Breast augmentation includes surgical techniques designed to increase the size of the bustline through the use of saline or silicone implants, or sometimes, fat grafting. The reasons for undergoing breast enlargement surgery are very personal. Some women decide to undergo surgery after losing breast volume following significant weight loss, pregnancy or breastfeeding while others may have surgery to “even out” breasts of uneven sizes. Still others have very small natural breasts and want to feel more confident in the way they appear, and some women simply want to achieve their aesthetic ideal.
Breast augmentation can be performed in different ways, depending on the type of implant that is being used, the anatomy of the patient and other factors. Surgery begins with an incision which is usually made around the nipple, in the crease or fold beneath the breast or in the underarm. A pocket is created in the underlying tissue to help hold the implant in place. The implant will be placed into this pocket and secured. Silicone implants are inserted into the pocket “whole,” while saline implants can be inserted “empty” and then filled with saline solution once in place. The implants will be carefully positioned and centered under the nipple before the incisions are closed using small sutures. A compression bandage will be placed over the surgical site to aid in healing.
Following breast augmentation surgery, there will be some bruising and discomfort as the tissues adjust to the implants. Soreness and swelling will dissipate within a couple of weeks, and wearing a compression garment during this time will help reduce swelling and promote faster healing. There will be activity restrictions during this time, including avoiding heavy lifting and strenuous activity, to prevent placing strain on the chest muscles and tissues. Final results of the surgery will be visible once the swelling resolves.
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