Breast augmentation surgery

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What is breast augmentation surgery?

Breast augmentation surgery involves using breast implants or fat, referred to as fat transfer breast augmentation, to increase the size of your breasts or restore breast volume that has been lost after weight reduction or pregnancy.

Breast augmentation is clinically referred to as augmentation mammaplasty.

Breast augmentation can:

Increase fullness and projection of your breasts

Improve the balance of your figure

Enhance your self-image and self-confidence

Breast implants may also be used for breast reconstruction after mastectomy or injury.

What breast augmentation surgery won’t do

Breast augmentation does not correct severely drooping breasts. If you want your breasts to look fuller and to be lifted due to sagging, a breast lift may be required in conjunction with breast augmentation.

Breast lifting can often be done at the same time as your augmentation or may require a separate operation. Your plastic surgeon will assist you in making this decision.

Breast augmentation candidates

You may be a candidate for breast augmentation surgery if:

You are physically healthy

You have realistic expectations

Your breasts are fully developed

You are bothered by the feeling that your breasts are too small

You are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss, or with aging

You are unhappy with the upper part of your breast appearing “empty”

Your breasts are asymmetrical

One or both breasts failed to develop normally or have an elongated shape

Breast augmentation procedure steps

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options include:

Breast augmentation incisions

Incisions vary based on the type of breast implant, degree of enlargement desired, your particular anatomy and patient-surgeon preference.

Step 3 – Inserting and placing the breast implant

After the incision is made, a breast implant is inserted into a pocket either:

Submuscular and Subglandular Breast Implant Placement

A. Under the pectoral muscle (a submuscular placement), or

B. Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)

The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon’s recommendations.

Step 4 – Closing the incisions

Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin.

Breast augmentation incision locations

Over time the incision lines will fade.

Step 5 – See the results

The results of breast augmentation are immediately visible.

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