Breast augmentation

Today, the majority of prostheses are essentially filled with cohesive silicone gel. Historically, one of the most common complications of breast augmentation was the formation of a rigid membrane, called a shell or capsule, around the prosthesis, which could lead to breast deformity and even pain.

The most common types of prosthesis are :

• The popular round shape gives the breast a full, rounded appearance, accentuating the curvature of the upper part of the breast.
• The anatomical or “teardrop” shape, designed to mimic the natural shape of the breast, offers a more natural appearance.
• The ergonomic shape, which is a round prosthesis that is less dense and less filled, making it possible to give the breast an anatomical shape while avoiding the risk of prosthesis rotation.

Selecting the ideal breast implant size to achieve your desired result can be complex. The choice depends on several factors, including your body shape, overall figure and personal goals. Your aesthetic surgeon will guide you through these considerations to determine the most suitable implant volume and shape.

The profile of breast implants determines the projection of the breast. There are different implant profiles:

• Low profile: for a slight augmentation and medium cleavage.
• Medium profile: for a natural augmentation and intermediate cleavage.
• High profile: for visible chest with breasts projected forward.
• Very high profile: For a very imposing chest area with significant projection.

The choice of implant volume is also crucial in determining cup augmentation.

Implants range from 125cc to over 1500cc. Depending on the number of cc (cubic centimeters), your breasts will be one or more cup sizes larger. Most women prefer breast implants of no more than 500cc for a natural result.

Measure your cup size precisely

The cup size is determined by the difference between the waist circumference and the bust circumference. For an accurate measurement, position the tape measure on the most prominent part of the bust, typically at the nipple. A difference of 12.5 cm is equivalent to an A cup, and each additional 2.5 cm increases the cup size.

The different types of scars possible for breast augmentation depend on the surgical technique used and your personal preference. The most common types of scars associated with breast augmentation are:

Peri-areolar scar: this scar is located around the areola, and may be more visible if it is not well hidden by the edge of the areola. It also has the disadvantage of having to pass through the mammary gland to insert the implant. In addition, this approach makes it more difficult to fix the lower pole properly, and the implant runs the risk of dropping below the natural fold of the breast after a few years.

Inframammary scar: this scar lies under the breast (“submammary fold”) and can be hidden by the lower edge of the bra. It allows good control of the operation and is by far the most frequently used.

Axillary scar: this scar is located in the armpit. However, it may require a longer incision, is more visible and can be more problematic or a source of infection; it is rarely used nowadays.

Behind the pectoral muscle: implants placed behind the pectoral muscle are generally less visible, especially when tissue thickness is insufficient. However, the retropectoral approach can lead to more intense pain during recovery, and is mainly reserved for very thin women with very little breast tissue. In addition, this technique carries a greater risk of upward and/or outward migration of the implants in the longer term, under the effect of muscle contractions. There is also a higher risk of premature implant rupture (before 10 years), as the implants are subject to greater wear and tear, due to muscle contractions and friction on the ribs, whose surface is sometimes highly irregular.

In front of the pectoral muscle: the implant is placed above the pectoral muscle. This type of implantation is simpler and can achieve good results when the thickness of the gland is sufficient to conceal the implant. However, results may vary if the thickness of the gland decreases over the course of the patient’s life (pregnancy, menopause, weight loss).

Silicone breast implants are generally considered “reliable”, and can last a minimum of 10 to 15 years. However, this may depend on a number of factors, such as the type of implant used, implant quality, general health, and post-operative care. Talking to your surgeon is essential to get a clearer idea of how long your breast implants will last.

Additionally, remembering that implants sometimes need to be replaced over time is important. This is due to reasons such as leakage, displacement, or loss of shape. Therefore, you need to keep a close eye on your body and follow up regularly with your surgeon to ensure everything is going well.

As with all women, you should continue to undergo breast cancer screenings. If an X-ray examination is prescribed, it is recommended to inform the radiologist of the presence of implants.

The decision to have breast augmentation is highly personal. Because breasts vary in shape and size, some women choose surgery to improve their appearance or restore lost volume. This desire may stem from personal body image concerns or changes following pregnancy and breastfeeding, when breasts can alter in shape and lose fullness.

Potential complications of a breast augmentation include:

Hematoma: the most frequent complication is hematoma, which can appear within the first 24 hours. The submammary approach has made it possible to reduce the frequency of haematomas. In the event of significant hematoma, the implant should be removed, blood clots evacuated, and the source of bleeding investigated before the implant is replaced.

Infection: infection may occur following surgery, leading to pain, fever, and breast enlargement.

Capsular contracture: capsular contracture occurs when the body produces a fibroid envelope around the implant (inflammatory reaction) which can cause it to shrink and become hard.

Scars: may be more visible or painful than expected and may take longer to fade.

Implant rejection: rejection can occur when the body rejects the implant as a foreign body; this complication is extremely rare.

Implant displacement: the implant may move or shift from its initial position over time.

Implant rupture: implants can sometimes break or leak, leading to pain and breast enlargement.

There are several factors to consider when choosing a surgeon:

Competence and experience: ensure the surgeon has solid training and experience in cosmetic breast surgery. Ask for photos of previous procedures to get an idea of the surgeon’s skill level.

Certifications: check that the surgeon is certified by the appropriate medical societies. In Belgium, recognised surgeons are members of the Royal Belgian Society of Plastic Surgery(https://www.rbsps.org/fr/accueil.html).

Communication: make sure you feel comfortable talking openly with your surgeon about your expectations and concerns. Good communication with your surgeon is important for optimal results.

Rates: make sure you understand the costs associated with the operation. In fact, asking for details of the fees is essential so you can understand what the final price covers. This typically includes the surgeon’s fees, anaesthesia, hospitalisation, and equipment costs.

A breast augmentation is a common and safe surgical procedure for improving breast size, shape, and symmetry. Our clinic offers personalised solutions for every patient, using the latest techniques and technologies to ensure natural and long-lasting results. This is an important and personal decision, which is why we take the time to understand your needs and expectations to offer you the most suitable treatment. Contact us to find out more about breast augmentations and to schedule a consultation with our team of plastic surgery specialists.

• There are no contraindications to breastfeeding after breast augmentation. Only the peri-areolar incision may reduce the ability to breastfeed. This can be discussed with your surgeon.

• Having mammogram with implants is definitely possible, however, please inform the technician and radiologist before the examination.

• Claris Clinic works only with the best implant brands, offering the highest standards of safety and quality. The incidence of breast cancer in women with implants is extremely low.