Breast augmentation is a sophisticated procedure performed to enhance the volume, symmetry, and shape of the breasts through the placement of breast implants, thereby refining the overall body contour and silhouette. As one of the most innovative and popular cosmetic surgeries available, breast augmentation has allowed women all over the world to experience the unrivaled confidence of looking and feeling like their best selves.
This procedure is personalized at every stage of the surgical process, from selecting the most ideal size for your aesthetic goals to determining the best incision locations and placement for the breast implants. Dr Vaneshri Chetty-B, our skilled plastic surgeon in Johannesburg, South Africa, will work with you closely and develop an optimal treatment plan to bring your desired look into fruition.
- Breast Augmentation Candidates
- Breast Implant Options
- Breast Augmentation Surgery
- Breast Augmentation Recovery
Who is a Candidate for Breast Augmentation?
Those interested in breast augmentation should be in good enough physical health to undergo breast surgery and have no uncontrolled medical conditions. Realistic expectations for the outcome, as well as full development of the breasts, are also essential for patients considering breast enhancement. Good candidates for breast augmentation generally seek to improve one or more of the following:
- Size: If you are dissatisfied with a small or moderate breast size, implants can add volume for a natural-looking enlargement that complements your figure.
- Shape: Breast implants can restore a rounder and more contoured breast shape, as well as improve fullness in the upper poles of the breasts. Combined, these objectives can enhance the overall breast proportions.
- Symmetry: Implants can also even out asymmetries between both breasts for a more balanced and harmonious appearance.
The most successful results are often achieved when patients have minimal breast sagging and skin laxity. Depending on your needs and goals, a breast lift may be a more ideal treatment option for individuals who experience moderate to severe breast sag—this procedure can often be performed in tandem with, or instead of, breast augmentation if desired.
Types of Breast Implants
The different types of breast implants are distinguished by an implant’s fill material. Dr Chetty-B offers saline and silicone implants at our practice—which are the leading implant choices for breast augmentation—and will help you decide the best fill material to achieve your desired look.
Saline Breast Implants
Saline implants are composed of saline solution (sterile saltwater) inside of a silicone shell. These implants generally feel softer than their silicone counterparts and provide a uniformly round shape. In the exceedingly rare event of implant rupture, saline offers the benefit of being safely absorbed by the body. Patients should also have visible indications of potential rupture, as the breasts will often change shape and/or look deflated.
Silicone Breast Implants
Silicone implants are made of silicone gel encased inside of a silicone exterior. When compared to saline implants, silicone is typically firmer to the touch and can more closely resemble the feel of natural breast tissue. These implants often do not change shape if there is a rupture in the silicone shell, which can make visibly detecting a tear more difficult.
How is the Breast Augmentation Procedure Performed?
The breast augmentation process starts with an initial consultation with Dr Chetty-B, in which she will listen to the concerns you seek to improve, discuss your goals for the outcome, and explain the risks, benefits, and details of the procedure so you can make an educated decision about surgery. If you decide to move forward, you will be able to “try on” different implant sizes to help you visualize the best proportions for your goals and body frame.
Breast augmentation is typically an outpatient procedure performed under general anesthesia. Prior to surgery, Dr Chetty-B will help you determine the most ideal location for the implant, as well as the best incision technique, based on your needs and anatomical indicators. Your incision options include:
- Inframammary: Placed along the natural contour of the breast fold, where the breast crease meets the chest
- Peri-Areolar: Made along the lower border of the areolas
- Trans-Axillary: Placed along a natural fold of the underarm, leaving the breasts unscarred
During surgery, your saline or silicone implants will be inserted through the preferred incision location and placed either above or below the chest muscle. Dr Chetty-B will then adjust the position of the implant to achieve a natural-looking aesthetic. The incisions are closed and, after a period of observation, you will be able to recover at home on the same day as your procedure with the help of a friend or loved one.
What Can I Expect From Recovery After Breast Augmentation?
Breast augmentation typically requires a recovery period of one to two weeks, with many patients feeling well enough to return to non-strenuous work after approximately 7 to 14 days. This timeframe may vary based on the complexity of your procedure and your unique rate of healing. Swelling, tenderness, and potential bruising are normal reactions immediately after surgery. Although swelling should resolve naturally as your body continues to heal, it is not uncommon for some degree of swelling to linger up to six months after your procedure. The majority of inflammation should dissipate within the first few months. Any discomfort can usually be managed well with ice packs and oral pain medications.
Post-operative follow-up appointments will help our team monitor your progress, and Dr Chetty-B will inform you of when it is safe to fully resume exercise and your normal routine. All strenuous activity and heavy lifting should be avoided until that time. Your new breast contours should continue to improve as swelling gradually subsides and your breasts settle into their final position.
With breast augmentation, Dr Chetty-B and our experienced medical team can help you turn your aesthetic goals into a reality. Please contact our office for more information about the procedure or to schedule a consultation.