Well-placed and well-shaped voluptuous breast that are in harmony with the torso is a desire of every single woman.
“A breast augmentation surgery is a way to feel more confident & defines your womanhood”.
Breast augmentation is a surgery to increase the breast in size.
It is also known as breast implant surgery, boob job, breast aug or augmentation mammoplasty. The breast augmentation surgery uses breast implant as well as a fat transfer method to get the desired fullness of breast. It provides symmetry and a natural look to your boobs. Breast Augmentation surgery helps to restore volume that is lost after weight loss, post breast feeding and sometimes with ageing.
Not all woman is blessed with an aesthetically beautiful breast. It is important for self-esteem, confidence and personal relationships. It helps to boost your career if you are an artist or in show business.
According to ISAPS (International Society of Aesthetic Plastic Surgeon) survey 2018, Total breast augmentation surgery all over world is 1,862,506 which is 6.1% more than 2017. While 31,602 breast augmentation surgery were done in India in 2018.
Expert cosmetic surgeon Dr. Milan Doshi is well known for safe, natural looking and long lasting breast augmentation surgery result in Mumbai, India. Breast sizer and addition of real time 3 d virtual imagination with Crisalix helps you to decide best breast implant to match your desire.
Now Breast implant surgery has become one of the most common cosmetic surgery procedures. Every woman has different anatomy and a different desire for the breast volume and shape. A wide variety of different types of implants are currently available to match their needs.
Medical science and device engineering has seen a lot advancement. So breast implant has become quite safe, Breast implant life is about 10to 12 years but one must remember that breast implant is not a life-long surgery. The patient usually needs second surgery down the line.
Different size of the implants is available to match the patient’s desire and anatomy. The end volume of the breast is a total of patient breast native volume plus implant volume.
For long-lasting aesthetic breast shape, optimum volume implant to be selected. Optimum implant size is decided from the patient’s tissue characteristics like chest width, breast width, native breast volume, and skin characteristic.
Apart from the volume/size, there are only three design variables that describe each of these devices, i.e., shape, shell characteristics, and filling material. Understanding how these three variables mix and match allows the surgeon to choose best fit implant according to your desired breast shape and size..
The predominant shape incorporated into the design of a breast implant was classified as the round shape.
A “round” implant actually has a shaped aspect of its design. These implants are symmetrical in the horizontal and vertical dimensions; however, the projection tends to be less than the width or height of the device. The advantage is the height and width, which remains the same if the implant rotates inside as the shape doesn’t change. The disadvantage includes that if the upper pole convex is not covered by breast tissue properly, then the implant is felt from outside.
What has been traditionally called an “anatomically shaped” implant is an implant shell being asymmetrically designed in the horizontal, vertical, and sagittal (projection) dimensions. It is also called as “tear drop implant”. The projection increases from the top of the device down to the lower third of the implant. Which is designed to mimic the contour of a normal breast in the upright position. It corrects the ptosis of breast better compared to the round implant.
The original silicone gel implants were constructed with a smooth surface. It has some problem of capsular contracture means hardening and distortion of the breast.
It was discovered that coating an implant with a layer of polyurethane foam resulted in a dramatic reduction in the rate of capsular contracture. However, the late degradation of polyurethane resulted in capsular contracture and other complications.
So, silicone texture was developed to reduce capsule formation. There are two basic textures are used in the vast majority of silicone and saline implants: Biocell and Siltex.
Recently there are variation of texture like micro texture and Nano texture implant are also available.
Advantages of the textured implant include the following:
NOTE: Recently textured implant has been associated with ALCL (ACUTE LARGE CELL LYMPHOMA). ALCL is a low-grade curable lymph cancer and not associated with breast cancer as it occurs rarely. But smooth implant association with ALCL is not found
There are several filler materials are used in the breast implants, i.e., hydrocolloid gel and peanut. But, only two fillers stood with the time called Saline fillers & Silicone gel fillers.
The Disadvantage includes the following:
A greater degree of cross-linking of the silicone molecules give firmer consistency, which translates to better support for the anatomically constructed shell. Shape maintained during the upright position. It is called as form stable implant or gummy bear implant, less wrinkling at the upper pole and it has more sustainability.
Drawbacks include the following:
and filling material— (That are of various types)
Beyond the issues related to projection, what the implant is filled with can dramatically affect its performance. Because of their relatively low level of cohesively, saline-filled implants must be filled to a greater degree than silicone gel implants to perform safely;
One disadvantage of this overfill strategy, is the more rounded contour of the overfilled round device. In thinner patients, this rounded contour can distort the breast, creating an artificial, augmented appearance.
Filling the round implant with silicone gel is more easily tolerated by the round implant shell. Here an under fill strategy can be used because the wrinkles that form are much softer and place less stress on the implant shell. The wrinkles are also less likely to become visible through the skin envelope. This, together with the overall softer feel of silicone gel-filled implants, makes them a preferred choice among many surgeons.
The anatomically shaped implant has theoretical advantage in the context of creating an attractive breast contour. But if they rotate, then breast shape gets altered with the development of textured silicone surfaces.
This is an implant fixation method along with the anatomic concept for breast implants, and over the years, several different anatomic designs for both silicone and saline has been introduced.
TEXTURED short height anatomically shaped saline implants; textured, full-height anatomically shaped saline implant was developed for both augmentation and reconstruction. It was thought to be better suited for reconstruction because it could provide a better upper pole filler for the breast after the mastectomy.
The anatomically shaped textured cohesive silicone gel implant combined with a variable textured in order to provide an achievable outcome both in terms of augmentation/implantation and reconstruction.
The cohesive gel-filled anatomically shaped implant holds its shape when placed upright, whereas the saline device collapses in the upper pole, leading to the possible formation of visible or palpable wrinkles.
Manufacturers have developed a series of combination devices in an attempt to combine the advantage of saline volume adjust ability with the soft feel of silicone, Generally, the outer lumen is developed a silicone gel filling material as well as inner lumen is filled with saline. The valve which passes through the outer gel component makes the access of the inner saline portion. This concept has also been explored in patients with volume adjust ability with the final desired size by adding saline as needed as post operatively, then eventually removing the remote port.
Although its use has limitations to a certain extent in daily aesthetic practice.
Undergoing any form of surgery is totally a personal choice and should not be done under someone’s influence, you need to take into consideration about your satisfaction and happiness you will get having desired breast size and shape.
Today you get all general information on your finger tip. During personalized consultation you get specific information about your breast implant surgery. The consultation is an opportunity to ask specific questions regarding your breast implant surgery.
It is good to make a list of important questions before proceeding for the consultation step. So you won’t miss addressing any of your concerns. The patient care coordinator is always there to help you.
Now you can have consultation from comfort of your home. This saves lot of time and provides comfort. There is no need to travel just for consultation. Take your photographs as advised and mail to us. We create your 3 D image with crisalix software. We can share screen with you and you can see the real time edited changes. It gives you realistic idea, what look can be achieved by the breast augmentation surgery.
In preparing for the breast augmentation procedure, you may be asked to:
Take certain medications or adjust your current medications
There are various techniques for breast implant surgery
The augmentation memoplasty surgery should be performed in an accredited surgical center or a hospital. This is for your safety..
If your procedure is performed on a day care basis, you should be accompanied by someone who will drive you home from the hospital or can stay with you on the day of the surgery.
Please inform about:
The Cosmetic Surgeon Will:
B) In the Operation Theater
General aesthesia is administered for your comfort during the surgical procedure.
Incisions are made in discreet areas so that scarring is not visible or is hidden under clothing. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options include: along the areolar edge (peri-areolar incision), the fold under the breast (infra-mammary fold) and in the armpit (axillary incision). A belly-button approach (TUBA) is associated with a higher complication rate.
Incisions vary based on the type of mammoplasty surgery, degree of enlargement the desired, your particular anatomy, and the body type and patient-surgeon preference.
After the incision is made, a pocket/ space is created :
Haemostasis is achieved. Through wash with saline given. Pocket is irrigated with antibiotics solution.
Step 4 – Implant placement: Implant is placed in pocket with no touch and very gentle technique. The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body and skin type and your surgeon’s recommendations.
Incisions are closed with layered sutures in the tissue and skin, skin adhesive or surgical tape to close the skin. Sutures are inside and not visible on the outside and there is no need for removal.
Over time the incision lines will fade. The quality of the scar depends on many things, including your genetics, exposure of your body to nicotine and infection.
The results of the augmentation procedure are immediately visible.
While the results can be seen with immediate effect after the procedure is completed, initially, implant might look higher on the chest and nipple might point downwards. It will settle in a month’s time, however, the final results may take a few weeks as the swelling subsides and the skin stretches. Some patients will have to wear the support bra to help shape their breasts, especially they have asymmetrical boobs or the size is too small. Incision marks will heal with the application of medicines and ointments provided by the surgeon.
The selection of optimum size implants gives long term aesthetic results.
One should understand that the implant is not a lifetime procedure. One requires yearly screening test post-procedure and may require to change after a time.
Your breast size might change owing to aging, weight fluctuations, hormonal factors, and gravity. As the appearance of boobs changes with time, some patients have the option to choose from the breast lift or implant exchange to restore a more youthful contour and more youthful appearance.
Most women feel it’s worthy to go for the procedure.
Take as much liquid as possible once you are comfortable. We maintain our patients on a liquid diet on the day of surgery, which is subsequently advanced the following day to a soft regular diet .As such there is no restriction on diet, but to achieve better result and sound recovery, we recommend high protein, low fat and low carbohydrate diet. Please watch your weight. Try to stay 1-3 pounds lighter than your pre-surgical weight.
Keep the head of the bed elevated at an angle of 45 degrees to help maximise postoperative comfort. You can change your position and turn side by side. Keep your leg moving in bed
Depending on the extent of the liposuction and individual tolerance, you are advised to walk as much as possible on the day of evening once you are conscious. One can do office like job in 2 to 3 days .One can do heavy gym and jerky activity in 2 weeks time. You can do cardio like activity in 7 to10 days.
One will have numbness till the late evening on the day of surgery. Pain is easily managed by pain killers; one will feel like something is done, One will feel stretching and pain like stretching, or while changing position, it is normal. You will have soreness on pressing the operative site.
Usually we follow the open drainage technique. Injected tumescent fluid, residual fat, broken tissue will come out from the tiny punctures and it will be blood stained. So tissue reaction, swelling, bruising and pain will be less, and recovery will be faster. Amount and duration of the fluid discharge depends on the area of surgery and extent of fat removal. Normally it stops in a day or two. In case of mega liposuction, it may last longer. In the hospital sister will do dressing. And you will be taught how to take care of dressing before discharge. Mild bruising may occur for 3 weeks after surgery. If there is excessive bleeding or swelling or pain unrelieved by medication, please call the doctor immediately.
3 weeks -24 hours-can remove for bath and put back with seam on the outside
3 weeks-10 to 12 hours
Avoid bending, Avoid wrinkle, wet cloth
Tighten the cloth if it becomes loose
One may develop swelling distal to pressure garment on limb due to pressure, on removing
pressure garment for short time swelling will reduce. Wash in normal tap water. Don’t
squeeze-avoid drier and sunlight- don’t iron -don’t hang.
Take bath after discharge is stopped in running water i.e. Shower bath (No bath in Bath tub).Make area dry and covers the wound with bandage. You may wash and dry the garment at the same time when you are showering.
One can see huge the difference in shape immediate after surgery except in body sculpting liposuction, although it is a partial result. Initial 7 to 10 days, there is increase in swelling so result will be less visible. Over one month you will see most of the result as swelling reduces. Improvement in shape and skin tightening goes on for 6 to 8 month.
After the discharge ,you have to do postoperative visit at 3 days , 7 days ,15 days and then after 1 month.
It is advisable to visit the clinic at 3 and 6 months after the operation. Inform doctor, if swelling, redness pain, hardness KEEP WATCH FOR
Redness, swelling, pain, fever, bleeding or discharge
Visit hospital immediately
Like any surgical procedure, breast augmentation surgery has also some risks and complications.
The risk of complications increases with large implant surgery or doing multiple procedures at the same operation session.
Improved asepsis and tissue hygiene and no touch technique have reduced contracture incidence significantly
Your breasts will be wrapped in gauze dressings. An elastic bandage or support bra will be provided that will help to minimize swelling and support the boobs during the healing process.
Immediately after the procedure, you will be taken into a recovery area for close monitoring. You may be permitted to go home when you are stable for discharge, typically after an hour or so.
Before leaving, your surgeon will provide instructions regarding the implant procedure. You will be asked to visit the surgeon again for your follow-ups. You may also receive medications or a prescription for your fast recovery. Your prescribed medications may include pain pills and an antibiotic to prevent infection and heal the scars.
You will be advised to wear the support garment (a bra or elastic band, called a bandeau) around the clock. This will help in faster healing and make you comfortable. Patients need to maintain hygiene on the incision sites and clean it daily and apply ointment. Instructions vary, so it’s important to follow all your plastic surgeon’s directions carefully.
There might be swelling around the breast. There is nothing to get worried about. It is normal, however, it is best to inform your surgeon. They can provide the best advice. The pain will subside within 5 to 6 days of the procedure depending on surgical technique, medications will be provided. You can resume exercise and normal activity according to your plastic surgeon’s directions.
Dr Milan Doshi, M Ch (plastic surgery), is a Indian board-certified plastic cosmetic surgeon with 21+ years of experience.
Dr Milan Doshi is a pioneer name in the cosmetic surgery in MUMBAI, INDIA and exclusively performs cosmetic surgeries. He is a recognized member of the ASPS, ISAPS, APSI, IAAPS he has trained more than 50 plastic cosmetic surgeons across India and has been a recognized as a mentor by ISAPS.
He has done more than 10,000 cosmetic surgeries and patients from 50+ countries got benefited by Dr Milan Doshi’s expert surgical hands.
He has a credit for performing more than 1,000 breast augmentation surgeries in his career.
He regularly performs saline breast implants, structured saline implants, Silicone implants, Gummy bear implants, Round implants/anatomical implants, smooth implants//textured implants, and to offer a properly desired shape and size by the patients. He has a credit for many presentations for breast augmentation, Mammoplasty at various national & international conferences.
No wonder Dr Milan Doshi has been recognized as a celebrity cosmetic surgeon for Bollywood fraternity and credit of happily satisfying hundreds & hundreds of Augmentation Mammoplasty patients across the globe.
We have two centres in Mumbai, I with state-of-the-art facilities the cosmetic surgery clinic at Andheri West is for the non-surgical procedure where one can get the pre-procedure consultation, post-procedure follow-ups. The Andheri West centre of Allure Medspa is a prime attraction for celebrity people as it is a hotspot destination for production houses and their offices.
We provide real time 3 D virtual consultation. You can see yourself how you will look with said implant. So you are more sure about your breast size and shape after surgery. More so you can send few images .so you can do consultation from the comfort of your home.
The cosmetic surgery hospital/centre in Goregaon West is NABH certified.
The two separate modern operation theatre, advanced patient’s monitoring system during operation and post-operative care add to the safety of the procedure.
We are all updated with the latest technology. We recommend the particular option of the technology/method of the procedure according to the patient’s need, expectation and desired goal of the Augmentation procedure.
Due to the facilities of equipment such as an ultrasonic cleaner, ETO-sterilization, autoclave, fumigation and stringent protocols we ranked highest in the safety and hygiene measure.
With an indoor overnight facility one can find the best ambiance in our centre where the patient’s comfort is kept in mind with in-suit bathrooms & rooms are equipped with all the necessary things such as microwave, refrigerator, LCD TV, landline phone, etc. and make a homely feeling for the patients during their hospital stay.
The staff at Allure Medspa take all precautions to make your journey of fine to fabulous a pleasant experience. One can have a homely feeling even with the medical procedure.
Our centre is committed to providing exceptional care, standard facilities, and advanced measure for the procedure and all under a single roof.
The patient’s profile includes the need for augmentation procedure, technique of the breast implant surgery, and size of the implant as well as the general health of the patient and the goal of surgery.
The board-certified surgeon is firstly counted for the cosmetic procedure, especially the augmentation procedure. The M Ch, MS, and MBBS surgeon who has expertise in performing the procedure and recognized by various national & international cosmetic centres, i.e., ASPS, ISAPS, weigh the cost of the surgery.
Anesthesiologist makes your surgery painless and monitors your vital parameters during surgery and his expertise is important for the safety of the surgery.
It is always important to choose the accredited centre rather than the daycare centres as it can assure you about safe and successful breast augmentation surgery. NABH accredited centre is counted as the best centre/clinic that confirms the safety & hygiene associated with the surgical procedure. Operation theatre monitoring equipment, level of sterilization, a used instrument for special purposes.
The facilities of in-suite room, cleanliness & hygiene as well as 24/7 staff support system.
Medicines including the implants cost, surgical medicine, disposable and consumables.
The required number of follow-ups after the augmentation surgery may enhance the cost of the procedure.
|PRIMARY BREAST AUGMENTATION||60,000 TO 70,000|
|BREAST AUGMENTATION WITH BREAST LIFT||85,000 TO 1,10,000|
|IMPLANT COST||45,000 TO 55,000|
Q: What is breast augmentation?
A:Breast augmentation is a surgery to increase the breast size. Breast Augmentation surgery also helps to restore volume that is lost after weight loss, post breast feeding and sometimes with ageing. It can improve shape and asymmetry of the breast. It is also known as breast implant surgery, boob job, breast aug or augmentation mammoplasty. Breast augmentation surgery uses breast implants as well as a fat transfer method to get the desired fullness of breast.
Q: What are breast implants?
A: Breasts implants are prosthetic devices used to change the shape, size and contour of the breast. There are mainly 2 types of breast implant- silicone and saline. They are surgically placed behind the fat layer of breast to give a more natural look while still maintaining the normal functioning of the gland.
Q: Can breast implants cause rib pain?
A:Rib pain is not a problem,with proper selection of implant size and shape based on individual anatomy and surgical technique it is safe surgery.
Q: Do you have to replace breast implants?
A: Ideally breast implant has to be changed/ removed after 10 to 12 years.
Q: Is breast implants painful?
A: Immediately post-surgery pain is managed with pain medication.one feel some soreness. An expert surgeon will help you to choose a perfect size and shape of the implant and with his precise surgical techniques, implants will not create any pain in future.
Q: Can breast implants cause cysts?
A: No breast implants generally do not cause cysts when opted for the right surgeon and surgical technique.
Q: How safe is breast augmentation?
A: Due to highly developed techniques, breast augmentation is a highly safe and routinely done procedure. Breast implants are the most studied medical devices. These prostheses are FDA / CE approved and approved by Indian FDA thus very safe. Smooth silicone implant is safer than a textured implant.
Q: What to wear while recovering from breast augmentation?
A: You will be advised to wear the support garment (a bra or elastic band, called a bandeau) around the clock for a month. This will help in faster healing and make you comfortable. You’ll also appreciate having some loose-fitting sweatshirts and zip-up or button-front tops.
Q: When does swelling go down after breast augmentation?
A: Swelling around breast goes down in a month time.
Q: Do’s and don’ts after breast augmentation?
– Immediately after surgery – you can do your normal daily activity.
– 1 week after –. Start slowly with light exercise such as small tasks around the house or garden.
– Week 3 –You can start exercise for the upper body gradually.
– Do wear your supportive compression bra after surgery
– Do keep your incisions clean, dry and properly bandaged
– Don’t sleep on your stomach or sides
– Don’t lift anything heavier
– Don’t smoke after surgery, as it can interfere with your body’s ability to heal.
– Don’t drink alcohol
Q: How is breast augmentation performed?
A: The surgical procedure is very commonly done. It is a day care surgical procedure..
– BEFORE SURGERY– doctor will understand your desire and plan out a tailor made plan. Preoperative fitness work up is done and preparation started
– DURING SURGERY– surgery is done under general anaesthesia.
– AFTER SURGERY– as soon as you recover from anaesthesia you can go home and take rest. You might call for someone to drive you back.
Q: How to plan for breast augmentation?
A: In order to plan for a breast augmentation surgery, you should:
– Think about the look you want- talk about your expectations in consultation
– Start with research- read and educate yourself with the surgical techniques and implant options
– Check out plastic surgeons and good surgical centres- do not compromise the quality of your surgery tosave a few bucks..
– Pick your breast implants- gather information and ideas about the different types of implant options available and talk with your surgeon on what suits you the best.
– Save the date- apply for medical leave in your workplace, have someone that can take care of you, arrange for help etc.
Q: How does pregnancy affect breast augmentation?
A: If Optimum size of the implant is selected for your body structure, there is no adverse impact on pregnancy. Mostly women are able to do normal breast feeding after getting implants. With selection of appropriate shape and size of implants, they do not interfere with the milk ducts and nerves responsible for stimulating milk production.
Q: What are silicone breast implants made of?
A: It is a pre-filled silicone shell implant, filled with silicone gel, a thick, sticky cohesive gel. It closely mimics the feel of human fat. A greater degree of cross-linking of the silicone molecules give firmer consistency, which translates to better support for the anatomically constructed shell. Shape maintained during the upright position. It is called a stable implant or gummy bear implant, less wrinkling at the upper pole and it has more durability. However it feels little more hard.
Q: How painful is breast augmentation recovery?
A: You can expect to have some degree of pain after breast augmentation surgery. In general, pain medication gives you good pain relief; however you will feel soreness for 7 to 10 days following surgery.
Q: Is the result of breast implant permanent?
A: The result of mammoplasty normally lasts for 10 to 15 years. However, in some unforeseen circumstances, it might require removal. You will have to consult with your surgeon regarding the decision.
Q: How safe are silicone implants?
A: The breast implant is the most widely studied the medical device. Silicone implants are much safer than before. They are FDA-approved.
Q: Is it necessary to maintain an ideal weight prior to the breast augmentation procedure?
A: Boobs size increase or decrease with weight gain or loss. One should be at a more or less stable weight to get a long term result.
Q: Will breast implants make my boobs look fake?
A: The consultation with the surgeon is necessary for such a stage. The surgeon will recommend the size and shape of the implant to fit your anatomy, your skin laxity, and volume of your native breast tissue. Implants that are placed under the muscle, have a lower set profile and are made of cohesive silicone gel tend to look the most natural.
Q: Can I massage my boobs after the augmentation surgery?
A: On modern surgical technique, which is less traumatic, there is no need for boobs massage after implant surgery. However, in past, all patients were advised about post boob implant surgery massage.
Q: What can be done if I change the mind and no longer want the augmentation after undergoing the surgery?
A: If you want to remove the implants in the near future, you can opt for implant removal. If you want a smaller size, you can switch to smaller implants. However, it is important to keep in mind that while removing or replacing the implants, your skin is likely to get stretched and might look different. Implant removal with a breast lift may help you to maintain the shape. Therefore, have a one-on-one consultation with the surgeon before deciding about it.
Q: Will the nipples lose sensation after undergoing the breast augmentation?
A: With the selection of optimum size mammoplasty, boobs sensation is preserved, it rarely gets affected and very rarely they are lost. Most of the time in such circumstances, the sensation recovers in 6 months to 12 months.
Q: How long does one need to wait after giving birth to have mammoplasty surgery?
A: It is advisable to wait for at least three months after the delivery or stopping breast-feeding to opt for the surgery. The body requires 3 months to get back to shape.
Q: Will breastfeeding be hampered if one undergoes breast implants?
A: With proper selection of implant size and shape based on individual anatomy and surgical technique, breastfeeding is not a problem. It is better to have a discussion with your surgeons regarding the options available so that the implants do not damage the milk ducts.
Q: Can pregnancy affect breast implants?
A: An increase and decrease in the size of one’s own breast tissue during pregnancy can affect the shape of the boobs.
Q: What is the limitation of Breast Augmentation?
A: Breast augmentation does not correct severely drooping boobs. A breast lift may be required along with a mammoplasty for sagging breasts to look fuller and lifted. Breast lifting can often be done at the same time as your augmentation or may require a separate operation. Your plastic surgeon will assist you in making this decision.
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