Breast augmentation, breast enlargement of augmentation mammaplasty - breast implants, silicone implants, saline implants at Plastic Surgery Truth.com

Breast augmentation or breast enlargement or augmentation mammaplasty. This is procedure is always performed using breast implants. The implants are made of silicone shell, which can be filled with silicone gel or a physiological saline solution or sometimes hydrogel.

Saline solution is filled into the implant during the operation – the amount of saline is adapted to the breast size. Unlike silicone physiological saline solution is absolutely natural for human body - we all consist of salt water. However if the saline implant ruptures, the solution breaks down completely, while silicone gel keeps its form, not mentioning that saline implants do not feel as natural as silicone gel implants.

Hydrogel is a solution consisting of water and polysaccharides (sugar). The implants feel very natural, but tissue compatibility has not been proven as yet.

A roughened, texturised surface of on the silicone shell is preferable to a smooth surface, as it will cause less capsular fibrosis. There are round, oval and drop-shaped implants, which correspond most to the natural female anatomy and also look natural in horizontal position. Standard implant sizes range from 60 to 600 cubic centimeters. The most popular implant type is a silicone gel inlay with size 200 to 350 cc.

The operation, which takes two or three hours, is carried out while the patient is fully anaesthetized. An incision approx. four centimeters in length is made in the skin either in the armpit (axilla), below the nipple (mammilla) or in the fold under the breast.

Transaxillary Incision for Breast Implants Axillary incision is less concealed than the periareolar and associated with less difficulty than the periareolar incision site when breast feeding. The risks associated with an axillar point of entry are kelloids (raised scarring) and inhibited haemostasis.

Periareolar incision is the most concealed, but is associated with a higher likelihood of inability to successfully breast feed, as compared to the other incision sites.

inframammary incision for breast implant The most common practice is to make the surgical cut in the submammary fold under the breast. The only disadvantage of this approach is that it leaves a hairline scar – which eventually becomes imperceptible.

Umbilical incision Leaves no scar on the breast, but if subsequent surgeries are necessary this incision site cannot be used.

The cavity for the implant is prepared through the incision. The implant can be placed either behind the mammary gland (subglandular position) or behind the pectoral muscle (submuscular or subpectoral position.

The submuscular or subpectoral positionis opted for by 80 percent of surgeons, despite a longer healing period – the muscle conceals the implant very well, and the result is very natural-looking. After the implant has been placed, the incisions are sutured and sealed with a sterilized dressing.

Hospital stay: one or two days
Fit for work: after one week

Breast Augmentation