Breast augmentation with implants is a surgical procedure that aims to increase breast size and / or improve breast shape. During the procedure it is also possible to minimize small size differences between the breasts.

WHAT IS THE OPERATION?

The breast implants can be inserted through an incision in the breast fold, in the armpit or around the lower edge of the areola (the most common method at the Aesthetic Med clinic). The breast implants can be placed under or over the chest muscle. In the Aesthetic Med clinic, 95% of the implants are placed under the muscle – due to the better aesthetic results, the greater safety of the patient and the less likely formation of a pouch around the implant (breast hardening). The breast implants cannot increase sagging or sagging breasts as they appear after weight loss or pregnancy. If the breasts are too sagging, a breast lift (mastopexy) should be used. The surgery is performed under general anesthesia in the operating room, performed by anesthesiologists and anesthesiological nurses. The procedure lasts around an hour and after that you will probably stay in the clinic for about 3 days. This time may be longer in some cases, and the pain will last a few days. You can expect the greatest discomfort within the first 72 hours. Most of the time, the basic pain relievers are enough and you will get them continuously in the Aesthetic Med clinic.

What types of implants are there?

The breast implants are available in different types, shapes and sizes. In the Aesthetic Med clinic, round implants with an anatomical shape are currently used in various projections. Most implants are made with silicone or polyurethane outer protection and filled with silicone gel.

The choice of the correct implant size and shape will be discussed with you on your first visit. It is important that you have time to make a decision about the shape and size of the implant you want. Of course, the surgeon will help you make this decision. In some cases, we can achieve a better shape by using a specific type of implant that the surgeon recommends to you during the consultation.

HOW LONG DO THE IMPLANTS STAY IN THE CHEST?

The implants are designed for life and they do not need to be replaced after a certain time. Over time, however, muscles and skin become flabby as a result of weight changes and pregnancies, which changes the shape of the breasts. In such cases, implant replacement is possible to optimize the breast shape.

The implants used at the Aesthetic Med clinic have a lifelong guarantee from the manufacturer. If the implants need to be replaced in the coming years, this guarantee extends to the cost of the implants, but does not include the costs of the intervention to be carried out. But before going to any surgery you can also try some natural remedies for breast enlargement.

WHAT ARE THE DANGERS AND SIDE EFFECTS OF THE OPERATION?

If you think of plastic surgery, it is assumed that it must be a very positive impression. In fact, complications are extremely rare and mostly insignificant, but there is some risk involved in any operation, depending on the individual characteristics of the patient. So, it is important that we are aware of these potential problems.

A possible consequence of breast augmentation surgery is that the breasts can be harder than usual. The body always produces scars around a foreign object and the breast implants are no exception. After breast augmentation, the body creates a natural connective tissue shell, which in some cases can increase in strength, which results in the effect of the hard breasts (one capsule). In such a case, the breasts can exceptionally become hard and then they look rounder or more deformed. A repeated operation may then be necessary, which consists in cutting the bag, or cutting it out partially or completely.

Infection of the implants is rare and can result from extensive bleeding during the procedure and the development of a postoperative hematoma. On very rare occasions when infection occurs, the breast implants can be removed. The new implants can be replanted after the infection has stopped.

The anatomical teardrop-shaped implants can rarely turn around or change their position after the procedure.

There may be complaints related to breasts and warts, such as numbness, decreased feeling or increased tactile sensation. They are mostly temporary, but these changes can be, to some extent, permanent. Quite rarely, the scars become red and wide, which can take a few months.

An implant that makes waves or wrinkles can be a bigger problem for very slim people or those who have very little breast tissue. However, complications are significantly less if the implant is placed under the chest muscles.

Very weak implants are very rare and can burst over time. You should therefore consider whether you are prepared for the possible intervention and the associated costs, in particular for the higher prices of the implants from renowned companies that the Aesthetic Med clinic uses.

There may also be a general risk associated with any surgery, such as the formation of a blood clot in the leg that needs treatment (known as deep vein thrombosis), but the risk of such an event is very rare. Some of these blood clots can be broken through and transferred to the lungs, causing acute breathlessness and chest pain. These symptoms are known as pulmonary embolism, which is very rare but can be life-threatening. The development of a respiratory infection is similarly rare, with an increased likelihood of this complication in smokers.

There is no evidence of a link between the silicone-filled implants and the development of any form of disease. Breast augmentation does not increase the risk of breast cancer. You will still be able to have your breasts examined with the implants and an ultrasound examination is necessary at least once a year after breast augmentation. Mammography is still possible after breast augmentation, but you should inform the radiologist beforehand that you have had the surgery.

Some women fear that breast augmentation will affect their ability to breastfeed, but this is unlikely. If breastfeeding is important to you, it is best to seek advice from the surgeon for additional information

All dangers will be discussed with you in detail during the consultation hour before the procedure. However, if you have any questions or doubts of your own, do not hesitate to discuss them with the surgeon.

HOW TO PREPARE FOR THE INTERVENTION?

The surgeon will present the possible dates for the procedure and then ask you to choose the one that suits you best. When planning the procedure, an appointment should be made up to two weeks after the last menstrual period, which reduces the possibility of postoperative complications. Depending on your age and general health, you may be asked to undergo routine blood and heart tests (morphology, ionogram, APTT, EKG, chest x-ray, and chest ultrasound) before admission. All the time, you are able to ask questions or share doubts that came up during the process.

You will be admitted to the hospital on the day of the operation. If general anesthesia is necessary, you will be asked not to eat and drink six hours before the operation, which also applies to chewing gum.

If you smoke, it is worth giving up six weeks before admission to the hospital. The principle is: the earlier you quit smoking, the better, because smoking reduces the amount of oxygen in the body and can significantly increase the risk of postoperative complications.

On the day of surgery, it is also important to tell the surgeon, anaesthesiologist, and nurse about all the prescription and over-the-counter medications you take, including all drugs used to relax.

Drugs containing acetylsalicylic acid should be avoided two weeks before the operation because they increase the risk of bleeding during the operation. You may also be asked to stop taking birth control pills or hormone replacement therapy 30 days before the operation. Your doctor will advise you accordingly.

Organize your return home so that someone can take you with you, because you will certainly not be able to drive a car alone.

What happens after the surgery?

Expect sleepiness after surgery, because you will most likely wake up and go back to sleep the rest of the day. You may not feel well and feel chest pain. Pain relievers will minimize your discomfort to date.

Two small tubes (so-called drainage) can be inserted on both sides of the wound in order to draw off excess blood or body fluids. You will be removed home before your discharge.

Initially, your breasts may appear larger than you expected. It is normal and will take a few months before the swelling subsides and the implants move into the new position.

You will be examined again by the surgeon and / or nurse immediately before discharge. All permanent sutures should be removed 7-10 days after surgery.

You will also receive an information sheet and the details of your implants. This includes the manufacturer, style, catalog and lot / lot number. This information should be kept in a safe place.

We reiterated that you will not be able to drive a car alone. So, it is best if there is someone with you who stays at home with you for a few days. If you have any doubts, contact the Aesthetic Med team and ask for advice.

What is the scheduled time for convalescence, absence from work and return to normal activity?

The time for convalescence and full recovery can vary depending on the individual characteristics of the patient, so consider the following data solely as a rule of thumb. If you have any questions during this time, contact the Aesthetic Med team and ask for advice.

When you get back home, you should only carry out very light activities for the first few weeks. To prevent complications, however, you have to get up and move after every hour. However, intensive arm movements and every major effort up to six weeks after the operation should be avoided.

There is a simple principle: if an activity is painful, refrain from doing it. You should also wear a properly fitted sports bra day and night four to six weeks after the procedure.

After breast augmentation surgery – step by step

Day 1 to 4

You stay in the care of doctors and nurses in the Aesthetic Med clinic and follow your instructions for

5-14 days.

You wear the bra day and night. Seam removal is recommended after 7-10 days. You can gradually increase your activity but do nothing physically demanding. You can start driving after 14 days.

Two weeks of

bruising and swelling decrease. You can go back to work 2 weeks after the procedure.

4 weeks

After four weeks you can start doing light exercises, but avoid heavy physical exertion in the next two weeks. The external appearance of the breasts continues to improve.

6 – 9 months

The changes recede, the scars begin to soften and disappear. You can start evaluating the bottom line.

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