Breast Augmentation

Breast Augmentation is one of the most popular cosmetic procedures. It describes the enlargement of breasts using implants or fat. Many women are concerned about the appearance of their breasts. The size of their breasts is a major concern and this is where breast augmentation, also referred to as a 'boob job', can help.

The reasons patients may opt for breast augmentation are:

1. To enlarge small breasts
2. Add volume to breasts following weight loss or pregnancy
3. Achieve symmetry in asymmetrical breasts
4. Correct a birth defect of the breast

Breast augmentation has been shown to greatly improve patient confidence and has a very high level of patient satisfaction. Dr. Faisal has great experience in breast augmentation and specializes in producing natural results. During the consultation, Dr. Faisal will establish what your goals are. No two people are the same and this certainly applies to breast augmentation patients. A specific breast implant will have a different result on two different people.  A patient's height, weight, and chest dimensions will determine the size and shape implant they require to achieve a particular look. In addition to using breast implant sizers, Dr. Faisal uses 3D simulation software to give a highly accurate image of what your chosen implant will look like

This allows you to proceed forward with a high level of confidence, knowing what your final result is likely to be

Dr. Faisal's main priority is patient safety. He only uses implants with the strongest safety record. His favored implants are Mentor®️, Sebbin®️ , and Motiva®️.  They utilize silicone cohesive gel, or 'gummy bear', technology to give natural, safe, and long-lasting results

Breast Augmentation At a Glance

Treatment time- 1 hour

Anaesthetic- General

Overnight stay- 0

Back to work- 3 days

Driving- 1 week

Return to exercise- 6 weeks

Final Result- 3- 6 months

Breast augmentation

When contemplating breast augmentation there are a few considerations Dr. Faisal will have to make.

Implant pocket – This typically means placing the implant either above the muscle (sub-glandular), under the muscle (sub-muscular), or a combination of both (dual plane). The implant needs to have enough tissue overlying it to give the most natural-looking result. The examination will determine which pocket is best suited for the individual

Implant contents- Implants are either filled with silicone or saline. For more information please check Dr. Faisal’s blog

Implant shape – Implant shape can determine the final result of the breast. Breast implants come in two shapes: round and anatomical. Round implants have more fullness in the upper portion of the breast. Anatomical implants are teardrop shaped, and have more volume at the bottom than the top. Both shapes can produce natural-looking results, but each one is suited to specific breast types. Dr. Faisal will assess the breast footprint and shape before recommending either

Implant texture- The surface of the implant can be smooth or textured. The development of textured implants was linked to reducing long-term problematic scarring known as capsular contracture. The rates of this were reduced with textured implants.

The degree of texturing can be divided into 1-macro, 2- micro, and 3- nano. Due to recent controversy with a type of lymphoma (ALCL) macro textured implants have been removed from the market. Smooth implants eliminate the risk of ALCL but carry a slightly higher risk of capsular contracture (hardening of the implant due to scar tissue) Doctor Faisal uses micro and nanotextured implants

Skin incision – There are three main types of skin incision used for breast augmentation. 1- Inframammary crease (breast fold) 2- axillary 3- peri-areolar. Although the axilla and peri-areolar may seem less visible they carry a higher risk of infection and capsular contracture

Please check Dr. Faisal’s video on why he prefers to use the breast fold as his incision of choice

Fat transfer for Breast Augmentation

Breast Augmentation can also be achieved by the transfer of your own body's fat. Fat transfer, theoretically, sounds like the ideal way to augment breasts. Not only can we enhance the volume and shape of the breasts, but we can perform liposuction on areas of stubborn fat. It sounds too good to be true, right?

Unfortunately, it is. Even in the most experienced hands, fat retention is 60%. Because a significant amount of fat is lost, it is not uncommon to require multiple stages for fat grafting. It is also difficult to predict where the fat will survive, and where it will be lost.

Fat transfer is best used as an adjunct to another procedure. This typically means it is used alongside an implant. For some patients, the tissue over the implant is very thin. For these patients, fat can add an extra layer above the implant, and make the implant less visible. Fat can also be used to narrow the cleavage line in patients with a wide cleavage.

Frequently asked questions(FAQ)

Will I need help after the procedure?

Breast augmentation is not a very painful procedure. If the implant is placed above the muscle, there is little to no pain. If it is placed under the muscle then there will be soreness, akin to post-exercise soreness of muscles. Patients can normally care for themselves and do not need too much assistance for activities around the house. We normally recommend taking things easy for 2-3 days.

Is breast augmentation painful?

Pain in plastic surgery is only caused by cutting through muscle. If Dr. Faisal places the implant above the muscle there will be no pain, except on the incision line. If he places it under the muscle, then there may be some discomfort for 2-3 days. This, however, is minimized by the use of anaesthesia during the surgery and painkillers on discharge. Patients normally rate it at 3/10

Who is a good candidate for breast augmentation?

Good candidates for breast augmentation are women who are in good health, have realistic expectations, and desire an increase in breast size or shape. The procedure is often recommended for women who have lost breast volume due to weight loss, pregnancy, or aging.

What is the recovery like after breast augmentation?

The recovery after breast augmentation surgery varies, but patients can generally expect some discomfort, swelling, and bruising for the first few days or weeks. Patients are usually advised to avoid strenuous activity and heavy lifting for a few weeks and to wear a supportive bra during the recovery period.

What are the risks of breast augmentation?

Like any surgery, breast augmentation carries some risks, including bleeding, infection, scarring, implant rupture or leakage, changes in nipple or breast sensation, and difficulty breastfeeding. It is important to discuss these risks with a qualified surgeon before undergoing the procedure.

How long do the results of breast augmentation last?

The results of breast augmentation can be long-lasting, but they are not permanent. The lifespan of breast implants varies, but they may need to be replaced or removed after 10 to 15 years or sooner if there are any complications. Additionally, changes in weight or pregnancy can affect the appearance of the breasts over time.

Will drains be necessary?

Dr. Faisal does not use drains for breast implant cases. He uses a technique in which there is minimal tissue damage in the breast. Reduced tissue damage leads to reduce fluid production. Drains can be uncomfortable for the patient. By not using them, the experience for the patient is better.

Do I have to wear a supportive bra after the procedure?

Dr. Faisal recommends wearing a surgical bra for 6 weeks. This helps the breasts to support the weight of the implant. The design places pressure on the implant so they maintain their position It has no underwire, therefore protecting the incision line from trauma.  

What Can I do to optimize the result?

Dr. Faisal recommends sleeping on your back for 3 weeks. This will prevent any pressure from displacing the implants in this early stage. Massaging the implants after the first week will help to position the implants into their final position more quickly. Avoid swimming and the gym for 6 weeks

Will breast implants affect breastfeeding?

Breast implants should not affect your ability to breastfeed. However, if the incision is made around the areola, there may be a slightly higher risk of breastfeeding difficulties.

Can breast implants increase the risk of breast cancer?

Breast implants do not increase the risk of breast cancer. However, they can make it more difficult to detect breast cancer on a mammogram. It's important to inform your healthcare provider if you have breast implants so they can take appropriate measures to ensure a thorough and accurate screening.

How long does the procedure take?

The procedure usually takes about one to two hours.

What size and shape of implants should I choose?

The size and shape of implants you choose will depend on your personal goals and preferences, as well as your body type and shape. During your consultation, your surgeon will help you choose the best implant size and shape for your body.

Related procedures?

• Breast lift
• Breast lift and augmentation
• Fat transfer