Breast Enlargement

Transcript

Breast augmentation has come a long way since first undertaken in the 1960s and is still a very popular operation. We now have many more options available and far greater understanding of the long-term consequences of breast implants. The history of breast implants has been sadly marked by a series of scandals, which means that it's more important than ever to consult with a reputable surgeon to ensure that you are fully informed of the options and all the possible complications. In contrast to many surgeons, I take a very individualised, bespoke approach to all my patients. We talk a great deal about desired outcome, look at lots of photographs of similar patients who have agreed to have their images shared, and I assess the tissues of the chest wall. This assessment is usually enhanced with a 3D imaging and computer simulation of expected outcomes. We take a decision together on implant filling, whether silicone or saline, the shape, whether round or anatomical, which is sometimes called teardrop implants, and the placement, whether in front or behind the muscle. Finally, we need to take a decision on whether to use smooth or textured surface implants. All implants have pros and cons and there is no perfect breast implant, despite what some companies might tell you. It's also important to recognise that breast augmentation will not be lifelong, with implants lasting on average around 12 years. You will therefore need additional surgery at some stage in the future. Breast implants can be combined with an uplift operation and I'm increasingly using fat transfer to provide additional soft tissue coverage to reduce visibility problems that some implants have. This combination of fat transfer and silicone breast implants is called hybrid or composite breast augmentation. Despite the potential problems, if considered carefully, breast augmentation is a very good procedure for patients with a high level of post-operative satisfaction and lots of reports of increased self-confidence.