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Breast augmentation also termed, augmentation mammoplasty, is a surgery to increase breast size by placing breast implants under the tissue of or muscles of the chest. Through this procedure, certain women feel more positive about their overall personality, whereas, for others, it's just a part of rebuilding their breasts for various conditions. There are usually 2 types of implants used by the surgeon:
- Saline-filled implants consist of silicone shells filled with sterile salt water (saline). Some of the implants are pre-filled, whereas others are filled during the implant operation.
- Silicone gel-filled implants contain a gel-type substance silicone.
Who is Best Candidate for Breast Augmentation?
- To enhance appearance, if one thinks her breasts are small or uneven, where the size of one breast is larger as compared to the other.
- After pregnancy, if there is a requirement for reduction in breast size or significant weight loss.
- Correction for uneven breasts after breast surgery for other conditions
Preparation Before Breast Augmentation Surgery
Before the procedure, it is the doctor who helps in the selection of implants for the patient. This can be carried out by placing various implants into a bra to find whether they feel comfortable or not.
Incision Surgery Options in Breast Augmentation Surgery
The surgeon and patient should discuss all possible incision options. The following options are available:
- Inframammary incision, done in the crease under the breast
- Transaxillary incision, in the armpit
- A periareolar incision around the nipple
Breast Augmentation Surgery Procedure
Breast augmentation can generally be done as an outpatient procedure, or one may stay overnight in the hospital for a monitoring basis. The entire procedure gets over in about 1 to 2 hours, and the patient will likely be given general anaesthesia.
- The surgeon will make a cut under the breasts, under the arms, or around her nipples, depending on the body, the type of implant, and how much enlargement is being done.
- After the incision is made, the surgeon opens up the area around breast tissue and separates it from the chest's muscles and connective tissue. This will result in a pocket either behind or near the pectoral muscle. The surgeon will then insert the implant into this pocket and centre it behind your nipple.
- Saline implants are not pre-filled with sterile saltwater. Once they're inserted in their desired place, then only they are filled with sterile saltwater. Silicone implants are pre-filled with silicone gel.
- The breast implant is being inserted into a pocket above or below the chest muscle. Once the implant is in place, the surgeon will close the cuts with sutures or surgical tape.
Complications After Breast Augmentation Surgery
This procedure can have certain complications like:
- Breast pain
- Sensation changes around the nipple area and breast
- Formation of scar tissue and the complex area around the implant
- Bleeding
- Infection
- Implant issues
- Rupture or leaking of implant
- Fluid accumulation
Care After Breast Augmentation Surgery
There is evident soreness along with swelling for a few weeks post-surgery, along with bruising. So, it's recommended to wear a compression bandage or sports bra for extra support and positioning of the breast implants.
- In case of pain, anti-inflammatory medications are taken. Follow doctor's instructions about returning to regular activities. One can resume her job if it's not so physically demanding. Avoid strenuous activities, anything that could raise the pulse or blood pressure, for at least two weeks.
- In case of warmth and redness in the breast or fever, the patient might have an infection. Contact the doctor as soon as possible.
Does Insurance Cover the Breast Augmentation Surgery?
Normally, Insurance doesn't cover breast enlargement surgery. However, it will cover breast implants for women who have had mastectomies due to breast cancer. If one needs further surgery, later on, the health insurance may not cover that, either. Having breast implants may also affect insurance rates later on. It is advisable to speak to your insurance company while you plan for the surgery.
Last Update
Reviewed on 20-Sep-2022.