Cosmetic Surgery India. www.hospitalfamily.com
Cosmetic Surgery India
Vibha _ The Family hospital - Affordable cosmetic surgery center at Mumbai India.
12/29/2009
Cosmetic Surgery India
Cosmetic Surgery India - Vibha - The Family Hospital
Plastic surgery originated in ancient India in the Vedic period about 3500 B.C. It is well documented in Sushruta Samhita. Many of the surgecial procedures performed in modern times were practiced in Ancient India. Even today we provide world class results in various cosmetic surgery and reconstructive plastic surgery procedures. Good results, warm Indian hospitality and very nominal costs are still our hallmarks.
Abdominoplasty (Tummy Tuck)
Sometimes after multiple pregnancies or large weight loss, abdominal muscles weaken, and skin in the area becomes flacid. Abdominoplasty can tighten the abdominal muscles and, in some instances, improve stretch marks. In both men and women, the procedure will remove excess skin and fat. Generally, an incision is made across the pubic area and around the umbilicus (navel). When skin laxity and muscle weakness is confined to the lower part of the abdomen, a modified abdominoplasty that limits tissue removal and muscle repair to the area below the umbilicus may be performed. This usually leaves a shorter scar and no scarring around the navel.
Alpha Hydroxy Acids
Alpha hydroxy acids are derived from foods, such as fruits and milk, and can improve the texture of skin by removing layers of dead cells and encouraging cell regeneration.
Arm Lift
(see Brachioplasty)
Augmentation Mammoplasty
(see Breast Augmentation)
Blepharoplasty
(see Eyelid Surgery)
Brachioplasty
(see Arm Lift)
Breast Augmentation (Augmentation Mammoplasty)
Breast augmentation is typically performed to enlarge small breasts, underdeveloped breasts or breasts that have decreased in size after a woman has had children. It is accomplished by surgically inserting an implant behind each breast. An incision is made either under the breast, around the areola (the pink skin surrounding the nipple) or in the armpit. A pocket is created for the implant either behind the breast tissue or behind the muscle between the breast and the chest wall.
Breast Implants (Textured-Surface)
The shell of textured-surface breast implants are made with the same silicone elastomer that is used for the shell of other types of breast implants, but a special manufacturing process creates a textured surface.
Breast Lift (Mastopexy)
Frequently, a woman elects this surgery after losing a considerable amount of weight, or losing volume and tone in her breasts after having children. The plastic surgeon relocates the nipple and areola (the pink skin surrounding the nipple) to a higher position, repositions the breast tissue to a higher level, removes excess skin from the lower portion of the breast and then reshapes the remaining breast skin. Scars are around the areola, extending vertically down the breast and horizontally along the crease underneath the breast. Variations on this technique, in some cases, may result in less noticeable scarring.
Breast Reduction (Reduction Mammoplasty)
Breast reduction is normally classified as a reconstructive procedure, since oversize breasts interfere with normal function and physical activity. However, there is an important aesthetic component to the operation, since the plastic surgeon can improve the shape of the breasts and nipple areas. Breast reduction involves removing excess breast tissue and skin, repositioning the nipple and areola (the pink skin surrounding the nipple) and reshaping the remaining breast tissue.
Buccal Fat Pad
Buccal fat pads are located above the jawline near the corner of the mouth. They can be removed in individuals with excessively round faces to give a more contoured look, sometimes referred to as the "waif look." However, plastic surgeons warn that, in some individuals, removal of the buccal fat pads can lead to a drawn, hollow-cheeked look as aging progresses.
Buttock Lift
Excess fat and loose skin in the buttock area can be reduced by performing a buttock lift in combination with lipoplasty (liposuction). Incisions required for skin removal can often be hidden in the fold beneath the buttocks.
Calf Augmentation
Increased fullness of the calf can be achieved using implants made of hard silicone which are inserted from behind the knee and moved into position underneath the calf muscle.
Cannula
A hollow tube attached to a high-vacuum device used to remove fat through liposuction. The plastic surgeon manipulates the cannula within the fat layers under the skin, dislodging the fat and "vacuuming" it out.
Capsular Contracture
Capsular contracture is the most common problem associated with breast implants. It occurs when naturally forming scar tissue around the implant shrinks and tightens, making the breast feel firmer than normal and sometimes causing pain and an unnatural appearance of the breast.
Cellulite
Cellulite is the dimpled-looking fat that often appears on the buttocks, thighs and hips. While there is no treatment that will eradicate this problem, aesthetic plastic surgeons are exploring new techniques which may improve the condition. One method is to cut the fibrous tissue that binds the fat down in these areas and creates the lumpy appearance, and then to inject fact withdrawn from elsewhere in the body to smooth out the unevenness. Another technique, called the cellulite lift, surgically removes excess skin and fat, leaving a thin scar that may extend around the full circumference of the abdomen but is placed discreetly within bikini lines.
Chemical Peel
Fine lines and wrinkles around the mouth and on the forehead and cheek areas may be improved with a wide range of skin treatments. A chemical peel solution is applied to the entire face or to specific areas to peel away the skin's top layers. Several light to medium-depth peels can often achieve similar results to one deeper peel treatment, with less risk and shorter recovery time. Peel solutions may contain alpha hydroxy acids, tricholoracetic acid (TCA) or phenol as the peeling agent, depending on the depth of peel desired and on other patient selection factors.
Chin Augmentation (Mentoplasty)
Chin augmentation can strengthen the appearance of a receding chin by increasing its projection. The procedure does not affect the patient's bite or jaw. There are two techniques: one is performed through an incision inside the mouth and involves moving the chinbone, then wiring it into position; the other approach requires insertion of an implant through an incision inside the mouth, between the lower lip and the gum, or through an external incision underneath the chin.
Collagen Injections
Collagen is an injectable protein that can be used to treat facial wrinkles. Patients to be treated with collagen should first be tested for any allergic reaction. The results of collagen injections are not permanent, and treatments must be repeated periodically to maintain results.
Dermabrasion
Dermabrasion is a procedure in which a high-speed rotary wheel, similar to fine-grained sandpaper, is used to abrade the skin. It may be recommended when there is extensive sun damage and heavy skin wrinkling. In addition, dermabrasion can be used to improve the texture of pockmarked skin resulting from severe acne or chicken pox. Following treatment, the skin should appear firmer and smoother, but permanent pigment changes may occur.
Earlobe Reduction
A simple, 30-minute procedure, earlobe reduction can be performed in a plastic surgeon's office or at the same time as a facelift operation. The earlobe should not comprise more than 25 percent of the total length of the ear. In cases where it exceeds this dimension, an L-shaped wedge is cut away, the earlobe edges are brought together and sutured.
Eyelid Surgery (Blepharoplasty)
Aesthetic eyelid surgery can brighten the face and restore a more youthful appearance by reducing the fat that causes bags beneath the eyes and removing wrinkled, drooping layers of skin on the eyelids. Blepharoplasty is often performed along with a facelift or with other facial rejuvenation procedures. Incisions follow the natural contour lines in both upper and lower lids, or can be done through the lining of the lower eyelid, providing access to skin and fatty tissue. The thin surgical scars are usually barely visible and blend into the eyes' natural lines and folds.
Facelift (Rhytidectomy)
A facelift can reduce sagging skin on the face and neck. Incisions are placed in the hairline and then pass in front of and behind the ears; the exact design of incisions may vary from patient to patient and according to the surgeon's personal technique. For younger patients, more limited incisions may be appropriate. When necessary, removal of fatty deposits beneath the skin and tightening of sagging muscles is performed. The slack in the skin itself is then taken up and the excess removed. Scars can usually be concealed by hair and makeup.
Fat Injections
Fat withdrawn from one body site can be injected into another -- for example, to smooth lines in the face or build up other features such as the lips. In most cases, a percentage of injected fat is resorbed by the body, and the procedure must be repeated. Injection of fat to enlarge the breasts is a dangerous procedure and is not recommended because of the possibility of dense scarring that may seriously hinder accurate interpretation of both breast self-exams and mammograms.
Fibrel
Fibrel is a synthetic substance which is an alternative to collagen and fat injections for the treatment of facial wrinkles. As with collagen and fat, fibrel treatments must repeated at intervals to maintain correction.
Forehead Lift (Brow Lift)
The forehead lift is designed to correct or improve skin wrinkling, as well as loss of tone and sagging of the eyebrows that often occurs as part of the aging process. The procedure may also help to smooth horizontal expression lines in the forehead and vertical frown lines between the eyebrows. Incisions are placed behind the hairline above the ear and pass over the top of the head. In some cases, incisions may be placed in front of the hairline. Some patients may have the procedure performed with the use of an endoscope, requiring much shorter incisions. Improvements are made beneath the skin and on the deep muscles; skin and muscle are then tightened to give a fresher, more youthful appearance.
Hydroxyapatite Granules
Hydroxyapatite granules are a bone substitute made from coral that can be used to enhance facial contours, such as forming more prominent cheekbones. The substance also has reconstructive uses in craniofacial surgery.
Lasers
Lasers can be effectively used to eliminate surface blood vessels on the face that become reddened and enlarged due to sun exposure. The problem is most often seen in fair-skinned individuals who cannot tan or have difficulty tanning. The use of lasers for skin resurfacing is effective in reducing the effects of sun damage. Laser resurfacing is an alternative to chemical peel for some patients.
Lip Augmentation
A permanent method of augmenting the lips is accomplished by surgically advancing the lip forward, with incisions placed inside the mouth. A dermal-fat graft, taken from the deeper layers of the skin, may then be positioned under the mucosa (the lining of the lip) to add additional "plumpness." Injecting fat collagen or other substances for lip augmentation is another alternative. The correction is not permanent, and injections must be repeated periodically to maintain results.
Lip Lift
A technique that surgically lifts the corners of the aging mouth can eliminate the pronounced droop and unhappy facial expression that often develops with advanced age. By cutting away small diamonds of skin just above the corners of the mouth, the vermilion (border of the lips) is raised into a slight smile.
Lip Reduction
To reduce the lips, a small strip of the mucosa (the lining of the lip) is surgically removed to narrow the lips to the desired proportion. The small scars on the outside of the lips are barely noticeable.
Lipoplasty (Liposuction)
Lipoplasty allows the plastic surgeon to remove localized collections of fatty tissue from the legs, buttocks, abdomen, back, arms, face and neck using a high vacuum device. The procedure leaves only minute scars, often as short as one-half inch in length or less. The use of refined equipment allows removal from delicate areas such as calves and ankles. Lipoplasty removes fat, but it cannot eliminate dimpling or correct skin laxity. If a patient's skin has lost much of its elasticity, the plastic surgeon may recommend a skin tightening procedure such as a thigh lift, buttock lift or arm lift, all of which leave more extensive scars.
Malar (Cheekbone) Augmentation
The cheekbones may be built up by placing an implant over them. This is usually performed through an incision within the mouth, but it may be done through a lower eyelid or brow lift incision.
Mastopexy
(see Breast Lift)
Otoplasty (Ear Surgery)
The ears are positioned closer to the head by reshaping the cartilage (supporting tissue). This is usually accomplished through incisions placed behind the ears so that subsequent scars will be concealed in a natural skin crease. Otoplasty can be performed on children as early as age five or six.
Peel: Buffered Phenol
Buffered phenol offers yet another option for severely sun-damaged skin. One such formula uses olive oil, among other ingredients, to diminish the strength of the phenol solution. Another slightly milder formula uses glycerin. Buffered phenol peels may be more comfortable for patients, and the skin heals faster than with a standard phenol peel.
Phenol
The chemical phenol is sometimes used for full-face peeling when sun damage or wrinkling is severe. It can also be used to treat limited areas of the face, such as deep wrinkles around the mouth, but it may permanently bleach the skin, leaving a line of demarcation between the treated and untreated areas that must be covered with makeup.
Platysma
The muscle which, when tight and firm, gives the neck underneath the chin and jawline its youthful contour. The platysma muscle can be tightened during a facelift or as a separate procedure.
Reduction Mammoplasty
(see Breast Reduction)
Retin-A
Retin-A cream or lotion may be applied to enhance the overall texture of the skin and is often prescribed as a pre-treatment prior to a facelift or chemical peel.
Reviderm Intra
A dermal filler comprised of non-animal stabilized hyaluronic acid with suspended carbohydrate complex microspheres. A semi-permanent filler, the microspheres fully resorb in months. Not U.S. FDA approved.
Rhinoplasty (Nose Reshaping)
Rhinoplasty is usually performed to alter the size and shape of the bridge and tip of the nose. Reshaping is generally done through incisions inside the nose, but there may also be an incision passing across the central portion of the nose between the nostrils. It is sometimes necessary to narrow the base of the nose or reduce the size of the nostrils, which involves removing small wedges of skin at the base of the nostrils. The nose is reduced, or sometimes built up, by adjusting its supporting structures, which is done either by removing or adding bone and cartilage. The skin and soft tissues then redrape themselves over this new "scaffolding."
Rhinoplasty: Open
The open rhinoplasty technique can sometimes benefit patients who need more complex correction or are undergoing a secondary rhinoplasty procedure. A small incision is made outside the nose across the columella (the tissue that divides the two nostrils). This enables the plastic surgeon to turn the outer tissue of the nose back, providing visualization of the structures inside. Additional incisions, like those used in the traditional closed approach, are made inside the nose as well. The scar resulting from the incision on the outside of the nose eventually becomes barely visible.
Rhytidectomy
(see Facelift)
SMAS
The superficial musculoaponeurotic system (SMAS) is a layer of tissue that covers the deeper structures in the cheek area and is in continuity with the superficial muscle covering the lower face and neck, called the platysma. Some facelift techniques lift and reposition the SMAS as well as the skin.
Superficial Syringe Liposculpture
Use of a syringe to withdraw fat, instead of vacuum suctioning pumps, allows for less blood loss and speedier postoperative recovery. Superficial syringe liposculpture is performed on the layer of fat just beneath the skin.
Tattooing (Cosmetic)
Cosmetic tattooing, or micropigmentation, can be used for permanent eyeliner, eyebrows or lip color. It can also be used for permanent blush and eyeshadow, though this is infrequent. Other uses by plastic surgeons include recreating the coloration of the areola around the nipple following breast reconstruction; restoring the color of dark or light skin where natural pigmentation has been lost through such factors as vitiligo, cancer, burns or other scarring; and eliminating some types of birthmarks or previous tattoos. Micropigmentation should be performed only under medical supervision by appropriately trained personnel.
TCA
Trichloroacetic acid is used for peeling of the face, neck, hands and other exposed areas of the body. It has less bleaching effect than phenol, and is excellent for "spot" peeling of specific areas. It can be used for deep, medium or light peeling, depending on the concentration and method of application.
Thigh Lift
A thigh lift can be performed to tighten sagging muscles and remove excess skin in the thigh area. Because a thigh lift leaves noticeable scars in the inner or outer thigh area that some patients find undesirable, it is not a frequently performed procedure.
Tissue Expansion
Tissue expansion is a technique in which skin or other tissue is stretched using inflatable balloons. It can be of particular value in performing breast reconstruction, breast enlargement or treatment of male pattern baldness.
Transconjunctival Blepharoplasty
Transconjunctival blepharoplasty (eyelid surgery) is performed by making an incision from inside the lower eyelid. It avoids any scarring on the lower lid. It is a useful technique when only fat, and not skin or muscle, needs to be removed from the eyelid area
Contact -
Vibha - Cosmetic Surgery Center
A 101, Mangal arambh, Kora kendra,
Borivli west, Mumbai 400092, India.
Tel - 91 222 8999991
Breast Augmentation Surgery - The Right Choice
Am I a Candidate for Breast Augmentation?
There are many important considerations to make before deciding if breast augmentation surgery is right for you. Teenagers and their parents should be particularly cautious when opting for breast implants. The information provided below deals with the question of ideal candidacy for the procedure and also covers information resources (such as online breast augmentation forums) for adults and teens considering breast implants.
Ideal Breast Augmentation Candidates
The ideal candidate for breast augmentation surgery is a healthy adult who is well informed about the results and risks of receiving breast implants. An ideal candidate for breast augmentation will also have realistic expectations for the outcome of the surgery.
Who Shouldn't Have Breast Implants
People who are not good candidates for breast implants are those with unrealistic expectations about the results of breast augmentation, those with a general sense of dissatisfaction about their bodies, or those who feel pressured into surgery by others. Undergoing surgery to receive breast implants is a serious decision that should be made by an individual who is not pressured into surgery by others.
Teenagers and Breast Implants
Breast implants may be a good option for young women, but a reputable surgeon should take extra time to counsel a teen who is considering breast implants. Teenagers are not good candidates for breast implants because the breasts continue to develop into the early twenties. This makes it almost impossible to determine whether or not a teenage girl needs breast augmentation.
Teenagers are very likely to be dissatisfied with their body for various reasons, but many of these issues are resolved naturally as a person matures physically and emotionally. For teens, breast implants may be a permanent solution to a temporary problem.
It should also be noted that, according to the U.S. Food and Drug Administration, women who receive breast implants are very likely to need follow-up surgery within a decade and every decade after that. This means that a teenager with breast implants is likely to need another surgery in her twenties.
Is Breast Augmentation Right for Me?
You should find as much information as you can before making a final decision about breast augmentation. If you are a healthy adult with a positive self-image, breast augmentation may be a good option for you. Discussing breast implants and breast augmentation with a doctor or a plastic surgeon may be a good way of answering any of your questions or addressing any concerns. The important thing is to make an informed decision that you feel confident about.
Another thing to consider before you make up your mind about breast augmentation is pregnancy. You should be fairly sure you are not going to have any more children so as to reduce the likelihood of a breast implant revision. It should be noted that breast implants most often do not interfere with childbearing or breastfeeding.
Get in touch with us!
Vibha - The Cosmetic Surgery Center
The Family Hospital
A 101, Mangal arambh,
Kora kendra, Borivli west,
Mumbai 400092, India.
Tel 91 222 8999991.
Best contact -91 9821150889.
Preparing for Breast Augmentation Surgery
Before Breast Enlargement Surgery
Once you have decided to undergo breast enlargement through implant placement surgery, there are a few steps that must be completed before the procedure can take place. Your surgeon will go over most of these steps in detail during your surgery pre-examination, but this is a general overview designed to give you an idea of what to expect.
Preparing for Breast Augmentation Surgery
Before undergoing breast enlargement surgery, you must select surgeon and schedule a consultation. The consultation will allow you and the surgeon to discuss your expectations and go over important considerations such as size, shape, type of implant, and the location of your incision.
In preparation for the breast implant surgery, you will be asked to follow a set of instructions provided by your doctor. It is important to take these directions seriously and follow them faithfully. Failing to do so will increase your risk of developing complications during or after surgery.
Generally, you will be asked to avoid taking aspirin or anti-inflammatory drugs for a period of 10 days prior to your breast augmentation surgery, because these medications thin the blood and make surgery more dangerous. If you smoke, you’ll be asked to stop at least two months before the procedure, as smoking will delay the healing process. You should have any prescriptions that you will need after the breast enlargement surgery filled beforehand. On the day of surgery, you should wear loose-fitting clothes that can be removed and replaced easily. It is important that you arrange for a close friend or relative to drive you home after the surgery and stay with you for 24 to 72 hours while you begin your recovery.
Please remember that these are general guidelines only. Your breast augmentation surgeon knows your medical history and your individual needs best. Follow his or her specific pre-operative instructions carefully.
Breast Implant Surgery Options
While you are planning your breast augmentation surgery, you will need to decide what type of implants you want, how they should be placed, and where your incision will be located. Your surgeon will advise you during this process, but these decisions should be mostly up to you. It is important to be well-informed about each of your options.
Implant Shape
The available breast implant shapes are round and anatomical. Round implants, when placed on a surface, look like a flattened sphere. They have equal volume at all points. Anatomical implants are designed to look more like a natural breast and have a teardrop shape, with most of the volume at the bottom. The benefits of round implants is that if they shift or turn within the capsule, there is no distortion of the breast shape. If anatomical implants turn or flip, additional breast implant surgery is required to move them back into position. However, if you have very little breast tissue, anatomical implants may provide a more realistic shape.
Implant Surface Texture
Breast implant texture refers to whether the surface of the shell is smooth or roughened. Roughened, or textured, implants were designed as an attempt to reduce the chances of capsular contracture. It is not clear whether they are useful for that purpose, but it has been shown that textured implants are less likely to turn inside the capsule, which is why all anatomical implants are made with a textured surface. Smooth implants, however, may have less chance of rupture. Ultimately, choosing smooth or textured implants will not significantly affect how your breast augmentation surgery is executed or how the results will look or feel.
Implant Size and Volume The size of your breast implants will be measured in three ways: width, volume, and projection. The width is how wide the implant is across its base. This is important because an implant with too much width for your body type will stretch the skin and may be visible around the edges. Volume is how much filling the implant has. This will have the greatest impact on increasing cup size. Projection is how far the implant sticks out. Most implants are available in moderate, midrange, and high projection profiles. It is important to consider the advice of your surgeon while choosing a breast implant size. This is not to say that you should not make up your own mind based on your own desires, but you should take into account the expert opinion of a qualified surgeon. In general, small breast implants are less likely to trigger complications after breast enlargement surgery, such as rippling or displacement, but large breast implants are also available for women who want them and have the breast tissue to support them. Implant Placement Once you have chosen the size, shape, and texture of your implant, you need to decide where it will be placed. Submuscular breast augmentation surgery involves positioning the implant beneath a layer of muscle in the chest wall. A subglandular breast implant is placed on top of the chest muscle and just behind the breast tissue. Benefits of submuscular placement may include decreased risk of capsular contracture and less interference with mammography. However, breast implant surgery with subglandular placement can take less recovery time and may involve a lesser amount of postoerative pain. Incision Site There are four incision locations regularly used in breast enlargement surgery. One of the most common types is the inframammary breast augmentation incision. This incision is placed along the crease beneath the breast, where the scar will be naturally concealed. Another popular type is the of transaxillary breast augmentation incision . This is when the implant is placed through an incision in the armpit. It is also possible to place breast implants through periareolar breast implant incisions, which creates a tiny scar around the edge of the pigmented area surrounding the nipple. The newest type of incision is the T.U.B.A. breast augmentation incision, which allows the breast implant to be placed through an incision in the navel. Your surgeon will discuss each of these options with you, including the risks and benefits of each.
Breast Enlargement Benefits
Breast enlargement through breast enhancement surgery provides benefits beyond a more attractive, better proportioned figure. Confidence and self-esteem can get a significant boost, and clothing options increase.
Breast size is an important component of a woman's appearance. When breasts are not proportionate to a woman's personal ideal, feelings of self-consciousness and worries about physical attractiveness can result. Breast enhancement surgery can improve the figure and, as a result, has the potential to increase a woman's confidence in social and business settings. Additionally, clothing may fit better after breast enlargement, allowing women to wear a wider variety of fashions and further boosting confidence and overall enjoyment of life.
Aesthetic Improvement
Breast enhancement with breast implants improves the overall appearance of the figure by accentuating breast size and providing a more shapely body contour. Women with small breasts sometimes feel that their body lacks balance. Breast enlargement can improve the aesthetics of the figure by adding definition and curves to the body's profile for a more attractive appearance. Larger breasts also bring balance to womanly hips and help eliminate a pear-shaped look.
Breast enhancement can restore fullness when breasts have lost volume and lift due to pregnancy or aging. Skilled surgeons use breast implants to restore breast size and shape after a mastectomy or other traumatic surgery. A single breast implant can be used to restore symmetry when the natural size of the breasts is noticeably different.
Because breast implant shapes vary, and sizes range from small to large breast implants, a DocShop cosmetic surgeon can provide custom shaping to suit any figure and breast enlargement to nearly any desired size. If you are considering breast enhancement with breast implants, a DocShop surgeon in your area can detail your options and help you choose the implants that will give you the look you seek.
Increased Confidence
A woman who feels that her breast size does not meet societal and personal ideals can suffer feelings of inadequacy and loss of confidence. Breast enhancement can alleviate these feelings by adding size and contour to the breasts for an improved appearance. Women who undergo a breast enlargement procedure typically report increased self-esteem and confidence, which usually translates to a better business and social life. A confident woman finds that new opportunities become more abundant, and that she has the self-assuredness to take advantage of those opportunities. For women who have lost breast size and volume due to childbirth and breastfeeding, a "mommy makeover" breast enhancement procedure can restore a firm, youthful look to the breasts and increase confidence both in social and intimate settings. Women who have undergone surgery due to breast cancer or another cause often are able to maintain confidence in their appearance through reconstructive breast enhancement surgery.
Increased Clothing Options
For many women, one of the most exciting benefits of a breast enhancement procedure is the wide spectrum of clothing options that becomes available . Breast enlargement gives the little black dress the "oomph" that has made it an icon in women's fashion. Swimwear options also increase after a breast enhancement procedure, helping to make swimsuit shopping a much more enjoyable experience. Breast enlargement provides the cleavage and definition necessary to wear most low cut tops and dresses with confidence. Clothing of all types tends to hang better after a breast enhancement procedure because the body is more in line with fashion ideals. When you choose a breast augmentation surgeon, let the doctor know if there is a specific type of clothing you intend or desire to wear. This will help your physician provide you the look that meets your goals.
Breast Implants
Breast Implants
Breast implants provide an excellent way to enhance the size, contour, and lift of a woman's breasts. However, there are several factors to consider before undergoing a breast enlargement procedure, such as the shape and texture of the implants, implant size and type, and the methods for placing breast implants.
Breast Implant Shapes
Round and teardrop breast implants are the two implant shapes used for breast enlargement. Many women select round breast implants because they add the most lift and proportion. However, more and more women are choosing teardrop-shaped implants, also known as contoured breast implants, because these women desire breast enlargement that looks as natural as possible. Learn more about breast implant shapes and how they are used to augment breast shape and size.
Breast Implant Textures
The surface texture of breast implants can be either smooth or textured. Smooth-surfaced breast implants are used in most breast enlargement surgeries because they are softer, have a reduced risk of rippling, and cost less than textured implants. However, the sandpaper-like surface of textured breast implants helps maintain vertical alignment, a desired trait for breast enlargement with teardrop-shaped implants. Learn more about the different breast implant textures and their advantages and disadvantages.
Breast Implant Sizes
Breast implants are available in a variety sizes, from small (125cc) to very large (1200cc). Women who desire a perky, more youthful breast contour are better served by choosing a more conservative implant size. Women whose primary objective is breast enlargement will achieve the best results with larger breast implants. Learn about small breast implants and large breast implants and how different sizes help women achieve their breast enhancement goals.
Breast Implant Types
An FDA moratorium on silicone breast implants instituted in 1992 caused saline implants to be used almost exclusively for breast enlargement procedures in the United States for many years. However, in November 2006 the FDA once again allowed silicone breast implants for general use. Cohesive silicone gel implants have not yet been approved for general use by the FDA, but clinical trials are currently being conducted to determine their safety and effectiveness. Learn more about saline breast implants, silicone breast implants, and cohesive silicone gel breast implants and the benefits and downsides of each type.
Breast Enlargement Surgical Techniques: Incision Location
The location of the incisions through which breast implants are placed is a very important consideration in breast enlargement surgery. While the surgeon's goal is to make the incisions as inconspicuous as possible, the size, shape, and type of breast implants used and each patient's unique body structure play a role in determining incision location. Learn more about the four incision techniques used for placement of breast implants: the inframammary fold incision, the areola incision, the transaxillary incision, and the navel incision.
Breast Enlargement Surgical Techniques: Implant Placement
Breast implants placed under the pectoral muscle can provide a more natural look but require more extensive surgery and a more painful recovery. Subglandular placement of breast implants for breast enlargement is easily accomplished and allows quicker recovery, but the results may not be as natural-looking. Learn more about submuscular placement and subglandular placement of breast implants and the pros and cons of each method.
Get in touch with us!
Vibha - The Cosmetic Surgery Center
The Family Hospital
A 101, Mangal arambh,
Kora kendra, Borivli west,
Mumbai 400092, India.
Tel 91 222 8999991.
Best contact -91 9821150889.
Breast Augmentation Incision
Inframammary Fold Incisional Approach
With more than one choice in breast implants incision sites, you will need to discuss the placement of breast implant incisions with your physician. A popular type of breast augmentation incision is the inframammary incision.
Inframammary (Crease) Breast Implant Incisions
Although there are a few breast implant incision sites available during breast enlargement surgery, the inframammary, or crease, incision is probably the most common breast augmentation incision used today. Patients considering breast enlargement should discuss breast implant incisions, including the inframammary option, with qualified breast surgeons.
Advantages of Inframammary Incision
Similar to areola breast implant incisions, the inframammary incision site allows the implant to be placed over, partially under, or completely under the chest wall muscle. The inframammary breast augmentation incision also allows the plastic surgeon to work within close proximity of the breast for more control over the placement of the breast implants.
With crease breast implant incisions, the resulting scars should be visible only when you are in a horizontal position. The surgeon usually tries to situate the breast augmentation incision so that it will fall just above the inframammary fold to prevent the scar from being seen. The surgeon must properly evaluate where the incision will be in relation to your new breast size. If the incision is made too high or too low, the scars could be very noticeable.
One distinct advantage of this type of breast augmentation incision is that it allows a surgeon to perform virtually all revisions, such as those for capsular contracture, symmastia, and bottoming out, without having to make an incision elsewhere on the breast. Certain other breast implants incision sites do not allow surgeons to use the original incision site for revision surgery; an additional incision has to be made, which produces further scarring.
Disadvantages of Inframammary Incision
A disadvantage of an inframammary breast augmentation incision is that is a degree of uncertainty involved in placing the incision. While this typically isn’t a problem for an experienced surgeon, it can be difficult to do when there is little breast tissue or little or no natural crease.
Also, if you choose to have revision breast augmentation surgery in the future, the results may be less than ideal. If you decide you want much larger breast implants, your creases will have to be lowered. Going with a larger breast implant size may mean that the breast augmentation incision scars from your previous surgery will ride higher on your breasts. The opposite effect will occur if you select smaller breast implants: your breast creases will have to be raised, meaning the incision scars will be lower than where they were intended to be. If, for any reason, you decide to have your breast implants permanently removed, the scars will no longer sit undetected in the inframammary folds.
Alternative Breast Implant Incision Sites
Although popular, crease incisions are not the only option during breast implants surgery. Alternative breast implants incision sites include navel breast augmentation incisions, underarm breast implant incisions, and the breast augmentation incisions around the areola. Each of these alternative breast implants incision sites has its own set of advantages and disadvantages, which should be discussed in more detail with a qualified breast augmentation surgeon.
Breast Augmentation Complications
Breast Augmentation Complications
Although capsular contracture and ruptured breast implants are the most well-known types of risks and complications from breast implants, there are several possible problems that can occur in breast augmentation patients.
Potential Complications Following Surgery
Before you choose to undergo breast augmentation surgery, it is important to learn as much as you can about the potential risks and complications from breast implants. Choosing an experienced and board-certified plastic surgeon can reduce the likelihood of post-operative complications and unsatisfactory results. It is important to note, however, that regardless of the type of implant used or the way it is placed, it is probable that you will need to have one or more additional surgeries over the course of your life because of complications or other breast implant problems. Potential reasons for secondary breast surgery include ruptured breast implants, capsular contracture, rippling, displacement, and infection.
Capsular Contracture
It is part of the body’s natural response to form a layer of scar tissue around a breast implant as it heals. This scar tissue is referred to as the capsule. When the capsule begins to contract, however, it creates pressure on the new implant, causing pain, hardening of the breast, and distortion of the breast shape. This can happen to one or both of the breasts. There is some evidence to suggest that capsular contracture can be avoided by placing the breast implant beneath the chest muscle rather than on top of it.
The degree of a patient’s capsular contracture is measured by the Baker Grading System. In grade one, the breast is soft and looks natural, which is to say that there is no noticeable capsular contracture and everything is fine. A grade two breast is a little firmer than it should be, but looks normal. At this stage, surgery is not warranted, but it may be a sign that the capsule is beginning to contract and should be watched carefully. Grade three is the point at which the breast is very firm and has begun to look abnormal. At grade four, the breast is hard, painful, and doesn’t look natural. To repair breast implants at a Baker grade three or four, surgery is required. The surgeon can either do an open capsulotomy, which involves going into the breast and scoring the capsular tissue to loosen up the capsule, or a capsulectomy, which is the removal of the capsular tissue altogether.
It is not known why capsular contracture occurs. Some believe that using an implant with a textured surface or placing the implant under the chest wall will reduce the chances of capsular contracture, but studies have neither proven nor disproven this theory.
Rippling
Another of the common risks and complications from breast implants is rippling. Rippling occurs when the filling material inside a breast implant shifts around and allows a wrinkle or fold to appear in the outer shell. The result is a bump, ridge, or valley that can be felt and sometimes seen on the surface of the breast. Rippling is less common in certain types of breast implants, including smooth-surfaced implants, silicone gel implants, and implants that are placed beneath the chest muscle.
The external visibility of a breast implant depends on the thickness and quality of the patient’s skin. If an implant is large or there is little muscle or fatty tissue to conceal it, any rippling that occurs will be more noticeable. Rippling is most likely to appear on the outer side of the breast, along the bottom of the breast, and toward the cleavage.
Infection
Infection is a serious risk that can occur with any type of surgery, including breast augmentation. When infection occurs, it usually does so within one to six weeks after surgery. Most infections can be treated with antibiotics. In some cases, however, the breast implant may need to be removed. The infection must clear (which can take up to several months if it is severe) before the implant can be replaced. Infections are known to increase the likelihood of capsular contracture.
Symptoms of infection include fever, tenderness, redness, and inflammation. To avoid infections, breast augmentation patients should not submerge their incisions in a bath, swimming pool, or other body of water until the breasts have completely healed. They should also avoid touching the incisions or bringing any product, such as lotion or deodorant, in contact with the stitched area. It is important to keep this area clean throughout the healing process.
Hematoma
Hematoma occurs when there is a collection of blood within tissue, an organ, or a cavity of the body. The most common instance of hematoma is a bruise. Although we ordinarily think of bruising as a minor type of injury, depending on the severity of the hematoma and its location, serious problems can develop. Hematomas that occur after breast augmentation can increase the likelihood of breast implant problems such as capsular contracture and infection.
Hematomas typically occur soon after surgery but can also occur later on. Although some degree of post-surgical bruising is normal and the body is able to absorb small hematomas, large ones require the use of surgical drains to allow for proper healing. Surgical draining must be done carefully, as the insertion of the tubes may cause damage that can result in ruptured breast implants.
Nipple Numbness and Breast Sensation Changes
The shifting or disruption of nerve pathways during breast surgery can temporarily or permanently affect sensation in the nipples and breasts. Sensation may be intensified, weakened, or sometimes even eliminated. These changes in nipple and breast sensation can affect sexual response or the ability to nurse a baby. In May 2000, an FDA study on saline-filled breast implants revealed that after five years, 10 percent of women reported intense nipple sensation, while another 10 percent indicated loss of nipple sensation.
Although it is rare for women who undergo breast augmentation to experience serious risks and complications from breast implants such as permanent nipple numbness, temporary sensitivity or numbness is a common post-operative side effect. It will usually last between several days and a couple of months and then gradually fade as the nerves begin to heal.
Displacement
Displacement is a rare condition that involves the implant shifting from its desired position. When implant displacement occurs, it will typically take place within the first few days after surgery and may be corrected with additional surgery. Breast implant displacement is most common in women who have very large implants, or in cases where an unusual placement technique is used. For more information about displacement, talk to your cosmetic surgeon.
Ruptured Breast Implants
Both saline and silicone breast implants can rupture and leak. Ruptured breast implants that are filled with saline will deflate rather quickly, causing the breasts to shrink within a day or two. The saline solution, which leaks into the body from a hole in the implant shell or a faulty valve, is harmless and can be easily absorbed by the body. In most cases, the ruptured breast implants can be easily replaced.
Silicone breast implants, however, may show no signs that a rupture has occurred. Since silicone gel is thick, it can remain within a breast implant even after it has ruptured, or leak very slowly into the breast. Silicone leaks are classified in three categories:
- Intracapsular - when silicone is contained within the fibrous capsule that surrounds the implant
- Extracapsular - when silicone has leaked into the breast tissue outside the capsule
- Migratory – when silicone moves into other areas of the body
Migratory leaks are very rare and there has been no evidence to suggest that the silicone causes any serious conditions. However, women with silicone breast implants should have regular MRI screenings to check for signs of ruptured breast implants.
Several factors can increase the chances of ruptured breast implants. These include:
- Damage by surgical instruments
- Excessive handling during surgery
- Compression during mammographic imaging
- Trauma or intense physical pressure
- Severe capsular contracture
- Stacking of implants (multiple implants per breast pocket)
- Normal implant wear caused by aging
Mammography Interference
Breast implants have not been linked to an increased risk of developing breast cancer; however, implants can interfere with cancer detection during routine mammograms. Saline or silicone gel breast implants can make it difficult for the x-ray machine to see all of the breast tissue, creating the potential for tumors or other abnormalities to remain hidden. Breast implants that are placed under beneath the muscle create fewer problems than those placed just beneath the breast tissue, but they can still get in the way.
When making an appointment for a mammogram, you should choose a facility that has technicians who are experienced in the methods necessary for obtaining reliable mammograms of breast implant patients. You should mention that you have breast implants while making your appointment and again when you arrive for the mammogram. This will allow the technician to use the proper techniques to get a reliable screening while avoiding compression that can lead to ruptured breast implants.
Breast Augmentation and Breastfeeding
Many women who are considering breast augmentation are concerned about risks and complications from breast implants that may affect their ability to breastfeed in the future. Sometimes, women who have breast implants will experience difficulty when breastfeeding. But what many people don’t realize is that women who have not had any breast surgery at all will often experience difficulty with breastfeeding, so there is nothing to suggest that breast implants make it any harder to breastfeed than normal. The only aspect of breast augmentation surgery that may interfere with breastfeeding is a change in nipple sensation. If nerve damage is sustained during surgery, causing the nipple to become either very sensitive or numb, breastfeeding may be uncomfortable.
Choosing the right type of incision can help reduce the chances of difficulty during breastfeeding. For example, inframammary breast implant incisions (made under the fold of the breast), transaxillary breast implant incisions (made in the armpit), and transumbilical incisions or T.U.B.A. breast augmentation incisions (made in the navel) normally don’t cause problems that interfere with breastfeeding. However, breast implants placed through areolar breast implant incisions (a smile-shaped incision made around the nipple area) can put patients at a greater risk for nerve damage to the nipple and developing difficulties with breastfeeding. Patients whose nerves are not damaged during breast augmentation and whose milk duct system remains intact may be able to nurse fully or partially.
Women also need not worry about ruptured breast implants causing harm to a baby. There is no evidence that silicone from silicone gel implants can leak into breast milk. Silicone molecules are too large to pass into the milk ducts.
Breastfeeding is still the preferred method of feeding a baby according to the American Academy of Pediatrics. It is important to discuss possible breast augmentation risks and your plans for breastfeeding during a cosmetic surgery consultation. Your surgeon will answer your questions and address your concerns, working with you to achieve the best results possible, even if you do not intend to have children in the near future.
Breast Augmentation Surgery.
Breast Enlargement Surgery
Once the surgeon has been chosen, the implants selected, and the breast enlargement techniques decided on, the breast implant placement surgery itself can then take place. The surgeon may have access to a local hospital or my have his or her own surgical facility. Either way, the surgical process will be more or less the same. You will show up at a pre-determined time and be prepared for surgery. The anesthesia will be administered and the surgeon will perform the procedure. Once you have come out of the anesthesia and the doctors decide you are ready, you will be sent home, usually on the same day.
Placing the Breast Implant - The Surgery
Breast implant placement surgery usually takes between one and two hours to complete. To some degree, the amount of time needed will depend on how and where the implant is being placed.
Anesthesia
In most cases, breast enlargement surgery is performed with the patient under general anesthesia. The anesthesiologist will use either I.V. or inhaled sedatives to put the patient to sleep and keep them sedated until the surgery is complete. The patient will not be able to hear, see, or feel anything that is going on during the operation. Once the breast implant placement surgery is complete, the patient will be brought out of the anesthesia, but will probably be groggy and tired for some time afterward. It is a good idea to have someone who you trust to take care of you during this period.
Some people experience side effects from anesthesia, such as sore throat, headache, dizziness, nausea, vomiting, shivering, or muscle pain. These effects are temporary and will wear off as the anesthesia leaves your system. If you have had any reaction to anesthesia in the past, you should communicate this to your doctor during consultations.
Some surgeons will use a combination of local anesthesia and a conscious sedative to keep the patient awake but relaxed during breast enlargement surgery. This is much less common, but may be an option for patients who would rather not be under general anesthesia.
Incision Location
Breast enlargement surgery begins with an incision made in either the crease of the breast (inframammary), the armpit (transaxillary), the navel (T.U.B.A.), or the perimeter of the areola (periareolar). For both patient and surgeon, discreet incision placement is one of the top priorities in breast implant placement surgery. Although scars can fade significantly over time, they never completely disappear, so making the incision in an inconspicuous location helps to enhance the patient’s overall results. The location of the incision is decided on a case-by-case basis; each patient’s wishes and individual anatomy are taken into consideration.
Implant Placement
The two main methods of implant placement used in breast enlargement surgery are subglandular breast implant placement (positioning of the implant in front of the pectoral muscle and directly behind the breast tissue) and submuscular breast implant placement (positioning of the implant under the pectoral muscle). Some surgeons recommend placing the breast implant in front of the chest muscle during surgery because this method tends to reduce postoperative pain and soreness. Other specialists advocate placing the breast implant under the pectoral muscle in order to prevent interference with future mammograms. You should discuss these options with your surgeon and come to a decision based on your preference and body type.
Sutures
After the implant has been placed, the incision is carefully sutured. Some surgeons use traditional stitches, while others use absorbable ones. If your stitches are the traditional variety, they will be removed between one and two weeks after your breast implant placement surgery, when the surgeon determines that the incision has been closed adequately and no longer needs to be sutured. Absorbable, or dissolvable, sutures will be broken down by the body and disappear on their own.
It is extremely important to keep the area around the stitches clean. Avoid submerging your incision site in water and do not let dirt or products come in contact with the area. You should also avoid any strenuous activity, lifting, or stretching that could pull the sutures. This will prolong healing time and make your scar more noticeable.
Drains / Bandages
Once the surgical incisions have been closed and taped, the breast implant placement surgery is complete. The breasts are wrapped and supported with a gauze bandage. The patient is then fitted with a special surgical bra that provides support for the first several weeks. Or, the surgeon may suggest the use of a compression bandage or sports bra instead. In any case, it is important to follow the doctor’s instructions on when and how to wear supportive garments. This will help expedite the healing process and minimize any discomfort.
In some cases, the surgeon will place drainage tubes to minimize swelling and bruising. This practice is more common for breast enlargement surgery using a submuscular placement, as the technique causes greater disturbance of tissues in the area and will trigger more swelling than a subglandular placement. If drainage tubes are used, they are removed within a few days.
Vibha - The Cosmetic Surgery Center
The Family Hospital
A 101, Mangal arambh,
Kora kendra, Borivli west,
Mumbai 400092, India.
Tel 91 222 8999991.
Best contact -91 9821150889.
Breast Augmentation FAQs.
FAQs about Breast Enlargement
If you are considering breast enlargement surgery, it is very important that you gather as much information as possible before making a final decision. Below you will find answers to several frequently asked questions concerning breast enlargement
What is breast augmentation?
Breast augmentation, also referred to as breast enlargement, is a surgical procedure designed to increase the size of the breasts. Breast implants are placed either directly behind or in front of the chest wall muscle in order to enhance bust size
What is a saline breast implant?
Breast implants are used to enhance the size of the breasts during breast enlargement surgery. A saline breast implant is a silicone shell filled with a sterile saltwater solution. Saline implants are either round or anatomical, and the surface of the implant can be smooth or textured
How long is the recovery period after breast enlargement surgery?
Most women can expect to return to work in a few days to a week. Exercise can typically be resumed three to four weeks following breast enlargement surgery
What are the risks involved with breast augmentation surgery?
As with any surgery, there are risks associated with breast enlargement. Infection, deflation, nipple numbness, implant displacement, and rippling are all possible side effects of breast augmentation surgery. Another potential side effect is called capsular contracture. This occurs when the scar or capsule around the breast implant begins to tighten, squeezing the implant and causing the breast to harden. Learn more about possible breast augmentation risks and complications.
Is breastfeeding possible after breast augmentation surgery?
Breast enlargement surgery should not affect a woman's ability to breastfeed.
Will breast implants interfere with annual mammograms?
Breast implants will affect how your annual mammogram is performed. You will need to visit a radiology center where the technicians are trained to perform mammograms on patients with breast implants. Additional x-rays taken from various angles will be required to ensure an accurate reading. If the breast implant is placed under the muscle, 90 percent of the breast tissue will be visible. If the implant is placed over the muscle, only 75 percent of the breast tissue will be visible.
What is breast implant revision?
Breast implant revision is a surgical procedure in which a breast implant is replaced in order to correct complications resulting from breast reconstruction or breast enlargement surgery. Learn about breast implant removal and revision.
How should I choose a breast augmentation surgeon?
If you are considering breast enlargement surgery, it is very important that you choose a qualified and highly experienced breast surgeon. If there are any complications during surgery, an experienced breast surgeon will be more adept at handling the situation. In addition, a surgeon who has performed many breast enlargement surgeries has had more time to perfect his or her technique.
You should make sure any surgeon you consider is properly credentialed and board-certified. It is important to note that there are many plastic surgery boards, and not all of them are legitimate. You can contact the American Board of Medical Specialties to verify that a particular doctor is fully certified to perform breast enlargement surgery
Contact -
Vibha - Cosmetic Surgery Center
A 101, Mangal arambh, Kora kendra,
Borivli west, Mumbai 400092, India.
Tel - 91 222 8999991
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