What you need to know about breast growth

Breast augmentation, or breast augmentation or mammoplasty is a surgical procedure that increases the size, shape, or fullness of the breast.

For breast augmentation, a plastic surgeon places implants or breast implants filled with special silicone, saline or biocomposite material under the breast muscle or breast tissue. Modern implants can serve the patient’s entire life, and most manufacturers provide a lifetime warranty on the implants.

Why should a woman enlarge her breasts?

Breast augmentation is done to

• Enlarges naturally small breasts
• Restore breast size and shape after pregnancy, weight loss or breastfeeding
• Restore symmetry if breast is asymmetrical
• Breast Reconstruction After Breast Removal Surgery

Plastic surgery involves reconstructive and aesthetic surgery.

Reconstructive breast surgery is performed as part of breast cancer treatment. Aesthetic breast surgery is performed to improve the appearance. Breast augmentation is usually an aesthetic surgery.

A 2007 study by researchers at the University of Florida found that breast augmentation through aesthetic surgery increases women’s self-esteem, feelings, and sexuality. It allows you to get a better paying job, gain more recognition.

What are breast implants?

A breast implant is a medical device that is placed under the mammary gland or under the pectoral muscle to enlarge, reconstruct, or create an aesthetic breast shape.

Breast implants may contain silicone, saline, or other compounds.

There are three main types of breast implants:

1. saline implantsare filled with sterile saline, which is simply sterile saline. The solution is inside a silicone shell. These implants can be filled with different amounts of saline. This affects the sensation experienced when the mammary gland is pressed, it can be softer or harder, at the request of the patient, and the different densities determine the different shape of the mammary gland. If the saline implant is damaged and leaking, the solution will not cause harm to the patient, as the saline is natural to the body and is simply absorbed without a trace in the body, the only downside being that the implant needs to be changed as breast volume decreases.
2. silicone gel implantsconsist of an outer silicone shell filled with silicone gel. If the silicone implant leaks, the gel will either remain in the vagina or fall into the breast implant pocket. And it will not spread throughout the body. Modern implants, even if the shell is damaged, do not spread. These implants are the most commonly used today.
3. Alternative composite implantsare rarely used and can be filled with a biodegradable material, soybean oil, or other material.

What to decide before surgery?

Breast augmentation is a surgical procedure, so patients should carefully consider whether they really need this procedure.

1. Choose where the implant will be placed - under the pectoralis or glandular tissue. Your doctor will help you resolve this. Most often, implants are placed under the muscle.
2. Before surgery, the surgeon, together with the patient, selects the required implant size. This is done either with the help of special scales that fit into the bra and the patient can assess the size and comfort of wearing it. In addition, the patient, together with the doctor, chooses the density and shape of the implant (round or anatomical). Implant manufacturer.
3. The surgeon and patient should discuss incision options.

The following options are available:

• Incision under the breast, in the fold below the breast;
• Transaxillary incision in the armpit;
• Incision through the edge of the areola (periareolaris) or through the areola (transareolaris).

The choice of incision depends on several factors, including magnification, patient anatomy, implant type, and surgeon-patient preference.

In addition, the patient must select the type of anesthesia, which is often performed under general anesthesia. But if the patient so desires, in principle, local anesthesia is possible.

How is the operation going?

After the patient has fallen asleep or under local anesthesia, the surgeon makes an incision with the skin in place according to an approach agreed with the patient, approximately 4. 5 centimeters long, and then forms a pocket with special devices to place an endoprosthesis.

The pocket can be formed directly below the breast tissue or under the large pectoral muscle (this will be discussed with the patient before surgery):

• It is placed under the axillary major muscle with an axillary pocket.
• The arrangement of the submembrane or subglandular pocket is simpler, the pocket is formed in the space between the mammary gland and the pectoralis major muscle.

Sewing the wound

In their practice, plastic surgeons often use so-called cosmetic, or more specifically intradermal, sutures, usually using several rows of fibers that most of the time do not need to be removed, dissolving on their own over time. In addition, a plastic surgeon can use special surgical adhesive and special sterile strips to tighten the edges of the wound so that the scar is least noticeable in the postoperative period.

The cut lines will be visible for the first time, but will almost disappear over time.

Evaluate results

Surgery can lead to edema, hematoma (bruising), but this should go away in two to four weeks. Generally, the end result is at the earliest after 3-6 months. Therefore, the patient can only decide after a while whether the procedure meets his expectations.

Recovery Period

The recovery period takes 1 month. During this period, there are certain restrictions that the doctor communicates to the patient and an accurate record is issued for their exact implementation. Pain only worries the patient on the first day after surgery, non-steroidal anti-inflammatory drugs are used to relieve pain. In rare cases, narcotic analgesics. Then the pain practically goes away. Mild discomfort remains. After the operation, you should not swim in free and closed waters, bathe, sleep on your back, raise your arms high, do active sports and do hard physical work. All these restrictions are temporary, for 1 month. The patient can then live in peace the way he or she did before surgery, fly a plane, and dive. In the postoperative period, the most important thing is to wear special compression underwear. Underwear should be worn for 1 month after surgery and then for another 3 months in case of sports, heavy physical activity.

The day after surgery, the patient can leave the clinic if they wish. The patient is examined once a week, for the first two weeks and then after one month. Then three months later. Then annual inspection.

Absorbed fibers are usually dissolved within 6 weeks. The patient takes care of the suture on his own at home. This is not difficult at all.

If the patient has non-absorbable sutures, an additional visit will be required to remove them.

After the surgery, the surgeon will not only tell you how to behave in the postoperative period, but will also give you an excerpt with recommendations where this should be written:

• How to care for your breasts after the procedure;
• How to use prescribed medications;
• When to come for your next visit;
• When to call your doctor.

See a doctor immediately if you experience:

• any sign of infection such as fever over 38 degrees, fever or redness in the chest area;
• severe chest pain or sudden increase in breast size /

What are the risks of this operation?

Any surgery increases the risk of sudden death from a heart attack, stroke, thromboembolism during or immediately after surgery. But fortunately, such complications are extremely rare. And modern clinics have all the resuscitation and anesthesia equipment to minimize these risks to almost zero.

Some of the risks and complications of breast augmentation are:

• Painful mammary glands;
• Breast inflammation;
• Breast sensation, nipples may temporarily change or become more or less pronounced;
• Implant rupture;
• Bleeding;
• Fluid retention (seroma).

A special complication of this operation is the capsule contracture - a thick capsule is formed around the implant. Which can deform the mammary gland or make it extremely painful and dense. During the consultation, the surgeon will tell you in detail about this complication and how to avoid it.

In addition, even cosmetic stitches can be red, thick, and painful, or flat and wide. This can lead to a second operation to remove such scars.