|Anticipated pain level||Moderate to important|
|Procedure duration||1 hour|
|Scars||Under the breasts or at the level of the areola or in the armpit|
|Final result||After 3-6 months|
|Social isolation||14 days|
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the intervention is performed on women who would like to have more volume or on women whose breasts have become less firm or less generous following a pregnancy or a loss of weight.
Mammary augmentation can be combined with a correction of the areola or the nipple.
The operation is performed under general anaesthesia and takes about an hour. It consists of inserting a prosthesis of which the size, filling, form and positioning (beneath the glandular tissue or behind the pectoral muscle) are chosen by the patient, in consultation with the surgeon. Mammary implants can be inserted in three different ways: via the areola, via the fold of the breast or via an incision in the armpit.
The patient can return home on the day of the operation.
After the intervention, a waterproof dressing is applied and a specific bra has to be worn. The first four days can be relatively painful, especially in the event of submuscular positioning.
The result can be seen one month after the intervention but six months are needed for appreciating the final result.
The mammary implant can be round or anatomical (= drop-shaped).
This shape rather fills the upper part of the breast. When the woman is standing up, it becomes drop-shaped; this effect can be accentuated if the prosthesis is positioned behind the muscle.
Thanks to this shape, the upper part of the breast is naturally filled. It therefore provides a little less projection in the upper part of the breast, which can produce a more natural result, especially in the case of a more significant mammary augmentation. Its insertion however requires a larger incision.
Apart from the filling and the shape of the mammary implant, the size of the prosthesis has to be chosen. The most natural result is obtained when the breasts form a balanced whole with the body. The size of the cup and the relationship with the patient’s morphology are also factors that have to be taken into account.
The implant can be placed under the glandular tissue or behind the pectoral muscle.
The implant can be positioned under the glandular tissue, which gives a good result if there is enough tissue prior to the intervention. If this is not the case, indeed, there is a risk that the upper edge of the prosthesis would be visible.
When the mammary implant is placed behind the pectoral muscle, it is covered with an additional layer of muscle. The risk of the edge of the prosthesis being visible is therefore reduced. The layer of muscle rests on the upper part of the mammary implant: the round prosthesis will then become drop-shaped. The risk of coccus formation is reduced in the case of submuscular positioning.
Mammary implants can be inserted in three different ways: via the areola, via the fold of the breast or via an incision in the armpit. Each place has its own pros and cons.
The incision is made via the areola and leaves a barely visible scar. The size of the incision is determined by the size of the areola. It entails a slightly greater risk of infection than the other techniques.
This is the most practised technique; implants of every kind can be placed via this incision. The scar is barely visible since it is in the fold under the breast. In the event of new intervention, following a coccus formation, for example, this kind of incision would be preferred.
A breast enlargement can also be performed via the armpit, but the mammary prostheses can then tend to move upwards. On the other hand, as the scar is not on the breast, it is not seen.