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Breast Augmentation – Frequently Asked Questions (FAQs)

What is Breast Augmentation?

Breast augmentation is also known as augmentation mammaplasty, and it is designed to enhance a woman’s bust size.  Using breast implants, your surgeon will create more attractive breasts (shape and size) making you feel more confident about your femininity.

What decisions will I have to make when I decide to have breast augmentation?

In addition to the type and size of breast implant, you will have several other options to consider including where to place the incision.  Your surgeon will place incisions either under the breast, around the nipple, in the navel, or in the armpit depending on your anatomy, and the type of breast implant chosen. The placement of breast implants is another factor to consider, and implants are most commonly placed underneath the chest wall muscle, although, some women choose to have the implants placed above the muscle.  For breasts that are beginning to sag, a breast augmentation can improve the shape of the breasts, however; for optimal results it may be necessary to combine a breast lift with your breast augmentation.

How long will my Breast Implants last?

No cosmetic surgery can be guaranteed to last forever, and a possible complication from breast augmentation is that both saline and silicone implants may leak or rupture. Your chest is constantly moving (repetitive breathing) so it is safe to assume that your implants may eventually wear out, although there is no set time frame for when this will happen.  Although studies show that by fifteen years 25% of women need breast implant replacement, there is no danger in not replacing older implants that are still intact.  The FDA does recommend regular MRI testing for silicone gel implants, and if a breast implant does need replacement, a new implant is inserted through the original scar. This procedure is less involved than the first augmentation, if the same size is involved.

Do Implants affect having a Mammogram?

If you have breast implants, you should tell your mammography technologist before the procedure so your exam can be evaluated by a radiologist who is experienced in the evaluation of women with breast implants.  Due to the popularity of breast implants, this is a relatively common situation.

When did silicone gel-filled implants become available for Plastic Surgeons to use?

Silicone gel-filled implants were introduced in 1991, however, the FDA concluded that the breast implant safety date provided was not adequate when determining the benefits and risks involved over an extended period of time.  After 10 years of continuous safety data, in 2006, the FDA approved silicone gel-filled implants for use in breast augmentation surgery, although for 25 years they were used in over sixty countries around the world, with safety profiles evaluated for over one million women.

Who is a good candidate for Breast Augmentation?

Breast augmentation is one of the most popular cosmetic procedures performed on women today and each patient has their own personal reasons for wanting their breasts enhanced.

Some of the most common reasons include:

  • Women who are embarrassed because they feel their breasts are too small
  • Women who feel that their breasts are disproportionate to the rest of their body
  • Women who want larger, fuller, and rounder breasts
  • Women who have lost breast volume after pregnancy, nursing, or significant weight loss
  • Women who have one breast larger than the other (asymmetrical)

What should I expect from my consultation at Revitalize Cosmetic Clinic ?

Your consultation is important, because it will help determine if breast augmentation is right for you.  Your chosen surgeon will discuss all of the pertinent details involved with breast augmentation, and he will also provide a comprehensive health examination to rule out any possible complications and risks.

What causes my Breasts to sag?

Ptosis is simply a medical term for sagging of the breast, and while some women inherit this condition naturally, most often it occurs after pregnancy, breastfeeding, weight loss, or the force of gravity during the aging process.  When women with extreme ptosis have breast implants, a mastopexy or breast lift is often performed in conjunction with the breast augmentation, and if a woman opts not to have a breast lift, implants are typically placed above the muscle to fill out the breast skin and tissue.  In some cases, this placement (submuscular), can result in a “double-bubble” effect, where the implant appears to be a higher breast while the natural breast tissue hangs down, making it look like a separate breast.

Is it true that saline-filled Breast Implants harden?

Capsular contracture can occur when scar tissue forms around the implant, becoming hard, and this condition can occur with both saline and silicone-gel filled breast implants.

What is the difference between smooth and textured Breast Implants?

The outer surface of breast implants can be either smooth or textured, and there are pros and cons to each type.  Textured implants have a sandpaper-like surface and they were designed to lower the risk of capsular contracture, (although this has not been proven). Also, they sometimes take longer to drop into a more natural position, making the breast appear to sit higher on the chest.  Smooth implants have a balloon-like surface with a thinner shell, so they feel more natural; and since they can move freely about in their pocket, they are less likely to ripple.

What are the differences between round and anatomical (tear-drop) Implants?

Although breast implants come in a variety of shapes, the two major types are round and anatomical, also called shaped, tear-drop, or contoured.  Anatomical implants are flatter on the top than the bottom, and they were designed to create a more natural-looking breast.  Tear-drop implants are only available with a textured surface that prevents them from rotating, and by contrast, round implants are flat on the back and round on the front, and they do not change their shape with movement.  Women who want a round, fuller “model” look choose round implants, while those who are looking for the most natural results, typically decide to use anatomical breast implants.

Will I still be able to breastfeed after Breast Augmentation Surgery?

The type of implant surgery you have will determine if you should breastfeed or not after breast augmentation and your concerns should be discussed with your surgeon during your consultation.

How long does it take to recover from Breast Augmentation?

Breast augmentation recovery depends on each patient’s capacity to heal.  The stitches will be removed within 7-10 days and typically by one month, most women are able to resume light physical activities.  Total healing may not happen for several months after your breasts have adapted to their new shape and your scars have faded.

Is there a lot of pain after Breast Augmentation Surgery?

As with any surgery, discomfort may be involved depending on your threshold of pain. Typically after breast enhancement, pain subsides in a few days and can be easily controlled with medication.

Will my scars look bad after Breast Augmentation?

Immediately following your breast augmentation, your scars will be visible and pink but over time, they will fade and become unnoticeable.  To prevent visible scarring, when possible, your surgeon makes the incisions in locations that will be hidden.

What are the risks involved with Breast Augmentation?

Although rare, as with any surgery there are risks involved, and some possible complications from breast augmentation include:

  • Infection
  • Nipple sensitivity
  • Blood clots
  • Interference with mammogram readings
  • Capsular contracture
  • Deflation and rupture
  • Rippling
  • Rotation

Can a mammogram cause a Breast Implant to rupture?

This is rare but it can occur when the pressure on a breast during a mammogram causes the implant to weaken.  Older implants are more susceptible to trauma, but this should not keep you from have mammograms. Make sure you tell the technician that you have implants, and they will take the extra care necessary to prevent a rupture from occurring.

If I have Breast Augmentation, will I ever need additional Surgery?

If complications from breast augmentation occur, you may need additional surgery following your initial breast augmentation.  Some of the complications that require additional surgery are implant rupture, capsular contracture, or the development of breast asymmetry.  As you age, your implants will age along with the rest of your body, and for this reason some women choose to have additional operations to correct the results of gravity.

What kind of anaesthesia is used for Breast Augmentation?

Typically, general anaesthesia is most often used meaning that you are asleep throughout the procedure and you will have no memory of the surgery.  In some cases, other methods are available and all options will be discussed during your consultation.

How long does Breast Augmentation Surgery take to perform?

The time it takes to complete a breast augmentation depends on the type of implant surgery you are having and where the incision is made.  Generally, breast augmentation surgery lasts between 1-2 hours.

Is it true that my nipple will lose sensation after Breast Augmentation Surgery?

Most women will experience a change in nipple sensation after a breast augmentation, but this varies from patient-to-patient.  On average, women report that any loss of feeling lasts from 6-12 months before it returns to normal, and 15% say they have permanent alterations in nipple sensation.

When will I be able to drive after Breast Augmentation?

You must arrange for someone to drive you home after your breast augmentation, as you will not be allowed to do so because of the after-effects of anaesthesia and pain medication.  Most women start driving one week after surgery, if they are no longer taking pain medication.

I am physically active so will having implants limit my activities?

Depending on the size of the implant and the procedure performed, after the healing process is complete most women have no trouble resuming their physical activities.  Weight lifting, extreme exercise, or lifting heavy objects will not affect the implant once the scar has properly healed.

Will I be able to go home the same day as my Breast Augmentation Surgery?

As Breast enlargement surgery is normally performed under General Anaesthesia and you would be required to stay in hospital for at least one night. Within the first week following breast augmentation, you should be able to return to most of your normal activities. adding in exercise and other activities once your healing is complete.

Will I be pleased with my Breast Augmentation?

Most women are very pleased with the results of their breast enlargement and they are extremely proud of their sensuous figure.  Many claim that they have a newfound confidence, and they love showing off their look with a variety of clothing that is meant to flatter: something they were never able to do before.

Make Contact

For more information or to arrange a complimentary Skype consultation with one of our Reconstructive Consultant Plastic Surgeons, please email us here or call our Consultants on 0141 945 2220.

We have clinics in Glasgow, Edinburgh and Stirling.  Our clinics offer appointment times to suit and we will make every effort to make you feel comfortable.

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Glasgow Clinic

Lower Ground Floor
Orasculpt Premises
142 West Regent Street
G2 2RQ

Edinburgh Clinic

6 Lochside Place
Edinburgh Park
EH12 9DF

Stirling Clinic

Stirling Hospital
Polamsie Road