Breast augmentation with implants

Since the Second World War and the involvement of the United States in Japan, the demand for breast augmentation among Asian women has increased significantly. This trend had already appeared in the United States with the introduction of Cronin implants and those developed by the Dow Corning company.

Women with little breast volume, deprived of what is often perceived as a primary female sexual attribute, may develop a complex that impacts their daily life. But with improved outcomes and increasing safety of these procedures, demand has evolved and moderate breast augmentation seems to be becoming more and more common.

The result is immediate and evolves slightly during the first two months as postoperative swelling subsides. Wearing a supportive bra is necessary for 4 to 8 weeks.

Postoperative follow up is essential, as with any surgery, but I also propose a long term follow up, including an annual consultation and a systematic ultrasound starting from the 8th year after surgery. I only replace breast implants when necessary, but it should be considered that a replacement will likely be needed at some point in life and should be approached calmly.

There are three indications for breast augmentation with implants :

• A breast volume smaller than a B cup
• Asymmetrical breasts, whatever the cause
• A “deflated” breast after pregnancy, weight loss, and or the passage of time

Each redesigned curve reflects a careful and respectful approach, adapted to individual characteristics.

The technique must be fully adapted to each patient’s morphology and lifestyle. This is why several techniques always exist, each with its advantages and disadvantages, as well as different implant types and shapes. For a detailed description of these techniques, please refer to the SSCPRE information sheet.

My preferred technique is the axillary approach, using pre filled silicone breast implants, round in shape (to avoid secondary deformities), placed in a dual plane position. Depending on the patient’s wishes and anatomy, we may choose a different approach (inframammary or areolar), anatomical implants, or placement in front of the muscle.

In some cases, to achieve a better result, I may suggest combining the procedure with a fat graft to cover the implant ( composite breast augmentation ).

For my part, I have always refused to comply with excessive demands because the risk of complications becomes greater.

The surgery is always performed after at least two consultations and after a mammogram or breast ultrasound has been carried out.

First consultation

This consultation allows us to discuss whether or not breast augmentation with implants is right for you. After reviewing your request and medical history, and after examining you, I can advise you on the desired implant size, surgical approach, and placement.

I may also advise against surgery if I believe your breasts are already perfectly fine.

If surgery can be considered, we determine the ideal final volume for you.

Second consultation

You will have reviewed the written information provided and completed the prescribed imaging exam. We will then resume the discussion and volume trials to define precisely what is needed :
the position of the scar, the implant placement, as well as the volume of the breast implants.

Questions

If you still have questions after the second consultation, I can answer them by email or by phone or see you again as many times as necessary.

The length of stay in the clinic varies from 12 to 36 hours. The procedure itself lasts 1 to 2 hours and is performed under general anesthesia. Upon waking, you will not feel any pain because a pain reliever that is effective for 3 hours is applied directly to the surgical area.

You will immediately wear your supportive bra. You may shower the same evening or the following day.

A one week rest period is recommended, with no driving, and a gradual return to sports activities about one month after surgery. Pain is generally very manageable with simple painkillers during the first week.

Operating gently significantly reduces postoperative discomfort.

Breast augmentation with implants is a cosmetic procedure whose costs generally include the anesthesiologist’s fees and post-operative follow-up. A detailed and personalized estimate will be provided during your preoperative consultation.