A Beginner’s Guide to Breast Enhancement using Implants
Breast
augmentation in Singapore that uses breast
implants has been an established procedure with a long historical record of
safety. It has proven to be the safest and quickest way to add volume and
achieve the most desired shape of one’s breast.
Because the use of implants is one of the best breast enhancement surgery option
available in Singapore, here is an introductory course discussing the said
procedure.
Suitable candidates
First off, patients to undergo breast implants
are not randomly selected, they have to have these qualifications if they want
to enter the procedure: mammary hypoplasia or micromasia, in simple terms,
small breast; significant breast symmetry; slight breast ptosis; and post
mastectomy reconstruction.
Three Concurrent Procedures
There are three concurrent procedure to choose
from: Nipple reduction; abdominoplasty combined with breast augmentation; and
mastopexy (for patients with significant drooping of breast issue).
Things to consider when undergoing breast
augmentation:
1. Size of the implant
The
size of the implant needs to be proportion to the body stature, height, chest
and circumference. The width of breast base and the amount of breast tissue and
skin elasticity needs to be determined as well.
2. Type of implant: Saline or Silicone
Saline
implant are less popular than the silicone type. It also feels less natural
than the silicone. Nevertheless, because its volume is more adjustable than the
silicone which is fixed, it also adjust more quickly to body temperature.
However, shell wrinkling is more common in this type and the contracture rate
is much lower than its Silicone counterpart but leakages in this type only
causes deflation which are safely absorbable whereas leakages in silicone type
may cause local inflammation and granulomas (though much safer for modern
cohesive gel types).
3. Shape and Surface of implant
The
shape of an implant can either be 1) round/circular (dome shaped and less
natural in appearance but less crucial orientation and offers more options for
incision) or 2) Anatomical/teardrop (more natural in appearance and have large
variety, but needs crucial orientation and usually undergoes inframmamary
incision).
4. Surface of implant
Textures
surface implant have lower contracture rates, infrequent implant migration and
thicker Shell thickness that maybe palpable while Smooth surface implant have
higher contracture rates, more common implant migration and thinner shell
thickness that is palpable.
5. Surgical incision
There
are two types of surgical incision: inframammary and pariareolar. Inframmamary
surgical incisions will leave a scar well hidden within the breast fold and
offers direct visualization of orientation of implant, thus, the best accuracy
for all implant placement. There are no limit as to the number of implants and
breastfeeding will not be affected as well. This is the most popular choice for
tear drop shape silicone implant. On the other hand, periareolar surgical
incision leaves a scar at the areolar margin which may result in hypertrophic
scars and the accuracy of implant placement can be reasonable. There is also a
choice of implant size if the areolar diameter is less than 3.5-4 cm.
Breastfeeding may also be affected and may cut through breast tissues to allow
implant placement. It also runs the risk of nipple numbness.
6. Placement of implant
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