Breast Augmentation
It’s the process of enhancing breast size and aesthetics.
Breast augmentation, also known as augmentation mammoplasty, is designed to increase the size, shape, or fullness of a woman's breasts. It's one of the most commonly performed cosmetic surgeries worldwide.
Here are some key aspects of breast augmentation:
The primary goal is to enhance the size and shape of the breasts. It can also improve symmetry when one breast is noticeably smaller than the other.
Surgeons typically use implants to increase breast size. These implants are filled with silicone gel. The implants are inserted either under the chest muscle and breast tissue (Dual plane placement) or directly behind the breast tissue (Subglandular placement).
It can cause a 1-2 cm nipple elevation, which is an added bonus when treating very mild nipple ptosis (downward displacement).
The patient’s tissues capacity and measurements as well as her wishes are taken into consideration and the surgeon usually offers the best fit. Too big of an implant will cause long term damage to the breast (stretch marks and skin loosening).
Unrealistic demands are usually not met. Natural aesthetics should be conserved and enhanced.
Basically, there are two ways of going at it, with breast implants and with one own’s body fat.
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Better control over the results (predictable)
Useful when greater volume, upper-pole fullness or more predictable augmentation is desired.
Used in thin patients
Breast implants are extensively studied medical devices, they are generally safe but are not lifetime devices and carry specific short- and long-term risks.
Breast cancer screening remains possible after augmentation, although mammography requires specific views and the imaging center should be informed that implants are present.
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Less predictability and small to moderate augmentation
Preferred when the original breast shape is adequate
Some of the transferred fat is naturally resorbed, making the final volume less predictable than with an implant. Some patients might need two or more sessions.
Smooth feel but will decrease in size with weight loss
Breast cancer screening remains possible after fat grafting, although fat necrosis, oil cysts or calcifications may sometimes appear on subsequent imaging.
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Upper pole–to–lower pole ratio 45:55%
Nipple angulation - 20 degrees skyward
Upper pole slope - Straight/mildly concave
Lower pole convexity - Tight convex curve