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Surgical methods
Breast augmentation can be either submuscular or subpectoral. The most popular is insertion of the prosthesis through the sub-mammary crease under the breast, via an incision approximately 4cm long. Another method is where access to the breast is gained through an incision on the nipple-areola, but this is less commonly used. A third method involves an incision in the armpit and the placement of the prosthesis underneath the pectoral muscle may be preferred but this will be fully discussed with the surgeon as there are some benefits and disadvantages.Medication
Medicines that delay blood clotting should be avoided 14 days before surgery such as Aspirin and Vitamin E. If you are taking Aspirin for a medical reason then please talk to a Doctor before stopping it.
Fibrous capsule or capsular contraction
Capsular contracture is the most common complication after breast augmentation, up to 10% and the most common reason for further surgery. Unfortunately it is not possible to predict who will have this problem or when it will occur. However with the latest technologically advanced silicone implants the incidence is reducing.
The human body forms a layer of scar tissue around any implanted material and this happens also with breast implants. Usually this layer is quite thin and soft but in some people it can become thick and hard, making the breast feel and look unnatural. When this occurs it is called a capsular contracture.
Breasts may become hard, change in shape or even be painful. Occasionally the problems may improve with some anti-inflammatory medication but often an operation is required.
Breast feeding
The ability to breast feed may be reduced by breast uplift but not after breast augmentation.
Breast cancer
Clinical studies have shown no link between breast enlargement with implants and a higher incidence of cancer. Ms Kavouni does however suggest a pre operative mammogram as a baseline for future reference.
Implant leakage
The implant shell can split if a heavy impact is sustained but silicone implants do not leak as the material is very viscous. The manufacturers are so sure of their implant safety that they offer lifetimes guarantees.
Anatomical vs Round
The breast is normally teardrop in shape with less bulk at the top than the bottom and anatomical implants mimic this. However some women are looking for a larger projection at the top of the implant which the round offers.
Post operative pain
If the implants are placed under the muscle the pain experience can be great than when place on top of the muscle but any pain felt will settle within 10days to 2 weeks.
Post operative sport and activity
During surgery a pocket is made for the implant to rest in and the implant needs time to adhere to this pocket. Heavy lifting, driving and sport need to be avoided within the first 2 weeks to allow the implant to adhere to the pocket wall. A common misperception is that implants leak during flights or diving – this is not true. Changes in cabin pressure can cause slight expansion or contraction of the shell but they will not burst.
