Breast Augmentation, also referred to as augmentation mammaplasty and breast enlargement, is performed to increase breast size and/or fix breast asymmetry. Breasts can be enlarged with implants or by fat transplantation. Augmentation mammaplasty is not a substitute for mastopexy, which is a procedure to “lift” breasts that sag significantly.
Silicone and saline are the two implant types most commonly used in augmentation mammaplasty. Silicone implants feel more like natural breasts than saline ones. However, if a saline implant ruptures, the saline is naturally absorbed by the body, whereas if a silicone implant has an extracapsular rupture (a rupture to the outer capsule), silicone filler leaks into the body, possibly resulting in inflammatory nodules or enlarged lymph glands.
Other types of implants include “gummy bear,” round, smooth and textured.
Implants are placed behind each breast, underneath either breast tissue or the chest-wall muscle. The procedure is typically performed with general anesthesia, although local anesthesia combined with a sedative may be used. Incisions are made in inconspicuous places (in the armpit, in the crease on the underside of the breast, or around the areola) to minimize scar visibility. The breast is then lifted, creating a pocket into which the implant is inserted.
Advantages of implant placement behind the chest-wall muscle include a possible reduced risk of capsular contracture (hardening of scar tissue around implant), and less interference during mammograms. Disadvantages include the possible need for drainage tubes, and a longer recovery period. Advantages of implant placement beneath breast tissue include that the breasts move more naturally as the patient uses her chest muscles, and that slight breast sagging is corrected.
Augmentation mammaplasty with fat transplantation (fat transfer) uses liposuction to harvest excess fat from other parts of the body; the fat is then injected into the breasts. Augmentation mammaplasty is appropriate for women who are not looking for a dramatic increase in breast size, and want breasts that look and feel as natural as possible.
For a number of weeks prior to augmentation mammaplasty, tissue expanders may be placed below the muscles of the chest wall to expand the breasts, and increase the amount of fat they can hold. When the tissue has expanded enough, augmentation using fat transfer can begin. First, fat is removed using liposuction, in which a cannula (a thin, hollow tube) is inserted through small incisions, and then moved back and forth to loosen excess fat, which is suctioned out using a vacuum or a cannula-attached syringe. The harvested fat cells are then purified. In the second procedure, which takes place on the same day, the fat is injected into the breast through small incisions. The procedure takes approximately 4 to 5 hours.
In addition to the risks associated with surgery and anesthesia, those related to breast enlargement using implants include the following:
The risks related to augmentation mammaplasty using fat transplantation include those related to liposuction, as well as the following:
Because of the loss of volume that occurs when fat is reabsorbed by the body, touch-up injections of fat are often necessary. Injections can be performed using local anesthesia.
After breast augmentation surgery, drainage tubes may be inserted. Incisions are stitched, taped and bandaged. A surgical bra is typically put over the bandages to minimize swelling and support the breasts. For a few days post surgery, most patients feel tired and sore, but many return to work within a week. Stitches are removed in 1 week to 10 days; postoperative pain, swelling and sensitivity diminish during the first few weeks.
Scars begin to fade in a few months. After augmentation mammaplasty with fat transplantation, recovery time is short, with normal activities being resumed as soon as the patient feels comfortable. Compression garments are typically worn over the areas that received liposuction.
“Dr. Passaretti did my breast augmentation and I love the results. One breast was almost non-existent and the other was an AA. I am now a solid B cup and look great and feel great!”
- Mary B.W.
Candidates include women who want larger breasts, and those who want to restore the breast volume often lost as a result of pregnancy or significant weight loss.
The procedure lasts 1 to 2 hours.
Yes, breast implants do not have any effect on milk production or the breastfeeding process.
During the consultation, we will measure your current cup size and can help provide suggestions as to how the new sizes will appear on your body. We will explain how the procedure works as well as the various shapes your breast implants can have to achieve a more natural look.
The implant will be inserted below the breast, making it easier to conceal the scar.
Walking is encouraged within the first couple of days post-procedure. However, more intense workouts involving weights should be avoided for roughly 6-8 weeks.
You will typically experience some soreness for roughly a week or two after the procedure. However, pain medications can help ease this. After that, you should not feel any pain.
This is dependent on the level of physical labor involved in your job. If you have a desk job, you can return to work within a few days of the surgery. If your job is more physically demanding, we recommend discussing this with the surgeon during the consultation so a proper suggestion can be made.
If you are considering plastic surgery in Daren, CT, or anywhere around Fairfield County, contact us to schedule a one-on-one consultation with one of our expert plastic surgeons.
722 Post Rd, Suite 202, Darien, CT 06820