What To Know About the Cosmetic Procedure of Breast Augmentation

Photo by karelys Ruiz on Unsplash

Breast augmentation is a popular cosmetic procedure that enhances the size and shape of the breasts. Three reasons may prompt you to consider this procedure: aesthetics, symmetry, or reconstruction.“This procedure typically uses silicone or saline implants or fat transfer. In a fat transfer procedure, the surgeon takes fat from another part of your body and injects it into your breasts,” says Texas-based plastic surgeon Matthew H. Steele, MD.

Regardless of your intention for breast augmentation, it is important that you understand the different options you have and how the procedure typically goes. A trusted practice like Matthew H. Steele, MD, can guide you through every step. 

This article elucidates the process of breast augmentation and the risks involved:

Forms of Breast Augmentation

Typically, there are two kinds of breast augmentation: breast implants and fat transfer. 

Breast Implants

There are different methods this procedure can take. They vary based on the styles and materials used. The methods include the following: 

Saline Implants: The surgeon fills the implant with sterile salt water. This procedure is safe because the body absorbs the saline if the implant ruptures.

Structured Saline Implants: This type is similar to saline implants. The significant difference is that it feels more natural.

Silicone Implants: These implants contain silicone gel. Surgeons typically recommend periodic monitoring for this type of implant because the gel may either stay intact or rupture and leak into the breast tissue.

Form-Stable (Gummy Bear) Implants: These implants are filled with a thick gel. They are recommended due to their lower dangers. When used, their shapes remain intact even in the case of rupture. However, they require a longer incision. 

Round Implants are aesthetically pleasing. They appear fuller than others and maintain their shape even if rotated.

Smooth Implants: These feel softer than the other types of implants. The softness also allows natural movement.

Textured Implants are designed to adhere to tissue and reduce movement. However, the huge problem with this type of implant is that it tends to cause a rare cancer called BIA-ALCL.

Fat Transfer

This procedure requires utilizing liposuction to harvest fat from parts of the body such as the abdomen, thighs, or flanks. The physician will then inject the fat into the breasts. This option is more suitable for those looking for a modest size increase. One huge advantage is that it offers a more natural look.

Why People Opt for Breast Augmentation

People decide to have breast augmentation for various reasons. For some, the reason is personal; for others, it is purely medical. However, there are four major reasons for opting for breast augmentation.

They include increasing the breast size or improving the shape, restoring the size reduction caused by pregnancy, weight loss,  and aging, and correcting the lack of symmetry in the breast. Lastly, some people do it to enhance their self-confidence and body image.

What You Should Do Before Surgery

Two key things are essential: consultation and preparation. Before surgery, you’ll meet with a board-certified plastic surgeon to discuss your goals, health history, and what to expect. 

This discussion covers current medications and allergies, previous surgeries or breast-related issues, and any family history of breast conditions. 

You should liaise with your surgeon to discuss all these issues extensively. You should also ask every question bothering you about the procedure. The certified surgeon’s response will bolster your confidence about the procedure. According to the American Board of Plastic Surgery, patients should verify their surgeon holds proper board certification before proceeding with any cosmetic procedure.

Ask for the surgeon’s certification by the American Board of Plastic Surgery, their experience with breast augmentation, and the type of implant or technique they recommend based on your goals.

You should also ask about the risks attached and the next line of action if you are unsatisfied with the result. Lastly, ask if you can breastfeed after the procedure.

An important point to note is that your surgeon will provide pre-operative instructions, which may include blood tests, stopping certain medications, quitting smoking, and avoiding aspirin or anti-inflammatories before surgery. Ensure that you adhere to all of these instructions.

How to Set Up for Post-Operative Recovery

The recovery stage is just as important as the operation stage. You can prepare for a post-operative recovery by ensuring you have the following in your home:

• The prescribed pain medications or acetaminophen
• Clean gauze and ointments
• Loose front-button clothing
• Someone to assist you for the first 24 hours

You should also take at least three days off work. If your job is physically demanding, you may need to take two to three weeks off.

What the Surgical Procedure Looks Like

For anesthesia, you’ll either receive general anesthesia or IV sedation. This will make you fall asleep during the procedure. You have three options for incisions. They include under the breast (inframammary fold), around the nipple (periareolar), or through the armpit (transaxillary).

The surgeon will choose the best method based on your anatomy and implant type. Then, the physician will place the implant at the back of the breast tissue and in front of the muscle or below the chest muscle (pectoral).

While each incision type has its own pros and cons, submuscular placement is often preferred because it looks more natural, especially in thinner patients. After placing the implant, the surgeon will close the incision with sutures. Drainage tubes may be temporarily inserted. The surgeon will discharge you while still wearing a surgical bra.

The Recovery Phase

After surgery, you’ll spend a short time in observation. This is when the surgeon will regularly monitor and check up on you. They will check for soreness, swelling, and bruising.

They may administer medications to help manage the pain. You will then need follow-up visits to monitor healing and possibly remove stitches or drains.

Note: During his period, avoid lifting or strenuous activity for at least four weeks. Return to sports or high-impact exercise only after your surgeon clears you, usually six weeks post-op.

Understanding What the Risks and Side Effects Are

Breast augmentations are generally considered safe. However, certain risks must be considered. These risks can be divided into three parts: short-term side effects, complications, and long-term side effects.

Short-term side effects typically include bruising, swelling, nipple sensitivity, and minor bleeding.

Complications are where the problem lies. During and after surgery, you may have an infection or wound healing issue, hematoma (blood collection), seroma (fluid build-up), or scar tissue around the implant (capsular contracture).

In some cases, you may experience implant sagging or shifting (symmastia), implant rupture or leakage, or breast implant-associated cancer.

Long-term effects are also concerning. The very first thing you should know is that implants are not lifetime devices, so you will need future surgery. Even after augmentation, changes in breast appearance can occur due to pregnancy, weight changes, or aging.

In some cases, breastfeeding may not be possible. It’s also important to visit your physician regularly for breast exams and imaging, especially if you have silicone implants.

Final Words

One important consideration with implants is that they can make mammograms more challenging. You may need to go to specialized imaging centers to work around them. When you want to do this, ensure you choose a facility accredited by the American College of Radiology for accurate screenings.

Ultimately, you must always prioritize your health and well-being. When you choose a certified surgeon and use an accredited facility, you increase your chances of a successful procedure.