Breast augmentation

FAT TRANSFER BREAST AUGMENTATION
Autologous fat transfer breast augmentation requires two different procedures in the same session: first a liposuction to obtain spare fat from another area of the body ( thighs, buttocks, stomach for example ); then the transfer of this fat into the breast with simple injections without surgical incisions. Most of the times this procedure needs to be repeated, at least once, in one year since the transferred fat partially resorbs ( not evenly and homogeneously ). This may be interesting for women in need for liposuction and a small, non permanent, breast augmentation without surgical incisions.

BREAST AUGMENTATION WITH IMPLANTS
Breast Augmentation with IMPLANTS gives more stable results with time.

TYPES OF BREAST IMPLANTS
Nowadays there are 3 different kind of breast implants on the market:

• Silicone shell filled with cohesive silicone gel breast implants.
• Silicone shell filled with saline sterile water breast implants.
• Polyurethane-coated silicone gel breast implants.

The last type, polyurethane-coated, are usually used just if another kind of implant needs to be changed because of severe encapsulation. This is because it is stiffer and don’t have a clear, long term, scientific literature support.

SILICONE SHELL FILLED WITH COHESIVE SILICONE GEL BREAST IMPLANTS
The most popular breast implants are the cohesive silicon gel ones. Some of them have a lifetime warranty of the manufacturer ( Mentor and Allergan in the first place ), meaning that are produced with the idea of not to be changed ever. Silicone shell filled with silicone gel breast implants are also classified by their shape:

• ANATOMICAL ( DROP ) shape: usually gives a more “natural” shape, due to its bigger volume on the lower part and its “oval” look from the front. On the other hand if the implant moves on its vertical axis, this could lead to an unpleasant asymmetry.
• ROUND shape: gives fullness to the the upper part of the breast as well as the lower; being spherical, in case of rotation do not lead to symmetry worries.

IMPLANTS POSITION
Breast implants can be placed on a deep, below the muscle ( submuscular ), plane or on a superficial plane, under the gland ( subglandular ), or, at last, usually with better results, by a DUAL PLANE technique, where the upper part of the implant goes under the muscle and the lower part under the gland but aver the muscle. Regardless of the plane where the implant is positioned, breastfeeding in case of pregnancy will still be possible, same as for all the mammary gland diagnostic examinations ( Ultrasound, Mammogram, MRI ).

HOW BREAST AUGMENTATION IS DONE
Breast implants are placed through small incisions on the breast folds, or around the areola or in the axyllary ( underarm ) area. Surgery is performed under local anesthesia + sedation ( DaySurgery – Outpatient ), or under General Anesthesia staying at the Hospital/Clinic overnight.

BREAST AUGMENTATION POST-OP RECOVERY
Upper body/arms physical activities ( weightlift, tennis, swim ), are to be avoided completely for the first 2-3 months ( depending on the surgery type ). To maintain the results stable over time, body weight needs to be stable as well, since weight rebounds negatively affect the breast.