What are breast implants?

What is breast augmentation with breast implants?

Breast augmentation is a surgical procedure that increases breast volume using silicone gel implants. In some cases, it's combined with a lift to increase volume and improve breast position.

Implant volume depends on the patient's wishes. The surgeon guides the patient toward a size appropriate for their body and silhouette.

Breast implants don't interfere with medical tests and aren't linked to increased cancer risk or other diseases. They're safe for travel, underwater activities, and all sports.

Implants, placed subglandularly, submuscularly, or using a double plane technique, typically last 15-20 years. However, there are no permanent prostheses, and manufacturers don't guarantee specific lifespans.

Breast augmentation for purely aesthetic reasons isn't covered by social security. Coverage is possible for breast reconstruction after a mastectomy.

Improvements in Breast Implantation Techniques

Recent advancements have made breast augmentation easier and more effective. While previously focused solely on volume, now shape and proportion are key considerations.

Implant choices have expanded. Besides round implants, anatomical implants, which mimic the natural fullness at the base of the breast, are now widely available. Popular sizes range from 300cc to 450cc, adding two or three cup sizes while appearing natural (though perfectly symmetrical).

Implants are available in various sizes and widths, allowing surgeons to tailor the result. Generally, the initial selection matches the natural breast width, with projection and shape adjusted for optimal enhancement.

Silicone implants have replaced those with water or other fillings due to their safety and longevity.

Good Candidates for Breast Augmentation

Breast augmentation is ideal for individuals with small, asymmetrical, or sagging breasts due to genetics or weight loss. The procedure can improve tone, create balanced volume, and minimize scarring.

A preoperative consultation is crucial for planning. The patient discusses their goals, and the surgeon recommends the most suitable implant type and surgical technique. The choice of implant (round or anatomical) and placement (retro-glandular or retro-muscular) depends on factors like tissue quality, skin elasticity, body proportions, and patient preferences.

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Post-Procedure Scarring

Implants are inserted through small incisions, resulting in scars located in one of the following areas:

• Inframammary fold: This approach preserves the mammary gland and allows easy access to the retro-glandular or retro-muscular plane. The scar is well-hidden in the natural breast fold.
• Lower edge of the areola: Slightly more invasive, this method leaves a hidden scar at the areola's edge.
• Axillary (armpit): The scar is hidden in the armpit. This approach usually places the implant under the pectoral muscle and carries a slightly higher risk of hematomas or implant misplacement due to limited visibility. Endoscopic techniques have improved reliability, though anatomical implants aren't typically used with this method.

Note that revisions require additional incisions and scars.