Well-placed and well-shaped voluptuous breast that are in harmony with the torso is a desire of every single woman. Breast augmentation is a cosmetic surgery to enhance the breast in size. It is also popularly known as breast implant surgery, boob job, breast aug or augmentation mammoplasty. Breast augmentation is done using breast implants as well as fat transfer method to get the desired fullness.
Women choose to undergo breast augmentation for very personal reasons. Some women have always felt self-conscious about having smaller breasts, while others want to restore volume that is lost from pregnancy and breast feeding, significant weight loss or ageing. Breast Augmentation has also proven to be an excellent solution for noticeable breast asymmetry in women.
Whatever your reason is for considering breast augmentation, Dr. Rani can guide you, understand your needs and suggest the best plan that suits you according to all the options available in UAE for achieving an aesthetically beautiful, safe, natural looking and long lasting breast augmentation results.
Three different options are available for Breast Augmentation;
- “Breast Implants” remain gold standard procedure for Breast Augmentation as it provides definitive and predictable enhancement in the size of the breast;
- In “Autologous fat transfer” one’s own body fat is harvested from areas where it is in excess and transferred to the breast in specific planes to increase breast volume. Volume augmentation in the breast is very modest with this procedure since some amount of fat is resorbed by the body. Hence patients often require a repeat session to achieve desired augmentation.
- With “Composite Breast Augmentation” breast implant and fat transfer are combined to enhance the breast volume. Composite Breast Augmentation allows us to add volume in specific areas of breast especially in upper part of the breast and allows possible cleavage enhancement.
Dr. Rani prioritizes in providing honest feedback and elaborate conversations with her patients. She carefully reviews patient’s medical history and clinically evaluates the patient and her breasts. During the consultation, she asks patients about their goals for breast augmentation. After listening to patient’s goals, Dr. Rani conducts a thorough physical examination that considers following physical characteristics.
- Existing breast volume, width, and height
- Position of Nipple
- Areola size
- Curvature of the Rib cage
- Breast skin tone and laxity
- Existing Asymmetry
- Position of the breast crease
Dr. Rani then helps her patients understand their best options based on their physical characteristics.
Breast Implant options and selection:
Breast Implants come in wide range of the sizes, shapes, profiles, and textures to accommodate their unique needs and goals.
Proper Implant size selection:
Size: Implant size selection is mainly determined by the breast foot print, which is the width of the breast, also taking into consideration patients desires. Many times there is significant difference in the volume of right and left breast. Dr. Rani chooses different size of breast implant to make the augmented breast look more symmetric. The eventual goal is to make the breasts look harmonious with the rest of your body.
Type: The material filling the implants can be either saline or silicone gel. Silicone gel implants have different degrees of cohesiveness, and the choice is based on personal preference. Majority of my patient request silicone implants as they feel more natural.
Profile: This relates to how far the implants will project from the chest and how your breasts will look from the side. Implants can be low profile, medium profile, high profile or very high profile. The higher the profile the narrower is the base of the implant. Hence a low profile implant is appropriate for some one who wants a fuller breasts side, also known as “side boobs” and softer breasts. While high profile is appropriate in someone requesting more upper pole fullness, rounder and firmer breasts.
Shape and Texture: Dr. Rani uses smooth, round implants for virtually all patients.
Incision Location: Breast augmentation can be performed with incision placed in the breast crease (inframammary incision), along the lower border of the areola (periareolar incision) or in the arm pit (transaxillary incision). Dr. Rani prefers inframammary incision. This is an ideal location for incision as the resulting scar heals beautifully and this approach avoids transecting the milk ducts there by retaining the ability to breast feed. The periareolar incision also heals very well, however it transgresses the milk ducts there by increases the chances of capsular contracture (a complication that occurs when scar tissue contracts around the implant capsule) in future. Incisions made in the armpit area (transaxillary incision) are an option if you choose saline implants.
Implant Location: implants can be placed either in the subglandular/subfacial plane or in the submuscular plane/Dual plane.
In subglandular placement, the implants are placed under the breast glands above the chest muscles. This option works best for patients with enough breast tissue to camouflage the implant’s edges.
In the Dual plane placement, the muscle covers the upper portion of the implant, providing additional coverage over the implant in the cleavage area. This greatly minimizes the visibility of the implant edges.
Post Breast Implant screening:
The FDA recommends that people with silicone implants get regular screenings to detect silent ruptures.
For asymptomatic patients, the first ultrasound or magnetic resonance imaging (MRI) should be performed at 5-6 years postoperatively, then every 2-3 years thereafter. For symptomatic patients or patients with equivocal ultrasound results for rupture at any time postoperatively, an MRI is recommended, whether implants are for cosmetic augmentation or reconstruction. These recommendations do not replace other additional imaging that may be required depending on medical history or circumstances (i.e. screening mammography for breast cancer).
Additionally, FDA is also recommending ultrasound as an acceptable alternative to MRI for screening asymptomatic patients with breast implant in situ. These additional labeling recommendations were discussed at the March 2019 Panel Meeting.
Breast implant aren’t lifetime devices. FDA advices that they need to be changed after 10 years of surgery.
Breast Implant warranty:
Ask your Plastic Surgeon regarding the Implant warranty. Many implant manufacturers provide implant warranty against implant rupture and capsular contracture.
Silicone breast implant are not akin to silicone, so beware:
Lastly, silicone used for breast implants is different than injectable silicone. Injectable silicone is not FDA-approved for breast augmentation, breast reconstruction, or for any body contouring.
Always chose a board certified Plastic Surgeon to undergo breast augmentation or any cosmetic and other plastic surgery procedures to assure safety and predictable outcomes.