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Breast augmentation in Kenya

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Breast augmentation is the surgical placement of breast implants to increase fullness and projection of the breasts or to improve symmetry of the breasts. Breast augmentation is typically performed to enlarge small, underdeveloped breasts, breasts that have decreased in size after a woman has had children or weight loss, or simply because the woman wants to enhance the size and shape of their natural bust line. Breast augmentation is most commonly accomplished by surgically inserting an implant behind each breast, or by augmenting the breast volume with fat (lipofilling, fat grafting).

A feminine body image is important to many women, and that includes the appearance of the breasts. In fact, breast implants come in a variety of sizes, shapes and profiles to achieve a natural-looking physique. Other important features include the texture of an implant’s shell and the substance that fills the shell, like silicone.

Summary

  • General anaesthetic
  • Operating time about 1-1.5 hours
  • Hospital stay 1-2 nights
  • Back to work after 1-2 weeks
  • Compression garments for 6 weeks
  • Full exercise after 4-6 weeks

Am I a good candidate for breast augmentation?

If exercise and weight loss efforts have not achieved your goals for a body that is firmer, more youthful-looking and more proportionate to your overall body image, or if this has resulted in loose, saggy skin, then a surgical breast augmentation may be right for you.

This surgery reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body.

You are a good candidate for breast augmentation if:

  • You have the sense that your breasts are too small
  • Clothing that fit well around your hips is often too large at the bust line
  • You feel self-conscious wearing form-fitting clothing or a swimsuit
  • Your breasts have decreased in size and lost their firmness after having children
  • Fluctuation in weight has changed the size and shape of your breasts
  • Asymmetry exists where one of your breasts is noticeably smaller than the other
  • You are healthy, do not have medical conditions that can impair healing or increase risk of surgery
  • You have a positive outlook and realistic goals for what breast augmentation surgery can accomplish

What breast augmentation won’t do:

Breast augmentation alone does not correct severely drooping breasts. If you want your breasts to look fuller and to be lifted due to sagging, a breast lift may be required in conjunction with breast augmentation. Breast lifting can often be done at the same time as your augmentation or may require a separate operation. We will discuss the options and help you in making this decision.

During the consultation, you will be asked about the results you would like to achieve from your breast augmentation surgery. This will help us to understand your expectations and determine whether they realistically can be achieved.

breast-enlargement

In breast enlargement silicone implants are placed behind the breasts.

Breast augmentation – the operation

There are a number of different techniques used to perform a breast augmentation, depending on the shape of the breast and the desired result. Implants can be placed either directly behind the breast (known as subglandular placement), or behind the breast and chest wall muscle (known as submuscular placement). The implants are usually inserted using an incision under the breast at the crease, which is he safest method, also used by Dr Stasch.

The implant placement – behind the breast

The insertion of implants behind the breast is considered to be the simplest of the available enlargement procedures, and the least likely to cause discomfort. This route is also the most effective for patients with slightly drooping breasts, resulting in fuller volume and better uplift. One must consider thou, that with this technique it is more difficult to create a natural shape in patients who are very thin.

The implant placement – behind the muscle

The insertion of implants behind the breast muscle provides more padding, which is a key consideration for slender patients and those with very little breast tissue where the edge of an implant may be detectable through the skin. The muscle provides extra cover and helps to hide the upper portion of the implant, and so is strongly recommended for those whose ribs are visible.

A special technique – the dual plane operation

When slender women with slightly drooping breasts seek enlargement surgery, Dr Stasch often combine these two routes, placing the implants partly behind the breast and partly behind the muscle. Through this combined approach we give you the benefits of both techniques.

breast-enlargement1

To enlarge the breast the implant is inserted either directly behind the breast itself or beneath the muscle behind the breast.

Implant shape

Implants can either be round or tear-shaped. Round implants provide a bigger volume at the top of the breast, along with a deeper cleavage. Tear-shaped implants, meanwhile, can look more natural. With either of these options, there are varying degrees of projection, depending on whether you want your augmented breasts to look subtle or more noticeably pert. Temporary implants, placed inside a bra, can help us to assess our options and make decisions about which implants will help you achieve the augmentation you desire.

breast-enlargement2

Breast augmentation – the operation

Breast enlargement surgery takes between one and one-and-a-half hours, and is done under general anaesthetic. The operation itself involves accessing and creating the pocket into which the implant will be placed, using the insertion route mentioned above: an approximately 6 cm incision will be placed on the lower outer edge of the breast-crease, making it almost invisible. Once the pocket has been created, the implant is inserted and the incision wound is stitched. The breast is then supported by adhesive tapes, which hold the breast in shape and allow a little compression.

After the breast augmentation – Your recovery

  • You will be admitted on the day of surgery, and your length of stay depends on your recovery. Usually, you will stay in the hospital for 1 – 2 nights.
  • The first 2-5 days following your breast implant surgery you may feel stiff and sore in the chest region. Your breasts may feel tight and sensitive to the touch, and your skin may feel warm or itchy.
  • You will have tape dressings applied to stabilize your breasts. Drains (plastic tubes attached to a suction bottle) will have been placed to drain excess wound fluid and blood from each side. The drains will usually be removed after 3 – 4 days. Sometimes it is wise to keep them for longer if there is a lot of lymphatic drainage, to prevent it from collecting in the wound. You will however be able to leave the hospital with the drains inside, if the wounds look fine.
  • Most people do not find breast augmentation surgery to be that painful. Post-operative pain in these procedures is easily controlled. Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.
  • On the day following surgery, we will encourage you to mobilise, in order to reduce the risk of deep venous thrombosis. You will also be fitted with a special breast garment that needs to be measured and ordered before the surgery, to support your breast in the following weeks. You will be encouraged to wear this for about 8 weeks following the operation.
  • You will be mobile immediately after you have recovered from your general anaesthetic on the day of surgery and should be back to full exercise within six weeks. Skin stitches will need to be removed after 2 weeks. Most people have approximately 1 – 2 weeks off work following a breast augmentation procedure, depending on the type of work you do. It is important in the first 3 weeks to avoid any activities, which can cause stretching of the incisions and too much upper body movement. You may experience difficulty raising your arms. You should not lift, push or pull anything, or engage in any strenuous activity or twisting of the upper body.

We will keep a close eye on you after your surgery and would normally see you for your follow-up appointments at regular dressing clinics every 2-3 days and then 6 weeks and 3 months following surgery, at which point your post-operative photographs will be taken.

What complications can occur?

Whilst these operations are generally safe in the hands of a qualified and experienced plastic surgeon and regarded to be highly successful, there are, as with any operation, risks involved and the possibility of complications that patients need to consider.

Smokers are advised to discontinue smoking several weeks prior to surgery, as smoking increases the risks of complications and delays wound healing by altering blood circulation in the skin. You can reduce your risks of complications by closely following our instructions before and after the surgery.

Postoperative pain will vary from person to person, but this is generally not considered as a painful procedure.

Most patients are delighted with the physical and cosmetic improvements that breast augmentation brings. There might be minor asymmetries between your breasts, which might have been there beforehand already. Dr Stasch will make a point to demonstrate this to you before the operation.

Occasionally patients will bleed immediately after the operation and need to go back to the operating room for this to be dealt with. Wound healing problems occur extremely rarely. There is also a small risk of infection. These risks are less than 1%, but if they do occur will result in reoperation. A degree of altered sensation in the breast area is very common after breast enlargement. This usually gradually gets better, but there is a slight risk of losing nipple sensation completely. Hardening, or encapsulation, around the implant is also a potential risk, and up to 10% of women over a ten year period will experience this problem (this is called capsular fibrosis). The breast shape is likely to gradually change as time goes by. In the case of most women this will not trouble them, but sometimes the shape is not as good as it was and further surgery might be considered.

Recent scientific evidence suggests that it may be recommended that you take prophylactic antibiotics when any dental work is done to protect the implant from infection and capsular fibrosis for a short period of time.

Some patients can feel or see the edges of their breast implants under the skin. Sometimes visible folds and ripples become evident. The implants that we use at Valentis Clinic are the most modern, 4th generation implants, with a high degree of reliability. Theoretically however, the envelope can gradually fail and a microscopic leak can occur (silicone bleed). This is not usually a serious event, but once detected will necessitate removal and exchange of the implant.

There is no universally agreed replacement schedule for breast implants, and it is rare for there to be a need to exchange breast implants before ten years. However, you may develop one of the problems described above and may need or choose to have revision surgery at some time in the future. For this reason anyone having breast enlargement should be prepared both personally and financially to have a further operation at some time.

All breast augmentations result in some scarring although the nature of the scars will depend on the patient’s ability to form nice scars. Scars tend to be reddish / brown in the first six weeks, changing darker over next three months and then fading. Most patients will form good quality scars over time, but occasionally and unpredictably some patients will get lumpy scars (keloids) that do not improve unless treated.

Breast cancer screening:

If you are at an age when mammographic examinations should be conducted on a periodic basis, it will be important for you to select a radiology technician who is experienced in taking x-rays of augmented breasts. Additional views of your breasts will be required. We might, in some instances, recommend other types of examinations such as ultrasound or magnetic resonance imaging (MRI). An implant may obscure some of the mammogram.

Results after breast augmentation

The breasts will be swollen and appear very large immediately following surgery. You will be required to wear a compression garment for several weeks following your procedure to minimize swelling and support the tissues as they heal. The swelling will gradually decrease, and your breasts will develop a softer and more natural shape over time. It may take several months for the final result to fully develop.

The results of your breast augmentation surgery will be long-lasting. You will find it easier to wear certain styles of clothing and swim wear. Like many women who have had breast augmentation, you may also have a boost in self confidence.

It’s important to know that after receiving breast implants, results are not permanent, as your body ages, weight fluctuations and gravity, it is natural to lose some firmness and projection. The implants may require replacement during your lifetime. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift or implant exchange to restore a more youthful contour.

For further information about what is involved in this type of procedure, please contact Valentis Clinic on  +254 725 045 705 or contact Dr Tilman Stasch at info@valentisclinic.com if you have any questions regarding your forthcoming surgery.