Breast Enlargement

Breast Augmentation and enlargement is one of the most popular cosmetic  procedures. There are many ways in which one can enhance a natural cleavage, however, the only real way to create significantly enlarged breasts is through inserting a prosthesis or breast implant.

The purpose of the breast implant is to push your own breast tissue up and outwards, resulting in a natural look, feel and behaviour of the breast. Implants come in various shapes, sizes and materials. The breast augmentation surgeon will discuss with you the most suitable shape and size for you. It is important to take into consideration your personal expectations as well as your current breast and body shape.

The breast consist primarily of milk ducts and glands, surrounded by fatty (adipose) tissue that determines its size, shape and feel. The shape also depends on the elasticity of the skin. Behind the breast lies the pectoralis major muscle. Legend: 1. Fatty tissue / 2. Glandular tissue / 3. Pectoralis major muscle / 4. Milk ducts / 5. Ribs

Chantelle Pidgley Journey

 

 You’ve thought a lot about breast implants, envisioning the improvements you hope to see in the size, shape, or lift of your breasts. Women who feel self-conscious about their smaller breasts have probably pictured themselves in fashions that show off feminine curves, while women who have had a couple children may daydream about recapturing their perky, pre-baby shape and size. Creating the ideal size and shape with breast implants can create a more confident, feminine, natural you . . . but there’s much more that you should know about breast implants.

Why Breast Implants?

Increasing breast size is one obvious reason why women undergo breast enhancement, but there are a lot of other reasons. For example, breast implants may be used to balance out the appearance of breasts that develop asymmetrically. And, after breast development, a whole new set of factors can all contribute to changes in breast size and shape.

Droopiness, or sagging, of the breast is called breast ptosis. It’s a completely normal thing to happen to breasts as a result of ageing and childbirth. Ptosis can be corrected with a breast lift (mastopexy), which is sometimes combined with breast implants.

The implants are inserted either in front of the chest muscle, partially covered by the muscle or behind it. This depends on your own breast tissue and the shape and effect you are hoping to achieve. There are various types of incisions, the most common being in the natural crease underneath the breast. This incision is usually as small as 5cm, and the post operative scar is concealed by the curve of the breast.

Alternatively, the implant can be inserted by making an incision around the areola, the pigmented tissue that surrounds each nipple. This can either be under the bottom half of the areola or can be fully around it. An implant is most commonly inserted by this method if a breast lift (or mastopexy) is being carried out at the same time. The skin of the areola often heals to conceal the scar extremely well, as it can be mistaken for the natural border to the nipples.

There is another method where the implant is inserted through an incision made in the underarm, although this is less common due to the risk to certain ligaments that occupy this place. In general the incision under the breast is preferred because scarring is minimal and it does not interfere with the function of the nipple or areola. This method also ensures that it is still possible to breast feed and to carry out monthly checks for breast changes.

It is necessary to come in for a pre-operative assessment at the hospital about a week prior to surgery. This usually takes about 30 minutes. The operation takes about one hour and is usually carried out under general anaesthetic, requiring an overnight stay at the Hospital.

Commonly after the surgery a dressing is applied and the patient must wear a supportive, sports bra for at least 3 weeks night and day, however, specific post operative instructions will be determined by your surgeon and will be dependant on the method used. After 7-10 days you will have a follow up appointment where the breasts will be checked and any dressings removed.

Initially the breasts will feel firm, swollen and may also seem fairly high up on the chest. This is normal and the swelling will go down after about 3 weeks, and the breasts will gradually set into place. You will be advised to restrict arm movement and to refrain from lifting heavy items for several weeks. Your surgeon will advise you on when you can resume exercise (2-6 weeks) and sexual intercourse (1-3 weeks).

It is vital to make time for all of the post-operative consultations, especially in the first few weeks.

Breast implants have a silicone exterior casing, which can be smooth or textured. Most modern implants have a textured surface because this is believed to reduce the risk of capsular contracture (hardening of the breast) The inside of the implant can be filled with different types of silicone gel or saline. These are the safest, most common types of materials used. In the UK the preference is for silicone gel filling, this is due to the soft and pliable nature of the substance. It has a more realistic feel and movement than saline implants.

The implants are inserted either in front of the chest muscle, partially covered by the muscle or behind it. This depends on your own breast tissue and the shape and effect you are hoping to achieve. There are various types of incisions, the most common being in the natural crease underneath the breast. This incision is usually as small as 5cm, and the post operative scar is concealed by the curve of the breast.

Alternatively, the implant can be inserted by making an incision around the areola, the pigmented tissue that surrounds each nipple. This can either be under the bottom half of the areola or can be fully around it. An implant is most commonly inserted by this method if a breast lift or mastopexy is being carried out at the same time. The skin of the areola often heals to conceal the scar extremely well, as it can be mistaken for the natural border to the nipples.

There is another method where the implant is inserted through an incision made in the underarm, although this is less common due to the risk to certain ligaments that occupy this place. In general the incision under the breast is preferred because scarring is minimal and it does not interfere with the function of the nipple or areola. This method also ensures that it is still possible to breast feed and to carry out monthly checks for breast changes.

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