Our Summary

This study is about a surgical method used to correct overly large and saggy breasts using silicone implants. The authors looked back at cosmetic breast surgeries performed by a senior surgeon from October 2020 to November 2023. They only included patients who had more than 300 grams of breast tissue removed. They recorded details about the surgery and the patients, and asked them to fill out a survey before and after the surgery about how satisfied they were with their breasts.

They performed this surgery on over 745 patients, but only included 25 in their analysis. Most of the patients (78.3%) had very saggy breasts. The average size of the implants used was around 352.39 cc. The amount of breast tissue removed ranged from 312 to 657 grams. They followed up with patients for an average of over 14 months. Only one patient needed another surgery due to complications.

The patients reported that they were significantly more satisfied with their breasts after the surgery. So, the authors concluded that reducing breast size and adding implants is a safe and effective way to help patients with large, saggy breasts who want a fuller look on the upper part of their breast. This method also helps to reduce back, neck, and shoulder pain.

FAQs

  1. What was the main purpose of this study on breast augmentation?
  2. How many patients were included in the analysis of the study and what were the primary criteria for inclusion?
  3. What were the findings regarding patient satisfaction and safety from this study on using silicone implants to correct overly large and saggy breasts?

Doctor’s Tip

A helpful tip a doctor might give a patient considering breast augmentation is to carefully consider the size and type of implants that will best suit their desired look and lifestyle. It’s important to have realistic expectations and to choose a board-certified surgeon with experience in breast augmentation procedures. It’s also important to follow post-operative care instructions and attend all follow-up appointments to ensure proper healing and optimal results.

Suitable For

Patients who are typically recommended breast augmentation are those who have overly large or saggy breasts and desire a fuller look on the upper part of their breasts. These patients may also experience physical discomfort such as back, neck, and shoulder pain due to the weight of their breasts. Additionally, patients who are dissatisfied with the appearance of their breasts and seek to enhance their self-confidence and body image may also be recommended for breast augmentation.

Timeline

Before the breast augmentation surgery, the patient typically consults with a plastic surgeon to discuss their goals, desired breast size, and implant options. They may also undergo a physical exam, mammogram, and blood tests to ensure they are a suitable candidate for the surgery. The patient will receive preoperative instructions and may need to stop taking certain medications before the surgery.

During the surgery, the patient will be under general anesthesia as the surgeon makes incisions, inserts the implants, and closes the incisions. The surgery typically takes a few hours to complete. After the surgery, the patient will be monitored in a recovery room before being discharged home the same day.

In the weeks following the surgery, the patient will experience some swelling, bruising, and discomfort. They will need to follow postoperative instructions, such as wearing a surgical bra, avoiding strenuous activities, and attending follow-up appointments with the surgeon. Over time, the swelling will gradually decrease, and the breasts will settle into their final shape.

Several months after the surgery, the patient will have a better idea of the final results of the breast augmentation. They may notice improved symmetry, fullness, and overall satisfaction with their new breast size. The patient can enjoy their enhanced appearance and increased self-confidence as a result of the surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with breast augmentation surgery using silicone implants?
  2. How long is the recovery process after breast augmentation surgery and what can I expect in terms of pain and discomfort?
  3. Will I need to replace or remove the implants in the future, and if so, how often?
  4. How will the surgery impact my ability to breastfeed in the future?
  5. Are there any specific lifestyle changes or restrictions I will need to follow post-surgery?
  6. Can you show me before and after photos of previous patients who have undergone a similar procedure?
  7. How long have you been performing breast augmentation surgeries and what is your success rate?
  8. What type of implant placement and incision technique do you recommend for my specific case?
  9. Can I choose the size and shape of the implants, and how do I decide what is best for my body?
  10. Are there any alternative treatments or procedures I should consider before deciding on breast augmentation surgery?

Reference

Authors: Liang D, Edwards V, Di Taranto G. Journal: Medicina (Kaunas). 2024 Apr 29;60(5):743. doi: 10.3390/medicina60050743. PMID: 38792926