Breast Augmentation

Why a Breast Augmentation?

Breast augmentation (also called breast enlargement, breast enhancement and quite commonly ‘boob job’) is performed using breast implants (silicone or saline) to increase the size of the breasts, to gain more fulness (especially after having children and breast feeding), or to improve moderate asymmetries.

Breast augmentation is one of the most common cosmetic surgery procedures, and almost 90% of the patients writing their feedback on the website RealSelf.com rated it ‘Worth it’. According to the NHS, it is estimated that more than 30.000 breast enlargements are performed in the UK every year, of which about 4,500 are those carried out within the NHS for reconstructive purposes (after a mastectomy) or to correct chest malformations and severe asymmetries.

The decision to have a breast enhancement should not be based on impulse, and important factors to consider are the quality of the breast implants that will be used, their shape and size, the surgeon that will perform the procedure, the type of aftercare offered and of course the cost and the financial implications. Cosmetic surgery patients must be in good health, and a health check, including blood tests as needed, is normally part of the preoperative consultation and screening. The possible complications should be discussed extensively with the surgeon, in particular for the relatively common risks such as capsular contracture, haematoma, rippling. It is important to receive all the information that you may need, include the preoperative and postoperative information guide.

There are situations where a breast enlargement alone will not offer the best results, particularly following pregnancies and significant weight loss. Breasts that are particularly empty and saggy, whenever the nipples are positioned lower than the submammary crease, will normally need a breast uplift (or mastopexy) to restore the normal breast shape and move the nipples to their cosmetically correct position. A breast uplift can be performed together with the breast enlargement, in one single procedure.

How it is done

The procedure is normally performed under general anaesthesia. In some cases local anaesthesia with sedation may also be offered. The operating time required for a breast enlargement is about 60 minutes. There is no need for an overnight stay at the hospital and the procedure can be planned as a day case, provided that the patient will not travel more than 30 minutes away from the hospital for the first night.

The surgeon will use the type of implants (silicon gel or saline) discussed during the consultation, with the agreed shape (teardrop or round) and volume (measured in grams or cc’s, depending on the manufacturer of the implants: grams are a slightly smaller unit than cc’s) . We use both Allergan and Mentor breast implants (the two most reputable implants manufacturers, both approved by the FDA in the USA) in order to be able to offer the best possible option to every individual patient.
[Read more about round and anatomical teardrop breast implants]

The incisions that the surgeon will create to insert the implants can be placed in several positions. The most common are: submammary incision (inside the submammary crease, under the breast), periareolar incision (around the areola, normally along the lower half), axillary incision (inside the armpit).

Breast implants can be positioned behind your breast tissue and in front of the underlying pectoralis muscle (subglandular position), behind both your breast tissue and the pectoralis muscle (submuscular position) or even in a partially submuscular position (dual plane breast enlargement). Each position has advantages and disadvantages, and personal lifestyle and preferences should also be taken into account when deciding.
[Read more about advantages and disadvantages of the different breast implants positions]

The incision is closed with dissolvable sutures that are not visible from the outside and do not need removal. Mr Adamo does not use drains for breast enlargement, and does not recommend wearing a sport bra after the procedure.
[Read more about the use of drains for breast augmentation]

Healing period

A breast augmentation performed with the most modern surgical techniques is a simple procedure, that involves minimal pain (on average only mild pain killers are used for the first 48 hours), no bandage and no drains. It is not necessary to wear a support bra after the procedure. The breasts will normally appear swollen for the first 4-5 weeks, and nipples may temporarily become more sensitive or less sensitive. Bras that can significantly alter the shape of the breasts (push-up bras or underwired bras) should be avoided for the first 6 weeks after the procedure.
[Read our quick recovery tips for breast enlargement]

Duration of the result

The result of a breast augmentation is subject to the natural aging of the breasts and to the need for replacement of breast implants. The lifespan of breast implants is not known exactly and may vary from patient to patient.

Cost of breast augmentation

The cost of breast augmentation starts from 8,000 KYD. As all the cosmetic surgery procedures are highly personalized, please consider that these prices are guidelines only and may vary for each individual case, depending on the exact procedure needed, the type of anesthesia and the length of the hospital stay.

DISCLAIMER: The questions above have been sent to RealSelf.com by real patients. The questions may not reflect the typical patient experience and the answers published are not intended to represent or guarantee that anyone may be able to achieve the same or similar results.

CONTACT DR ADAMO

Please use the form below to contact Dr Adamo and ask any questions you may have about the procedure.



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