Breast Augmentation with Implants

Overview

Breast augmentation with implants is a surgical procedure aimed at enhancing the size and shape of the breasts using either silicone or saline implants.

Purpose

  • Cosmetic: To increase breast size or improve breast symmetry.
  • Reconstructive: Typically performed after a mastectomy or breast injury.

Types of Implants

Saline Implants

  • Filled with sterile salt water.
  • Volume is adjustable.
  • In the event of a leak, the saline is safely absorbed by the body.

Silicone Implants

  • Filled with silicone gel.
  • Provide a more natural feel compared to saline.
  • Require regular monitoring (MRI or ultrasound) to detect possible rupture.

Gummy Bear (Form-Stable) Implants

  • Contain a thicker silicone gel.
  • Shaped to maintain form.
  • Less likely to rupture or shift in position.

Surgical Details

Incision Sites

  • Inframammary: Under the breast fold
  • Periareolar: Around the nipple
  • Transaxillary: Under the arm

Implant Placement

  • Subglandular: Positioned over the chest muscle
  • Submuscular: Placed under the chest muscle (offers a more natural look and reduces the risk of rippling)

Duration of Surgery

  • Typically lasts 1–2 hours
  • Performed under general anesthesia

Recovery

Initial Recovery:

  • Lasts 1–2 weeks
  • Patients can resume activities of daily living

Full Recovery:

  • Takes 4–6 weeks
  • Patients can return to strenuous exercise and work

Risks and Considerations

  • Capsular contracture (tightening of scar tissue around the implant)
  • Implant rupture or leakage
  • Infection
  • Changes in nipple or breast sensation
  • Possibility of future surgeries (implants may require replacement after 10–20 years)