Breasts constitute an important part of a woman’s femininity. Shape, size and firmness have an impact on how a woman feels daily. Very small breasts can make a woman feel self-conscious and limit her ability to wear desirable clothes. Breast augmentation can help a woman feel balanced and proportionate. Dr. Motakis views breast surgery as a balancing procedure. With any breast procedure, his goal is to offer his patients symmetric, proportionate, lifted breasts that look natural.
What is breast augmentation?
Breast augmentation (augmentation mammoplasty) is a procedure to increase breast size. It involves placing breast implants under the breast tissue or the chest muscle known as the pectoralis. Pre-operatively, Dr. Motakis helps the patient decide what is their ideal size using sizers. Sizers look like bra padding but correspond to a specific implant volume the way it appears after surgery. This makes it very easy for the patient to decide what they want their breasts to look like. There are two main types of breast implant used: saline (salt water) filled or silicone cohesive gel (“gummy bear”) filled implants. In your private consultation, Dr. Motakis will discuss the advantages and potential disadvantages of each implant type, as well as, incision and placement selection.
Who is a good candidate for breast augmentation?
Good candidates are women whose breasts never developed proportionately and who are limited in the clothing they can wear. In addition, Women who have a noticeable asymmetry, or whose breast size or shape has decreased or changed as a result of pregnancy, breastfeeding, significant weight loss or aging, may also be great candidates for breast augmentation. Ideal candidates for breast augmentation are older than 18 years old, have good skin elasticity with minimal or moderate sagging, are in good health, and have realistic expectations about the surgical results.
During breast enhancement surgery implants are inserted beneath the natural breast tissue or the muscle of the chest. The procedure is always performed under general anesthesia and typically takes 1-2 hours. Dr. Motakis makes a small one-inch incision either along the lower breast crease or around the areola, through which the implant is inserted. Once the incision is made, the breast tissue and muscle are lifted, and the implant is inserted inside the precise pocket created. The pocket and incision are then closed in a meticulous fashion, using internal dissolving sutures in order to minimize scarring.
What is the recovery period after breast augmentation?
Recovery after surgery takes 1-2 weeks during which a supportive bra is worn. Your breasts will be slightly swollen and may feel slightly sore. You will be required to take antibiotics for a week and mild analgesics when needed. You’ll need to take it easy for a few days after your breast augmentation surgery. After one week, you should be able to return to work, but you will need to limit intense physical activity such as going to the gym for 3-4 weeks. There is no particular care required for your incision after surgery, as all sutures are internal and dissolving. There will be a tiny tape over the incision for a few weeks after your procedure to assure optimal healing.
What are the risk factors of breast augmentation?
The most common complications of breast augmentation are capsular contracture, re-operation and implant removal or exchange. Capsular contracture is scar tissue that distorts the shape of the breast implant. It can present at any time after surgery, and it may require the removal of the scar tissue and the insertion of new implants. Other complications include rupture or deflation, rippling, asymmetry, scarring, change in skin or nipple sensation and infection among others. Dr. Motakis will discuss all risks in detail during your consultation and pre-operative appointments. Correcting these complications might require more surgery, either to remove or replace the implants.
In the recent years, the use of implants with a textured surface has been associated with the occurrence of a disease known as Anaplastic Large Cell Lymphoma (ALCL). The incidence of ALCL with implant is lower than 1/3,000. ALCL is not seen with smooth implants. Dr. Motakis only uses smooth implants which pose no risk of ALCL.
Can breast augmentation be combined with other procedures?
Breast augmentation can be combined with various other procedure such as a tummy tuck, liposuction, or rhinoplasty among others. When the breast is too droopy, breast augmentation can be combined with a breast lift procedure, which allows to tighten the breast and lift the nipple to its ideal position (breast lift augmentation, mastopexy augmentation).