Breast Augmentation Surgery

Breast Augmentation Surgery - Incisions and Scaring

Surgery leaves scars. While most breast augmentation incisions do heal well, a rate of 6-7% of unfavorable scaring has been reported for primary augmentation patients in FDA clinical trials.

The extent of the scaring can be determined by many factors. These include the patient's ethnicity, smoking, tissue quality, suture material, wound tension, tissue trauma from surgery and the individual's tendency toward favorable wound healing.

The type of incision also affects the amount and visibility of scaring. The type of planned incision should be discussed with your surgeon prior to the procedure.

The most common incision for silicone gel implants is the inframammary incision. This affords maximum access for precise dissection and placement of an implant. The incision is placed below the breast in the infra-mammary fold. This incision can leave slightly more visible scars in smaller breasts which don't drape over the IMF.

Transaxillary incisions are placed in the armpit. This allows the implants to be placed without visible scars on the breasts. It's also more likely to consistently achieve symmetry of the inferior implant position.

Periareolar incisions are placed along the areolar border. The incision is usually placed around the inferior half of the areola's circumference. Because of the incision length required, silicone gel implants can be hard to place using this method. These scars are often less visible in women with lighter areolar pigment since they occur on the edge of the areola. There is a higher chance of capsular contracture with this incision. Read more...

Before After Breast Augmentation

Before After Breast Augmentation - Capsular Contracture

When a foreign object inters our body, our immune system tries to either destroy it or contain it. Some immune systems interpret a breast implant as a foreign object. Since the immune system can't destroy an implant, it tries to contain it. It attempts to build a 'wall' around the intruder to keep it from spreading to the rest of the body. The wall around the implant is called a capsule.

When the capsule tightens around the implant it's called capsular contracture. The squeezing can be painful and can change the shape of the breast. The changed shape can affect the appearance of the breast as well.

The severity of the capsular contracture varies between cases. With the mildest case, the breast looks normal and still feels soft. This is classified as grade 1. Grade 2 still looks normal, but the breast is a little firm. At grade 3, the breast is firm and the appearance is considered abnormal. Grade 4 is the most severe and the most painful. The breast looks abnormal and is hard.

You may have to have another operation to fix capsular contracture. The capsule has to be removed, and sometimes the implant has to be replaced. But there are cases where successful treatments have been achieved without any additional surgery.

It's not known exactly what causes the body's immune system to behave abnormally towards an implant, but capsular contracture can happen after any implant or implant repair surgery. Not just breast implants. Read more...

After Breast Augmentation Complications

Complications can occur after any surgery. Breast augmentation is no exception. Knowing what to expect before you undergo any surgical procedure can help relieve some stress and nervousness. It also helps prevent the shock and disappointment that may occur if post-surgical complications do arise.

Some complications that commonly arise immediately after breast implant surgery include post-operative bleeding (hematoma), fluid collection (seroma), and infection at the site of the surgical incision. Later complications may include chronic breast pain, alterations in breast and nipple sensitivity, and interference with breast feeding,

Feelings in the breast and nipple can change after the implant surgery has been completed. These changes may include increased sensitivity, chronic pain and lack of feeling in the breast or nipple for several months or even years following the implant surgery. Within the first few years, 2-8% of breast augmentation patients report experiencing chronic breast pain.

Another 1-2% report breast sensitivity changes, and 3-10% experience nipple complications like losing sensations within that area. These reports are generally the same for both silicone gel and saline implants.

But long term data does indicate that 17% of women experience after-surgery breast pain within five years of saline implants. This change in sensitivity is usually either temporary or permanent. It may also have an affect on sexual response and the ability to breast feed a baby.

Being aware of these and other possible complications will help you make an informed decision and may aid in long term satisfaction with your breast augmentation. Read more...