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What is Breast Implant / Breast Augmentation?

bruising can be expected. Most patients are able to start normal daily activities starting the next day and return to office work in 2-3 days time. Decreased sensation over the breast can occur and usually recovers in a couple of weeks.

24 Hour Breast Augmentation Service

For most of our patients, getting back to work early is a priority. Thanks to an innovative post operative regimen designed by Dr. Thomas, return to work the very next day is possible now. A special set of exercises instituted on the first post operative day helps to reduce the discomfort and tight feeling after surgery. Fifth generation silicon gel implants are preferred for augmentation as their feel is closest to being natural. Complications are rare following breast augmentation. Early complications include collection of serous fluid or blood, sensory changes, infection, implants mal position.

Infection can occur in the early post operative period. The infection rate in breast implant surgery is less than 1%. Antibiotic treatment results in resolution of the infection in most cases. In cases where the infection has not resolved, the implant will have to be removed and inserted few weeks after complete resolution of the infection. Capsular contracture can occur as a late complication. Our body forms a capsule around the implant. This capsule can thicken and distort the implant in some cases. The exact reasons and causative factors for capsular contracture are not known. Capsular contracture rates at our centre have been much lower than international standards, thanks to our protocol of preventive measures. Breast exercises instituted 2 weeks after the surgery and continued for a year afterwards go a long way in preventing capsular contracture.

So if you are looking to get a Breast Implants and Breast Enlargement surgery in India then your best option is Cosmetic Surgery Institute at India. You may visit our centers in Mumbai and Goa for a consultation on procedures for Breast Augmentation and Mammoplasty Surgery by our expert cosmetic surgeons.

BREAST AUGMENTATION OR ENLARGEMENT OR ENHANCEMENT

This procedure helps to change the shape and increase the size of the breast. This is done to enlarge an under developed breast or a breast that has become small after child birth. The size of the breast is increased permanantly depending on the available loose skin of the existing breast.

A silicone gel or saline-filled implant is placed behind the breast tissue or the breast muscle. A cut about 2" long is made at the lower part of the breast or at the areola (dark skin around the existing nipple).

This surgery is done either under local anesthesia or short acting general anesthesia and the patient can go home the same day after the operation. Subsequent normal breast feeding can be done after breast augmentation and there are no problems with one's personal life, which actually improves after breast enlargement surgery as the breasts play an important role.

Dr.Khanna has successfully done more than 400 cases of breast surgery till date ( 31/12/2009). He was invited as National Faculty to perform and demonstrate a case of Breast enlargement during the National Conference of the Association of Plastic Surgeons (APSICON) at Pune in 2007.

BREAST LIFT OR MASTOPEXY OR BREAST TIGHTENING
Breast sag due to age and pregnancy. In mastopexy operation, drooping and sagging breasts are tightened, recontoured and lifted up, giving them a younger appearance. Also the nipple and the areola are re-located to their normal higher position to give a younger and normal look. If necessary, the size of the areola is also reduced at the same time. The scars following surgery are usually barely visible.

The mastopexy operation is done under general or local anesthesia. It takes approximately 2 to 3 hours to lift both breasts. A silicone implant can be placed at the same time to enlarge the breast. There usually is no hospital stay, and the patient goes home within a few hours after the operation. In most instances, the patient is admitted to the hospital in the morning of the day of the surgery and discharged the same evening. Subsequently, breast feeding and one's personal life is normal.

BREAST REDUCTION View Gallery
Patients with excessively large pendulous breast benefit by this surgery. In this operation, the size of the breast is reduced by removing excess fat, breast tissue and skin from the breast. The nipple is relocated higher and the breast is reshaped and contoured and given proper shape and a younger look. Large breasts lose shape and firmness, the upper pole becomes empty and the nipples point dowmwards. Breast reduction surgery restores the firm feel and round contour of the breast, brings back fullness in the upper pole, and re-positions the nipples to point forwards and outwards.

This surgery is done under general anesthesia and requires 1 or 2 days hospital stay.

CORRECTION OF UNEVEN BREASTS
According to the desire of the patient and if tissues permit, either the small breast can be made larger, or the larger one can be made smaller. There are times when a combination of surgeries may have to be done, like enlargement of one side and simple lift (Mastopexy) or reduction of the other.

BREAST RECONSTRUCTION ( AFTER MASTECTOMY )
Women who have had their breast removed (one or both ) due to illness ( usually breast cancer ) can have their configuration reconstituted by this procedure. Tissue can be taken from the lower abdomen or back, or implants may be used to form the breast. The nipple and areola can also be reconstructed to let the women regain her natural appearance and confidence.

CORRECTION OF ENLARGED MALE BREASTS OR GYNECOMASTIA View Gallery
In some boys during puberty and adolescence, breasts develop to an abnormal large size. This can cause psychological problems and the boys are embarrassed to wear tight T-shirts or take off their clothes in the locker room or in the swimming pool. In some instances, the male breasts also could enlarge during adult life. On very rare occasions, this can be associated with hormonal problems.

A cut is made at the edge of the lower half of the areola and the excess tissue is removed. Sometimes, fat tissue is removed by liposuction at the same time. This procedure is done usually under local anesthesia, and the patient can go home a few hours after the operation. Dr.Khanna has corrected more than 400 cases of gynecomastia successfully till date(31/12/2009).

Breast implant

A breast implant is a prosthesis used to alter the size, form, and feel of a woman’s breasts in post–mastectomy breast reconstruction; for correcting chest wall congenital deformities; for the aesthetic enhancement of the bust; and as a procedural aspect of male-to-female gender transition surgery. There are three general types of breast implant devices, defined by their filler material: saline, silicone, and composite (alternative composition). The saline implant has an elastomer silicone shell filled with sterile saline solution, the silicone implant has an elastomer silicone shell filled with viscous silicone gel, and the alternative composition implants featured miscellaneous fillers, such as soy oil and polypropylene string, et cetera. The pectoral implant is the male breast implant device for reconstructive and aesthetic enhancement of a man’s chest wall, (see gynecomastia and mastopexy). In breast reconstruction surgery, the breast tissue expander implant is a temporary breast-implant device used in staged breast reconstruction.

Since the late nineteenth century, breast implant devices have been used to surgically augment the size (volume), modify the shape (contour), and enhance the feel (tact) of a woman’s breasts. In 1895, surgeon Vincenz Czerny effected the earliest breast implant emplacement when he used the patient's autologous adipose tissue, harvested from a benign lumbar lipoma, to repair the asymmetry of the breast from which he had removed a tumor.[1] In 1889, surgeon Robert Gersuny experimented with paraffin injections, with disastrous results. From the first half of the twentieth century, physicians used other substances as breast implant fillers — ivory, glass balls, ground rubber, ox cartilage, Terylene wool, gutta-percha, Dicora, polyethylene chips, Ivalon (polyvinyl alcohol – formaldehyde polymer sponge), a polyethylene sac with Ivalon, polyether foam sponge (Etheron), polyethylene tape (Polystan) strips wound into a ball, polyester (polyurethane foam sponge) Silastic rubber, and teflon-silicone prostheses.

In the mid-twentieth century, Morton I. Berson, in 1945, and Jacques Maliniac, in 1950, each performed flap-based breast augmentations by rotating the patient’s chest wall tissue into the breast to increase its volume. Furthermore, throughout the 1950s and the 1960s, plastic surgeons used synthetic fillers — including silicone injections received by some 50,000 women, from which developed silicone granulomas and breast hardening that required treatment by mastectomy.

Types of breast implant device

Breast implant devices filled with saline solution (biological-concentration salt water 0.90% w/v of NaCl, ca. 300 mOsm/L.) were first manufactured by the Laboratoires Arion company, in France, and introduced for medical use in 1964. The surgico–technical application goal was emplacement of the empty implant device via smaller incisions. Contemporary models of saline breast-implant devices are manufactured with thicker, room-temperature vulcanized (RTV) shells made of a silicone elastomer.

During the implantation surgery, after the surgeon has emplaced the empty breast implants to the implant pockets, they are filled with saline solution; because the incisions required are small, the resultant surgical-incision scar will be smaller than the scar usual to the long incision required for inserting pre-filled, silicone gel implants. Historically, a single manufacturer, Poly Implant Prosthesis, France, produced a model of pre-filled saline breast implant that suffered great rates of in vivo failure. By the 1990s, the saline breast implant was the medical device usual for breast augmentation, because of the U.S. FDA importation restriction against silicone breast implants.

In surgical praxis, the saline implant can yield good-to-excellent results, but, when compared to silicone gel implants, saline breast implants are likelier to cause cosmetic problems such as rippling, wrinkling, and being noticeable to the eye and to the touch. Especially for women with very little breast tissue, and for post-mastectomy reconstruction patients, silicone-gel implants are the superior medical device for breast augmentation and breast reconstruction. In women with more breast tissue, for whom submuscular emplacement is the recommended surgical technique, saline breast implants can afford an aesthetic “look” much like that afforded by the silicone gel implant.