A breast augmentation procedure has the following 3 variables:
- Type of implants that can be used
- Type of incisions that can be made
- Method of placement of the implants
At Cocoona, we have the expertise across all these variables, and that is one of the reasons that we conduct the most number of successful breast augmentation in Dubai.
Let’s look at what these variables are:
TYPE OF IMPLANTS:
There are 3 main types of implants –
- Silicone Implants
- Saline Filled Implants
- Fat Grafting or Fat Transfer from other parts of your body
Silicone implants were first produced in the early 1960s, and are still extremely popular. They are silicone shells filled with a plastic gel, which makes them feel more like real breasts than other options. The quality of the gel and the shell itself has evolved with time and research, making them quite long lasting and with a superior feel. These days highly cohesive silicone gel breast implants, also referred to as “gummy bear breast implants” are gaining popularity over traditional or regular silicone implants. The gel inside these implants is quite similar in structure to the “gummy bears” sweets – so even if there is any mishap, or leak, the gel does not drip out. More than 90% of women prefer silicone implants, which now come with up to 15 years warranty. These implants are available in both teardrop (natural anatomy shape) and round shapes.
- Being softer, they feel more natural
- In a sub-glandular position (above the breast muscle), they hold better
- Lower chances of “rippling”
- The insert, being gelatin in nature does not leak or drip easily
- They are long lasting
- To insert them, a relatively larger incision is needed
- In the rare case of a rupture, it is harder to detect (silent rupturing); so regular screenings are essential
SALINE FILLED IMPLANTS
These are also silicone shells, but are filled with sterile salt water solution, similar to the fluid that makes up most of our body. The feel of these implants is much firmer than gel, less natural, and thus fewer women prefer this as an option.
- A smaller incision is needed to insert the Saline filled implant
- The fill level is adjustable, giving greater variability in sizes
- In the rare case of rupture, the saline content is immediately dispelled from the body, and the change is obviously visible
- Their feel is not quite natural
- These usually require to be placed behind the muscles
- Due to the liquid filling, it can cause rippling
Both the Silicone and Saline-filled implants come in different shapes, sizes, and texture. During your consultation with our surgeon, you will see samples of these and understand the pros and cons of each. Follow the surgeon’s advice on which would suit you the best.
In this method, instead of inserting a silicone or saline implant, the surgeon will take fat from another part of your body (liposuction), and after treating it, will inject it into the breasts, to help gain volume.
This process works well if the enlargement needed is not much (1 bra cup size only), or only upper part fullness is needed, or after a conservative breast cancer surgery has been done.
- Use of your own body material, rather than an external insert.
- Double advantage – get rid of excess fat from unwanted areas, and use for breast enlargement
- Usually only 1 cup size change is possible with fat transfer
- Possibility of transferred fat to be reabsorbed by the body
- More expensive
- Can cause mammogram readings to be misleading; in some rare cases also mimic cancer, causing some panic
Talk to our doctors on this method and seek their wisdom if this would work for you. Book an appointment.
TYPES OF INCISIONS:
There are 4 places on your body that the surgeon can do the incision to place the implant:
- Below your breast – at the breast fold line: This is the most popular incision spot and preferred by patients and surgeons. In medical terms, this is known as Inframammary or Submammary Incision.
- The scar can also be placed in the shape of a half-moon below the areola (the pigmented skin around the nipple). This is called the Periareolar Incision, and is suggested for women with a large nipple areola complex.
- Very selectively, this incision can also be made in the Axilla (armpit). This is considered an option when the women do not want any scars on their breasts. It is also known as Transaxillary Incisions.
- The least recommended method, also called as Transumbilical Breast Augmentation (TUBA), involves incisions made in the umbilical area for inserting the implant. This is not a common incision method and is only ever done for saline implants.
Please feel free to discuss the benefits of each type of incision before deciding which is good for you. Our surgeon will recommend the best incision type suitable for you.
TYPES OF PLACEMENT:
Most surgeons place the implants either:
- Under the chest muscle – Submuscular (or Retromuscular) placement, or
- On top of the muscle but under the breast glands – Subglandular (or Subfascial) placement.
Submuscular Placement ensures that the implant is not easily felt through the skin, because the muscle covers it. It also helps get a better image of the breast during mammography.
Subglandular Placement is a faster procedure during the surgery and its recovery time is shorter too.
A recent innovative technique is “dual plane” wherein the implants are inserted in “dual plane”, that means half under the muscle and half under the breast glands. This procedure is performed only in selected patients, post examination by a highly skilled plastic surgeon.
Yes, at Cocoona we have that expertise too. Dr. Sanjay Parashar is a specialist in dual plane breast implants. Come and talk to our surgeons to see which implant, incision, and placement method suits you the best.