Breast augmentation is one of the most commonly performed cosmetic surgery procedures worldwide. It involves increasing the size of the breasts, usually with breast implants or autologous fat injections (fat grafting). The motivations for this procedure can be aesthetic, functional, or reconstructive, such as in surgery following a mastectomy or to correct a congenital breast deformity.
Breast augmentation aims to improve the shape and volume of the breasts to meet the patient’s aesthetic desires or to restore breast volume lost after pregnancy, weight loss, or illness. There are two main techniques:
Breast implants are prostheses filled with silicone gel or saline solution, placed either under the breast tissue or beneath the pectoral muscle. There are different sizes, shapes (round or anatomical), and textures of implants, allowing the procedure to be tailored to the specific needs of each patient.
The procedure is performed under general anesthesia and usually lasts about 1 to 2 hours. Incisions are typically made either under the breast, around the areola, or in the armpit to minimize visible scarring.
Breast fat grafting uses the patient’s own fat, harvested via liposuction from another part of the body (such as the thighs or abdomen), to increase breast volume. This technique is ideal for those seeking a more modest and natural enhancement without implants. It can also be combined with implants to further improve results.
Breast augmentation offers several benefits from aesthetic, psychological, and even functional perspectives.
-Improved appearance: The main goal of breast augmentation is to enhance the size, shape, and symmetry of the breasts. This allows many women to achieve a more harmonious silhouette, particularly after pregnancy or significant weight loss.
-Boost in self-confidence: For many patients, breast augmentation helps them feel more comfortable in their bodies and improves self-esteem. Fuller or better-proportioned breasts can enhance confidence, especially in fitted clothing or swimwear.
-Long-lasting results: Modern silicone implants are durable, with a lifespan that can exceed 10 to 15 years. Therefore, the results are relatively long-lasting, although regular monitoring and check-ups are recommended.
-Reconstruction after mastectomy: Breast augmentation plays a key role in post-mastectomy breast reconstruction, helping patients restore a physical appearance closer to their previous body image.
As with any surgical procedure, breast augmentation can cause certain side effects, although they are generally temporary.
-Pain and discomfort: After the procedure, pain and discomfort are normal, especially during the first few days. This is more pronounced when implants are placed under the muscle. Pain relievers prescribed by the surgeon help manage this discomfort.
-Swelling and bruising: Swelling of the breasts and bruising are common in the days following surgery, but they gradually subside over a few weeks.
-Loss of sensation: Some patients may experience temporary loss of sensation in the nipples or surrounding skin. Sensitivity usually returns after several weeks, although in rare cases, it may become permanent.
-Scarring: Although surgeons strive to minimize scarring, any incision will leave marks. These generally fade over time but may be more noticeable depending on the incision method and the skin’s healing ability.
Although breast augmentation is a common and generally safe procedure, certain complications can occur.
-Capsular contracture: One of the most frequent complications is capsular contracture, which occurs when the scar tissue that naturally forms around the implant becomes too thick and begins to compress the implant. This can lead to breast hardening, pain, and changes in shape. In severe cases, surgery may be required to remove or replace the implant.
-Complications related to the contents of the implant:
– Implants containing saline solution: Over time, the saline solution may slowly pass through the wall of the implant, gradually making it less full. In this case, it may be useful to slightly re-inflate it via a small injection under simple local anesthesia.
– Implants containing silicone: The silicone gel may also slowly pass through the wall of the implant, allowing diffusion of this silicone into the body. The purity of the gel contained in silicone implants is therefore essential. In very rare cases, this silicone may cause a condition known as “ASIA syndrome” (anaplastic large cell lymphoma).
During the consultation, you are always free to request the booklet that accompanies the implants, in order to receive complete and thorough information.
-Infections: As with any surgery, there is a risk of infection. This can occur shortly after the procedure and often requires antibiotic treatment. In severe cases, temporary removal of the implant may be necessary to treat the infection.
-Hematomas and bleeding: A hematoma (accumulation of blood under the skin) can occur after the procedure and may sometimes require another surgical intervention to drain the blood.
-Implant displacement or rotation: Although rare, an implant can shift or rotate within the breast, altering its appearance. This may require corrective surgery.
-Anesthesia-related complications: General anesthesia carries risks, although these are extremely rare. Complications can include allergic reactions or respiratory issues during the procedure.
To optimize recovery and reduce the risk of complications, it is important to follow post-operative recommendations carefully.
-Rest: It is recommended to rest for several days after the procedure and to avoid any intense physical activity for at least 4 to 6 weeks.
-Wearing a compression bra: A compression bra is generally prescribed to support the breasts during the healing period and to minimize swelling.
-Avoid sleeping on your stomach: It is advised to sleep on your back for a few weeks to prevent excessive pressure on the implants.
-Monitoring scars: Regular application of healing creams or gels can help improve the appearance of scars over time.
Breast augmentation is a popular procedure that offers significant aesthetic and psychological benefits for many women. It allows for the improvement of breast size, shape, and symmetry, thereby enhancing self-confidence and body image. While side effects are generally minor and temporary, there are risks of complications such as capsular contracture, implant rupture, or infections. However, with proper post-operative care and regular medical follow-up, the results of breast augmentation can be long-lasting and satisfying for the majority of patients.