Dr. Mukami Gathariki

Breast Augmentation

Breast augmentation — also known as augmentation mammoplasty — is surgery to increase breast size. It involves placing breast implants under breast tissue or chest muscles.

For some women, breast augmentation is a way to feel more confident. For others, it’s part of rebuilding the breast for various conditions.

Why it’s done

Breast augmentation might help you:

  • Enhance your appearance if you think your breasts are small or that one is smaller than the other and this impacts how you dress or the type of bra needed to help with the asymmetry
  • Adjust for a reduction in the size of your breasts after pregnancy or significant weight loss
  • Correct uneven breasts after breast surgery for other conditions
  • Improve your self-confidence

What you can expect

Breast augmentation can be done in a surgical center or hospital outpatient facility. You’ll probably go home the same day. The procedure rarely requires a hospital stay.

Sometimes, breast augmentation is done during local anesthesia — you’re awake and your breast area is numbed. Often, though, breast augmentation is done during general anesthesia, in which you’re asleep for the surgery. Your plastic surgeon will review different anesthesia options with you.

During the procedure

To insert the breast implant, your plastic surgeon will make a single cut (incision) in one of three places:

  • The crease under your breast (inframammary)
  • Under your arm (axillary)
  • Around your nipple (periareolar)

After making an incision, the surgeon will separate your breast tissue from the muscles and connective tissue of your chest. This creates a pocket either behind or in front of the outermost muscle of the chest wall (pectoral muscle). The surgeon will insert the implant into this pocket and center it behind your nipple.

Saline implants are inserted empty and then filled with sterile salt water once they’re in place. Silicone implants are pre-filled with silicone gel.

When the implant is in place, the surgeon will close the incision — typically with stitches (sutures) — and bandage it with skin adhesive and surgical tape.

After the procedure

Soreness and swelling are likely for a few weeks after surgery. Bruising is possible, too. Expect scars to fade over time but not disappear completely.

While you’re healing, it might help to wear a compression bandage or sports bra for extra support and positioning of the breast implants. Your surgeon might prescribe pain medication as well.

Follow your surgeon’s instructions about returning to regular activities. If you don’t have a physically demanding job, you might be able to return to work within a few weeks. Avoid strenuous activities — anything that could raise your pulse or blood pressure — for at least two weeks. While you’re healing, remember that your breasts will be sensitive to physical contact or jarring movements.

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