Understanding Your Breast Anatomy
Your breasts are made up of fatty tissue, glandular tissue, milk ducts, blood vessels, nerves and lymph ducts, covered with skin. Behind the breast lies the pectoralis major muscle.
Position Of The Implants
A breast implant can be placed either partially under or over the pectoralis major muscle, depending on the thickness of your breast tissue and its ability to adequately cover the breast implant.
It is ultimately the fatty and glandular tissue that makes you breast feel soft and natural.
What Is A Breast Implant
Breast implants consist of a silicone envelope that is filled with either silicone gel or saline (salt-water) solution.
Implants shapes are either round or teardrop (anatomical), the surface is either textured or smooth and come in a large range of sizes and projections (low, moderate, full, extra-full projection)
Preparing For The Operation
Your surgeon will want to begin by making sure you are in good health. You should be well informed and have realistic expectations of the result, risks and post-operative period before planning the operation.
Your surgeon will be taking breast measurements and pictures.
It is also important for the surgeon to understand your preferences regarding the size and the shape of the implants and make a decision regarding the positioning of the implant, depending on your physical characteristics. These include how much breast tissue you have and whether you plan to be involved in strenuous physical exercise.
Important advice to follow before surgery
- Stop smoking 8 weeks prior to surgery
- Stop aspirin and any non-steroidal pain killers (e.g. Nurofen & Voltarol) 4 weeks prior to surgery
- Lose weight to optimum levels: corrective breast surgery is not recommended if your Body Mass Index (BMI) is higher than 30
- If you are considering starting a family or having more children it is best to wait until your family is complete before contemplating this surgery as, despite surgery, your breasts will start to enlarge and droop with the further weight fluctuation of pregnancy and breast feeding
There are 3 possible incision sites for breast enhancement operations:
- Inframammary: an incision is placed along the natural crease below the breast.
- Periareolar: an incision is made along the inferior border of the areola (that is, brown skin around the nipple).
- Transaxillary: an incision is made in the armpit.
Implant Placement Options
The implants can be placed either partially or totally under the pectoralis major muscle (that is, submuscular) or on top of the muscle and under the gland tissue (subglandular), depending on the thickness of your breast tissue and its ability to adequately cover the implant.
The procedure will take approximately 1 hour in surgery and it will be performed under general anaesthetic (that is, you will be fully asleep).
Most patients can go home on the day of surgery (day-surgery procedure).
After Your Operation
You will have dressings to cover your wounds and will wear a post-surgical bra for 6 weeks.
The dressings will be removed 1 week after surgery.
All stitches are dissolvable (that is, no need to trim them).
What Is The Recovery Like?
This will vary depending on the type of operation carried out. Most patients will need two weeks off work. You should be able to carry out light duties at home but will need help with more strenuous work and child care. It is advised that you do not drive for two weeks.
Guide To Recovery After Corrective Breast Surgery:
|Wearing a wired bra||6 weeks|
|Return to work||2 – 3 weeks|
|Aerobics & sport||6 – 8 weeks|
|Swimming||6 – 8 weeks|
|Massage Scars||2 – 3 weeks|
In my practice we only use Allergan implants as I firmly believe that these are the best quality implants currently available. Allergan has more that 35 years of experience in the science of breast enhancement across over 60 countries.
I always encourage my patients to visit the Allergan website in order to document themselves on these devices.
The reasons for my choice:
SAFETY: To assess the long-term safety of breast implants, Allergan had conducted extensive clinical studies both in the United States and in Europe. These studies show that silicone gel-filled implants have low long-term rupture rates.
RIGOROUS TESTING: Allergan breast implants undergo almost 100 quality control tests to ensure they meet Allergan’s very high quality control standards. They are backed by a thorough warranty that reflects the Allergan commitment to quality.
ONGOING RESEARCH: Through ongoing research Allergan is constantly assessing the long-term safety record of the entire range of silicone gel-filled breast implants.
Safety Of Silicone
Whatever the filling of the implant, the outer layer is made of silicone which is a firm type of material referred to as silicone elastomer. Silicon is a naturally occurring element which becomes silicone when it is combined with carbon hydrogen and oxygen. Silicone is manufactured into many items including cosmetics, foods and medical implants. Many studies have been conducted to establish whether silicone breast implants cause certain diseases. As a result of these studies we can say that at present there is no evidence to suggest that silicone breast implants are associated with an increased incidence of breast cancer. There is also no evidence to suggest that these implants cause autoimmune diseases such as rheumatoid arthritis.
Life Expectancy Of Breast Implants
It is important to remember that breast implants have a limited lifetime and may not necessarily be in place for life.
On average the expected lifetime of a breast implant is between 10 and 20 years and therefore may require replacing in the future. Various factors may affect the longevity of the implants (injury to the breast, excessive repetitive compression of the implants) and of your procedure (age, skin elasticity, pregnancies, weight fluctuations, hormonal changes, etc).
In ongoing studies, the durability of silicone filled implants is being assessed.
The rupture rate for Allergan implants has been found to be less than 1% after 6 years.
The Following Is A List Of Questions That You Could Ask Your Surgeon Prior To Surgery:
What are the breast enhancement options available to me?
Which different types of breast implants can I choose from and what are the advantages and disadvantage of each type?
Is there any way you could help me to visualize the final result?
Can I choose any size I want. If not what size range is suitable for me?
Which implant placement and incision technique will you perform?
What are the risks and complications and how often do they occur?
How long will it take me to recover completely from the operation?
How long will it be before I see the final results?
How satisfied have your patients been in the short and long term with the different implant options that are available?
What will the scars be like?
Do you have before and after pictures of patients on whom you have performed surgery that I can review?
If I have any problems, who should I contact?
Before & After Images
Sub-Pectoral Placement Of Implants
Sub-Glandular Placement Of Implants