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All such breasts can be enlarged and reshaped.

Breasts are the major identity of the female gender and are important determinants of female beauty and psychology besides being an important functional organ.

Breast reshaping surgery is the most commonly performed cosmetic surgery in the west. In India and Asia too the figures are fast catching up.

BREAST UPLIFT AND AUGMENTATION:

Major indications for this surgery are:

• Small size of the breasts
• Drooping or lax breasts especially after child bearing and lactation.
• Unequal or different sized breasts
• Breast volume restoration after removal of breasts as in cancer.

Operative and post operative:

After careful examination and discussion about the actual requirements the augmentation surgery is carried out under local or general anaesthesia and is painless. About 2 inches cut is made under the breast where it joins the chest wall. After making adequate space under the breast tissue or the underlying muscle the breast implant is placed and cut is closed. Most of the cases go back home same evening and can resume light routine activities in about 2 to 3 days time. Stitches are removed after 7 to 10 days after the surgery.

For uplifting the grossly drooping breasts surgery is of bit longer duration and entails fixing the breast tissues higher, removing excess of skin if present and inserting an implant if required. The resultant scar line is usually inverted T shaped.

About the implants:

The implants are made of medical grade sialastic or silicone. It has outer shell and inner space filled either with saline or silicone gel. They are mostly rounded or spherical in shape however other shapes like oval or teardrop are also available. They come in different sizes and projections and are manufactured by different concerns. In the US only saline filled implants are used but in Europe and rest of the countries gel filled are more commonly used.

Results and complications:

Increase in the size of breasts and upliftment gives a great feeling of satisfaction to most of the cases. It enhances one’s appearance and self esteem. Depending upon the size of the implant there is one or more increase in the cup size of the bra.

In the immediate postoperative period slight discomfort, swelling and pain is experienced temporarily. Feeling of numbness, altered sensations can remain under the nipple for a varying length of period. Formation of tight capsule around the implant causing it to feel hard or deformed is sometimes seen. This capsule contracture can be treated by closed maneuvers or may require an open surgery. Rarely infection can occur around the implant in which case it may require long-term antibiotics, replacement or even removal. Implant rupture, leakage or deflation can also occur requiring further surgical interventions.