Breast Augmentation: Learn About Different Implants, Techniques and Safety

Breast augmentation surgery is one of the most popular cosmetic procedures in Canada and worldwide.

Whether you’re looking to enhance your breast shape, restore volume lost due to weight changes or pregnancy, or achieve better symmetry, there are multiple options available.

The right procedure for you will depend on factors like your body type, breast tissue and personal goals. Let’s discuss:

Understanding Breast Implants and Breast Augmentation Surgery

Breast augmentation, also known as  augmentation mammoplasty, involves the placement of breast implants or fat transfer to enhance breast size and shape.

This cosmetic surgery aims to provide fuller, more proportionate breasts while improving overall body balance. There are different types of breast implants and techniques available, each with its unique benefits and considerations.

Types of Breast Implants: Saline vs. Silicone

One of the most critical decisions in breast augmentation surgery is choosing between saline and silicone breast implants. Both offer distinct advantages depending on your body type, desired look, and personal preferences.

Saline Breast Implants

These implants are filled with sterile saline (saltwater) and are inserted empty before being filled to the desired volume. Saline implants provide a firmer feel and allow for minor adjustments in size. They are an excellent option for patients who prefer a smaller incision, as they are inserted in a deflated state and then filled.

Silicone Breast Implants

Filled with silicone gel, these implants offer a more natural feel and appearance. Silicone gel closely mimics natural breast tissue, making it a popular choice. They require a slightly larger incision, however, due to their pre-filled nature.

Cohesive Gel Implants

Also known as gummy bear breast implants, these are a form of silicone implants that maintain their shape even if the shell breaks. They provide a firmer texture and are designed to reduce the risk of implant rupture.

Fat Transfer Breast Augmentation

For those who prefer a natural option, fat transfer breast augmentation uses liposuction to extract fat from one area of the body (such as the abdomen or thighs) and inject it into the breasts. This option provides subtle enhancement without the use of implants.

Benefits of Breast Augmentation Procedure

Breast augmentation surgery offers several benefits beyond just increasing breast size. Some of the most common benefits include:

• Enhanced breast shape and symmetry: Many patients seek augmentation to correct uneven breasts or improve their overall proportions.
• Restoration after pregnancy or weight loss: Breast tissue often changes due to hormonal shifts, breastfeeding, or weight fluctuations. Augmentation helps restore volume and shape.
• Improved body confidence: Many patients report feeling more confident and satisfied with their appearance after the procedure.
• Customization options: With different types of breast implants available, patients can tailor their augmentation to achieve the exact look they desire.

Surgical Procedures and Types of Breast Augmentation

Different surgical approaches allow for personalized results. The method used depends on your anatomy, implant type, and personal preference.

Type of Incisions

The incision used in breast augmentation surgery affects the placement of the implant and the appearance of scars. The three most common incision types include:

• Inframammary Incision: This incision is made under the breast fold, offering excellent access for implant placement and allowing the scar to be hidden under the natural breast crease.
• Periareolar Incision: Placed around the lower edge of the areola, this incision minimizes visible scarring and is a good option for patients undergoing a breast lift combined with augmentation.
• Transaxillary Incision: Located in the armpit, this approach avoids breast scarring altogether but requires endoscopic assistance for precise implant placement.

Placement of Implants

The placement of breast implants affects the final result and how natural the breasts look and feel.

• Subglandular Placement: The implant is positioned above the chest muscle but below the breast tissue, providing a more projected appearance. This placement, however, may not be ideal for patients with little natural breast tissue.
• Submuscular Placement: The implant is placed beneath the chest muscle, providing a more natural slope and reducing the risk of visible rippling. This option is often recommended for patients with minimal breast tissue.

Recovery Process and What to Expect

Recovery from breast augmentation varies depending on the surgical technique, implant placement, and individual healing response. Here’s a general timeline of what to expect:

• First Few Days: You may experience swelling, bruising, and tightness in the chest area. Pain medication and wearing a surgical bra will help with discomfort.
• First Week: Most patients can return to light activities, but strenuous exercise and heavy lifting should be avoided.
• First Month: Swelling begins to subside, and the implants settle into their final position.
• Full Recovery: Within 6-8 weeks, most patients resume all normal activities, including exercise.

Your plastic surgeon will provide specific aftercare instructions, including wearing a supportive bra and avoiding certain movements that could strain the incisions.

Possible Complications and Risks

While breast augmentation surgery is generally safe, there are potential complications to be aware of:

• Capsular Contracture: This occurs when scar tissue forms around the implant, leading to firmness or discomfort. In severe cases, additional surgery may be required.
• Implant Rupture or Leakage: Saline implants will deflate if ruptured, whereas silicone implants may require imaging to detect a leak.
• Changes in Breast Sensation: Some patients experience temporary or permanent changes in nipple sensitivity.
• Asymmetry or Implant Shifting: Over time, implants may shift slightly, requiring corrective surgery.

Important Considerations Before Surgery

Before undergoing breast augmentation, there are several factors to discuss with your plastic surgeon during your initial consultation:

• Your medical history: Conditions such as autoimmune disorders or bleeding disorders may affect your candidacy for surgery.
• Your desired size and shape: Your surgeon will guide you in choosing the best implant size based on your body proportions.
• Long-term maintenance: Implants are not lifetime devices, and future surgeries may be needed for replacement or removal.
• Lifestyle considerations: Certain activities, such as high-impact sports, may influence your choice of implant type and placement.

In summary, breast augmentation offers a personalized solution for enhancing breast shape, size, and symmetry. Whether you opt for saline breast implants, silicone implants, or even fat transfer breast augmentation, each method provides unique benefits tailored to different needs. Understanding the procedure details, types of implants, and recovery process ensures you make an informed decision.

To learn more about breast augmentation we invite you to book a consultation at Clinique-K at our locations in Westmount and Longueuil.