Breast augmentation: the ins and outs

There was a time when the mere mention of the words ‘breast augmentation’ would result in a great amount of raised eyebrows and pursed lips. It seems, however, that society is at long last accepting the idea of elective enhancement surgery. Nevertheless, it is important to do thorough research on the type of surgical procedure you would like to have performed prior to requesting it. The following should provide a good introduction to the intricacies of breast enlargement.

Also referred to as augmentation mammoplasty, breast enlargement surgery provides a solution for women who are unsatisfied with their breast size. Under ideal circumstances, the surgery increases the fullness and projection of the existing breast tissue. Breast implants are usually requested by women who desire:

a) A more balanced figure
b) To restore the volume of their breasts after pregnancy and/or considerable weight loss
c) Reconstructive surgery after a mastectomy.

Breast implants, however successful in restoring volume, cannot correct drooping breast tissue. If you are looking to correct sagging breasts it might be advisable to request breast lift surgery in conjunction with augmentation. It is normal to feel uncomfortable about undergoing extended surgery, so discuss the options with your surgeon. Depending on your lifestyle and expectations it might be best to schedule two separate operations.

Not every person is a good candidate for breast enlargement surgery. If you are still developing, have a weak immune system or unrealistic expectations, it might be best to wait or even reconsider. In order to determine if you are a suitable candidate your physician will conduct an initial consultation. Please note that it is absolutely imperative that you be completely honest about your health, desires and lifestyle at this point. The information gathered during this interview will largely determine the success and safety of your surgery.

At this point, your physician will be able to advise you as to which type of procedure would best suit your requirements. Things to consider include the type of incision you prefer, as well as the type of anesthesia that will pose the least amount of risk.

Incision options include:

• Inframammary: an incision made in the crease under the breast
• Transaxillary: an incision made underneath the arm
• Periareolar: an incision made around the areola

The type of incision you choose will be determined by the size of the implant you desire, as well as your body type.

Implants are inserted either under the pectoral muscle (referred to as ‘submuscular placement’) or directly beneath the breast tissue (also called ‘subglandular’ placement). The two types of breast implants available on the market today are:

• Saline: implants filled with sterile salt water. The salt/water ratio greatly influences shape, firmness and general feel.
• Silicone: implants filled with elastic gel that mimics the movement and feeling of natural breast tissue.

You can expect to have a recovery period of around two days, but you will have to restrict movement for another week or so. Recovery times differ greatly from patient to patient and you may only resume normal activity once your plastic surgeon gives the go-ahead.

It is important to remember that, whatever kind of cosmetic surgery you have done will never be permanent and will require a certain amount of upkeep from time to time. That being said, plastic surgery (especially breast augmentation) has the potential to change your life for the better. Just weigh your options carefully before going under the knife.

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