Breast Enlargement

BREAST ENLARGEMENT

BREAST ENLARGEMENT
Breast augmentation and breast augmentation are plastic surgery terms for breast implants and fat graft mammoplasty, which are used to enlarge, reshape, and change the structure of a woman’s breasts. As the primary reconstruction, breast augmentation is used to reconstruct the breast after a mastectomy, i.e. to heal the wound in the breast after the removal of the cancerous breast; correct congenital defects of the breast(s); and correction of birth defects of the chest wall. Because it is an elective plastic surgery, primary augmentation changes the aesthetics—size, shape, and structure—of the healthy breast.

Preoperative (left) and postoperative (right) aspects of bilateral submuscular insertion of 350 cc saline implants through the inframammary fold incision (IMF).

The surgical implantation method results in global augmentation of the breast hemisphere using a breast implant, either a saline-filled implant or a silicone gel-filled implant; In addition, the surgical augmentation method may involve the use of autologous, transplanted skin patches taken from the female body. In the fat grafting method, the breast hemisphere deformities are enlarged and corrected using autologous fat grafts taken from the woman’s body.

breast implants are used for cosmetic enhancement and reconstruction.

breast implants with saline solution

Saline breast implants are FDA approved for breast augmentation in women 18 and older and for breast reconstruction in women of all ages. These implants contain an outer silicone shell filled with sterile saline and have the following properties:

May be initially empty (and filled during the implantation procedure) or pre-filled

Available in different sizes

They have smooth or textured shell surfaces
Can be placed with integrated remote inflation ports: Also allows for post-op adjustment of saline volume in the implant

Less expensive than silicone filled products

implant fractures are recognized quickly

Possible visible folds of the implant on the surface of the augmented breast in women with thin breast tissue

Breast implants filled with silicone gel

silicone gel filled breast implants are FDA approved for breast augmentation in women 22 years and older and for breast reconstruction in women of all ages. These implants have an outer silicone shell filled with silicone gel of different consistencies and are characterized by the following features:

Available in different sizes
have smooth or textured hull surfaces
More expensive than saline filled implants
Provides a more natural feel than saline filled implants
Less visible wrinkles thanks to subtle skin enlargements
They cannot be implanted through the transumbilical incision (unlike remote inflation ports), but can be implanted through periareolar, submammary, and axillary incisions.
Surgical Sections and Plans of Preparation

The five methods of surgical placement of breast implants include submammary, periareolar, transareolar, transaxillary, and transumbilical incisions.

Breast implants can be placed subglandular, submuscular (under the pectoral muscle), or biplanar, with the top of the implant covered by the muscle and the bottom covered by the gland.

Post-operative monitoring

In general, most companies provide a 10-year warranty on breast implants in the event of rupture. The FDA recommends that women with silicone gel implants have a breast MRI scan for silent rupture three years after implantation and every two years thereafter.

Types of complications

In general, the complication rate in breast reconstruction is almost always higher than in primary plastic surgery.

Hematoma: Accumulation of blood in the sinuses, often causing swelling and local pain, requiring evacuation
Seroma: A thin collection of fluid around the implant Wound infection: Most commonly caused by Staphylococcus aureus originating in the skin or milk ducts, but also rarer pathogens such as
Candida albicans, Curvularia spp., Aspergillus niger, mycobacteria and Clostridium perfrigens.
capsular contracture.
Changes in nipple and/or breast sensation: hypersensitivity or hypersensitivity
implant rupture: incidence approx. 5–10% after 10 years
Breastfeeding problems: Up to 20% of women have difficulties breastfeeding.