Breast Surgery Augmentation

Breast Surgery Augmentation

Augmentation is procedure to increase in size of breast.
This can be done with :
1) Autologus tissue like fat grafting.
2) Breast Implants.
Breast Implants:
All implants on the market today are made of two separate components, outer silicon shell and inner filling that can be of Saline or Silicone.
Surface Characteristics
The outer shell of breast implant are either smooth or textured
Smooth
1) Round
2) Free rotation within the capsule
3) May bottom out
4) Loss of superior pole
5) Possibly higher contracture rate
Texured
1) Anatomic
2) Tethered to capsule
3) More rippling
4) Better retention of shape
5) Possibly low contracture rate

Breast Surgery Augmentation Breast Surgery Augmentation

What are shapes of Implant ?

Breast implant may be round or anatomical shape.
The newest generation of implants –the cohesive silicon gel implant-promises increased gel integrity and a more natural appearance.
What are the approaches for breast agumentation ?
There are four approaches
1) Inframammary
2) Sub-areolar (Trans-nipple)
3) Transaxillary
4) Periumbulical
Commonly dual plane breast augmentation is done in which implant is placed under both muscle and breast tissue.
Advantages of dual plane implant placement
1) Minimal capsular contracture
2) Implamt is not visible hence no rippling
3) No alteration in normal breast function as breast feeding
What are complication ?
1) Most common complication is capsular contracture.
2) Implant malposition
3) Asymentry
4) Infection and implant removal.

Breast Augmentation with FAT GARAFTING

Fat grafting to enlarge the breast can be performed for cosmetic reasons, for correction of asymmetry ,and for reconstruction of deformity.
Advantages of fat grafting
1) Absence of autoimmune response
2) The ease in accessing donor fat
3) Minimal complications.
Indications
1) Augmentation of the breast in patients with small breast, tuberous breast, or Poland syndrome or the patient refuse silicone implants.
2) Correction of contour breast deformity or asymmetrical after removal of breast implant or breast lumpectomy or after reconstructive surgery
3) Creation of thick envelope of breast tissue after placement of silicon implant.
The most common donor site are
1) Abdomen
2) The thigh

Procedure :

Procedure is performed under general or regional anaesthesia.
Fat is aspitrated manualy with liposuction cannula attached to syringe or vaccume pump.
Lipospirated is washed with 0.9 % normal saline solution
Centrifugation is done at 1000 rpm for 2 minutes.
Then this purified fat is injected in to breast.
Postoperative Case
It is recommended that patient should wear a supportive bra day and night for 7 days after breast augmentation with fat grafting.
Oral antibiotics areadmistered for 3 days postoperatively.
Compression garments for donor area for 3 months.