Breast augmentation overview
Breast augmentation sometimes referred to as “breast augmentation” or “breast surgery” by patients, involves the use of breast implants or fat transfer to increase the size of the breasts. This procedure can also restore breast volume lost after weight reduction or pregnancy, achieve a more rounded shape of the breasts, or improve the natural asymmetry of breast size.
Breast augmentation, or augmentation mammoplasty
Why is Breast augmentation made?
Breast augmentation can help you:
- Improve your look if you think your breasts are too little or one is slighter than the other.
- Adjustment to reduce the size of your breasts after pregnancy.
- Proper not level breasts after breast surgery for other circumstances.
- Improve your self-confidence.
Discuss your objective with your medical doctor so that you can be sensible about what breast augmentation can perform for you.
What are breast implants?
A breast implant is a medical prosthesis that is placed inside the breast to augment, rebuild, or create the physical shape of the breast.
There are three main types of breast implants:
Saline implants are filled with a sterile saline solution, such as saltwater. The solution is kept within a silicone elastomer shell. These implants can be packed with different amounts of saline solution. This affects the feel, determination, and figure of the breast.
If a saline implant leaks, the way out will be wrapped up and expelled by the body naturally.
Silicone gel-filled implants made of a silicone external shell filled with silicone gel. If a silicone-filled implant leaks, the gel will either remain in the shell or leak into the breast implant pocket. A leaky silicone-filled implant may or may not collapse.
Patients who choose this type of implant should have more regular check-ups with their doctor compared to those with saline implants. An MRI or ultrasound can check the status of the implants.
Alternative composite implants can be filled with polypropylene thread, soybean oil, or some other material.
Breast augmentation costs
The cost of breast implants depends on the location, the doctor, and the type of implant used. Typically, the surgery is between $ 5,000 to $ 10,000. Because it is a cosmetic procedure, medical insurance generally does not cover breast augmentation.
How the breast implant procedure is performed
Because breasts can continue to develop until women reach their teens or 20s, the FDA requires women to be at least 18 years old to have saline implants breast augmentation and at least 22 years old to receive implants of silicon. When choosing your surgeon, look for one who has a lot of experience. You may be less likely to have complications later if you choose a surgeon who has had at least five years of surgical training and at least two years of experience in plastic surgery.
Previous to your breast implant method, you will get together with your medical doctor for a medical assessment. You can talk about what you want and get feedback from the doctor. Your medical doctor may ask you to end taking certain medications a small number of days or weeks before your surgery. You can perform a breast augmentation as an outpatient procedure or you can stay overnight in the hospital.
Preparing for your procedure
How do I get ready for a breast augmentation procedure?
Your surgeon will provide you with complete pre-operative instructions, answer any questions you may have, take a detailed medical history, and perform a physical exam to determine your suitability for surgery.
To help notice and path any changes in your breast tissue, your plastic surgeon may advocate:
- A baseline mammogram before surgery.
- Another mammogram a few months after surgery.
Before your procedure, your surgeon will ask you to:
- Quit smoking at least six weeks before undergoing cosmetic surgery to better promote healing.
- Keep away from taking aspirin and certain anti-inflammatory drugs that can boost bleeding.
- In spite of the type of surgical procedure to be performed, hydration is very vital before and after surgical procedure for a safe recovery.
For autologous fat transfer breast augmentation, you may be instructed to wear a special bra to expand the skin and tissue around the breasts to prepare them for the fat injection. Breast augmentation is more often than not done on an outpatient source. Be sure to arrange for someone to drive you home after surgery and to stay with you for at least the first night after surgery.
What can I imagine on the day of breast augmentation surgery?
Breast augmentation surgery can be performed in a hospital, a freestanding outpatient centre, or an operating room. Most breast augmentation procedures take at least an hour or two and can be 1 to 2 hours longer if the breast lift is also performed.
- Medications are known for your relief during the surgical procedure.
- General anaesthesia is commonly used during the breast augmentation procedure, although in some cases local anaesthesia or intravenous sedation may be desirable.
- For your safety during surgery, various monitors will be used to monitor your heart, blood pressure, pulse, and the amount of oxygen circulating in your blood.
- Your surgeon will follow the surgical plan that was discussed with you prior to surgery.
- Once your procedure is complete, you will be taken to a recovery area, where you will continue to be closely monitored.
After the insertion and placement of the breast implants, your surgeon will use sutures to close the surgical incisions. Many plastic surgeons will wrap your chest area in a gauze bandage or dress you in a surgical compression bra to provide support and help with healing. Occasionally, drainage tubes may be used for a short time after surgery.
Autologous fat transfer breast augmentation requires two procedures: liposuction and fat injection. Using liposuction techniques, your plastic surgeon will remove fat cells from a predetermined location with a cannula, process the fat, and then inject the fat into your breasts. Your liposuction incisions will be closed with stitches and you will wear compression garments over the liposuction areas and your breasts.
You may be permissible to go home after a short inspection period unless you and your plastic doctor have made other tactics for your instant postoperative healing.
Aftercare and recovery
Your surgeon will discuss how long it will be before he can return to his normal level of activity and work. After surgery, you and your doctor will receive detailed instructions on your postoperative care, including information on:
- Drains, if placed.
- Normal symptoms you will experience.
- Possible signs of complication.
Immediately after breast augmentation surgery
After your breast augmentation procedure, you may have a surgical bandage that may include a bra or support garment. Breast augmentation surgery stretches the breast tissue and can be painful, especially when implants have been placed under the breast muscle. Typically, most pain is experienced within the first 48 hours after breast augmentation surgery. Generally, your pain level will decrease each day and it can be effectively treated with various pain relievers.
Your breasts may feel tight and tender to the touch, and your skin may feel hot or itchy. You may experience difficulty raising your arms. At first, some discolouration and swelling will occur, but this will quickly disappear. Most of the residual swelling will resolve within a month.
When the anaesthesia wears off, you may feel some pain. If the pain is extreme or prolonged, contact your doctor. You will also have some redness and swelling after surgery. Contact your medical doctor to find out if having your pain, redness, and swelling is normal or a sign of a problem.
Breast Augmentation Recovery Time Frame
You should be talented to walk without help right away after a breast augmentation surgical procedure. It is very important that you walk for a few minutes every few hours to reduce the risk of blood clots in your legs.
It is vital mainly that you follow all patient mind orders provided by your medical doctor. This will comprise information on wearing density garments, taking care of your drains, taking an antibiotic if prescribed, and the level and type of activity that is safe. Your surgeon will also give you detailed instructions on the normal symptoms you will experience, how to care for the incision areas, and any potential signs of complications. It is important to realize that the amount of time it takes to recover varies greatly between people.
The first week
- For two to five days, you may feel stiff and sore in the chest region.
- Surgical dressings will be removed in several days. You may be told to wear a support bra.
- You will be allowed to shower between one and seven days after surgery.
- If you have outside stitches, they will be detached in about a week. If your medical doctor used tissue glue or tape, it will fall off on its own in a week or two.
- You may be able to go back to work in a few days or a week, depending on the nature of your job.
- You should refrain from lifting, pulling, or pushing anything that causes pain and limit strenuous activity or twisting your upper body if this causes discomfort.
Two to six weeks
You should minimize excessive physical activity for at least the first few weeks after surgery. After that, take care to be extremely gentle on your breasts for at least the next month. The intimate contact will be guided by your comfort.
Your surgeon will recommend that you schedule routine mammograms at the recommended frequency for your age group. After breast augmentation, you should continue to do your breast self-exam.
Are there risks or side effects?
A common risk of breast augmentation surgery is the need for follow-up surgical procedures to correct any complications that may arise. Some people also want a different size implant later or a tightening as their skin stretches over time.
Other risks and side effects include:
- Bleeding and bruising.
- Breast pain.
- Infection at the surgical site or around the implant.
- Capsular contracture, or the formation of scar tissue inside the breast (this can make your implants warp, shift, hurt, or become more visible).
- Implant breakage or leakage.
- Altered feeling in your breasts (often temporary after surgery).
- “Rippling” of the skin over the implant site, often under the breast.
- Improper implant placement or movement.
- Fluid buildup around the implant.
- Difficulty healing at the incision site.
- Discharge from the breast or from the incision site.
- Severe scarring of the skin.
- Heavy sweating at night.
As with any surgical process, the use of common anaesthesia also carries risks, as well as death during the procedure.
Call your surgeon immediately if:
- Starts to have a fever.
- See redness on or around your breast, especially red streaks on the skin.
- Feel a temperate feeling in the region of the cut site.
All of these could indicate an infection
After it has healed, your surgeon should evaluate any pain in the breast or armpit or change in the size or shape of the breast. These could indicate a ruptured implant. It is not always easy to identify the rupture immediately, as implants tend to leak slowly. Other rare complications include chest pain and shortness of breath. These are medical emergencies that may require hospitalization.
There is also a risk of anaplastic large cell lymphoma (ALCL). It is a rare and recently recognized form of blood cell cancer that has been associated with the long-term presence of breast implants, usually textured silicone implants.
At this time, 414 cases have been reported worldwide that the US Food and Drug Administration (FDA) is tracking. Based on these reports, the estimated risk of getting ALCL associated with breast implants is between 1 in 3,800 and 1 in 30,000 patients. To date, there have been 17 patient deaths believed to be related to ALCL associated with breast implants.
Most of these patients were diagnosed after they developed breast swelling or fluid around the implant, within 7 to 8 years of implant placement. With ALCL, cancer usually remains within the tissue around the breast implant, although in some of the patients it has spread throughout the body. Breast implant patients should observe their breasts and consult their physician for any changes or new enlargement, swelling, or pain.