Breast augmentation is typically performed as follows:
Anesthesia: The procedure begins with the administration of anesthesia. The patient will either receive general anesthesia, which puts them to sleep throughout the surgery, or local anesthesia with intravenous sedation, which keeps them relaxed and pain-free.
Incision Placement: The surgeon will then make incisions in predetermined locations based on the patient's anatomy and preferences. Common incision options include:
Inframammary Incision: The incision is made along the breast crease, where the breast meets the chest wall. This location allows for precise implant placement and easy access for future surgeries, if needed.
Periareolar Incision: The incision is made around the edge of the areola, the dark skin surrounding the nipple. This incision is well-concealed within the natural transition of color and offers direct access for implant placement.
Transaxillary Incision: The incision is made in the armpit, allowing the surgeon to create a tunnel to the breast area. This method avoids any scarring on the breasts themselves.
Transumbilical Incision: The incision is made in the belly button, and a tunnel is created to the breast area. This technique is used for the placement of saline implants only and is less commonly performed.
Implant Placement: Once the incisions are made, the surgeon will create a pocket to accommodate the breast implant. There are two primary placement options:
Subglandular Placement: The implant is positioned behind the breast tissue but above the chest muscle (pectoralis major). This placement can be suitable for patients with sufficient breast tissue and offers a shorter recovery period.
Submuscular Placement: The implant is positioned partially or completely beneath the chest muscle. This placement provides additional tissue coverage for the implant and may result in a more natural appearance, especially for patients with thin breast tissue.
Implant Insertion: The surgeon carefully inserts the chosen implant into the pocket created in the previous step. The implant may be pre-filled or filled with saline or silicone gel during the procedure, depending on the type chosen. The surgeon will assess the position, symmetry, and appearance of the breasts to ensure optimal results.
Incision Closure: After the implants are in place, the surgeon closes the incisions using sutures or surgical adhesive. They take care to create well-aligned, fine incision lines that will fade over time. Surgical drains may be inserted to remove excess fluid and aid in the healing process.
Recovery and Post-Operative Care: Once the procedure is complete, the patient is monitored in a recovery area. Pain medication and post-operative instructions will be provided to manage any discomfort, swelling, or bruising. Patients are typically advised to wear a supportive bra, avoid strenuous activities, and follow specific care guidelines to promote healing.
It is important to note that each breast augmentation procedure is tailored to the individual's unique anatomy and desired outcome. The surgical techniques and options may vary based on the patient's specific needs and the surgeon's expertise. Therefore, it is crucial to consult with a qualified plastic surgeon who can provide personalized recommendations and guide the patient through the process.