Also known as Augmentation Mammaplasty, is a surgical procedure designed to enhance the size and shape of your breasts.
Women choose to have breast augmentation surgery to balance the proportion between the breast and body, as well as gain a shapelier contour. Breast augmentation, one of the most popular and common cosmetic surgeries, involves the placement of a silicone or saline breast implant beneath or over the chest muscle to increase breast size. In most cases, the incision is made either around the lower half of the nipple or under the breast crease, which leaves practically only a fine line resulting in a natural appearance
Breast augmentation can be performed for a number of reasons. These include personal reasons for women who feel that their breast size is too small, for correction of a reduction in breast size following pregnancy or weight loss, to balance a difference in breast size or as a reconstructive procedure following breast removal.
Depending on the size and type of implant used, your bra cup size can be increased by a little or as much as you want within reasonable limits. We have an information brochure available which will give you a basic understanding of Breast Augmentation. It cannot answer all of your questions as a lot depends on an individuals and the Surgeons preference. Please ask your plastic surgeon about anything that you are unsure about.
Breast implants come in a wide range of materials, shapes and sizes to suit various needs. Implants can be filled with either saline or cohesive silicone gel, and the shape can be round or anatomical (teardrop). An A cup breast with a 250-270cc implant gives a B cup breast. Using a 330-370cc implant gives a C cup breast. The actual width of a woman’s chest from the edge of the sternum (breastbone) to the outer edge of the pectoral muscle determines the maximum size implant. Using an implant with a “footprint” larger than this will cause the implants to meet in the middle (synastia or “bread loafing) and spill over into the armpits.
Breast Augmentation is performed under a General Anaesthetic. This surgery can be performed as day surgery, however, if surgery is scheduled on an afternoon list you may require an overnight stay. This Surgery is considered “cosmetic” therefore private health funds will not cover your surgery or hospital fees or overnight stay (if required).
The technique used depends to some extent on the individual patient and the type of implant that will be used. For example in very slender patients one wants as much padding as possible between the skin and the implant, otherwise, the implant will be easily felt. This means that the implant is best put behind the muscle. Some people also feel that placing the implant underneath the muscle reduces the risk of capsular contracture and most importantly, placement underneath the muscle will prevent the implant from riding high and giving you a higher, fuller look with an overflowing cleavage. This technique is also better for future breast mammograms to be performed.
|Implant beneath muscle
|Implant above muscle but behind breast gland
Placement of the implant depends on personal choice as well as surgical preference. Your Surgeon will assess your needs at the time of your consultation so that you are prepared for the approach to surgery. This also applies to the placement of the incision line. Incisions can be made underneath the nipple, immediately under the breast in the inframammary fold, or underneath the armpit or axilla. The incision is typically two or three centimetres long when using saline implants and four to five centimetres long when using a silicone implant. This is because the silicone implant comes pre-filled, whereas the saline implant can be inflated when inside the chest wall. Nowadays, saline implants are hardly ever used, having been left behind by technical advanced in silicone gel implants.
At the time of surgery, an incision is made in the appropriate area and a “pocket” is dissected underneath the muscle & skin where the implant will be fitted. The implant is then inserted and centred beneath your nipple. For saline implantation, the implant is placed, then filled with saline solution through a port until the desired size, shape and symmetry is achieved. The incision is then sutured with dissolving sutures underneath the skin. A drain may be inserted into the area to drain away any fluid that may collect. These drains are usually removed 24-48 hours after your surgery.
Your chest may be bandaged tightly and, if used this bandage will be left in place for 24 hours. Most patients are simply dressed & placed in a bra.
You may feel some discomfort & maybe even significant pressure in the first 24-48 hours, this is more marked if the implants were placed beneath the muscle. This can be controlled with medication prescribed by your Surgeon. Avoid Aspirin and Aspirin-related medications unless otherwise instructed by your Surgeon as these may cause bleeding.
If you are discharged on the same day, you may need to be cared for at home and attend our rooms within the week. Your progress will be monitored closely in the postoperative period and it is important that your contact us if you have any concerns.
Swelling and bruising can be assisted by applications of ice, remember to wrap the ice in several towels, not apply it directly to the skin or you may produce an ice burn. There may be a temporary loss of sensation around the breasts and on the nipples due to trauma to the local nerves. This usually settles in two to three months but it may last longer.
At your postoperative visit, your dressings will be removed and your wounds checked you will be shown to manage your own dressings with tape and scar gel.
Do not be afraid to ask questions or to let the staff or your Surgeon know of any specific problems or worries that you may have. After drain removal, dressing check and bra fitting you will be followed up on a regular basis by our Nursing staff.