Breast Augmentation

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The breasts can lose volume and their shape can change after weight loss, childbirth or as a result of aging. Breast augmentation can enhance the size of the breast as well as give you a better proportioned figure.

You will be examined taking into consideration factors such as the size and shape of your breasts, the quality of your skin and the placement of your nipple areolar complex. If your breasts are sagging, a breast lift may also be recommended.

Breast augmentation involves usage of a silicon prosthesis (Implant) for increasing the size of breasts. It is a fairly routine procedure with fast recovery. It can be done on day care basis and client can be discharged on the same day. The incisions and placement of implant will be discussed in detail during consultation. Another option of augmentation is by using your own body fat; a procedure called fat grafting.

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Augmentation with Silicon Implants

The breasts can lose volume and their shape can change after weight loss, childbirth or as a result of aging. Breast augmentation can enhance the size of the breast as well as give you a better proportioned figure.

Your surgeon will examine your breasts taking into consideration factors such as the size and shape of your breasts, the quality of your skin and the placement of your nipple areolar complex. If your breasts are sagging, a breast lift may also be recommended.

Cohesive silicone gel implants are now available. It has been determined that cohesive silicone gel implants are safe for use. The cohesive gel does not seep, run or shift. Silicone gel implants tend to give a more natural appearance than saline implants: they feel more like real breast tissue. Cohesive silicone gel implants do not normally ripple or fold as saline implants sometimes do. Silicone gel implants have been available in Europe for several years and have an excellent safety record. If you prefer to receive cohesive gel silicone implants rather than saline implants, you should discuss this with your surgeon during your consultation.

Once the incision is made, the surgeon creates a pocket into which the implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall.

 

After surgery, some bruising and swelling may occur initially, but this will disappear quickly. Most residual swelling will resolve within a month. After breast augmentation surgery, it is often possible to return to work within just a few days or a week.

Some potential complications of breast augmentation include reactions to anesthesia, blood accumulation that may need to be drained surgically and infection. Although rare, an infection that does not subside with appropriate treatment may require temporary removal of the implant. Changes in nipple or breast sensation may result from breast augmentation surgery, though they usually are temporary.

When a breast implant is inserted, a layer of scar tissue or ‘capsule’ forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. This is called capsular contracture. Capsular contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast’s appearance. In such rare cases, a simple procedure may be needed to modify or remove the scar tissue.

Except in the event of implant deflation, the results of your breast augmentation surgery should be long-lasting.

 

No Touch Technique

Using a customised contoured Funnel during breast procedures enables us to make smaller incisions. Depending your anatomy, the delivery tool also gives us the ability to place the incision either around the nipple (periareolar) or under the breast fold (inframammary). The Funnel’s specific advantages include:

  • Shorter incisions (and thereby shorter scars)
  • A no-touch technique
  • Reduced risk of contamination and infection
  • Reduced tissue trauma (and so less bruising) due to less force on the implant
  • Improved comfort and faster healing
  • Less damage to the gel implant wall

Our experience at Contura confirms these benefits. Feel free to speak to your us about the possible use of the Funnel during your breast procedure.

Another method of breast augmentation is by using the individual’s own fat (Fat Grafting)

 

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Augmentation with Body Fat

Fat injection or grafting has broad applications in cosmetic surgery. Fat injected into areas requiring volume-enhancement produces safe, long-lasting, and natural-appearing results as volume is replaced to tissues where fat is diminished. Fat grafting usually involves harvesting fat from one part of the body,  purifying it, and the carefully re-injecting it with specially designed needles into the areas requiring augmentation. The procedure may need to be repeated several times to achieve the desired result.

Swelling, which is commonly seen after fat injection, usually resolves within 2-3 weeks. The degree of swelling is most dependent on the area injected.

It can be used for breast augmentation. The major drawback of the procedure is the unpredictable absorption rate which is around 20-30%. hence a few of the patients who undergo this procedure for breast augmentation may require a minor touch up procedure later.

Am I a good candidate for fat grafting?

Patients who benefit from fat grafting are people who desire augmentation or filling of volume-deficient areas. The most commonly grafted areas include the breasta, hands, face (including the lips), and depressions in the skin contour such as those that have developed following liposuction and scarring.

Generally, patients who are considered for fat injection are in good health. If you have a history of abnormal bleeding or swelling following a procedure you should notify your surgeon. A smoking history should be disclosed to your surgeon. Each patient’s anatomy and proportions vary, and the decision to utilize fat injection techniques depends on the goals of the patient as well as the surgeon.

Fat Injection Standard Procedure Techniques

All patients requesting consideration for fat injection require a thorough pre-procedure evaluation. This may require several visits to your surgeon before the procedure. A full history and physical examination will be performed prior to the procedure. Your surgeon may take pre-procedure photographs, an informed consent will be obtained, and your skin may be marked. Either local or general anesthesia may be used, depending on your surgeon’s preference.

Fat is harvested using a special suction cannula using sterile technique. Once enough fat is obtained from the donor area, it is then purified. This often requires the use of a centrifuge which spins the fat and removes impurities. The fat is then placed into the areas requiring augmentation. The injection needle is usually passed in and out of the areas to be augmented multiple times. This creates a ‘grid’ of threads of fat graft. The areas that were injected may then be massaged by the surgeon to create a satisfactory contour. A dressing may then be placed.

Fat Injection Benefits/ Advantages

Fat injection or grafting is a technique that is growing in popularity. Fat is one of most well-tolerated fillers available to aesthetic surgeons, and thus has broad applications. It is natural-appearing, lasts a long time, and is safe. It is an effective filler used for changing body contour, revising scars, filling depressions created by liposuction, and rejuvenating the breasts, hands and face. Perhaps most importantly, it spares the patient the inherent risks associated with fillers derived from animals or cadavers.

Fat Injection Risks/Complications/Patient Safety

  • Swelling is the most common post-operative side effect. Most of the swelling settles down within several weeks.
  • Bruising in both the donor and recipient areas as a result of bleeding. It is unusual to require a transfusion.
  • Numbness of the skin overlying the donor and injected areas. This is usually temporary.
  • Slight asymmetry or contour irregularity. This usually improves as the swelling resolves.
  • Under or over correction of the defect
  • Infection
  • Nodules or calcification
  • Loss of fat viability, with resultant failure of the desired augmentation

Fat Injection Recovery Process

Dressings may be placed on the injected areas. These dressings may include the use of  tapes or compressive-type dressings. Your may also be instructed regarding a massage program after the procedure. Swelling and bruising usually resolve within 2 to 3 weeks.

Contact Dr Sreekar Harinatha for appointments for the surgeries

Mobile: 7022543542

email: drsreekarh@yahoo.com