Breast Augmentation/Breast Implants/ Breast Enhancement /Boob Job
It is recommended that prior to the operation, clients must consult with a specialising surgeon to advice on the most suitable procedure. This helps to increase or balance the size of the breasts, restore breast volume, or restore the shape of breasts after partial or total loss. Clients must note that breast augmentation cannot correct significantly sagging or drooping breasts. In these instances, a breast lift is often necessary, which may be performed in conjunction with this procedure.
Basically, breast augmentation is done by placing breast implants either under the breast tissue (under the muscle) and over the chest muscle (over the muscle), or under both the chest muscle and the breast tissue (dual plane). All breast implants are made with a silicone based casing but they are filled with either silicone gel or saline. The outer silicone case may be smooth, shiny, polished, or a slightly rough texture.
The type, style, and size of breast implants you choose are determined by your lifestyle, body contours, the amount of breast tissue you have, and the cup size and appearance that you would like to achieve. Choosing the breast implant option that is right and suitable should be consulted to a surgeon.
In terms of methods on of incision and insertion, Plastic Surgery Phuket offers commonly used methods of incision and insertion at the following areas:
• Around your nipple (Circular Incision)
• Under the breast (Inframammary fold incision)
• Under the armpit (Transaxilary incision)
The methods may be more than a simple case of aesthetics as to which option is chosen so it’s also best to ask a surgeon for an advice of which best procedure to suits a client.
The surgeons recommend a one night hospital admission
Duration of Operation
The procedure may take two to three hours.
Breast augmentation is done using General anaesthesia in which the patient is asleep for the surgery.
Pre Operative Care
When assessing the size and placement of the implant, the goal is to augment the breasts in proportion with the body and to maintain a natural look. The size and placement of the implant chosen depend on many factors including the following:
• Current cup size,
• Desired cup size,
• Body build, including chest muscle tone.
If the patient has a small amount of breast tissue and want to augment as much as possible, it is recommended that a large implant is placed below the muscle, in order to prevent the feeling or appearance of the implant. There is also less chance of capsular contracture (hardening).
If you have large chest muscles the implant should be placed above the muscles in order to allow for comfortable movement and a natural look.
For patients with mild to moderate breast sagging, a larger implant placed over the muscle is recommended. This enables a full and natural augmentation.
To avoid post operation bleeding, patients must do the following prior to surgery:
• Inform the surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription).
• Avoid aspirin and blood thinning medication such as brufen for two weeks
• Avoid smoking for 2 weeks as this may affect reaction to the anaesthetic and prolong the healing process.
• Inform the surgeon if suffering from hypertension.
Post Operative Care
All dressings and bandages are removed on the second or third day following the procedure. Afterwards, patients are free to bath and shower as usual.
Patients will be directed by a nurse on the correct procedure and the reasons for breast massage which should be conducted twice a day or as directed by a surgeon.
Patients will probably be able also to resume exercise and normal physical activities within a month or two, after any residual soreness has subsided.
Women that choose silicone implants should have an annual mammogram to ensure that their implants are not leaking, as silicone leaks out slowly unlike saline – which is easier to rupture and will deflate fairly quickly. If there is a leakage or break in the implant, it should be replaced.
Risks and Complications
Since 2000, statistics show that a low number of silicone or saline implant recipients have experienced complications. However, the following risks and complications might be experienced after breast augmentation:
• Capsular contracture. This occurs if the capsule, or shell, around the implant begins to tighten and thicken. This will cause the breast to feel hard and appear unnatural. Preventing this can be best achieved by regular self-massage which will be advised by the surgeon. Sometimes removal of the capsule is required, or perhaps the implant may need to be replaced, however this is uncommon if you follow your surgeon’s directions.
• Infected or deflated breast. If this happens, the implant must be removed immediately. The patient will need to wait several months before repeating the operation.
• Continual bleeding. Despite bleeding generally being minimal during the operation, there is a possibility that continual bleeding after surgery may result in a blood clot – which would need to be removed. This is uncommon and it is suggested that a patient may remain in Thailand for approximately 2 weeks for the surgeon to monitor the improvement after surgery.
• Infection. This is uncommon, but possible. The surgeon should provide the patient with antibiotics prior to surgery to eliminate this possibility. A reputable accredited surgeon will perform these procedures to eliminate risk.
• Detecting breast cancer may be more difficult.
According to scientific research, women with breast enhancement are not at any increased risk of autoimmune or connective tissue diseases. Although some patients have claimed of complications to their health due to ruptured silicone implants in the past, studies have not conclusively indicated that implants bring about increased risks of any rare diseases.
Breast augmentation increases breast size which can enhance your self-esteem and confidence. The procedure will leave you with a better figure and help to balance your body proportions. For many women, including those who may have undergone a mastectomy, childbirth or weight loss, you will notice a magnificent improvement and initial scarring will gradually fade.
In 2000, both Silicone and Saline implants were both approved by U.S. health officials. Implants manufactured by Silimed and Mentor – the two leading marketers of implants – were considered safe and effective for continued use.