The size of a woman’s breast will largely be determined by genetics but it will also be influenced by fluctuations in weight, pregnancy, breast feeding and hormonal changes.
Some women have problems with asymmetry (one breast much larger than the other). Others have very small breasts, breasts that are out of proportion for their frame or breasts that decrease in size after pregnancy.
Breast enlargement surgery is performed under a general anesthetic and takes 1-2 hours. The surgery involves placement of an implant either under the skin and breast tissue or deeper under the muscle under the breast.
There are many different types of implant available. They all have a silicone outer layer but may be filled with silicone (cohesive gel that doesn’t run if cut) or saline (salt water). The choice of implant should be discussed with your surgeon and the position of the scars should also be discussed. There are different techniques which result in different scars either under the breast, around the nipple, through the belly button or in the armpit.
We recommend having a mammogram performed before and after having surgery for your medical record.
To prevent serious complications like aspiration, patients must fast for 8 hours before surgery; additionally, early post-operative walking is required to reduce the risk of life-threatening blood clots (DVTs).
Smokers face a significantly higher risk of sever complications, including poor wound healing, infection, and embolic events.
While rare, patients may experience hematomas (excessive bleeding), asymmetry, or capsular contracture (internal scarring that makes the breast feel hard), which may require corrective surgery.
After the operation you will need someone to drive you home and look after you for the first 24 hours after surgery. You may experience some pain which should be alleviated by the pain medications.
You will need to wear a supportive bra day and night. This bra as well as any tape that may be under your breasts are to assist in your healing process and should only be removed by your surgeon.
You may have dissolvable stitches but any permanent stitches will need to be removed around 10 days.
You should avoid lifting, driving and strenuous activity for up to 3 weeks. Depending on your job, you should be able to return to work within a few days after the operation.