Silicone breast augmentation is one of the most popular aesthetic surgeries in the last few decades and stands for breast volume enlargement, reshaping, position change as well as asymmetric corrections with silicone implants.
It can be done with diverse shape implants – round or anatomic, different density and firmness, size and augmentation techniques – under the gland, submuscular, under the pectoralis maior muscle fascia or dual plane technique where the lower part is under the gland and the upper under the pectoral muscle.
Also, depending on placement technique and necessities, the incision can be made under the breast, in the areola border and in the armpit. There is an augmentation technique made through the belly button, but it is rarely used and requires special saline implants.
As the surgery is usually done in general anesthesia, all tests recommended by the physician and the anesthesiologist are required – usually laboratory tests with internist examination and ECG.
Before the surgery itself, the patient will agree on the desired size that will finally be recommended by the physician, based on patient’s proportion, tissue, skin and necessities.
The surgery itself lasts from 1 to 2 hours and implants are placed in previously made pockets, depending on the planned implant position.
The subglandular augmentation technique is considered the simplest and the less painful for the patient, while the sub muscular approach has the longest lasting effects and it is minimally invasive for the surrounding tissue because there is no contact with it.
After the surgery, drains are removed the next day and a special brassiere must be worn for 4 weeks. Stitches are removed between the 10th and the 14th day, and hard physical activities and carrying of heavy things is prohibited for the first month at least.
Scars will gradually pale in the next few months, and the final results can be expected after a few months, when breasts become softer.
Swelling and bruises, pain during the recovery period, implant rotation, capsular contraction and visible scar are the possible complications.
Mr sc. med. Vladimir B. Stojiljkovic is a pioneer in regenerative surgery in our country – with scientifically based approach he gained a lot of experience in fat transfer, stem cells and growth factors extracted from thrombocyte enriched plasma. Hi was first in our country to do a natural breast enhancement, using patients own fat tissue and BRAVA method for enlargement.
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