Breast

Breast augmentation
Breast augmentation involves the introduction of an implant (made of silicone gel or saline) to increase the breast size. It is indicated in women that have an inadequate breast volume or that have de desire to restore the natural volume after weight loss, pregnancy or aging.
Breast augmentation is the second most common cosmetic surgery (after liposuction). It is thought that more than 1% of the adult woman have breast implants.
Technical points
Incision choice: Inframammary fold, axillar or periareolar
Pocket place: Subglandular, subpectoral or biplanar (dual plane)
The surgical procedure takes about 1H30. It can be performed under general anaesthesia or sedation and local anaesthesia. It can be performed on outpatient or inpatient basis (1 night).
All the described techniques have advantages and disadvantages that will be discussed with you during the preoperative evaluation.
The size, shape of the breast before surgery, and the intended results will influence technique and the final result.
Post-operative care
Medication
- Acetaminophen or ibuprofen for routine pain control
- Diazepam (Valium) or similar anxiolytics may be useful for pectoralis relaxation
- Prophylactic antibiotics (short course)
Brassiere
- Medical brassiere; no underwire or push-up bras for 6 weeks
Activity
- Implant displacement exercises starting 5 days after surgery
- Light aerobic exercise or professional activity after 7 days
- Heavy lifting after 4 to 6 weeks
Complications and surgical risks
Breast augmentation is considered a safe procedure. However, all surgeries have their own risks and complications. Some of the most frequent are:
- Hematoma
- Seroma
- Infection
- Permanent sensory change of the nipple
- Capsular contracture
- Leakage or rupture
- Implant migration or malposition
- Anaplastic large cell lymphoma (ALCL) – Very rare
Silicon mammary prostheses, pregnancy, lactation and breastfeeding
There is currently no scientific evidence that silicone prostheses are mutagenic or teratogenic. Clinical studies, conducted by the British Department of Health and the Institute of Medicine of the American National Academy of Sciences, have shown that silicone gel breast implants are safe for breastfeeding. However, there are not enough studies to ensure their viability in all cases.
Breast augmentation and breast cancer
With appropriate imaging, no increased risk for cancer is found; diagnosis is not delayed; there is no difference in survival or recurrence.