Breast Augmentation Surgery

augmentation

Breast Augmentation Surgery

Augmentation is a procedure to increase the size of the breast. This can be achieved through:

1.Autologous tissue such as fat grafting.
2. Breast Implants.

Breast Implants:

All implants on the market today are made of two separate components: an outer silicone shell and inner filling, which can be either Saline or Silicone.

What are the shapes of Implants?

Breast implants may be round or have an anatomical shape. The newest generation of implants—the cohesive silicone gel implant—promises increased gel integrity and a more natural appearance.

That are the approaches for breast agumentation?

There are four approaches:

  • Inframammary.
  • Sub-areolar (Trans-nipple).
  • Transaxillary.
  •  Periumbilical.

Commonly, dual-plane breast augmentation is performed, in which the implant is placed under both muscle and breast tissue.

Advantages of dual-plane implant placement:

  • Minimal capsular contracture.
  • Implant visibility is reduced, hence no rippling.
  • No alteration in normal breast function, such as breastfeeding.

What are the complications?

  • The most common complication is capsular contracture. Other complications include implant malposition, asymmetry, infection, and implant removal.

Breast Augmentation with FAT GRAFTING:

Fat grafting to enlarge the breast can be performed for cosmetic reasons, correction of asymmetry, and reconstruction of deformity.

Advantages of fat grafting

  • Absence of an autoimmune response.
  • Ease in accessing donor fat.
  • Minimal complications.

Indications

  • Augmentation of the breast in patients with small breasts, tuberous breasts, or Poland syndrome, or in patients who refuse silicone implants.
  • Correction of breast contour deformity or asymmetry after removal of breast implants, breast lumpectomy, or reconstructive surgery.
  • Creation of a thick envelope of breast tissue after placement of silicone implants.
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Procedure:

  • The procedure is performed under general or regional anesthesia. Fat is aspirated manually with a liposuction cannula attached to a syringe or vacuum pump. The aspirated fat is washed with 0.9% normal saline solution, followed by centrifugation at 1000 rpm for 2 minutes. The purified fat is then injected into the breast.

Postoperative Care:

It is recommended that the patient wears a supportive bra day and night for 7 days after breast augmentation with fat grafting. Oral antibiotics are administered for 3 days postoperatively, and compression garments are worn for the donor area for 3 months.

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