Breast augmentation involves enhancing the breast volume and shape by using a saline or silicone implant. The shell can be smooth or textured and the shape can be round or teardrop. There are several advantages and disadvantages of implant type, texture, and shape. The size of the implant is also determined following a physical examination and Dr. Deigni will guide you in these decisions during your initial consultation.
This surgery usually takes about an hour to complete under general anesthesia. The most common way to augment the breast is by inserting an implant under the pectoralis muscle by making a small incision in the crease of the inframammary fold. The placement of the implant, either below the muscle or above is also determined during the initial consultation.
Following surgery, you are placed in a soft bra with no underwire in order to help support the breasts. Given some minor restrictions, patients are usually able to resume most activities within the first week.
Capsular contracture is a common complication of breast augmentation. The term refers to thickening and tightening of the scar tissue (capsule) that naturally forms around the breast implant. The degree of capsular contracture varies on a spectrum and at its most severe form it can lead to breast implant hardening and displacement, and can be associated with discomfort. Capsules may often soften spontaneously over a period of 6 months and in less severe instances early intervention is not advised. When capsules do not soften or when they are associated with patient discomfort, surgery is performed to improve the results.
Although the exact cause of capsular contracture remains under investigation, several techniques used to help minimize the risk include sterile surgical technique, meticulous dissection of the pocket with minimal bleeding, irrigation of the breast implant pocket with antibiotic solution and/or betadine solution, and minimal touch technique and manipulation of the implant.