Our Summary

This research paper discusses a method used for breast augmentation using form-stable implants and fat taken from the patient’s own body. Breast augmentation is a widely researched and practiced procedure, but there is little information about this particular method that combines the use of implants and fat injection, known as lipofilling. The authors share their experience using a specific type of silicone gel breast implant that is shaped much like a natural breast. This implant was recently approved in the United States after being tested in clinical trials by the FDA. The researchers found that breast augmentations performed using these implants had satisfactory results.

FAQs

  1. What is the subfascial approach to breast augmentation?
  2. What are form-stable implants and how are they used in breast augmentation procedures?
  3. What is the role of autologous fat grafting in breast augmentation?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast augmentation is to carefully follow post-operative instructions, including avoiding strenuous activities and taking prescribed medications as directed. It is also important to attend all follow-up appointments to monitor healing and ensure optimal results. Additionally, patients should be aware of potential risks and complications associated with the procedure and discuss any concerns with their surgeon.

Suitable For

Patients who are typically recommended for breast augmentation include those who are unhappy with the size or shape of their breasts, have asymmetrical breasts, have lost breast volume due to weight loss or pregnancy, or have undergone mastectomy. Additionally, patients should be in good overall health and have realistic expectations about the outcome of the procedure.

Timeline

Before breast augmentation:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and options for breast implants.
  2. Pre-operative assessment and preparation, which may include medical history review, physical examination, and possibly imaging tests.
  3. Selection of implant size, shape, and material (silicone or saline).
  4. Discussion of surgical technique and potential risks and complications.
  5. Pre-operative instructions on diet, medications, and smoking cessation.
  6. Surgical consent and scheduling of the procedure.

After breast augmentation:

  1. The patient undergoes breast augmentation surgery, which typically lasts 1-2 hours under general anesthesia.
  2. Post-operative recovery in a surgical facility or hospital, with monitoring for complications such as bleeding or infection.
  3. Pain management and instructions on wound care, activity restrictions, and follow-up appointments.
  4. Swelling, bruising, and discomfort are common in the days following surgery, with gradual improvement over the next few weeks.
  5. Follow-up visits with the plastic surgeon to monitor healing, implant position, and overall satisfaction with the results.
  6. Long-term care and monitoring of breast implants, including regular mammograms and potential implant revision or removal in the future.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with breast augmentation surgery?

  2. What type of breast implant (silicone or saline) is best for me, and why?

  3. How will the size and shape of my breasts be determined for the augmentation procedure?

  4. What is the recovery process like after breast augmentation surgery, and how long can I expect it to take?

  5. How long will the results of my breast augmentation last, and will I need additional surgeries in the future?

  6. Are there any specific post-operative care instructions I should follow to ensure optimal results?

  7. Can I still breastfeed after having breast augmentation surgery?

  8. How will breast augmentation affect mammograms and breast cancer screenings in the future?

  9. What is the cost of breast augmentation surgery, and does insurance cover any part of the procedure?

  10. Can you show me before and after photos of patients who have undergone breast augmentation with similar implants and techniques?

Reference

Authors: Sampaio Goes JC, Munhoz AM, Gemperli R. Journal: Clin Plast Surg. 2015 Oct;42(4):551-64. doi: 10.1016/j.cps.2015.06.017. Epub 2015 Aug 11. PMID: 26408443