Description of the procedure
Breast augmentation and reshaping is a very popular and very common procedure in esthetic surgery on all world markets; it has been performed for 50 years – in the USA, 350 thousand procedures are realized per year. During the development of esthetic surgery, techniques and methods of breast augmentation and reshaping have been changing, and nowadays, they have reached their technological peak. Therefore, it is of utmost necessity to follow all current world standards and trends – with continuous education and training of doctors, use of high quality implants and equipment.
Breast augmentation is a surgical method that improves the appearance or achieves a higher volume of breasts. It is performed by inserting the implants that are designed to increase the small, underdeveloped breasts or after breastfeeding, weight loss or aging to restore and increase the volume of the breasts. Choosing the right size of implant is the most important joint decision of a patient and a surgeon. Also, the procedure can correct asymmetry (uneven breast size), or pendulous breasts with excess skin. Preoperative consultation between a surgeon and a patient is of utmost importance due to the assessment of the objective state with regard to expectations and possibilities.
Today there are other methods of breast augmentation and reconstruction that are trying to become established. Nowadays, the biggest trend in breast augmentation is augmentation using your own fat tissue. But, as Dr. Milenović states when he discusses breast augmentation and reshaping, the future of silicone implants in the next ten years is completely unquestionable.
Women opt for breast augmentation in order to improve their appearance, regain self-confidence and safety. These are some typical problems of esthetic nature that patients want to correct:
- Small, underdeveloped breasts, even after puberty
- Achieving proportionality in regard to the stronger/more developed lower body
- Unsatisfactory shape of breasts (pointy, flat, etc.)
- Breasts are reduced after losing weight, pregnancy or breastfeeding
- Reduced firmness, looseness, due to bodily changes, such as aging
- Breast asymmetry in terms of size and shape
- Reconstruction of breasts after preventive breast removal in order to prevent the occurrence of carcinoma
It is necessary to stop smoking a month before the procedure due to a detrimental effect on microcirculation; a week before, it is necessary to stop taking preparations based on acetylsalicylic acid (Aspirin, Acisal, etc.) and other medications and preparations that can affect blood clotting in order to avoid unwanted bleeding.
Course of the procedure
Breast implant surgery takes about an hour or hour and a half – two hours if breast reconstruction procedure is done. Surgical incision is placed, mostly, under the breasts in their natural groove – or, perhaps – around the lower edge of a nipple. Implants are placed below the gland tissue of the breast or below the muscle, which is decided by the surgeon depending upon the initial state and client’s wishes in view of size and shape.
After the procedure, an elastic band is wrapped around the breasts; the next day, the bandage is replaced by an elastic corset – custom made bra, which is to be worn for the next 1-1,5 months.
Postoperatively, for the next couple of hours, a patient stays in a suite due to supervision and analgesia. In a general state of stability and safety, with analgesics taken and elastic band wrapped around breasts, the patient is discharged home. The next day, during the first control examination, bandage is replaced by a firm elastic corset, which is to be worn for the next 4-6 weeks in order to reduce swelling and to retain implants in a desired place.
Return to daily activities is possible in 5-8 days; in 4-5 weeks it is possible to deal with greater physical effort.
Precautions and limitations
Time necessary for the recovery depends on the procedure and the patient herself. Help is mostly needed during the first and second day, after that a patient can usually take care of herself. The second day after the procedure, a patient can function normally, although it can be individual. Many of them can return to work in 7 to 10 days, but it depends on the individual as well. It is necessary to avoid hard efforts and heavy lifting during the next 4-6 weeks.
It is of utmost importance to follow the instructions given by the doctor in order to recover as quickly as possible. Usually, we recommend several postoperative control examinations, in order for the surgeon to monitor the progress of recovery.
Side effects and complications
Every surgical procedure carries certain risks, such as risks of anesthesia, infection, bleeding and swelling. These complications occur rarely and can usually be avoided. Although pain after the procedure is generally very mild, when it is present, it is easily alleviated using adequate medications. With implants that are placed under the muscle, due to initial stretching, some patients complain about tension that usually disappears a couple of days after the procedure.
With any type of implant being inserted into the body, there is sometimes chance for capsular contracture that causes hardness of breasts, discomfort, occasional pain and change in the shape of breasts. Capsular contracture occurs when tissue heals in the form of a large scar around the foreign objects, such as implants.
Compared to other implants, scientific studies have shown an insignificant number of occurrences of capsular contracture with polyurethane implants – only 1% in 10 years. It is one of the main reasons why we only use this type of implants.
Due to safety, reliability and success of the procedure, during consultation a surgeon and an anesthesiologist will explain the risks that the surgery carries and provide instructions to be followed in postoperative period.
Package includes: first consultation examination with the doctor, preoperative examination by an anesthesiologist, surgery under general anesthesia, postoperative supervision, necessary medications, reviews and bandaging during the first postoperative days, extraction of sutures and necessary control examinations one year after the surgery.
Package does not include: preoperative laboratory tests (blood tests), ECG, intern’s examination, consulting with other specialists (specialist for diabetes, asthma, high blood pressure, thyroid gland, transfusion), medications that you will take at home.