Breast Augmentation
Introduction
This operation is designed to increase the size of the breasts, but does not really lift the nipple and existing breasts for which a different operation is required. This operation is therefore suitable for people who have naturally small breasts, or those whose breasts have shrunk in size following a pregnancy. If a further pregnancy should occur after breast augmentation, particular care should be taken in supporting the breasts in order to maintain the best possible shape.
An implant of suitable size is either placed directly behind the breast tissue or behind the muscle in order to leave the normal breast in front. Lactation is usually not interferred with and sensation kept as normal in the vast majority of patients.Operation
The operation is carried out through a one and a half inch incision (3-5 cm approx.) in a position that is often optional. It is technically possible to choose from three different sites for access although this depends on the size and style of the implant:
1. Axilla: The hair bearing skin of the axillae, where it is well concealed.
2. The sub-mammary crease: Just at the level of the natural fold under the breast.
3. The areola: Half a circumference around the nipple.The breasts may feel sore the day after the operation, particularly when the arms are moved, but this soreness rapidly improves on the second day.
You will be given an appointment to remove the adhesive dressing and you will be instructed in the further care of your breasts. Three weeks after your operation, you may resume gentle exercise, but violent movement and upward stretching of the arms is inadvisable for six weeks. The type of brassiere after the operation is important, and should not allow upward displacement of the implants in the first six weeks after surgery. You will be advised regarding the most suitable type for you.Long Term Results
The material of the implants varies, although silicone implants have been used for over thirty years with no evidence relating to cancer with silicone implants.
It is however advisable to wear a supporting brassiere most of the day, as applies to any un-operated breast, this minimizes the stretching of the skin over the years.
The lifespan of an implant is variable. An average of 10 to 15 years is generally accepted before the need of revision surgery, this might be the replacement or removal of the implant with or without the uplift of the breast.
Hardening of the breast may develop in 7-10% of patients due to scar formation around the implant. The exact cause of this problem in a few patients is not fully understood, but presumably is caused by abnormal sensitivity to the otherwise inert breast implant.
It is necessary to stress the possibility of complications, such as bleeding, infection, the hardening previously mentioned, and implant displacement but in my practice this is very rare and I regard breast augmentation as a highly satisfactory operation when the need is indicated.After the operation you will be visited whilst in hospital by myself, or otherwise a member of my team in order to ensure a personal and confidential programme of after care. I can be contacted through my secretary, or out of hours, the Hospital switchboard should the need arise.
Revision surgery may be required in a very small minority of cases in the short term. In these circumstances you will not incur any surgical fees (payment to the surgeon), but you will be responsible for the cost of the hospital, cost of the implants and anaesthetic fees.
It is important to note that a more in detail discussion about the operation and possible complications adjusted to your specific needs takes place during consultation.
In general we do advise that you do not drive for 2 weeks after breast augmentation.
