A breast augmentation improves the shape, projection and volume of the breast after weight loss or pregnancy. Breast augmentation is also indicated in cases of breast asymmetry or acquired malformations of the breast (underdevelopment or hypotrophic breasts). It will restore your self-esteem and self-confidence. When you consider fat grafting to the breast there are two options: lipofilling alone or in combination with an implant (hybrid technique).
- improves projection of the breast
- restores breast volume
- redefines breast contour
- improves body habitus and harmony between hip region and breasts
- improves self-esteem and self-confidence
but keep in mind…
- an implant is a foreign material that induces scar formation
- lipofilling adds a small volume (one cup size)
- sagging breasts often need lifting with additional scars
Important issues before surgery
- your expectations and feasibility
- skin quality
- skin laxity
- nipple position (asymmetry)
- breast asymmetry
- thoracic wall deformities
- breast deformities (previous surgery or congenital)
- genetic predisposition (breast cancer)
Who is a good candidate for breast augmentation?
- good general condition, not pregnant and no breast feeding
- realistic expectations
- breasts are fully developed
- the breast size bothers you
- you are disappointed by volume loss
- asymmetrical breasts
- empty upper breast pole
- breast malformation or contour deformity
A breast augmentation with lipofilling or fat grafting is indicated to add small volumes (one cup size). Breast augmentations with larger volumes require the insertion of an implant. Alternatively, the hybrid breast augmentation technique uses a smaller implant (less foreign material) and additional lipofiling to achieve the desired outcome
What is the impact of an implant?
A breast implant or prosthesis is a foreign material. It has a fixed volume. Over time the implant induces the formation of scar tissue or a capsule. The capsule can thicken and deform the breast or cause discomfort. An implant also exerts pressure on the surrounding tissues: the breast gland can decrease in volume or the muscle can also loose some volume over time if the implant is positioned behind the muscle. This effect is called atrophy.
What is ALCL?
BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma) is an uncommon lymphoma that has only been reported in patients with a history of a textured breast implant device.