Breast Augmentation

Breast augmentation (breast enlargement, augmentation mammoplasty,
boob job) is one of the most widely performed cosmetic procedures and it is
associated with very high satisfaction rates. Enhancing the bust can have a
profound effect on your confidence and self-esteem. Whilst it is not without
potential complications (no surgery is), they are fortunately rare and the
psychological benefits can be immense.

Most patients come for breast augmentation after a lot of thought and research.
There is no substitute for a detailed discussion with your VIP surgeon, but you
may find the following information of interest….

Submuscular vs Subglandular Placement of Implants?

The breast is a modified sweat gland that sits on the pectoralis major
muscle (the so called ‘pecs’). Implants can be placed underneath the breast
itself (subglandular), or in a deeper plane beneath the pectoralis muscle
(submuscular). The subglandular plane is an easier dissection and so causes
less bleeding and pain post-operatively. For most patients with a modest size
breast, the subglandular plane is preferable.

For patients with very little breast tissue, it can be difficult to ‘hide’ the implant if
it is put beneath the gland. The edges of the implant may be palpable and there
may be rippling of the implant felt underneath the skin. For these reasons, the
submuscular plane is often more appropriate. By having the extra covering of
the pectoralis muscle, the implant is less easy to see or feel and the incidence of
capsular contracture is less.

Round vs Anatomical Shaped Implants?

Round implants are dome-shaped in cross-section, while anatomical implants
are tear-drop or pear-shaped (with a flat back).

Anatomically shaped implants have the advantage of giving a more natural
contour to the breast particularly in patients with little breast tissue.

However, they have the disadvantage of being more expensive and they have
the potential to rotate, producing an odd appearance which cannot happen with
round implants.

For patients with some breast tissue to cover the implant, the benefits of an
anatomical implant are less and in fact, a round implant can give a more pleasing
effect. A round implant gives more fullness in the upper pole which some
patients desire.

What Volume Implant Should I Have?

Patients tend to compare their implants by the volume of the implant. Whilst
this is obviously important, it is not the whole story.

The main determinant when it comes to choosing an implant, is the base
diameter of the breast. Once the diameter is measured, then the specific
implant is chosen depending on its projection, and for anatomical implants, its
height. Hence a 300cc implant with a low height and low projection, will look
different from a 300cc implant with a full height and projection (this implant will
necessarily have a smaller base diameter).

Whilst it is useful to have an idea of what volume implant you would like and
there are various ways to estimate this, such as adding a certain volume of rice
or water to a bag and putting it in your bra. These do not take into account the
different shapes implants of the same volume may have. The final choice is often
made by the surgeon to take in to account the other factors such as the base
diameter and projection.

For more information on Breast Augmentation or Breast Enlargement please click the links below

 

5 Top Tips To Prepare You for Breast Augmentation


An overview on Breast Enlargement


3 Typical Reasons for going under the knife and the Options on Breast Enlargement