Symptoms...Small and sagging breasts Small breasts Sagging breasts Breasts are different sized or asymmetrical
Western cultural traditions have attached great symbolic value to women’s breasts, regarding them as symbols of feminine beauty and fertility. Many women do not feel themselves worthy, thinking that their breasts are too small. A breast enlargement using implants is the most developed and wide-spread method nowadays because the outcome is predictable and the risks and safety factors have been thoroughly researched.
Breast enlargement surgery is suitable for adult women:
- whose breasts are too small whose breasts have become smaller, slackened and sagged after pregnancy or breast feeding, or because of weight loss or ageing
- whose breasts are significantly asymmetrical.
A suitably sized and shaped implant is added to the natural breast tissue during the breast enlargement operation thus resulting in larger and better-shaped breasts. Breast implants are also used to restore surgically removed breasts.
The aim of the operation is to give the patient’s breasts the desired shape and size and offer her better emotional well-being, more self-confidence and improved quality of life.
Contemporary breast implants are made from a multi-layered medical silicone shell that is filled with cohesive silicone gel (nonflowing silicone) or physiological saline. Round and drop-shaped (anatomically shaped) implants are used. The most suitable implant shape for each patient depends on the characteristics of her body and breasts. The most common implant sizes are 60 to 600 ccm (larger sizes are available by special order). At the ArtiaClinic, we use implants produced by Inamed Aesthetics (formerly McGhan Limited, USA) and Laboratories Eurosilicone (France). Most of our patients prefer implants that are filled with silicone gel.
It is important to choose the correct size implants and balance the following:
- aesthetic and practical considerations
- short versus long implant duration
- your ideal with what can be realistically achieved with your body
To achieve harmonious body proportions, the breast should be in proportion with the patient’s height and chest and hip measurements. Larger implants mean wider breasts. Different implant models have different width and length ratios.
To achieve a long lasting, comfortable and attractive outcome, it is necessary to take into account the potential of the patient’s own breast tissue:
- using implants that are too small will not result in a beautiful breast shape and the upper part of the breast will remain empty
- using implants that are too large will make the breast shape unnatural, ruptures in the subcutaneous tissue can cause stretch marks and the edges of the implant can also become visible. Implants that are too large apply pressure to the breast tisuse that can result in thinning, stretching and finally a slackening of the breasts.
Based on their experience and the patient’s wishes and potential, our experienced surgeons will recommend suitable breast implants for a natural, attractive and lasting outcome.
Breast enlargement surgery is performed under general anaesthesia and lasts approximately 1 to 2 hours. In order to put the implant in place, the surgeon will make a 4-5 cm incision either in the skin under the breast, around the nipple or under the armpit according to the most appropriate surgical technique. Depending on the technique, a pouch is made to fit the implant either between the mammary gland and the pectoral muscle (subglandular position) or under the pectoral muscle (subpectoral position).
The implant will be placed under the mammary gland if the breast is only slightly sagged and if the patient has enough breast tissue to cover the implant. The implant will be placed under the pectoral muscle if the woman has too little breast tissue. The pectoral muscle will act as additional padding over the implant. The muscle will cover the implant even if there is a reduction of fatty tissue in the breast due to weight loss or other reasons. Large implants cannot be put under the pectoral muscle.
Active exercises should be avoided during the first few days after the operation.
The patient can start performing easier physical activities from the third day (for example driving a car, going shopping), but should avoid any stressful lifting. The bandages and stitches will be removed 7 to 10 days after the operation.
Possible haematomas and swelling decreases after 1-2 weeks. All stressful activities and heavy housework should be avoided for at least 2 weeks.
Patients usually return to work 1 week after surgery.
Recommencing sporting activities will depend on the specific field of sport and we recommend that you consult your doctor beforehand. Sporting activities are usually allowed from the 3rd or 4th week after the operation.
With implants in the subglandular position, we recommend that you wear a special support bra around the clock for at least 1 month. But if the implant has been fitted under the muscle, we recommend that no bra be worn for up to 3 months.
Moisturizing skin creams can be used, but exposing the fresh wound to cream should be avoided.
The use of anti-scarring creams is recommended from 10 days after the operation.
To keep the breasts soft, doctors recommend a light massage daily from the first day up to 3 months after the operation.
The first results of the operation can be evaluated after 3 months and details of shape, after 6 to 12 months following the operation.
The surgeon will evaluate the final result after half a year and later with intervals of N years. It is recommended that you have a regular mammogram and sonogram.
Surgery leaves scars of 4-5 cm in length either in the skin Under the breasts, around the nipple or in the armpit depending on the chosen surgical technique. In the beginning, the scars will be red and slightly raised above the rest of the skin, but after 3-6 months, they gradually become paler and less raised. About a year after the operation, a normal scar will appear as a slightly lighter, thin line. Final results will depend on the individual patient, on their tendency to scar and on the patient’s lifestyle –– smoking worsens the scarring and the final outcome. In patients with excessive scarring, the problem could be improved with an additional local procedure. Our patients have not had any such problems with their scars from breast surgery.
Every surgical procedure is an intrusion on the body’s complex functioning, and involves some degree of unpredictability and risk.
All surgery causes some degree of pain, swelling and edema, wounds and the risk of infection and changes to skin sensitivity. It can also result in reactions to medicines and medical materials, and the possibility that the wound may heal slowly. Operations performed by qualified and skilled surgeons very seldom give rise to complications and even then such complications are usually mild. The patient can minimize the risks herself by following the doctor’s advice and instructions.
Contraction of scar tissue
The human body surrounds every foreign body, including breast implants, with a capsule made of scar tissue. This scar tisuse tends to contract. The extent of the contraction varies greatly depending on the patient and her breasts. The contraction of the scar tissue can cause a tight feeling in the breast and in more severe cases even pain and a change to the appearance of the breast. About 10% of all the women with breast implants suffer from this problem to some extent. The likelihood of such a contraction can be reduced through regular gentle massage of the breasts during the period that the body is adapting to the implants. The contraction of the scar tissue does not pose a direct health risk, but in more severe cases, it may need surgical correction.
This is the development of a split or hole in the shell of a breast implant. Breast implant manufacturers have designed implants to last the natural course of a patient’s life. A rupture can arise from the use of surgical instruments or from trauma; the strength of the implant also changes with time. Cohesive silicone gel keeps its shape even after the shell has ruptured. In most cases, the gel remains inside the capsule of scar tissue and is removable together with the implant. A ruptured breast implant does not necessarily represent a health risk, but it does need to be replaced.
Calcium deposits in the surrounding tissue have been reported in rare cases. It may cause a thickening of the breast tissue and some pain. Surgical correction might be necessary in severe calcification cases.
Effect on breast-feeding
Breast implants do not interfere with breast-feeding. There have been some reports however, that women with breast implants experience a reduction in their milk supply. Fitting an implant through an incision around the nipple may also affect milk supply.
Effect on mammography
Implants do cover part of the breast tissue for the purposes of mammography and can thus prevent early detection of breast cancer. Women with implants must inform the radiologist performing the mammography about their implants, so that the most suitable diagnostic method can be used.
Association with breast cancer
Contemporary studies have proven that there is no causal connection between silicone implants and breast cancer.
Association with connective tissue and immune system disease
It is generally considered that human tissue is highly tolerant of silicone. It is widely used in consumables, the food and pharmaceutical industry, cosmetics and medicine as well as in products for children.
Silicon is commonly used in medicine as a covering material or a substance in implants. Studies have not been able to prove that the use of silicone implants causes connective tissue diseases and immune system disorders.
In very rare cases, the body reacts to silicone implants by rejecting them. In such cases the implants must be removed.
Bad general health, chronic diseases and inflammations in the body, psychological instability, breast-feeding. The operation is not recommended if close relatives have had breast cancer.
Implant manufacturers do not directly limit the use of breast implants, but they assure that the same implant cannot be used as a lifelong device. There have been reports of patients who have had no problems for 25 years, and there have been problems that require the removal of an implant right after the surgery. Studies have shown that the potential for problems with implants increases from 8 to 10 years after implantation surgery. In practice, it is recommended that implants be replaced after approximately 10 years of use. All tissue unavoidably grows older and women, after having experienced the satisfaction provided by breast surgery, often wish to correct this after 10-12 years. A young woman who has had breast implants fitted, should bear in mind that it is highly likely that she will need to consult a surgeon again to maintain the benefits of breast implants.
Beautiful breasts are a matter of well-being, self-confidence, and contentment for many women. Bodily and aesthetic problems are often felt emotionally and socially. Breast enlargement using implants is currently the most developed and widely used method because it offers predictable and long-lasting results and the risks and safety aspects have been thoroughly investigated. A professional breast enlargement operation provides beautiful and naturally shaped breasts that feel genuine for many years.