Breast Augmentation

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Women’s breasts certainly draw a lot of attention in our society. Countless women seek to enhance them. Women experimented many things from push up bras to plastic surgery, most of them end up doing plastic surgery because it would be permanently. Breasts is not just breasts but it has spiritual meanings and symbolism play an important role. With a good fit breasts, women can gain more confidence in themselves. Fortunately, with the development of technology in plastic surgery, there are few options for the patient to choose.

Breasts Implant Choices(Brands)

Lelux Hospital uses only FDA (The United States Food and Drug Administration) approved breast implants. All the brands chosen by Lelux Hospital produce safe, durable and high quality breasts implants. The three brands chosen by Lelux are Allergan (Natrelle Collection), Mentor and Sientra(Silimed). All of these brands offers both glossy surfaces and matte surfaces; however, the hospital only uses matte surfaces because it would reduce the chance of getting fascia and reduce the contraction between silicone and the breast tissues.

Breast Augmentation Sizing

Before the surgery, the patient will get a consultation with the surgeon to get the best results. The surgeon will ask what is the patient desire size from 100-800 cc. However, the possibility of getting desired breast shape, areas of fullness are important to consider. For instance, a woman with thick breast tissues may be able to accommodate a wider augmentation than a person with thin breast tissues. Thin breast tissues would give an unnatural beauty if the augmented part is too big.

Silicone Shapes

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Round Shape

Round shape implant can create soft, round and nicely proportioned breasts providing great flexibility. The gel inside the round shape silicone is waterier than the teardrop shape. It would give a teardrop shape when sitting and standing but will get back to round shape when sleeping or any other gesture.

Round shape implant is suitable for a person who already have some thick breast tissues. With the same size of the silicone, in round shape augmentation would give a bigger look than the teardrop shape. The procedure for the round shape augmentation is not cumbersome and doesn’t take lots of time to do the surgery but proper technique of massaging is needed after the surgery.

Teardrop(Anatomical) Shape

Anatomical shape is commonly known as “Teardrop” due to its shape. Breasts attain a more gently sloping contour with teardrop breast implants. There is a greater preservation of the contour and fullness of the upper portion of the breast and less overstretching. The teardrop shape implants often provide greater projection by volume. Breasts with teardrop shaped implants typically excel in appearance in women who have little volume in the chest, and normally textured to ensure no flipping or rotating can take place, preventing the breasts looking uneven.

Implant Position

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Under the Muscle(Submuscular)

This position offers the advantages of a lower rate of capsular contracture, less interference with mammography, lower rate of rippling, and less likelihood of downward displacement. Capsular contracture is when the scar tissue formed around the breast implants which may cause the breasts to harden, which may cause the breast to look or feel different. A person with petite breasts may obtain their best cosmetic result with the implant placed under the muscle, which provides more padding between the implant and the skin.

Above the Muscle(Subglandular)

This placement involves in less discomfort and faster recovery because the pectoralis muscle itself is not disturbed. Also, the breast will instantly appear attractive because the swelling is minimal. The placement is suitable for people who already have ample breast tissue as larger breasts offer more of a cushion between the implant and the skin.

Breast Augmentation Incisions and Scars

Inframammary Incision

The incision is made within the breast fold with the length of about 3-4 centimeters which the scar can be easily hidden by the breast for women with deep folds.  The inframammary approach provides the most direct route and generally requires the least operative time for placement of the implant.

Transaxillary Incision

The appealing point for this technique is the incision which is far away from the breast, leave the breast looking untouched. The scar will be under the armpit. On the other hand, this technique can only be done once, if any revision is needed, inframammary incision technique will be used for a better outcome.

Periareolar Incision

For this technique the incision will be placed within the pigmented areolar tissue. This is often result in the least obvious scar because of the texture and darker color of the areola border which is generally camouflaged quite well. This technique would be benefit to people whose breasts hang a bit because it would help uplifting the breasts. However, this technique could cause in loss of sensation in the nipple for some patient.

Breast Augmentation Procedures

First the surgeon will put the patient to sleep by using general anesthesia. General anesthesia can only be used in a hospital, therefore, there won’t be any available in a small clinic. Secondly, the incision will be made in inconspicuous areas to make sure the scar is as minimal as possible. The incision made will be chosen by you and the surgeon to make sure you get the desirable outcome. After the incision is made, a breast implant is inserted into a pocket either under the muscle or under the breast tissues. Finally, the surgeon will close the incisions with layered sutures in the breast tissue with sutures, skin adhesive or surgical tape to close the skin.

 Pre-Operative Care

  1. Please inform the surgeon or staff of any allergies or special dietary requirements to avoid any problem.

  2. Have you ever done any operation before? What operation did you have? Did you use any gas passer during the operation? Were there any significant side effects?

  3. Surgeon strongly recommend stopping smoking and drinking at least 2 weeks before surgery.

  4. Please rest well and take care of your health before getting a surgery.

Post-Operative Care

  1. Following the operation, as with any surgery, you can expect some pain, swelling, bruising and tenderness. However, these effects will get better after 3-7 days.

  2. The surgeon will prescribe medications which you have to for pain which you have to follow cautiously.

  3. You will have to come back to the hospital for a follow-up 5 days after the surgery.

  4. Any sexual activities or any strenuous activities that could raise your blood pressure for at least two weeks.

  5. You are recommended not to wear an underwire bra because it causes too much compression of the breasts. Sports bra is recommended to wear for the first 6 months after the surgery.

  6. Scars may become reddened before they fade. This is normal, everyone heals different, so you don’t have to worry.

  7. Each patient will get a consultation by the physical therapist for a suitable massage postures.