Breast augmentation, also known as augmentation mammaplasty, is a cosmetic surgical procedure that typically involves the use of implants to help in aesthetic enhancement of the bust. Many women opt for surgery as a way to restore shape and combat sagging, particularly post-pregnancy or after significant weight loss.
Bust Enhancement Approaches:
Not all methods of bust enhancement involve surgery. Non-invasive ways to enhance breast size such as hormonal therapy are usually ineffective in the long run. Primitive methods of bust enhancement involved the injection of fat, obtained from the patient’s body via liposuction, but results were far from satisfactory not to mention the risk of side-effects. Other methods involve the injection of gels, derived from non-animal sources which are injected into the bust and then molded into shape. However, most non-surgical bust enhancement procedures are ineffectual in the long-term and in most cases clinical outcomes are not well documented.
Surgical enhancement of the breasts is usually performed using implants which are primarily silicone based. Implants are usually filled with saline or gels, which tend to be supple and elastic ensuring a natural feel. In recent times, saline implants have been gaining popularity primarily because the implant filling is just plain sterile saline. This means that in the rare event of a leakage the saline is safely absorbed by the body, eliminating any potential allergic reactions.
Surgical Enhancement Procedures:
Surgical breast augmentation involves the placement of silicone implants, either under the sub-muscular region of the breasts, or on top of the muscular layer below the glands, termed as sub-glandular implants. In general, sub-muscular implants are the preferable option since they tend to be less obvious, but more importantly they tend to make future mammography and examination procedures easier. This procedure is slightly more invasive than a sub-glandular implant, prolonging the recovery phase as well. Women who desire a better impact post-surgery can opt for a sub-glandular implant, but this may carry the risk of capsular contraction in addition to complicating mammography procedures.
Depending on the placement of the implant itself the position of the surgical incision may vary. The most common incision type is made in the lower contour of the breasts, referred to as the infra-mammary fold (IMF), and this incision position helps in precise implant placement. Other incision locations include periareolar and transaxillary incisions. The periareolar incision type is relatively less invasive and results in minimal scarring, and is particularly useful if an additional breast lift is desired. Transaxillary incisions, on the other hand are made in the armpit region, and the implants are placed via a medial tunnel, significantly reducing scars. This approach is however less preferred since the implant placement may not be accurate resulting in an asymmetric implant position, which in some cases may need to be corrected with a secondary IMF incision.
The evidence to successful surgery lies in making the procedure less obvious, and an effective bust enhancement procedure looks and feels natural. There is little doubt that primary breast augmentation when performed by a professional cosmetic surgeon can be the ideal approach to aesthetically augmenting the size and structure of the breasts.