DR G DE AGUIAR

PLASTIC, RECONSTRUCTIVE & COSMETIC SURGEON

Procedures - BREAST AUGMENTATION


Introduction:
Breast enlargement or breast augmentation(also called augmentation mammoplasty), involves surgical placement of a specially designed breast implant behind each breast in order to increase its size and enhance its shape. Often the result of weight loss, childbirth, or the aging process, the breasts can lose volume and change shape. Also, many women choose to have their breasts enlarged in order to satisfy their desire for a fuller bust line. Breast augmentation may be performed in order to achieve better symmetry when breasts are moderately disproportionate in size and shape or to improve the shape of breasts that are sagging or have lost firmness (often used in conjunction with a breast lift procedure). Breast augmentation can be performed at any age after the breasts are developed.

Best Candidates for Breast Augmentation:
Breast augmentation can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate.A mammogram may be recommended prior to your procedure to ensure breast health and serve as a baseline for future comparison.

The Procedure:
Breast enlargement surgery takes between one and one-and-a-half hours, and is performed under general anaesthetic. The operation itself involves making an incision of approximately four to five cm in length in the crease under the breast. This incision is then used to access and create a pocket into which the implant is placed before the wound is sutured closed.

To enlarge the breast the implant is inserted either directly behind the breast itself or beneath the muscle (and partly behind the breast). Implants can be filled with saline or a cohesive silicone gel and can be either round or tear-shaped. Round implants provide more fullness at the top of the breast, along with a deeper cleavage. Tear-shaped implants, meanwhile, can appear more natural with their ‘anatomical’ shape. With either of these options, there are varying degrees of projection, depending on whether patients want their augmented breasts to look subtle or more noticeably perky. Temporary implants or sizers, placed inside a bra, can help patients assess their options and make decisions about which implants will help them achieve the size and shape they desire.

Some patients are able to go home the same day, but many patients will spend one night in hospital. Post-operative pain in these procedures is controlled with the use of analgesic medication. Patients will be mobile from day one and should be back to full exercise within six weeks. Depending on the type of work and its daily demands, patients are recommended to take around one to two weeks off work immediately after the operation in order to ensure they recuperate fully. The extent of scarring is variable as each patient represents a unique biological system. During the first few weeks, scars will be quite red and gradually change to purple during the early months before fading to white. Most patients experience minimal scarring in the longer term. Following the surgery, you will be required to proceed with a “scar management program”, the details of which will be discussed in the consultations.

Benefits:

  • In addition to the aesthetic benefits that a fuller bust line brings, data has shown patients often experience an increase in confidence.
  • It is often possible to return to work within a week, depending on the nature of your work.
  • There is no scientific evidence that breast augmentation increases the risk of breast cancer, autoimmune disease, or any systemic illness.
  • There is no evidence that breast implants affect pregnancy or ability to breast-feed.
  • Breast screening including ultrasound and mammograms, if performed by an experienced radiologist, can be conducted as normal.


Risks and Considerations:
  • Every surgical procedure carries some risk. Although uncommon, potential complications may include reactions to anaesthesia, blood and serous fluid accumulation that may need to be drained surgically, infection, implant extrusion, asymmetry, palpability or rippling of the implant.
  • Changes in nipple or breast sensation may result from breast augmentation surgery, although they are usually temporary.
  • When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. If the capsular contracture is severe, it may cause discomfort or changes in the breast’s appearance. Additional surgery may be needed to modify or remove scar tissue, or perhaps remove and replace the implant.
  • As with other surgical implants, breast implants cannot be expected to last forever. Implant replacement may be required at a future date.
  • Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of breast augmentation.
  • In some instances, particularly if large implants are used or there is a tendency to breast droop, a breast lift procedure may be required in the future.
  • Regular examinations for breast health and to evaluate the condition of your implants are important whether you have chosen saline or silicone breast implants.

Procedures by Dr De Aguiar

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Body

Just as the facial muscles may sag or wrinkle with age, so can the skin on the torso, breasts, thighs and upper arms.

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Breast

Loss of skin elasticity, the force of gravity and other factors such as weight loss, pregnancy and breast-feeding ultimately affect the shape and firmness of a woman’s breasts.

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Face

As part of the natural aging process, our skin progressively loses its elasticity and our muscles tend to slacken.

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Reconstructive

From the top of the head to the tip of the toe, and from newborn babies to the very elderly, reconstructive surgery is used to treat a wide range of conditions.

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Non Surgical

Apart from the cosmetic uses of Botox, the drug has been used to treat more than 70 medical conditions.

Commitment

Choosing to have plastic surgery requires thorough research and educated decision-making. This website is designed to help guide you get to know a little bit more about my practice and understanding of the procedures and treatments available to you. I look forward to meeting you which will allow you to make a better informed decision around treatments or surgery best suited to you.

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TEL: 011 304 6642
FAX: 011 304 6800
CELL: 072 144 9901

ADDRESS: Room GF07, Netcare Waterfall City Hospital