Breast Augmentation 2018-06-15T00:08:01+00:00

Breast Augmentation

Costs

Breast Augmentation with round shaped implants costs £2,100

Breast Augmentation with anatomically shaped (teardrop) implants costs £2,350

Breast Augmentation by lipofilling costs £1,800

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Breast augmentation sometimes referred as “breast aug” or a “boob job” is the gold standard surgery in Tunisia. It increases the size of the breast or improves its shape so that the bust fits the patient’s figure. Breast augmentation is performed on breasts that have lost volume after weight loss, pregnancy, or hormonal changes (hypotrophic) or that are underdeveloped (hypoplastic).

In cosmetic surgery, breast augmentation strategies and objectives vary from one patient to the next. The shape and the size must suit the patient’s wishes. This surgery affects the breasts’ shape and size, and on their position.

Breast augmentation with breast implants

Breast implants are silicone envelopes filled with gel. They change the size, shape and curve of the breasts when they are too small or non-existent.

The breast implant can be placed directly behind the mammary gland and in front of the pectoral muscle or behind it, directly against the chest. Breast augmentation surgery restores the roundness of the bust.

Many factors may contribute to a woman’s decision to get breast implants:
– Some women have small breasts and would like to have the breasts they have always wanted.
– Other women have one breast larger than the other and would like to achieve better symmetry.
– Weight loss and pregnancy can leave breasts looking deflated. Implants can restore breast volume.
– Some women have underdeveloped mammary glands, which leave them flat chested.

Different types of breast implants

The surgeon will examine the shape of your breasts: the mammary gland, breast fat tissue, thoracic muscles and skin elasticity. The surgeon will then advise you on the best type of implant, as well as whether to use submuscular placement. During the consultation, you will be fitted with an appropriate bra.

Breast augmentation sometimes referred as “breast aug” or a “boob job” is the gold standard surgery in Tunisia. It increases the size of the breast or improves its shape so that the bust fits the patient’s figure. Breast augmentation is performed on breasts that have lost volume after weight loss, pregnancy, or hormonal changes (hypotrophic) or that are underdeveloped (hypoplastic).

In cosmetic surgery, breast augmentation strategies and objectives vary from one patient to the next. The shape and the size must suit the patient’s wishes. This surgery affects the breasts’ shape and size, and on their position.

Breast augmentation with breast implants

Breast implants are silicone envelopes filled with gel. They change the size, shape and curve of the breasts when they are too small or non-existent.

The breast implant can be placed directly behind the mammary gland and in front of the pectoral muscle or behind this muscle, directly against the chest. Breast augmentation surgery restores the roundness of the bust.

Many factors may contribute to a woman’s decision to get breast implants:
– Some women have small breasts and would like to have the breasts they have always wanted.
– Other women have one breast larger than the other and would like to achieve better symmetry.
– Weight loss and pregnancy can leave breasts looking deflated. Implants can restore breast volume.
– Some women have underdeveloped mammary glands, which leave them flat chested.

Different types of breast implants

The surgeon will examine the shape of your breasts: the mammary gland, breast fat tissue, thoracic muscles and skin elasticity. The surgeon will then advise you on the best type of implant, as well as whether to use submuscular placement. During the consultation, you will be fitted with an appropriate bra.

White breast implant lying on a white surface

Anatomically shaped (teardrop) implants

These more natural-looking implants are generally suitable for slim women with thin existing tissue coverage, underdeveloped mammary glands, or for breast reconstruction patients.

Breast implant likely made of silicon

Round prostheses

Round implants provide a deeper cleavage and add roundness to the top of the breasts.

Breast implant likely made of silicon

Implant consistency

The implants are made of a silicone outer shell that is filled with silicone gel (Hydrogel), which is very natural and pleasant to the touch. Hydrogel is an aqueous gel, approved since 2005, made of water and a cellulose derivative. If the shell ruptures, the body can absorb it.

Breast augmentation by lipofilling

Breast augmentation with lipofilling or fat grafting uses your own fat and injects it into your breasts. This revolutionary technique uses excess fat to recreate a soft, natural breast by reshaping the silhouette with liposuction.

Before your surgery

– Blood work will be performed as prescribed along with a radiological examination of the breast (mammography, ultrasound).

– The anaesthesiologist will be seen in consultation no later than 24 hours before the operation.

– Do not take medications containing aspirin within 10 days prior to your surgery.

– You will probably be asked to fast (do not eat or drink anything) for 6 hours before the procedure.

– Scientific evidence is currently unanimous about the harmful effects of smoking in the weeks surrounding surgery. The negative health effects of cigarettes are manifold and can lead to major scarring complications, surgical failures and infection of the implants. – The community of plastic surgeons agrees that patients should be asked to stop smoking at least one month prior to surgery and until the incision has healed (usually 15 days following the procedure). The same goes for electronic cigarettes.

Day of Surgery

The procedure is performed under general anaesthesia. The operation requires an average of 1 to 2:30 hours and an overnight stay at the clinic.

Lifting mammaire

Skin incisions:

Several incision approaches exist:

  • Areolar incision (also called periareolar incision): an incision is made along the lower line of the areola, or horizontally around the lower edge of the nipple (1 and 2).
  •  Transaxillary incision (axillary incision): the incision is made in the natural folds of the armpit; (3)
  •   Inframammary incision: an incision is placed along the crease of the breast. (4)

The incision lines are where the future scars will be, camouflaged in junction areas or natural skin creases.

Implant insertion:

Implants are inserted through the incisions and placed inside the breasts. Two placements are possible:
•    subglandular, in which the implants are placed beneath the mammary gland but above the pectoralis major muscle;

•    submuscular, in which the implants are placed more deeply, beneath the pectoralis major muscle.

Each type of placement has its own advantages and disadvantages and will be discussed further with your surgeon.

Sketch of an implant in a breast

Simultaneous breast augmentation and mastopexy:

In the event of associated breast ptosis (sagging, lower areolas), it may be desirable to reduce the skin envelope of the breast in order to lift it (“mastopexy”). This skin resection will then result in larger scars (around the areola ± vertical ± in the submammary fold).

Drains and Bandaging:

A small drain may be inserted, depending on the surgeon’s habits and local conditions. It is intended to drain excess blood that may pool around the implants. At the end of the surgery, the breast will be wrapped in a “modelling” elastic bandage.

After your surgery

Some post operation pain is normal for the first days following the surgery, especially when implants are bigger and placed beneath the muscles. The pain is usually treated with prescription painkillers. At best, the patient will feel intense tightness in the chest area.

– In the first few days, swelling, bruising and difficulty lifting the arms are expected.

– The first dressing is removed after a few days. It is then replaced with a lighter one. It may be recommended that you wear a bra night and day for a few weeks.

– Most of the time, sutures are internal and absorbable. Otherwise, they will be removed after a few days*.

– You should plan to rest for 5 to 10 days post-surgery*.

– You should wait 1 to 2 months before resuming athletic activities*.

– The operation is designed to improve the size and the shape of your bust. Scars are usually minimal. Breast augmentation can improve your overall shape. Now you can fill out your clothing with confidence. Beyond these physical improvements, this newfound femininity often has a very beneficial psychological effect*.

Possible Complications:

– During the mandatory preoperative consultation, the anaesthesiologist will carefully explain the potential anaesthesia risks. Please note that anaesthesia of any kind can cause reactions in the body that are sometimes unpredictable, some of which are easier to control than others.
However, the likelihood of these complications is greatly reduced in the hands of a competent anaesthesiologist-resuscitator experienced in a surgical context. It should be kept in mind that anaesthetic and monitoring methods have enormously improved over the last thirty years, and are very safe, especially when the operation is performed in a nonemergency situation on a healthy person.

– With regard to the surgery, choosing a qualified and competent plastic surgeon that performs this type of surgery regularly limits the risk of complications, but does not eliminate them.
Done carefully and in an approved surgical setting, the vast majority of breast enhancements go smoothly, with no postoperative complications, and patients are very satisfied with the way the procedure turns out. However, complications can sometimes occur during the procedure, some inherent to the surgical procedure and others specifically related to breast implants:

Complications inherent to breast surgery: Seroma or infections / skin necrosis / abnormal scarring / altered skin sensation / galactorrhoea or secretion of milk (lactation).

Risks specifically related to implants:  Skin irregularities or dimples / rupture / improper positioning or displacement / rotation / deformation of the chest wall.

Disclaimer: Results may vary from one person to another depending on the patient’s body shape.

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