Breast augmentation surgery enhances both your breast size and shape. Some women choose silicone or saline breast implants because they are unhappy with their natural size, while other women choose to have surgery to restore youthful shape and projection once they’re done having children and nursing. Your reasons are very personal and unique, but women choosing to get breast implants find that OMNI Surgery + Anti-Aging Centre offers the highest levels of skill and care available.

Breast augmentation is now viewed as a widely popular and socially acceptable form of cosmetic enhancement, allowing more and more women to feel comfortable having the procedure and to share their results. The procedure can greatly improve a woman’s self-confidence and self-image.

Breast Augmentation, Breast Lift or Both?

Breast surgery reshapes the breast by enhancing the breast volume with implants. Breast augmentation alone will not correct for sagging breast tissue. Therefore, many women choose to undergo a breast lift procedure in addition to an augmentation. A breast lift in combination with saline or silicone implants can lift sagging breasts while improving the shape and increasing breast volume.

The purpose of Breast Augmentation Surgery

  • Increased fullness and projection of the breasts
  • Improved balance of a woman’s figure
  • Enhanced self-esteem and self-image
  • Enhanced appearance of the breasts following major life events including pregnancy and weight loss
  • Restored breast appearance through reconstruction after a mastectomy

Depending on the anatomy of the woman and the desired outcomes (size, projection, and shape), the surgeon and patient will discuss and choose the most appropriate surgical procedure. The Food and Drug Administration requires that women be at least eighteen years old for saline implants and at least twenty-two years old for silicone implants, as the breasts can develop until a woman is in her late teens or early twenties.

Pregnancy and breastfeeding can alter she shape and size of the breast tissue. Therefore, if a woman plans to become pregnant within the next year, it is recommended that she avoid having breast augmentation until after she completes her last pregnancy. In addition, it is recommended that she wait three to six months from the time she ceases breastfeeding to undergo breast surgery.

The Breast Augmentation Procedure

During the breast augmentation consultation, the surgeon will discuss incision approaches and determine which technique is most appropriate. In addition, the surgeon will discuss implant types and determine which will best fit the desired results. Once the incision is created, the surgeon creates an implant pocket for which to insert the implant. The implant pocket is made either under or over the chest muscle and behind the breast tissue. The breast tissue and skin are stretched to create this pocket and accommodate the new implant.

Next, the surgeon places the implant into the pocket, ensuring it is positioned properly for optimum shape and contour. Once the implant is in place, the surgeon evaluates the size, symmetry and shape of the breasts.  Sometimes the patient is raised to the sitting position to evaluate the breast appearance directly. Once the surgeon is satisfied with the breast shape and symmetry, the incisions are closed with hidden sutures. The surgeon will take great care to create sutures that result in minimal scarring.

Periareolar incision

The perioareolar incision is performed through an incision on the lower border of the areola. The areola is the darker skin that surrounds the nipple. Once the incision is made, the surgeon works through the fat and breast tissues to reach the chest muscle and create an implant pocket. This technique will leave a visible scar on direct view of the breast, but it typically fades and is well hidden between the border of the darker areola and the breast skin.

Inframammary incision

The inframammary incision is created at the base of the breast, where the breast tissue folds and meets with the torso. The surgeon creates an incision and works through the fatty layer and breast tissue to reach the chest muscle. Then, the surgeon creates the implant pocket and inserts the desired implant. This approach will leave a scar that will be visible upon inspection. However, for women with larger breasts (thus deeper breast folds), the scar is well hidden when the breasts are viewed directly.

Transaxillary incision

The tranxaxillary incision is made through a skin crease in the underarm. The surgeon then creates an endoscopic tunnel from the underarm to the chest, in order to create an implant pocket. The implant is inserted through the underarm and into the implant pocket. This approach leaves a scar in the underarm, which is typically well hidden after healing.

What to Expect during Breast Augmentation

Breast augmentation surgery takes approximately one to two hours to complete. It may take slightly longer if also undergoing a breast lift at the same time. Breast augmentation is typically performed under general anesthesia in order to ensure patient comfort. After the surgeon, has completed the augmentation, the surgical incisions are closed with sutures or tape.

What to Expect After Breast Augmentation

The breasts are wrapped in a gauze bandage to protect and support the breasts. Sometimes drainage tubes may be placed for a few days to allow for drainage of the surgical site. Many women wear a surgical bra during the healing phase.

There will likely be some swelling in the area, which will decrease rapidly over several weeks following surgery. Because the breast tissue has been stretched, pain should be expected.  However, surgical pain can be easily controlled with prescription or over the counter pain medications. Most often, pain is experienced within the first two days following surgery but reduces each day thereafter.

Most women are able to go home to recover within a few hours after surgery. Patients are given educational instruction on the proper care of the breasts, medications, and follow up instructions. After surgery, it is important to rest for a few days in order to allow for proper healing.  Heavy lifting should be avoided for four to six weeks. Soreness and swelling should be expected for the first few weeks. Patients are permitted to return to most of their work and household activities within one week.