Breast Implants
BEFORE AFTER BEFORE AFTER
Breast augmentation surgery involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy. Breast implants have been proven to be safe and does not affect functions of the breast. Nor do they cause or increase the chance of tumors or breast cancer. Even breast feeding can be done normally later. The US FDA has approved silicone gel implants for breast augmentation.Implants are available in various sizes. The scars of surgery are well hidden and the breasts look and feel natural. Fondling of breasts are to be avoided for a month. The incision can be made under the breast, around the nipple or in the armpit. It generally takes two to three hours to complete the entire procedure. The outer surface may be smooth or textured, and implants come in various shapes to meet the individual woman’s needs.

Types of Breast Implants
Implant can be broadly classified as SALINE and SILICONE breast implants depending on its contents.

Saline implants have saline (salt water) solution inside the pliable silicon shell. Saline implants were extensively used prior to USFDA approval for cohesive gel implants. Saline breast implants are very safe, but have shown long term problems of rippling and deflation.

Silicon implants are available in the round or circular (most commonly used) as well as the anatomic or ‘teardrop’ shape. We use only MENTOR brand of implants ( US FDA approved).

Breast Augment Procedure
Performed under general anesthesia, breast enhancement surgery takes about 2 hours to complete. Implants are inserted in any of the following locations-
1. Underneath the gland called sub glandular
2. Beneath the muscle known as sub muscular
3. Both below the muscle (upper half of the implant) and below the gland (lower half of the implant) known as Dual plane.

The best doctor decides to create a specific pocket after taking into consideration the tissue character of breasts and type of implant. Small tubes placed after the surgery for draining off the collecting fluid are removed within 24-48 hours. 

Incision for Breast Augmentation
Infra mammary crease approach and the circum areaolar approach are most frequently used for breast augmentation by surgeons all over the world. Since infra mammary crease is a well hidden portion of breast, infra mammary crease approach is the most favored by both doctors and patients. A 5 cm incision is made under the breast in such a way that final scar falls in a natural crease below the breast and fades away in the due course of time. Circum areaolar approach makes use of natural color interface of nipple and breast skin for hiding the scar since incision is made in the lower half circle of the nipple or areola.

Post Breast Enlargement Recovery
It is normal to feel slight discomfort, stretch, swelling and bruising after the surgery. Most women resume light daily activities after 24 hours or so. Desk job can be resumed in 3-4 days time. Diminished sensation over the breast is expected and it goes away in a fortnight or so. Collection of serous fluid or blood, infection, sensory alteration, wrongly positioned implants are some of the complications post breast enlargement surgery. These are rare and can be easily resolved at the hospital. Infection after the breast treatment is less than 1% for which course of antibiotic prescribed by the doctor suffices. If infection persists, then implant are removed and reinserted after a few weeks once infection has been taken care of. In some cases, capsular contracture may occur at a later date wherein body forms a capsule around the implant. This capsule may thicken and disfigure the implant.
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