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A Breast Augmentation or Breast Enlargement enhances the fullness, volume, and symmetrical balance of your breasts. While some women will want to increase the size of their breasts, others wish to restore the volume lost following pregnancy, breastfeeding or weight loss. Breast Augmentation is a very personal procedure that can boost your self-confidence by improving the aesthetic balance in your figure. This procedure is one of the most popular and most developed surgical procedures, making it very safe if performed by a skillful plastic surgeon using state of the art techniques and the highest quality, CE marked implants.
- Your Concerns
- Your Decision
- Before Procedure
- During Procedure
- After Procedure
- Our Surgeon
- Before & After
Deciding to undergo breast augmentation surgery involves considering a number of very personal motivating factors. First and foremost, it should be your decision. The reasons why you want to increase the volume of your breasts can be:
- You are unhappy about the size of your breasts
- You want to restore symmetry to your breasts
- Your breasts lost shape and volume after pregnancy and breastfeeding, significant weight loss, or with ageing
- Reconstruction of your breasts after a mastectomy
The increase in breast volume involves the use of breast implants or fat which is taken elsewhere from your body and transferred to your breasts. The latter is also called Fat Transfer Breast Augmentation or Fat Stem Cell Transfer Breast Augmentation.
Making major choices regarding breast augmentation like the type of procedure (fat transfer or breast implants), which size to choose, which type of implant to go for, or what shape (anatomical or round) would suit you best can seem like a daunting task. Fortunately you’re not alone when making these decisions. Our very talented plastic surgeon will guide you through this process answering all you questions, addressing all your concerns, and giving you advice when needed ensuring you are completely comfortable with choices.
You might wonder whether breast implants are 100% safe and we do understand your concern. Over the years the risks of certain types of implants have been exposed. For instance, implants that consisted of soy bean oil where recalled a couple of years ago. More often than not, these risks are caused by reducing costs by sacrificing safety. The implants we use at Persona are of the highest quality, and tested for over 40 years now.
Your surgeon will talk to you in more detail about the breast implants to be used in your procedure. Please rest assured that we only use the most stringently tested products available. All come with our own 10-year warranty against rupture and capsular contracture and the Manufacturers’ 10 Year Warranty for the same.
Apart from this, any surgical procedure, including breast augmentation, which takes place under general anesthesia comes with general surgery risks: anesthesia risk, risk of bleeding, and risk of infection. Therefore it is important that you are in good physical health to minimize these risks. Apart from this, there will be risks specific to breast augmentation. In rare cases there can occur a change in breast/nipple sensation, poor scarring of the skin, leakage of the implant. These risks will be fully discussed in your consultation with our plastic surgeon.
When you book a consultation for a breast augmentation, you get the chance to ask anything you’d like regarding the procedure. Our plastic surgeon will guide you through the entire process, from initial information to aftercare. Since having a breast augmentation can be a major decision for you, it’s important make yourself as familiar as possible with the procedure. In this light, we recommend to go prepared for your consultation. It is a good idea to have a list of questions written down beforehand. Ask as many questions as you need to. If there is a question you don’t understand then ask your surgeon to explain it until you do.
Here are some example questions to help you:
Which incision do you recommend for me, and why?
What size breast implant do you recommend for me?
What type of anesthesia will I receive, general anesthesia, or twilight anesthesia?
What is the main complication you encounter with breast augmentation patients?
Where will my surgery be performed?
How long should I wait until I return to work?
Before you make a firm decision to undergo breast augmentation surgery, make sure you’re doing it for the right reasons. Most women get breast implants simply because that’s what they want for themselves. However, a small percentage of women opt for implants for the wrong reasons, which include the following:
Your Significant Other: It is never wise to get any sort of plastic surgery simply because it’s what your significant other wants. Like most all major plastic surgery procedures, breast augmentation changes your body permanently. Yes, you can have the breast implants removed, but your breasts will never be exactly the same as they were prior to surgery. Having a surgery you don’t want will only make you unhappy, and it will cause resentment towards your partner, in addition to the other problems the relationship already has.
To Save a Failing Relationship: Breast implants will not fix a relationship that’s failing. Breast implants increase breast size, help even out breast size, etc., but that’s the extent of what breast implants can do.
You’re Depressed: Breast implants won’t change the fact that you’re depressed. Breast implants don’t change anything other than breast size. If you are clinically depressed, breast augmentation surgery is not the cure.
Before the breast augmentation operation actually takes place, there are a few things you can or need to do to prepare.
First of all, it’s important to be as healthy as possible before going into surgery. In case you get sick, even if you’re able to suppress it with medicine, please advise your surgeon as soon as possible.
Also a couple of things you could arrange before the surgery:
- Arrange a ride to and from surgery and someone to care for you (at least 48 hrs).
- Fill prescriptions. Buy a prescibed antibiotic ointment, gauze for changes, vitamins and anything approved or requested by our plastic surgeon.
- Shop for / cook some foods in advance (like soup). Have simple foods ready to eat (crackers, soup, jelly, canned health drinks) in case you can’t eat.
- Buy 1 or 2 large jogging or sports bras that open in front (no wires) and stretchy comfortable pajamas.
- Set up a table close to you with things you’ll need when you get home: medications, T.V. remote control, phone, vitamins, tissue, books, magazines, water bottle, etc. Keep a plastic waste can nearby (anesthesia and medications can make you nauseous).
The breast augmentation is performed at our state-of-the-art centre in Ta’ Xbiex using general anaesthetic. The surgery involves the placement of an implant either behind the breast tissue or under the chest wall muscle, which is called the pectoral muscle. Once inserted, the breast implants will push or help lift the breast tissue forward, making the breasts appear larger and fuller.
After your breast augmentation surgery you will be brought to the recovery room to be closely monitored for the first couple of hours. Your breast will be wrapped in gauze and supporting bandages or a supporting bra will offer your breasts support as they heal. After a couple of hours you will be allowed to go home. For the first 24 to 48 hours we advise you to rest as much as possible, you will need someone to take care of you since you won’t be able to perform any physical tasks. After a couple days you will be able to return to work and after 1-2 weeks you can resume most activities. The total recovery period is 4-6 weeks.
What shapes and sizes are there?
Silicone implants are available in two different shapes, anatomical (teardrop) or round. Breast implants are measured in cubic centimeters or cc3—the higher the number, the larger the implant. Most implants can hold at least 400 ccs of filler (sometimes more), and about every 150 to 200 ccs equates to an increase of approximately one to one-and-a-half cup sizes. To determine the ideal implant size for you, the width of your breast needs to be taken into consideration.
Apart from the volume of the implants, also the projection (or Profile) plays a big factor in how the end-result will look. Projection is the term used for the forward projection of the implants. Two implants with the same volume can have a totally different look when the projection is different. Usually projection in breast implants range from Low-Profile to High-Profile. Which profile suits you best is determined by your personal physique and the width of your chest – and of course, your personal preference is taken into consideration.
What is the difference between breast augmentation using implants and an augmentation with fat transfer?
At Persona we also offer Breast Fat Transfer; an alternative way to enlarge the breasts without implants or invasive surgery. Fat Transfer is essentially a 2-in-1 procedure, beginning with removal of fat from other body areas like the thighs, buttocks, abdomen or flanks via minimally-invasive micro-liposuction and then re-using the same, purified fat to enhance and reshape your breasts.
To be suitable for the treatment you will need to have sufficient fat on your body for transfer. However, for the right candidate, a Fat Transfer procedure can be the perfect solution – giving you the chance to reshape areas of your body whilst enlarging your breast size without the need of artificial implants.
Am I a suitable candidate?
Since a breast augmentation is a surgical procedure that takes place under general anesthesia, you need to be physically healthy. Furthermore, your breasts need to be fully developed. When choosing silicone implants you need to be 22 years or older, since silicone implants are medically approved from that age.
Is it OK to have a breast uplift with my breast enlargement?
Your surgeon may recommend an uplift to achieve your desired result. This is often the case with breasts that droop and have lost a lot of volume. All women have different needs, and a discussion of your expectations during the consultation, will help you and your surgeon determine which approach will work best for you.
Mr Duncan Aquilina. MD.MRCS (Eng). EBOPRAS
Plastic and Reconstructive surgeon
Mr Aquilina is currently a Resident Specialist at Mater Dei Hospital. He started his training in Malta and then progressed to higher training in Scotland at the Aberdeen Royal Infirmary where he completed his training. After completion of his training Mr Aquilina travelled to Rio De Janeiro to undergo a cosmetic fellowship at the well-known Clinica Pitanguy. During this fellowship MrAquilina worked with Ivo Pitanguy who is considered as the top cosmetic surgeon in Brazil. Mr Aquilina is a fellow of the European Board of Plastic and Reconstructive and Aesthetic surgeons.