What is breast augmentation surgery?
Breast augmentation, also known as breast enlargement, breast implants or breast enhancement can give patients the look they desire. It can improve a woman’s self-esteem and make her confident in her body again.
Breast augmentation surgery is an operation to enlarge and change the shape of the breast, usually using silicone implants. Because women are all different and each woman has her unique idea of beauty, Mr Olivier Amar offers a wide variety of silicone implants (Motiva and Sebbin). These include teardrop shaped implants for a natural, understated appearance, and implants with a more rounded shape which can help if women have lost volume at the top of their breasts or simply prefer this look.
Why consider breast augmentation surgery?
Women seek breast augmentation for many reasons. Some have genetically small breasts and would prefer what they perceive to be a more feminine shape. Others have asymmetrical breasts from a young age. Some may want to restore the fullness of their natural curves after pregnancy and breastfeeding, weight loss or natural ageing. Other women want a curvier shape for personal reasons.
Whatever your reason, Mr Olivier Amar is an experienced breast surgeon who understands how a woman’s body can affect her confidence and self-esteem. He treats every patient with discretion and the utmost sensitivity.
My patients often tell me they want the confidence to wear form-fitting clothes, dresses with a low neckline or to have an elegant décolletage. Many simply wish to restore fuller, more youthful curves after pregnancy or weight loss.
Did you know?
Where is the implant placed?
Breast implants are introduced most commonly via an incision in the fold under the breast, or they could be placed via an incision in the armpit or around the areola, the darker skin around the nipple. Implants can be placed on top of the chest muscle or under the muscle. The latter gives a little more ‘padding’ for slim women concerned that the outline of their implant might be visible.
What is capsular contracture?
A normal reaction to the presence of a foreign body in the organism is to isolate it from the foreign body with a hermetic membrane called a ‘periprosthetic capsule’. Normally this membrane is thin, supple and imperceptible but the reaction can increase and the capsule can thicken, become fibrous and contract exerting pressure on the implant, it is then known as a ‘contracture’.
How long does breast augmentation with implant surgery take?
The operation may take between 60-90 minutes.
Can I get 3D visualisation?
Careful planning of your surgery is important. To help you better understand and visualise the effect of different sizes and shapes of implants or fat grafts, Mr Olivier Amar offers Crisalix 3D Surgery Simulator software as part of your pre-surgery consultation. This system first scans your body, then an on-screen image shows how you might look after the procedure. This process, combined with Mr Olivier Amar’s expert advice, will help you make decisions with confidence.
Will I have obvious scars following breast augmentation with implant surgery?
There may be a scar of around 4cm located discreetly in the fold under the breast. These will usually be red at first, then purple, and then fade to become paler over 12 to 18 months. Scarring will be at its most noticeable during the first few months following surgery. Scars will be raised and a different colour to your skin. They will eventually flatten and fade. The scars may not take on their final appearance until a full 18 months after surgery.
Do I need to do anything before the procedure?
For breast augmentation surgery, an ultrasound or mammogram will be required in order to check the breast tissue. It is seriously recommended to stop smoking a least one month before and after surgery, as smoking can delay healing.
Am I required to wear specific clothing following surgery?
After breast augmentation, you will need to wear a soft, elastic, compression bra and band for between three and six weeks to support recovery during the healing period which is easy to hide under your clothes. A compression bra helps with skin retraction and to reduce swelling as the surgical area is healing.
Are silicone implants safe?
Silicone implants have been extensively tested, both in the UK and around the world and have been shown to be safe. Studies have shown that our bodies are exposed to far greater levels of silicone in everyday life than occurs when you have breast implant.
When will I see the results of breast augmentation with implants?
This can be truly seen from two to three months after surgery, the time necessary for the breasts to become softer and for the implants to settle.
What form of anaesthetic will be used?
All breast procedures with Mr Olivier Amar are performed as day case surgery. They are usually performed under total intravenous anaesthesia (TIVA), a technique of anaesthesia which uses a combination of agents given exclusively via the intravenous route without the use of gas anaesthesia. This means you will sleep comfortably throughout the procedure and wake immediately afterwards with a significantly reduced likelihood of feeling groggy or nauseous. The anaesthesia will be explained to you by your anaesthetist during the preoperative consultation. Having surgery with TIVA allows you to go home the same day to rest and recuperate in comfort.
Doing the procedure was a huge step for me but he made it effortless. The results are far beyond what I could’ve expected. Very natural just as requested. I am very pleased and would highly recommend Mr. Amar’s service.
What can I expect after breast augmentation surgery?
Your breasts will be swollen for a few weeks after the operation, this can take between 2 weeks and 6 weeks to settle. Initially you can expect to experience mild pain, which can be managed by a pain killer prescription.
You will be asked to come in for a post-operative nurse appointment one week after your surgery. At this point your incision sites will be reviewed, stitches removed and your preliminary healing will be assessed. You will come back at six week after surgery to be reviewed by Mr Olivier Amar.
How long do I have to wait to return to normally activities following the surgery?
Depending on your type of daily activity, you will usually be able to resume your normal activities after two to ten days and return to gentle exercise after four to six weeks. Strenuous activity should be avoided for at least 2-weeks. Mr Olivier Amar will discuss this with you in further detail at your consultation.
Can any other procedure be done at the same time?
Fat transfer to breast with implants
Mr Olivier Amar’s extensive experience and expertise in using fat transfer have led him to be among one of the few masters to perform a dual breast enlargement technique.
Layering a patient’s fat over the top of implants creates a remarkably soft and natural look, with a rejuvenated, smooth décolletage and a more organic feel.
If the edge of an implant has started to show, which can happen in slim women, a small amount of fat can discreetly mask this. The addition of fat transfer means every breast augmentation can be made entirely bespoke to a woman’s preferences rather than being reliant on the size and shape of the implants available on the market.
For women who dislike the thought of silicone implants, Mr Olivier Amar offers the alternative of natural breast enlargement with fat transfer.
Fat transfer or fat transplantation uses a patient’s own fat in place of implants.
Fat is usually taken from an area where the patient has stubborn fat, such as the abdomen and thighs. This technique will not normally permit as much change in size as is possible with implants, but it is suitable for women who want a subtle, natural change to their appearance.
Fat can also be used to enhance and refine the shape of the breast in women who have had previous implants but have experienced changes due to ageing or pregnancy.
It is important to remember that as your breasts settle down after surgery there will be a difference of between 20% and 40% between the number of fat cells grafted and the quantity which will survive long term.
Some women may require breast lift surgery (Mastopexy) at the same time as augmentation to address emptiness and sagging.
A breast lift is a surgical procedure designed to lift and/or reshape breasts that hang low over the chest and have the majority of their volume at their base. Alternatively, you may prefer to use your own fat tissue for natural breast augmentation or combine implants and fat transfer to breast to create a soft and natural look, with a rejuvenated, smooth décolletage and a more organic feel.
For patients who feel that their nipples are too long or their areolas too large, Mr Olivier Amar offers nipple and areola reduction at the same time as augmentation.
Irregularly-shaped or large areolas may be genetic. Sometimes pregnancy or weight gain can cause them to become larger, change shape and even become uneven or asymmetrical.
Large, protruding nipples can be visible through clothing, causing women to be self-conscious, and may even cause discomfort, particularly while exercising. Nipples may become enlarged during pregnancy or breastfeeding.