This is nowadays the commonest of all cosmetic
procedures. It is characterised by a very low incidence of
complications and a high index of patient satisfaction.
Generally, two groups of women request breast enlargement. The first
is those women who never had an adequate amount of breast tissue and
the second those women whose breasts became smaller as a result of
pregnancies, weight loss, increasing age etc This operation bestows
tremendous psychological benefit to those women.
It must be stressed that no exercises, creams, medicines or even
hormones can solve the problem of small breasts and it is most
unfortunate that women with small breasts are allowed to be deceived
through the above means.
The commonest type of implant is that which is filled with soft
silicone gel which has the same consistency as the natural breast.
Nowadays the rough-surface (textured) is preferred because it is
associated with much less hardening than the smooth-surfaced ones
Silicone implants have been shown beyond the slightest doubt through
a multitude of scientific studies in the US and Europe not to cause
cancer, or other diseases .Also, the old myth about silicone
implants bursting in airplanes is absurd as well as scientifically
impossible. Implants are compatible with breast feeding.
The operation is done under general anaesthesia and requires an
overnight stay at the clinic.
Traditionally, the incision is placed in the natural crease between
the breast and the chest wall and on balance, this site is more
advantageous than those of the nipple or the armpit. It becomes
invisible quite soon becoming lost in the usual bra markings on the
chest wall and has fewer potential problems such as infection,
haematoma, loss of sensation etc.
The implant may be placed behind the muscle (especially in those
women with little breast tissue) or in front of the muscle and
immediately behind the gland.
The patients within a couple of months become totally unaware of the
implants inside their bodies.
Some pre-existing asymmetries between the breasts may be corrected
or minimized but in others this may be impossible. The recovery of
the patient is quite fast and within a week or so she can return to
her daily routines. The pain is minimal and well controlled with
analgesics ,if at all necessary.
Complications such infections and haematoma are very infrequent.
Overall, it is a very gratifying procedure rectifying a problem that
causes a serious psychological disability for a woman.