Disproportionate, unequal, small or contourless breast cause emotional and mental distress to many woman. There can be embarrassment in day to day life, causing a lack of confidence and self-esteem. However, this can be solved with Breast enhancement / Breast augmentation /Augmentation mammoplasty / Breast implant / Boob Job.
We, at AT aesthetics, provide comprehensive range of Best surgical services including Breast augmentation, Breast reduction, Breast reconstruction, Breast lift. We provide transparent consultations and individual based tailor cut surgeries to give your breast a youthful and curvy appeal. Our customized services are in par with all international standards.
What is Breast Augmentation?
Breast augmentation, is also called as Breast enhancement surgery, Boob job, Breast Implant surgery or Augmentation Mammoplasty.
It is a type of surgery that helps in increasing the size of the breast, increasing the fullness / roundness and firmness to feel. It is usually done for smaller / saggy / unequal breasts or those who have lost fullness.Breast augmentation is also done in gender reassignment surgery. This surgery includes using of either implants or your own fat tissue, or a combination of both in order to restore the volume and fullness, giving them a young, full, aesthetic sculpted look.
What is the difference between Breast Augmentation and Breast implant surgery?
Breast augmentation is the name of the procedure used to enhance the breast size by either using an implant, using your own fat tissue or a combination of both. When an implant is used for breast augmentation it is called as Breast Implant surgery.
What does a Breast Enhancement / Breast Augmentation surgery do?
It increases the volume and fullness of the breast, improves the breast projection and deepens the cleavage. It also helps in improving the breast to hip proportion, giving you a more appealing feminine curve.
It thus, enhances the overall beauty of the upper half of the body. And if you are struggling with smaller breasts, this can help elevating your self image, self confidence and boost your self-esteem in public.
Why do women prefer bigger breast?
There are multiple reasons for a woman to prefer bigger breast but there is no right or wrong reason for wanting more fuller breasts.
It is subjective to what one finds attractive and is dependant on the cultural influences, society norms and individual preference. Cultural influence, fashion industry and media play a vital role in shaping the preferences of many woman. Some woman may feel more confident and attractive with fuller breasts.
Ultimately, it depends on how you feel in your own skin and body, and its relation to your mental happiness, as it is important to have self acceptance and confidence.
Am I a good candidate for Breast Augmentation?
Breasts are the most personal affair of a woman. They come in all shapes and sizes, and it is a personal choice of a woman to wish to have the size she needs. Breasts signify femininity, motherhood, sensuality and empowerment. In the current age of feminism empowerment, being confident around with the body has become a essential aspect.
According to a survey, women always prefer a bigger size of breast, which gives them the sex appeal, the confidence and the sense of increased self-esteem.
If you are concerned with any of the following then you are the right candidate to get an breast augmentation done :
- Are you embarrassed because of the disproportionate smaller size of your breast?
- Are you embarrassed because of the less amount of the cleavage because of the size of your breast?
- Do you have to use padded bras to gain that extra size of breast?
- Do you use some other things to fill in your bras for that cleavage to show?
- Do you want to wear those curvy dresses and show off your curves?
- Do you lack in confidence to wear one piece dresses or bikinis?
- Does your profession in glamour industry demands it?
- Have you lost fullness of your breast after pregnancy or breastfeeding?
- Have you lost your breast volume because of weight loss?
- Do you have unequal size of breast?
- Are you unhappy with your sexual life?
- Do you want to have a proportionate chest-to-breasts ratio?
For more interesting questions check the FAQ section
What are the non-invasive methods of increasing the breast size?
- Many non-invasive methods can be used to increase the breast size. but they create an illusion of fuller breasts. This includes clothing, bras, breast inserts, makeup, and posture.
- Wearing clothes and tops having patterns, prints, peplum, ruffles at the chest region or even layering of clothes can give an illusion of larger breasts. Also using tops with a V-neck, Boat neck or a wrap top can help enhance the cleavage giving an illusion of fuller breasts.
- There are many types of bra inserts available in the market today that can be used in the bras to push the breasts up and together, to give a deep cleavage. They can also give the illusion of a heavy chest but can be uncomfortable at most times.
- Any type of non-invasive method used is cheap at cost and can give a good illusion. But at the cost of keeping you conscious about the chest region in particular and the product/ dress that you are wearing. Not to forget that they can be uncomfortable at times if they are to be worn for a longer time.
For more interesting questions check the FAQ section.
Breast Implants
What implants are used in Breast Augmentation surgery?
Artificial implants are used nowadays in breast augmentation. In simple language, an implant can be considered as an artificial bag, made of silicon, filled with either saline or medical grade silicon gel. These implants come in various shapes, sizes and textures. The most commonly used shapes of implants are either round or teardrop/anatomical shape. Saline implants are not commonly used nowadays.
Every implant type and its size have their pros and cons and hence a detailed consultation with your plastic surgeon is necessary for final decision.
What are the different types of breast implants?
Breast implants come in different size, shape, textures and filling materials.
Size: Different size of implants are available in accordance to the volume desired by the patient. They differ in base dimensions and the projection. Even same volume implants come with different projection option. These projection options are called as Profiles. Profiles of an implant come in either small, medium or high variants depending on the projection they offer with the same volume of filling agent inside the implant.
The correct size that is suitable for you depends on your volume expectations, your breast footprint, your native breast volume, your built, your body and chest proportions, the breast skin characteristics well as your plastic surgeons opinion.
Shape: There are two shapes of breast implants.
Any implant has two dimensions.
Consider an implant as a half-cut has ball, with its circular shape at the base and a dome above. The Base being a circle comes in a diameter length measurement, one as horizontal and one as vertical dimension across the chest. While the dome comes in height dimension, i.e. away from the chest. In simple terms the base dimensions are called footprint dimensions and the height is called Projection.
Round implants : These implants have symmetrical footprint dimensions, while the projection is different. They come in various different footprint dimensions and each dimension comes with various projection options. Round implants come with either saline filling or cohesive silicon gel filling.
The biggest advantage of round implants is that even if the implant rotates there won’t be any distortion in the breast shape. Another advantage it gives is the fullness to the upper portion of the breast, which causes the breast to project more away from the chest, also giving out a deeper cleavage.
The disadvantage is that because of the unnatural round shape, the edges of the implants can sometimes be visible as well as felt with fingers from over the skin. Also, because of its even projection in the upper and lower half of the breast, the breast feels like a it has had a ‘Boob Job’ done. With less complications, but on the demerit of unnatural looks, the cost of round implants is less than the teardrop ones.
Teardrop or anatomical shaped implants : These implants can have different or same horizontal and vertical dimensions for the base, but the height dimension is not centered like that in the round implant.
They are usually shaped like a normal breast in upright position. Normal breast have fullness in the lower half and have a gentle slope in the upper half, which share the same anatomical resemblance of a breast. To maintain this shape thus the implants come only with Cohesive Silicon gel fillings.
The biggest advantage of these implants is that they give the best natural looking shape to the breast, which counters the ‘Boob job” effect of the round implants. The disadvantage is that if they rotate they will cause distortion of the breast, unlike the round implants. And so most teardrop implants nowadays come with textured and nano-textured surface, to prevent them from rotating or migrating under the breast.
Surface: The implant surface can be either smooth or textured.
The smooth implants are very soft to the touch. And because of the smoothness, their interaction with the breast tissue is very minimal. So the rate of rotation and migration of the implant in the breast pocket is higher. Also, the rate of capsular contraction is higher in round implants.
The Textured implants, because of their uneven surface, interact with the breast tissue and become immobile. So they don’t rotate, migrate, or have a capsular contraction. However, there is an associated low-grade curable lymph cancer associated with textured implants called the acute large cell lymphoma, the ALCL. It is very rare to occur and is curable.
Filling substance: There are importantly two fillers that are used in breast implants, Saline and silicon gel.
Saline implants are readily available, and are physiological to the body. If the saline implant ruptures, the saline won’t interact with the body and it will get absorbed. The implant can also be filled with any amount of saline in a controlled manner, thus, any asymmetry in the breasts can be managed easily. The disadvantage is that it is water like. And so, there can be ‘splashes’ like ‘splashes of water in a balloon” heard when the breast moves.
Silicon gel implants are basically filled with medically fit Cohesive silicon gel, manufactured especially for breast implants. They give a firm consistency to touch, which feels like a real natural breast. They don’t splash like water in a balloon. The disadvantages are that they come readymade filled, they can’t be refilled externally to change the volume of the implant. So they need to be very carefully selected depending upon their size and the asymmetry of the breasts. Also if the implant ruptures the gel gets collected in the breast pocket and another procedure is needed to remove the implant material.
“Gummy bear implants”, are the latest type of silicon based implants in the market. They are similar to the silicon gel implants, with a major advantage is that it contains form stable silicon gel. That means, even if the implant ruptures, the silicon gel wont spill in the breast pocket surrounding.
How do you choose the best implant design?
Taking into consideration the shape, size, texture and materials used in the implant, a thorough discussion with your plastic surgeon can help you decide which implant is best and safe for you.
A round implant can benefit a woman who wants bigger profile of breast, deep cleavage and overall increase in fullness of the entire breast. The tear drop implant can benefit a woman who wants to correct mild sagging of the breast as well. As this shape of implant will elevate the breast naturally once it is in position, so a breast lift wont be needed.
The type of implant for you also depends on your desires, realistic expectations, your current breast shape and size, your body proportions and build and the artistic knowledge and eye of the plastic surgeon.
Breast augmentation Surgery : Consultation
Why is consultation needed for Breast Augmentation surgery?
A consultation with your plastic surgeon will give you more insights and in-depth knowledge of the kind of Breast augmentation procedure that can be curated and customized according to your needs and your body shape. It is always recommended to discuss your concerns regarding your breasts, clearing your doubts and confusion regarding the Breast Augmentation procedure. This includes discussing the optimal size and shape of the breast implant for you, any need for a fat transfer procedure required, and a detailed treatment plan involving the pre-surgical and the post-surgical risk and recovery procedures.
What to expect during a consultation for breast augmentation?
Being prepared beforehand with your questions, concerns, doubts is of utmost important so that you don’t miss out any of the points you wish to discuss during your consultation. So it is always good to write them down on a paper. This will give you an overview of what all will be discussed :
- Your complaints regarding the breast.
- Your current breast size and your goals.
- Your expected breast size
- Your history of medical conditions, medical treatment, allergies and any previous surgeries.
- Family history of any breast disease or cancers.
- Your Pregnancy history and wishes after the surgery.
You are Plastic surgeon will then do:
- Examination of your general health
- Examination of your breast, can and track your breast measurements.
- Examine the breast skin quality, the nipple Areola, breast symmetry and muscle tone.
- He might take photographs to explain the surgery, for before – after pictures.
- Discuss procedure options.
- Chalk out a customized treatment plan for you.
What are different breast augmentation with implant procedures?
Breast augmentation procedure is, in simple terms, placing an implant in a pocket created surgically inside of the breast. Now, the procedures vary in terms of either the pocket selection and the incision approach to get to the pocket.
This breast pocket can be either made :
- Parenchymal: Inside the breast tissue itself.
- Sub glandular: Underneath the breast but above the pectoral muscle of the chest.
- Sub pectoral: Under the pectoral muscle of the chest.
- Dual plane: Half under the muscle and half under the breast.
Pocket selection is dependent on your current breast size, the sagginess, the nipple position and condition of the skin over the breast. Plastic surgeon will. examine it all, measure it all and then will opine about the correct pocket for your implant.
Mostly used are the , Sub pectoral and the dual plane pocket un todays breast augmentation procedures.
The Sub glandular pocket, preserves the pectoral muscle integrity underneath, as no cut will be given over the muscle. Also thus, by avoiding the muscle, it does not lead to unfavorable muscle force acting on the implant unlike if it was underneath the muscle. Which helps in reducing the animation deformity, displacement of the implant and Double Bubble deformity.
The Sub pectoral pocket, is the pocket made underneath the muscle, and hence it has extra covering of muscle over it as opposed to the only breast tissue covering in the sub glandular pocket. This helps in less detection of the implant on looking or even feeling the breast. This gives a more natural feel to the breast, if a silicon gel implant is used in it. Secondly, it does not disturb the breast tissue anatomy, and so the degree of injury to the blood supply and the sensations of the nipple is decreased than the sub glandular pocket.
The Dual Plane pocket, is a pocket made in such a way as to have benefits of both the above two pockets. In this pocket depending on the breast tissue, its sagginess and the fullness needed, the pectoral muscle is cut accordingly. This allows the implant to sit half under the breast tissue and half under the pectoral muscle.
The type of incision given and the resultant scar after the surgery depends on the pocket decided for the implant to sit in and the type of implant selected. These can be either :
- Inframammary approach : Incision is given under the breast in the breast fold
- Transaxillary approach : Incision is given in the axilla region and not on the chest
- Periareolar approach : Incision is given around the Areola in a cresent shape
- Transumbilical approach : Incision given in the umbilical region
Mostly for silicon based implants, and a sub pectoral and dual plane pocket, a inframammary incision is taken. This incision is around 5-6 cm, and is under the breast in the breast fold, and so is inconspicuous. For a saline based implant and a sub glandular or sub pectoral pocket, either periareolar, transaxillary or transumbilical incision is taken. This results in a small 3-4 cm scar, which is well hidden in the axilla, under the nipple or in the umbilicus.
The pocket selection, incision approach selection is based on your breast condition and size, the size of implant needed, the type of implant selected and the measurements and opinion given by the plastic surgeon. Always consult in details with your plastic surgeon regarding the same.
What preparation is needed before the surgery?
Once you are done with your thorough consultation and general examination for breast augmentation with your breast surgeon, unit two undergo the next steps
- Lab testing
- Medical evaluation
- Fitness for surgery from Anesthesia point of view
- A baseline mammogram before surgery
- Stop smoking at least two week prior and after the procedure
- Stop certain medication like aspirin, herbal supplements, anti-inflammatory drugs or take alternative medications
- You are all prepared for undergoing a brace induction
- You will be asked to get admitted on the night before or in the morning of the day of surgery
Breast Augmentation surgery with implant : Procedure
Breast Augmentation, also known as Augmentation Mammoplasty is performed by giving an incision, creating a breast pocket, placing a breast implant in the pocket. Fat injection may or may not be performed along with the procedure depending upon the amount of fullness needed, the quality of breast tissue over the implant and the final touches for smoothness of the curves.
- Anesthesia: The first step is giving you general anesthesia by anesthetist, it is usually a safe and smooth process of getting you under anesthesia, our expert anesthetists make sure you have a smooth surgery that you wont recall once you wake up.
- Incision: There are multiple incision options that can be used by the plastic surgeon depending upon the type of breast reduction being performed
- Inframammary Incision : Incision is given under the breast in the breast fold
- Transaxillary Incision : Incision is given in the axilla region and not on the chest.
- Periareolar Incision : Incision is given around the Areola in a creasent shape
- Transumbilical Incision : Incision given in the umbilical region
Pocket creation : Depending on the breast pocket selected before the surgery, a pocket is created by the use of cautery in a blood less plane either in
- Sub glandular: Under the breast tissue.
- Sub pectoral: Under the pectoral muscle.
- Dual plane: Half under the pectoral muscle and half under the breast tissue.
- Suturing : Once the breast implant is positioned properly, fixation sutures are taken inside the breast tissue. A new inframammary fold is created to accommodate the increase in volume of the breast in order to hide the scar as well as to give a natural look to the breast. The skin is draped over the breast tissue and suturing is done from within, so as there are no external sutures. Skin glue and surgical tapes are used to enforce the outer skin. Care is taken as to properly suture the incision, as to have practically no scar.
- After surgery : Once suturing and dressings are done, a supportive bra is placed on the table itself before weaning of the anaesthesia. This avoids the discomfort and helps in smooth recovery from anaesthesia after the surgery. Once you are awake you are shifted to the recovery room for further monitoring. 4 to 6 hours after the procedure you are allowed to have normal diet.
Breast Augmentation surgery : Post surgery
When should I expect the results of my breast augmentation?
You will notice immediate results after breast augmentation surgery. The tissues and the scars require time to heal properly and so it will take a few weeks for complete healing and scar reduction after breast reduction surgery
What is the after care needed after breast augmentation?
Breast augmentation surgery usually is a day care procedure. You can be discharged in the evening of the surgery once you are comfortable to move around.
There is no limitation for bed rest after a breast augmentation surgery, we advise early mobilisation of patients out of the bed as soon as the patient is comfortable.
A support bra will be asked to be used for 4 to 6 weeks after breast augmentation to give proper support for healing of the breast.
You usually can go to work after 4 to 5 days of surgery depending upon your comfort level. Strenuous activities, exercises, jumping are usually prohibited for a certain period after surgery. there are no external sutures used so there is no need of any suture removal.
What are the risks involved in breast augmentation surgery?
Like any other surgical procedure, breast augmentation surgery comes with some risks and complications as follows
Short-term complications
- Bleeding
- Infection
- Fluid accumulation
- Numbness of skin or nipple sensation
Long-term complications
- Asymmetry
- Capsular contracture
- Implant leakage
- Acute Large cell lymphoma
Anesthesia related complications
FAQ's about Breast Augmentation Surgery
The size of your breast is determined by your family genes, hormonal factors, your lifestyle, body weight, exercise and age.
It is usually found that breast size during development is mostly dependant on family genetics and hormonal influence. Hormonal influence is also seen during pregnancy and menopause. Additionally, your fat distribution and body weight also have a role on the size of your breast.
Though diet and exercise have a role in your body fat percentage, they wont affect particular breast fat tissue. Its all interconnected with again your genetics, body proportions and hormonal makeup.
Age correlates with the amount of fat and breast gland tissue in the breast. With increasing age, the breast gland tissue decreases and is replaced by fat, hence the firmness during young age and the soft and sagginess in old age.
There is no such minimal size of original breast required so as to get an breast augmentation done. It depends on person to person as to how much fullness in breast the person wants, unless its under realistic expectations. As a plastic surgeon, we advise the patients to undergo breast augmentation depending upon their built and body proportions. Many women nowadays get breast augmentation done to have that aesthetic and curvy appeal.
There has been an upsurge in the products containing supplements and oils for enhancing the breast and breast size, but none of them back scientific evidence and are even FDA approved. Many companies claim that their breast enhancing products contain ingredients like fennel seeds, omega-3 oils, ginseng, etc which are known to increase oestrogen levels in the body. But the scientific evidence of actually these ingredients actually causing breast enhancement is not yet verified.
Also, these products are associated with side effects and potential risks related in using these products. So it is necessary to consult a plastic surgeon if you are looking into breast enhancement and discuss various options available and safe for you.
As with any other massage, breast massage helps in increasing the circulation, relieving tension, softening the skin and hence promoting overall breast health. But there is no scientific evidence connecting increase in breast size to massaging the breast. As breast size is under the control of the body’s genes and hormones, the effect of massaging breast on the size if not validated. And so even if firmness and slight increase in size is seen, significant cup size increase if not usually seen with breast massages.
Like discussed above, breast massage is not directly related to breast enhancement scientifically, If you want a overall increase in breast health then massaging the breast is a good option.
Gently place your respective hands on lower half of your respective breast with spreaded fingers massage in circular in word motion, that is the right hand moves anticlockwise, and the left hand moves clockwise, this can be done for 5 to 10 minutes every day.
With the development and recent advances and technology related to best of medicine surgery, it is safe and routinely done procedure. Breast implants that are used nowadays or FDA approved so they don’t cause any harm to the body
There is usually surgery related pain and discomfort just after the surgery which can be managed with pain medications. Usually breast implant surgery is a daycare surgery wherein you are discharged on the same day of the surgery if you are comfortable with the pain. There is no pain or discomfort because of the implant in the breast later on in life.
The implants are placed in pockets that are made in the pressed at various levels depending upon the size of the implant, the choice of the patient, and discussion with your plastic surgeon. These pockets can be either be
- Under the breast tissue (Subglandular)
- Under the pectoralis muscle (Subpectoral)
- In combination of both the phone (Dual plane)
With the recent advances in breast augmentation surgeries and the latest technologies, Dr Akash usually recommend a dual plan placement of the implant. This gives the breast a better lift along with the fullness in in terms of volume to the Past. This gives the breast a more natural, beautiful and sculpted look.
After discharge you will have to do post-operative follow-ups at the third, seven and thereafter weekly follow-ups for one month followed by monthly follow-ups thereafter only if you have any issues in healing.
Complications involving in plants used in breast augmentation procedures include
- Capsule contractor
- Migration of implants
- Rotation of implant
- Leakage of implant
- Very rarely breast implant related cancer
Replacing your breast implants is needed only in certain situations like
- You want to change the volume of your prayers
- Very rarely there is any complication with the implant itself
Dr. Akash, is a well trained Cosmetic Plastic surgeon in Breast surgery techniques. He has worked with top cosmetic surgeons in India and implements the gained knowledge into defining the art of cosmetic surgery to treat his patients and give them a naturally curved and contoured Breasts that they desire.
We, at AT Aesthetics, are committed to provide customized and transparent facial rejuvenation services. For any queries or booking an appointment click the button, we will get back to you soon.