Breast Augmentation Surgery (Augmentation Mammoplasty) is a surgical procedure performed to increase breast volume, correct asymmetries, and achieve a more proportional and aesthetically pleasing breast profile. It is one of the most commonly performed cosmetic surgeries worldwide. The procedure can be carried out using breast implants or autologous fat transfer techniques. This article provides a comprehensive scientific and clinical analysis of the breast augmentation process, including surgical techniques, preoperative evaluations, postoperative care, and potential risks.
Breast Augmentation Techniques
1. Breast Augmentation with Implants
Breast implants are medical-grade prostheses used to enhance the size and shape of the breasts. They are classified according to the filling material, shape, and placement technique.
Types of Implants
Silicone Gel Implants
- Filled with cohesive silicone gel, providing a more natural tissue feel.
- Requires periodic imaging (MRI or ultrasound) to monitor implant integrity.
Saline Implants
- Filled with sterile saltwater; in case of rupture, the fluid is absorbed by the body.
- May feel firmer compared to silicone implants.
Implant Shapes
Round Implants
- Provide fullness in the upper pole of the breast and enhance cleavage.
- Suitable for patients seeking more prominent aesthetic results.
Anatomical (Teardrop) Implants
- Mimic the natural slope of the breast.
- Preferred for patients with minimal breast tissue.
Implant Placement Methods
Submuscular (Under the Muscle)
- Provides a more natural appearance and reduces the risk of capsular contracture.
- Longer recovery time due to muscle involvement.
Subglandular (Above the Muscle)
- Offers a quicker recovery but may increase the risk of visible rippling or implant palpability.
- More suitable for patients with sufficient natural breast tissue.
2. Breast Augmentation with Fat Transfer
Autologous fat transfer involves harvesting fat from the patient’s own body, purifying it, and injecting it into the breasts.
Advantages:
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Uses the patient’s own tissue, eliminating implant-related risks.
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Enhances both breast volume and overall body contour.
Uses the patient’s own tissue, eliminating implant-related risks.
Enhances both breast volume and overall body contour.
Disadvantages:
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Provides limited volume increase compared to implants.
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A portion of the injected fat may be reabsorbed by the body, potentially requiring additional procedures.
Provides limited volume increase compared to implants.
A portion of the injected fat may be reabsorbed by the body, potentially requiring additional procedures.
Preoperative Evaluation
A detailed medical assessment must be conducted before undergoing breast augmentation surgery.
Medical History Evaluation
Screening for medical conditions that could affect healing.
Review of prior surgeries and family history of breast diseases.
Physical Examination
Evaluation of breast size, shape, asymmetry, skin elasticity, and tissue thickness.
Imaging Tests
Mammography or ultrasound may be required for reference purposes.
Choosing the Right Implant
Assessment of the patient's expectations, lifestyle, and anatomical factors.
Use of 3D imaging technology to visualize potential outcomes.
Surgical Process
Anesthesia Generally performed under general anesthesia.
Incision Techniques
Inframammary (Under the Breast Fold) Most commonly used method due to low visibility of the scar.
Periareolar (Around the Nipple) Allows for precise placement but may affect nipple sensitivity.
Transaxillary (Through the Armpit) No scar on the breast; requires endoscopic assistance.
Implant Placement The implant is inserted under or over the muscle as planned preoperatively.
Surgery Duration Typically takes 1–2 hours.
Sutures and Wound Closure Absorbable sutures or surgical adhesives are used to minimize scarring.
Postoperative Recovery and Care
First 24–48 Hours
- Mild to moderate pain, swelling, and tightness are expected.
- Drains may be placed to prevent fluid accumulation.
- Pain is managed with prescribed painkillers.
- Patients are usually discharged on the same day or the next day.
First Week
- A surgical support bra must be worn continuously.
- Avoid heavy lifting and intense physical activity.
- Swelling and bruising will begin to subside.
First Month
- Daily activities can typically be resumed within 1–2 weeks.
- With proper care, scars will begin to fade.
- Avoid high-impact exercises.
Long-Term Recommendations
- Final breast shape and implant position will stabilize within 3–6 months.
- Regular follow-ups are recommended to monitor implant condition.
- Patients with silicone implants should undergo MRI every 2–3 years.
Possible Risks and Complications
- Capsular Contracture: Excessive scar tissue formation around the implant.
- Infection: In severe cases, implant removal may be necessary.
- Implant Rupture or Leakage: Silicone ruptures are detected via MRI; saline implants deflate immediately.
- Hematoma: Blood accumulation in the surgical area may require drainage.
- Changes in Nipple Sensation: Temporary or permanent.
- Breast Asymmetry: Minor shape differences may occur.
Who Is a Suitable Candidate for Breast Augmentation?
- Individuals over the age of 20 with good general health.
- Those seeking aesthetic or reconstructive breast volume enhancement.
- Patients with noticeable breast asymmetry.
- Women who have experienced volume loss due to pregnancy, weight loss, or aging.
If you would like a personal evaluation and consultation regarding breast augmentation surgery, feel free to contact our clinic.