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Breast Augmentation

May 24, 2017

Added By :
Dr Faizal Ali

Breast augmentation or augmentation mammoplasty is a cosmetic procedure where implants are used to increase the volume and projection of the breasts. Currently the implants are either filled with silicone or saline (salt solution). Silicone filled breast implants have been used since the 1960s in Europe and has recently started again to be used in the United States. Studies from the US and Europe have shown that silicone filled breast implants does not increase the risk of autoimmune disease and the incidence of cancer in the patient. Silicone gel implants are generally accepted to give a better result than saline filled implants. The augmented breast shows more natural contours and consistency. 

The implants can be positioned either under the breast tissue or under the pectoralis major muscle. Commonly the incision is made below the breast at the inframammary line but some surgeons prefer to use incision around the breast areolar (nipple) or in the axilla. Each technique has its advantages and disadvantages which your surgeon will discuss with you. The implant is not positioned within the breast tissue itself so it should not have any effect on breast feeding or mammography.

The surgery is done under general anaesthesia and the patient will usually have to stay overnight. There will be a drain inserted through the incision wound to drain out excess blood and fluid. The patient is required to wear a sports style bra for a few weeks and not to participate in any strenuous activity for two weeks. There might some temporary loss of nipple sensation and the swelling will usually resolve after 4 to 6 weeks.

As with any surgical procedure there are possible risks of complications. Possible complications associated with breast augmentation surgery include wound infection or delay healing, blood collection in the wound (haematoma), loss or altered nipple sensation, asymmetry and hypertrophic scarring. In the medium to long term there is a risk of capsular contracture which is excessive scar formation around the implant although with the newer textured implants and submusular placement of the implants this has become uncommon.