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Breast Augmentation (Enlargement)

This webpage will give you information about a breast augmentation. If you have any questions, you should ask your GP or other relevant health professional.

What is a breast augmentation?

A breast augmentation is an operation to make your breasts bigger, and usually to improve their shape.

What are the benefits of surgery?

If the operation is successful, your breasts should be larger and have a better shape. This can boost your self confidence. 

Are there any alternatives to surgery?

Using padded bras or inserts can make your breasts look bigger with a better shape.

 

Natural breast enhancement pills may help to increase the size of your breasts. However, these pills have not been properly tested.

 

You may benefit from using the Brava® system that involves using a special bra to apply gentle suction to your breasts. However, the long-term results are not known.

What kind of breast implant should I choose?

All implants are made of an outer layer (shell) of silicone. They can be filled with silicone, salt water (saline) or both.

 

The silicone used to fill the implant can be in the form of a liquid or gel (cohesive silicone). Liquid silicone and saline implants give a softer and more natural feel. Cohesive silicone implants give a firmer feel and can come in more shapes.

 

Textured liquid implants with a simple round shape often give as good results as shaped cohesive-gel implants.

Is silicone safe?

Many studies have been carried out to find if silicone breast implants are safe. There is no evidence to suggest that women who have silicone breast implants are at a higher risk of getting diseases such as cancer and arthritis.

What does the operation involve?

The operation is performed under a general anaesthetic and usually takes about an hour and a half.

 

Your surgeon will usually place the implant directly behind your breast as this gives the most natural result. However, if you do not have enough breast skin and tissue to cover the implant, they may recommend placing the implant behind the pectoral muscle (see figure 1).

 

 Breast Augmentation with implant  Breast Augmentation

 

Figure 1

a  Implant placed in front of the muscle

b  Implant placed behind the muscle

 

Your surgeon will usually place the implant through a cut in the crease under the breast (inframammary fold) and create a pocket to place the implant in.

What complications can happen?

1 General complications of any operation

  • Pain
  • Bleeding
  • Minor infection
  • Unsightly scarring
  • Blood clots

2 Specific complications of this operation

  • Developing a collection of blood or fluid in the pocket where the implant is
  • Infection of the implant
  • Change of breast and nipple sensation
  • Stiff shoulder
  • Kinking and rippling
  • Thickening and tightening of the capsule
  • Numbness or persistent pain on the outer part of your breast
  • Rupture or deflation of the implant
  • Cosmetic problems

How soon will I recover?

You should be able to go home the same day or the day after.

Most women return to normal activities within two to three weeks. You should be able to return to work after the first week, depending on your type of job. You should be able to do a limited amount of activity, such as lifting young children, after about two weeks.

 

It usually takes a few weeks for your breasts to look and feel more natural. The results of a breast augmentation usually last for a long time.

Summary

A breast augmentation is a cosmetic operation to make your breasts bigger, and usually to improve their shape. It is only suitable for certain women. You should consider the options carefully and have realistic expectations about the results.

Acknowledgements

Author: Mr Eoin O’ Broin MD FRCS (Plast) and Miss Kalliope Valassiadou MD, Consultant Breast and General Surgeon

 

Illustrations: Mr Eoin O’ Broin MD FRCS (Plast)

 

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

 

Copyright © 2008 EIDO Healthcare Limited

 

The operation and treatment information on this website is produced by EIDO Healthcare Ltd and is licensed by Ramsay Health Care UK.

 

The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited.

 

You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use.

 

The information should not replace advice that your relevant health professional would give you.

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