Breast
augmentation

The procedure is performed under general anesthesia.

 1.Some of the following incisions for breast implant placement are made:

• through the areola – implant placement through the nipple is the preferred method when it is necessary to reduce the diameter of the areola and / or to combine augmentation with breast lift.
• under the breast – implant placement through an incision in the inframammary fold under the breast is a common method. In this case, a visible scar remains in the area.
• in the armpit – implant placement through an incision along the armpit, where the scar is small and remains well hidden in the natural crease of the axilla. The technique requires additional qualification of the plastic surgeon.

2.Pockets for breast implant placement are formed:

• submuscular – implants can be placed underneath the chest muscle, which provides a stable and long-lasting result. In these cases, the muscle holds the implant in its upper part and prevents it from sagging. The result is more aesthetic, as the pectoral muscle covers part of the implant and the bust looks more natural. The risk of capsular contracture is lower when the implants are placed under the muscle.
• supramuscular – over the muscle implant can be placed also over the muscle.
  Depending on the specific case, the implant can be placed subglandular (under the mammary gland) or subfascial (under the outer  fascia which is the connective tissue sheath)  of the big pectoral muscle (pectoralis major). This approach provides lighter postoperative recovery, but a quicker sagging with age may occur.
• if there is a difference in the volume of the breasts, in certain cases different volume implants can be used in order to achieve symmetry of the bust.

3.Aspiration drainages are installed.

4.Incisions are sutured aesthetically.

5.Your surgeon puts elastic bandages in the surgery area, which are replaced with an elastic bra on the next day or in the next 48 hours.

• during the consultation your surgeon will get acquainted with your expectations and the current condition of the breasts. Photographs are taken and the parameters of the bust are measured in order to refine the choice of the specific technique;
• you will be able to discuss what you hope to achieve from the procedure and whether it is possible given your physical characteristics;
• you will be explained all details regarding the choice of operative equipment and the location of the scars in the specific case;
• you will be provided with information about the possibility and necessity of simultaneous breast lifting and augmentation with implants;
• you will be given information about all necessary examinations before the surgery, recovery time and aftercare;
• you will receive information about possible risks and complications related to the operative intervention;
• the surgeon must be informed by the patient of all past and concomitant diseases, previous operations and medication.

• the aspiration drainages are removed in the next 24-72 hours
• the sutures are removed on the 10th-14th day
• dressings are changed on the 3rd and 7th postoperative day
• elastic bra has to be worn for 2-3 months
• intense physical activity should be avoided for the next 30 days
• control examinations on the 1st, 2nd, 3rd and 6th postoperative month, as well as at the end of the first year following surgery
• final result is visible on the 6th -7th postoperative month
• in the first days after surgery you might experience mild to moderate  pain, which can be controlled with painkillers
• it is advisable to replace implants every 20 years, even though, according to manufacturers, they are lifelong
• after the first month, special massages are performed, which accelerate the relaxation of the muscles and prevent the possible development of capsular contracture
• topical creams are applied in order to improve the aesthetic appearance of the scars