A breast augmentation is a procedure that is performed by plastic surgeons. The procedure involves the insertion of breast implants into the breasts to increase their size or correct any deformities. The most common reason for getting this surgery is because you are unhappy with the size of your breasts. It can also be done to change the shape, position, or symmetry of your breasts.
There are many types of implants available and each one has its own benefits and disadvantages. Your doctor will help you decide which type of implant is best for you based on your health condition, desired results, and anatomical features such as nipple location and skin elasticity.
You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on Best place to get a breast augmentation, breast implant safety. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about best breast lift. Read on to learn more
Best place to get a breast augmentation
Breast augmentation is a common type of cosmetic surgery that uses breast implants or fat transfer to increase the size and shape of your breasts. There are several types of breast implants and surgical procedures, so it’s important to talk to your surgeon about what will work best for you.
What is breast augmentation?
Breast augmentation is a common surgical procedure that increases the size and shape of your breasts. Your breasts can be augmented using breast implants or fat transfer.
What are the different kinds of breast augmentation?
There are two main types of breast augmentation: breast implants and fat transfer augmentation. Within those two categories, there are multiple different options based on how you want your breasts to look and feel. Certain breast implants are only FDA-approved for certain ages. It’s important to fully research and know the pros and cons of each option and to talk to a board-certified plastic surgeon before opting for breast augmentation.
Breast implants are the most common type of breast augmentation. Breast implant options include:
- Saline breast implants: These implants are filled with sterile saline (salt water). If the implant were to break inside your breast, your body will absorb the saline and naturally get rid of it.
- Structured saline breast implants: These implants are filled with sterile saline (salt water) and have an inner structure that helps the implant feel more natural.
- Silicone breast implants: These implants are made of silicone gel. If the implant were to break, the gel could stay within its shell or leak into your breast. If you get silicone implants, you may have to see your plastic surgeon regularly to make sure your implants are working properly.
- Form-stable breast implants: These implants are often called gummy bear breast implants because they keep their shape even in the implant shell breaks. They are made of a thicker silicone gel and are firmer than traditional implants. Form-stable breast implants require a longer surgery incision in your skin.
- Round breast implants: These implants usually make breasts look fuller. Since the implants are round all over, they don’t typically change the look of your breast if they rotate out of place.
- Smooth breast implants: These implants feel the softest of all the different kinds of implants. Smooth breast implants usually make breast movement look more natural than other implants.
- Textured breast implants: These implants create scar tissue to adhere to the implant, which makes them less likely to move around inside of your breast. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), though rare, occurs most frequently in people who have breast implants with textured surfaces.
Fat transfer breast augmentation: In a fat transfer breast augmentation, your surgeon will use liposuction to take fat from another area of your body and then inject that fat into your breasts. This type of augmentation is usually for people who want a relatively small increase in their breast size. In most cases, your surgeon will take fat tissue from one of the following areas:
- Your belly.
- Your flanks (the sides and lower back of your abdomen).
- Your back.
- Your thighs.
Why do people get breast augmentations?
There are many reasons you may want or choose to undergo breast augmentation surgery, including:
- To change the appearance of your breasts if you think they are small.
- To change the symmetry of your breasts if one is smaller than the other.
- To account for a decrease in your breast size after pregnancy or significant weight loss.
- To correct any unevenness or issues with your breasts after breast surgery for other conditions.
- To improve your confidence and self-esteem.
How common are breast augmentations?
Breast augmentation is the most popular type of cosmetic surgery. Every year, around 300,000 people have breast augmentation surgery in the United States.
What happens at a consultation for breast augmentation?
Before you undergo breast augmentation, you’ll meet with your surgeon. You should prepare for this consultation by thinking about what you want to change about your breasts. Remember, you’re not seeking perfection, but improvement. Also, be sure that you’re in good mental and physical health, overall, and that you have realistic expectations.
Your surgeon will ask you detailed questions about your medical history, including:
- What medications you are taking.
- What allergies you may have.
- Your smoking history.
- Prior surgeries.
- Any previous issues you’ve had with your breasts, including lumps, previous mammograms and any family history of breast issues.
It may be helpful to ask your surgeon the following questions during your breast augmentation consultation:
- Are you certified by the American Board of Plastic Surgery?
- How many years have you been a plastic surgeon?
- How often do you perform breast augmentations?
- Can I see some of the before-and-after pictures from the augmentation surgeries you’ve performed?
- Should I get breast implants or have a fat transfer?
- What are the pros and cons of the different types of breast implants?
- Will I be able to breastfeed after breast augmentation?
- What are the risks of my type of augmentation surgery?
- What will happen if I’m not satisfied with the results of my augmentation?
How do I prepare for breast augmentation surgery?
In preparation for your breast augmentation surgery, your surgeon may have you:
- Get a blood test.
- Take certain medications or adjust your current medications.
- Stop smoking.
- Avoid certain foods or beverages.
- Avoid taking aspirin and certain anti-inflammatory drugs, since they can increase bleeding.
- Stop using recreational drugs.
It’s crucial to follow any instructions that your surgeon gives you before your surgery. Following their instructions will help the surgery go more smoothly and will help you heal properly.
You should arrange for someone to drive you home after your surgery and also have someone stay with you the first night at least. You will need to take at least three days off from work, so plan accordingly. If you have a labor-intensive job, you will likely need to take off at least three weeks of work.
Establishing a home recovery area
Before you undergo breast augmentation surgery, you should set up an area in your home for recovery. Make sure you have:
- Pain medication prescribed by your surgeon and/or acetaminophen (Tylenol®).
- Ointment or cream for incision sites (if recommended by your surgeon).
- Clean gauze to cover the incision sites.
- Plenty of loose, comfortable, button-down blouses or shirts.
What happens during breast augmentation surgery?
There are many steps involved in breast augmentation surgery. Here’s an explanation of the steps.
Your surgeon will perform the surgery while you are under general anesthesia (you’ll go to sleep) or through IV sedation. You and your surgeon will determine this together.
Breast augmentation can be performed in one of several ways. Your surgeon can perform the procedure:
- Via the crease under your breast (known as the inframammary fold).
- Along the edge of your areola (known as the periareolar incision).
- Via your armpit (known as a transaxillary approach).
Your surgeon will discuss these possible methods with you before your surgery, and together you will determine which approach best suits your needs.
There are two different ways for your surgeon to insert the implant: under your breast tissue and in front of your muscle or behind your breast muscle (pectoral muscle). The placement of the implants depends on a few factors, including the type of implant you choose and how much you’re increasing the size of your breasts. You can discuss the benefits of each method with your surgeon and make that decision together.
Closing the incision
After your surgeon places your implants, they will stitch the incision sites together to close them. Your surgeon may also use drainage tubes. You must follow your surgeon’s follow-up care instructions for the incision site. Your breasts will be covered with a gauze bandage and you may be sent home wearing a surgical bra.
What happens after breast augmentation?
Right after your breast augmentation surgery, a healthcare provider will take you to a room for observation while you wake up from the surgery. You’ll be able to leave the hospital once you’re stable enough. This usually takes around an hour.
Before you leave, your surgeon will give you specific instructions for your breast augmentation surgery recovery and schedule a follow-up appointment. Your surgeon will give you a prescription for medication to control pain, if necessary. If you have drainage tubes, your surgeon will tell you when to return to have those removed, as well as instructions as to when to remove the gauze bandages.
Your surgeon will probably remove your stitches in about one week. You should not do any heavy lifting for at least four weeks. If you are physically active in sports, it may take up to six weeks before you can return to those activities.
RISKS / BENEFITS
What are the benefits of breast augmentation?
People typically undergo breast augmentation to change the appearance of their breasts. This may help increase confidence and self-esteem.
What are the possible complications and side effects of breast augmentation?
As with any surgery, there are side effects, and you do risk certain complications. Side effects of breast augmentation surgery can include:
- Soreness and increased sensitivity in the nipple region.
Immediate complications of breast augmentation surgery, though rare, can include:
- Wound healing issues.
- Hematoma (blood collection in the surgical area).
Complications from breast augmentation surgery that might happen over time can include:
- Formation of scar tissues: This is also known as capsule contracture.
- Sagging of the implants: This can cause your breasts to droop.
- Symmastia: Symmastia happens when your breast implants trend toward the middle of your chest and can give the appearance of one continuous breast.
- Fluid around the implant: This is also known as seroma.
- Implant rupture or deflation: Implants are not designed to be life-long. You might need another procedure later on.
- Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL): This immune system cancer is very rare, but has happened in patients who have received breast implants that have rough or textured surfaces. Symptoms, such as changes in the size or shape of breasts, swelling, or lumps, may show up two to eight years after the implant surgery.
Other important considerations to take into account include:
- Breast implants are not guaranteed to last your entire life. You may need surgery in the future to replace one or both implants.
- Pregnancy, weight loss and menopause may affect the appearance of your augmented breasts.
- Breast augmentation surgery could potentially affect your ability to breastfeed.
- If you have breast augmentation you will need to perform regular examinations of your breasts to assess your health. You will also have to see your plastic surgeon regularly so they can evaluate the condition of your breast implants.
It’s very important to do your research before choosing a plastic surgeon. Only get a breast augmentation from a board-certified plastic surgeon.
Can breast implants affect cancer screenings?
Although all breast tissue is in front of the implant, breast implants can affect self-examinations. You’ll need to become familiar with examining your breast(s) with the implant in place.
Implants can also make it more difficult for a mammogram to detect the presence of cancer. However, as screening technology becomes more advanced, the issue of implants preventing the detection of cancer becomes less of an issue.
Currently, if you have breast implants, the American College of Radiology, the American Cancer Society, the American Society of Breast Imaging, and the American Society of Plastic and Reconstructive Surgeons recommend that you receive your breast examinations at a facility accredited by the American College of Radiology. Because they are capable of multiple, special views of the breasts, these facilities will be more equipped to make a proper evaluation than screening clinics, which often only screen using two basic views of the breast.
RECOVERY AND OUTLOOK
What is the recovery time for breast augmentation?
Everyone heals differently, so recovery time for breast augmentation surgery can vary depending on the type of breast augmentation you had and your overall health. On average, full recovery takes about six to eight weeks.
When can I return to work or other activities after breast augmentation?
Your plastic surgeon will give you specific instructions for your recovery plan and when you can return to physical activities. Be sure to follow them. Your surgeon will likely encourage you to slowly ease back into your normal daily routine and light exercise after the first week of your surgery. You should avoid intense or jarring physical activities such as running, horseback riding or heavy lifting until you’ve fully recovered. In most cases, surgeons recommend that people who have labor-intensive jobs should wait at least three weeks before returning to work.
WHEN TO CALL THE DOCTOR
When should I see my healthcare provider after a breast augmentation?
Contact your healthcare provider immediately if you’re experiencing any of the following symptoms:
- Abnormal discharge, such as pus, from your incision site.
- Rupture of your stitches.
- Increasing enlargement, or firmness, of one or both of your breasts that’s associated with pain and pressure.
Does insurance cover breast augmentation?
In most cases, breast augmentation is considered elective cosmetic surgery and therefore insurance carriers will not cover the procedure or any necessary follow-up visits. Your premiums for future insurance coverage may increase. Additionally, insurance might not cover the procedure should you want your implants removed in the future. Therefore, it’s important to receive your doctor’s charges in writing.
However, if you are having implants put in as part of reconstructive surgery, your insurance carrier may provide coverage. It’s very important that you find out well in advance of your surgery what type of coverage your carrier may provide.
Is breast augmentation reversible?
Yes, a plastic surgeon can remove your implants through breast implant removal surgery. Since breast implants aren’t guaranteed to last a lifetime, many people who’ve had breast implant surgery will need another breast implant procedure in the future. These procedures include:
- Removing the original breast implants and replacing them with new implants.
- Repositioning the existing breast implants.
- Removing the breast implants without replacing them.
Can I breastfeed with breast augmentation?
Breast augmentation surgery can affect the nerves and ducts within your breast, which could affect lactation. Breast implants that are placed below your muscle usually affect milk production less than implants that are above your muscle. Surgical incisions around your areola are more likely to cause reductions in milk production. It’s important to talk to your plastic surgeon if you’re planning on breastfeeding in the future before you get a breast augmentation.
What is the difference between breast augmentation and breast implants?
Breast implants are a type of breast augmentation, which is a surgery that increases the size and shape of your breasts. The other type of breast augmentation is fat transfer breast augmentation.
Breast implant safety
If you have been thinking about having breast implants, the chances are you will already have learnt a great deal about the different types of breast implants, breast implant incisions and choosing the best size of the implant. We believe one of the most critical areas to bear in mind is ensuring the highest standards of breast implant safety. The vast majority of women who have this procedure are delighted with their breast implant results and have never encountered any issues during or after the procedure. Having said that, there are several potential breast implant risks to be aware of. Here at Centre for Surgery, we take patient safety very seriously, and we have emphasised the most important safety considerations concerning breast augmentation below. If you want to learn more about optimising safety in breast augmentation, please discuss this further with the surgeon at your consultation.
Why is it important to consider the safety of breast implants?
Deciding to undertake any form of surgery, including breast implant surgery, should not be undertaken lightly. Although breast augmentation is a straightforward procedure to carry out, there are several important factors to consider about the nature of breast implants themselves:
- Breast implants are not designed to last for the lifetime of an individual. Approximately 10 to 15 years after your first procedure, we recommend having a consultation with your surgeon to discuss breast implant removal or breast implant replacement. If you choose to have, your implants removed you may need to have a breast lift at the same time to correct saggy breasts that have developed over time.
- Breast implant rupture is rare with the latest generation implants but is still a potential risk with any type of implant. Although implant rupture is not a dangerous condition, it is essential to have corrective breast surgery to remove and/or replace the implant.
- Silicone breast implants require regular surveillance, and we would recommend undertaking high-resolution ultrasound scanning every two years. Centre for Surgery is one of the few clinics in London to offer this service to our patients.
- Breast cancer screening using mammography can sometimes be more challenging to interpret in the presence of breast implants. The doctor may need to carry out a different type of diagnostic imaging to view the breasts from different angles. These images could be more challenging to interpret. With improvements in x-ray technology, the risk of missing breast cancer in the presence of implants has markedly reduced over time.
Capsular contracture is used to describe excessively tight scar tissue that develops around the breast implant, which often results in pain and discomfort. Severe grades of capsular contracture can deform the underlying breast resulting in an abnormal breast shape. This is one of the most common risks associated with breast implants. Although capsular contracture it’s not a dangerous condition, it is a recognised complication of breast implant surgery and will require corrective breast surgery.
The reasons why capsular contracture develops are still uncertain. However, it is thought there are several factors which act in combination to increase the chances of the condition developing. Some studies have suggested it may be more commonly seen after revision breast surgery. Other studies demonstrate a link between patients who have had subglandular breast augmentation and the later development of capsular contracture.
Breast implant rupture
It is important to remember that breast implants are not designed to last for the lifetime of an individual patient. Breast implants have a finite lifespan with a small risk of implant rupture with the increasing age of the implant. Although breast implant rupture sounds dramatic, it is not a dangerous condition with no impact on health. Silicone breast implants have a highly cohesive gel; when implant rupture occurs, the gel remains inside the implant. Older types of silicone implants may be more prone to leakage, although any leakage is usually contained within the capsule or the pocket where the implant is placed. Silicone itself is chemically inert and is not known to result in adverse reactions if it comes into contact with body tissues. Saline breast implants are rarely used in the UK. When saline implants rupture, the internal say line will be safely reabsorbed by the body with no adverse consequences. With any type of implant rupture, revision breast surgery will be required to remove the old damaged implant and replace it with brand-new ones. Breast implants generally last between 10 to 15 years, with some potentially lasting for a lifetime.
BIA-ALCL is an extremely rare risk associated with breast implants. It is a form of non-Hodgkins lymphoma that most commonly develops in the scar tissue and fluid surrounding the implant. BIA-ALCL is most commonly linked with textured breast implants. The cause of the condition is still unknown, although many surgeons believe the surface texture can significantly increase the risk of developing BIA-ALCL.
Here at Centre for Surgery, we do not use highly textured breast implants. We only use FDA-approved Mentor implants and Sebbin implants, with both having an excellent track record of safety.
Corrective breast surgery
Breast implants will eventually need to be either removed or replaced with new ones. Revision breast surgery is commonly carried out at our Baker Street clinic in central London. Revision surgery is generally a very safe procedure, although, as with any surgery, there are always risks involved. The risk of complications developing is minimised as long as you are healthy without any significant chronic medical conditions such as diabetes, heart disease, high blood pressure or obesity.
Revision breast surgery may be associated with a slightly higher risk of capsular contracture. It is therefore vital to follow all your surgeon’s post-operative instructions in full to minimise the risk of this occurring. This includes avoiding alcohol and certain medications, which may increase the risk of bleeding. Breast massage should also be avoided, as should any activities that could increase the risk of excessive scars or bleeding, such as strenuous exercise within the first six weeks of surgery.
Breast implant illness or BII is another potential complication of breast augmentation. Plastic surgeons don’t generally view BII as a recognised disease. However, there have been anecdotal reports of women claiming they developed autoimmune conditions after breast implant surgery which subsided when the breast implants were removed. It is important to tell your surgeon if you have a personal or family history of autoimmune conditions or allergies. This information will be used to determine your suitability for breast implant surgery.
Best breast lift
The look and feel of the breasts can be affected by pregnancy, breastfeeding and significant weight changes. Women often notice their breasts lose volume and develop sagging, resulting in a less aesthetically pleasing appearance. A breast lift is designed to improve the shape of the breasts so that they appear perkier and have a firmer feel with a higher position on the chest for a more youthful appearance. Many women find specific items of fitted clothing, including swimsuits, fit much better after a breast lift.
Breast lift surgery is designed to remove excess skin and reshape the underlying breasts with surgical repositioning of the nipple and areola for a more youthful-looking breast mound. Breast uplift is commonly combined with breast augmentation for women keen to increase the size of their breasts with an improvement in breast shape. There are several different types of breast lift procedures, and the most appropriate one will be determined after a consultation with an expert breast surgeon.
A crescent lift is the least invasive type of breast lift and involves a half-moon incision located on the upper half of the areola. The procedure is often carried out on women with small breasts and very mild degrees of breast sagging. A crescent lift can also be performed simultaneously as breast augmentation for a subtle breast lift.
A doughnut breast lift is suitable for women who have mild to moderate degrees of breast sagging. The procedure involves making a circumferential incision around the areola. A doughnut breast lift is also known as a Benelli lift and is designed to reposition the nipple and areola higher up on the breast mound. Breast skin can be effectively tightened to get rid of breast sagginess. A doughnut lift is an excellent complimentary procedure to enhance breast implant surgery results for women with mild to moderate degrees of breast droopiness.
The lollipop lift involves incisions around the areola’s circumference and a vertical incision downwards from the areola to the lower breast crease. Lollipop lift is a well-established type of breast lift procedure, and it’s ideal for women who want to correct moderate degrees of sagging. The lollipop lift is not a suitable procedure for women with a severe amount of breast sagging from significant weight loss. A lollipop breast lift should also not be combined with breast augmentation surgery.
The anchor lift is most suitable for women with a large amount of breast sagging. The procedure shares similarities to the lollipop lift, although the anchor lift involves an extra horizontal incision which runs parallel to the breast crease. An anchor lift is commonly used as part of a breast reduction surgery for reducing the size of large breasts. The anchor lift is the ideal treatment option for women with significant degrees of breast sagging.
Breast lift recovery top tips
Women can speed up their breast lift recovery by following the tips below:
- Make sure to wear an appropriate support bra. Women should avoid wearing underwire bras for the first six weeks after breast lift surgery. Once you wake up from your surgery, the nursing team will apply a suitable compression bra to wear after your procedure.
- It would help if you tried to avoid getting your breast lift incisions wet as this may increase the risk of wound breakdown. We would recommend sponge bathing for the first few days until your surgeon allows you to start having a bath.
- Avoid sleeping on your front, as pressure on the breasts may increase pain and discomfort. You can use pillows on either side of your arms to help you remain on your back during sleep.
- Avoid doing too much physical activity during the first week after surgery. It is essential to take it easy and not to do too much too soon. You should avoid strenuous physical activities and heavy lifting for the first six weeks after surgery.
- We recommend wearing shirts that button up from the front as it can be challenging to lift your arms over your head for the first four weeks after surgery. The breasts are often swollen during recovery, and wearing loose-fitting clothing will help minimise any discomfort.
- We recommend having someone look after you for the first 2 to 3 days after surgery. If you have children, your carer can help with looking after them as well as helping with any household tasks.
What are the options for a non-surgical breast lift?
Several non-surgical breast lift treatments may result in a very slight breast lift without the need for surgery.
Breast thread lift
Thread lifts involve repositioning the Breskin upwards without the incisions or scars of a breast lift surgery. Barbed threads are used to anchor the soft tissue. This procedure is considered to be non-surgical, and results may last between 18 and 24 months. There are no scars, and the threads naturally dissolve by themselves over the first two years. Treatment results are generally temporary, with a need to have repeat treatment after two years. Here at Centre for Surgery, we do not recommend thread lifts for a breast lift as there are several significant complications, including skin puckering and rippling of the skin.
Laser skin tightening
Although laser treatments are most commonly carried out for facial rejuvenation, they can also be carried out on the chest. Several treatments spaced a few weeks apart will be necessary to stimulate collagen and elastin formation. The increased firmness of the breast may result in a very subtle breast lift effect.
BodyTite is a minimally invasive treatment designed to stimulate collagen and elastin production by applying radio-frequency thermal energy beneath the skin. The surgeon will use the device with a local anaesthetic, and the desired result is firmer breast skin. A breast lift with BodyTite may improve the firmness of the breasts, which can result in a small amount of breast lift.