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AESTHETICS
BREAST ENLARGEMENT / AUGMENTATION
By Mr Ali Juma
This procedure is to enlarge and enhance the breasts . It qualifies as one of the commonest cosmetic surgical procedure in the UK and most other parts of the world .
Women , who decide to undergo this surgery , in the majority , feel that their breasts are not in proportion with their body , including too small with lack of fullness especially in the breasts ’ upper poles , i . e . lacking fullness in a low cut cocktail dress . Cleavage definition may also be lacking and breast enlargement can contribute to its improvement . Women normally present in the early twenties or after having had children .
Breast size , fullness and cleavage are influenced by a number of factors , which include pregnancy , breast-feeding , weight change in addition to congenital ( from birth ), when in some women the breasts do not grow in proportion relative to the female body .
Sometimes a breast may become more developed than the other ; this equates to difference in size and / or shape of variable extent . In some cases this warrants breasts asymmetry correction too when performing enlargement .
The breasts may lose their shape and droop because of aging . Breasts ’ shape , size , lack of fullness in addition to loss of cleavage visibility can affect self-confidence . Therefore , breasts enlargement / augmentation in the appropriately selected patient can help in improving these parameters and physical appearance , which leads to psychological improvement .
Breast Enlargement can be achieved using fat transfer and / or breast implants . When combining both techniques the procedure is termed , a hybrid augmentation . Both can make the breasts fuller and larger with improved cleavage . In the case of fat transfer it could lead , in the appropriately selected patient , to a more natural result .
In the case of fat transfer this is performed in stages usually 1-3 , 4-6 months apart , which allows time to determine how much fat is required at each time , if any . The donor sites for the fat harvest include the tummy , flanks and thighs . The donor sites would also benefit from being contoured in the process .
Breast implants come in many types , sizes , and shapes . Their outer shell is usually made of silicone and they are filled with either silicone gel or salt water ( Saline ). The outer surface can be textured ( rough feeling ); whilst in some implants the outer shell is smooth . Their expected shelve life is in the region of 10-12 years .
In my practice I discuss with my patients what to expect following the surgery in addition to the most appropriate option / s and the latest information relevant to the surgery benefits , scars extent and location , potential risks and complications in addition to recovery period .
For me sizing breasts implants is part of the consultation process as it helps the patient to see and feel the implants in addition to seeing how they may look in a mirror . The sizing of breast implants I have implemented in my clinic for the last 19 years and it has been an excellent tool in achieving good success and happy patients .
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