navel

Technique: The incisions are placed either at the lower boarder of the nipple, in the axilla, or the breast fold: Through the navel is possible, but not a common procedure. For semiliquid siliconeimplants the incisions have to be a little longer and they must be placed in the breastfold.

A pocket is made between the gland and the breast-muscle or between the breast-muscle and the ribs.

The gland itself is totally undisturbed and breast-feeding is fully normal. A rigid bandage is applied when implants lie in the subglandular pocket and is kept for one week.


Over the muscle subglandular	Partly under the muscle	Under the muscle submuscular

The placement of implants under the muscle is more painful than the placement above the muscle and subglandular placement gives a more natural look

What technique is used and where the implants are inserted is depending what kind of physically abilities you have.

The gland is not affected and the breasts have full functionality. Sometimes a drain is inserted to remove any possible small bleedings. The drain is normally removed a day after the surgery.

Operating time : 1-2 hours.

Anaesthetic: General anaesthesia.

What happens afterwards?

COMPLICATIONS
There is a low risk of complications during and after surgery which are not due to the surgeon but more of a natural reaction that occurs in certain individuals. Patients will be carefully consulted and advised before this type of surgery.

Referred unwanted biologic events can occur with a certain low frequency and must be regarded as calculated risks. Other risks not mentioned can also occur. As a patient this must be considered before a decision for plastic surgery is set.

Bleeding: All operations can cause postoperative bleeding. These risks increase by the intake of analgesics and Vitamin E. These should be avoided 2 weeks prior to the planned operation.

Infection: All operations can cause infections. An implant has to be removed temporarily and can be reinserted after a few months in case of infection.

Capsular Contracture: Implants can get severely hard in approximately 5% and more seldom can pain and deformation of the breast occur. In case of severe contracture, the capsule has to be removed operatively (the implant is kept).

Dislocation: In some cases the implant can slide down to a too low position due to gravitation. A too high positioned implant is rarely seen when placed above the muscle. If correction is indicated the pocket will be closed or opened surgically.

Scarring: All scars are red for a couple of months and they fade away during the fist year. Direct sun or solarium against the scars should be avoided to prevent them for permanently become red or pigmented. The scars are normally very discreet.

Impaired sensibility: Independent of the placement of the incisions, the sensibility of the nipple can be impaired or get totally lost. A transient numbness or hypersensibility is however normal.

Smoking: Smoking does compromise bloodcirculation and healing. Smoking should be abandoned prior to a planned operation.

Face

Breast

Good for : Small breasts.

Breast operation

Operation time : 1-2 hours

Breast reduction

Type of anesthesia: general anaesthesia

Breast lift

Minimum days in Poland: 4 days

Breast enlargement

Convalescence: 2-3 weeks