Breast Implants in Adelaide
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Breast Implants, the choices.
Many women consider having breast augmentation surgery. Some have breasts that did not fully develop or developed unevenly. Some have always felt their breasts were too small, and some have experienced changes in their breasts’ size and shape after pregnancy or weight change or simply as they have grown older. Whatever your reasons for considering breast augmentation, it is important to remember that the decision is yours alone. You should never consider having the surgery to please someone else. You should also remember that, like all aesthetic surgery procedures, breast augmentation can only change your figure, not your life.
Diary of A Patient: Breast Augmentation
ABOUT THE PROCEDURE
Breast augmentation is a well established procedure that has been performed on more than three million women worldwide over the last three decades. The majority of women who have had the procedure report that they are very pleased with the result. Through the use of implants, this surgery can increase the size of your breasts and correct uneven breasts. It may also be used to correct drooping breasts but may require an additional uplift procedure. At Norwood Day Surgery we have modern accredited facilities to take care of you while you have your procedure. A general anesthetic is used to make you feel comfortable during the procedure. Breast augmentation is preformed as a day surgery procedure, arriving in the morning and going home late afternoon. We advise to allow two weeks recovery for this procedure.
BREAST IMPLANTS—THE CHOICES, SALINE OR SILICONE?
The technology behind breast implants/augmentation is advanced and there are many choice and options available. Size, height and volume are tailored to your needs. There are two main categories of implant available; SALINE or SILICONE GEL. Saline breast implants contain salt water and there is a general perception that they are safer than silicone gel, if they should leak it is not an issue as salt water is totally harmless. There are a couple of questions you need to ask yourself if considering saline breast implants, they tend to be firmer and don’t feel as natural to touch as silicone gel and they don’t move as naturally. Saline implants can have a ripple effect and may have issues with leaking. Modern silicone gel implants do not leak and should the implant be cut or ruptured, the gel will stay in place. Silicone gel breast implants are by far the most prevalent option. As to which one is right for you that is something we determine during a consultation.
WHAT SHAPE OF BREAST IMPLANT DO I WANT?
There are two styles or shapes of breast implants available which are round or anatomic (tear drop). Your current breast shape can determine the shape of implant for you. If you are satisfied with the shape of your breast but want to increase the size it is best to ‘match’ your current shape. In many circumstance a round implant suits best and also gives the least trouble. Rest assured we will match you to the right implant for your needs.
HOW IS THE BREAST IMPLANT INSERTED?
There are three main approaches used for breast augmentation.
- The implant may be inserted through the crease under the breast (sub-mammary crease) using an incision approximately 5cm long. This is the most popular technique today.(Refer Sub-Mammory Crease Procedure Image)
- Access may also be gained through an incision on the inside of the nipple-areola, in the lower half, and this is suitable only when the areola as at least 3.5-4 cm in diameter.
- A third method uses an incision in the armpit. The implant can be placed above or under the pectoral muscles, but this approach is only suitable for round implants and smaller implants. (Refer Armpit Incision Procedure Image)
Your surgeon will discuss these techniques with you and describe the benefits and disadvantages. Whatever technique you and your surgeon decide on, your surgery will usually be done under general anaesthetic. If your surgeon is using the first technique, he will make his incision in the breast crease and create a pocket under the breast tissue either in front of or behind the pectoral muscle.
Bleeding points will be sealed and the implant inserted into the pocket. The incision will then be closed with dissolving sutures and covered with a light dressing.
At this point, a supporting bra, which you will have been instructed to bring with you, will be put on unless your surgeon chooses to use adhesive tape on your breasts. If a bra is used, you’ll be advised to wear it day and night for the first six weeks except while showering or bathing.
CAN I CHOOSE MY OWN SHAPE AND SIZE?
The surgeon must determine the size of the implant guided by the result you wish to achieve. Selection is based upon the patient’s general stature and chest size, and the amount of breast tissue already present. Although some women might prefer to have the largest implant, there may not be sufficient room to accommodate it.
YOUR CONSULTATION & DISCUSSING YOUR OPTIONS
Successful breast augmentation surgery begins with careful planning to meet your particular goals. There are several decisions to be made. One, the choice between saline and silicone breast implants is discussed above. A second, involves the choice between round and anatomical (teardrop-shaped) implants. The goal of this decision is to give you the most natural looking breast possible. Some people feel round implants have a tendency to show an upper edge, creating a “stuck-on” appearance. In some cases this may be a valid concern. However if you have a sufficient amount of breast tissue and seek a moderate amount of augmentation, this should not be a problem.
- Patients who are very slim, and have very little breast tissue to cover the implant may be advised to choose the anatomical implant to create a more natural contour.
- For patients who seek a very large augmentation, disproportionate to their bodies, neither type of implant will look natural or attractive. In addition, it is very likely that there will be undulation in the skin of the lateral part of the breast, a condition called traction rippling.
- You’ll also want to discuss the size of your implant. This can be a confusing decision as a particular cup size will look quite different in two women of different stature.
- At your consultation we can show you sizers implants to determine the correct size for you. Remember you goal is a size that looks both natural and pleasing.
- You and your surgeon will also discuss whether your implant should be placed behind your breast tissue or behind the Pectoral muscle as well, and where your scars will be located.
Finally you’ll discuss the risks related to breast augmentation and what you should expect during your recovery.
- Every surgical procedure involves some general risks that you should know about, the main ones being haematoma formation and or fluid accumulation, infection, unfavorable scar formation.
- Capsular contracture can occur making the breast very hard and uncomfortable in some patients. It is caused by the formation of scar tissue around implants which shrinks, squeezing it so hard it feels firm. It is, however, treatable in most circumstances and does not constitute a health hazard or life threat.
- Breakage / rupture / leakage of the implant can occur as a result of trauma. When ruptures are known to exist, it is appropriate to remove the implant and replace it. Cohesive gel implants which are used today have substantially reduced this risk.
- Changes in the nipple and breast sensation can occur in some women following surgery. The breast can either become too sensitive or lose sensitivity. The changes are usually temporary.
POST OPERATIVE CARE
We monitor you closely in your recovery time and gradually ease you back to normal life. There will be some pain and discomfort in first few days so take it easy. We also have a 24hour phone service for patient care.
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