Breast augmentation is one of the most common aesthetic surgical procedures undertaken in Plastic surgery practice. Most of the patients show a very high degree of satisfaction from the results of this surgery. Silicon implants are used in the majority of patients, though more recently fat grafting technique is also offered as an alternative.
Technique: A silicon implant is placed under the pectoral muscles on each side through a submammary, axillary or periareolar incision.
Post-operatively patient is advised to use a customised pressure garment for approximately 3 months.
Implants: The current implant most commonly used is a textured, cohesive silicon gel implant. Most of the problems associated with the older silicon implants like capsular contracture where the implant can become increasingly palpable and painful & incidence of implant rupture and spillage of silicon to regional lymph nodes are very rare with the modern breast implants.
As far as safety of silicon is concerned, today we have sufficient proof through extensive studies that they do not cause cancer or any chronic inflammatory disease.
Alternative to implants: More recently autologous fat transfer is available as an alternative to silicon implants for breast augmentation. However, it is still not a very popular choice due to following reasons. First is the need of multiple sessions to achieve a significant augmentation of breast and second is the problem associated with unpredictability of long term result due to partial absorption of the fat graft.
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