Breast augmentation or augmentation mammaplasty

Emphasizes the breasts...

Definition and objectives

Breast hypoplasia is the underdevelopment of breasts compared to the patient’s morphology; it may become apparent as of puberty or can appear after a considerable weight loss or a pregnancy.

It can be isolated or related to a ptosis, i.e. sagging mammary glands and skin excess. A breast augmentation corrects underdeveloped breasts by placing implants behind the mammary gland.

All breast implants currently used are made up of a shell and a filling. The shell is always made up of elastic silicone (elastomeric silicone) and can be smooth or roughened (or textured). As for the filling, only saline implants and silicone gel are authorized as they are known and used for almost 40 years.

Procedure and scars

During consultation, the surgeon and the patient discuss the location of the scar, the placement of the implant with regards to the muscle, the type and size of the implant, according to the anatomical context and the patient’s will.

In addition to regular pre-operative examinations, a breast screening should be realized.

The implant is placed with a short incision made in either the perimeter of the areola (periareolar incision) or the submammary fold (inframammary incision).

The implant is positioned either in front of the pectoral muscle, behind the pectoral muscle, or behind the fascia of the pectoral muscle (subfascial plane), which combines the advantages of the first two options.

In case of a ptosis (sagging breasts, low areola), it is preferred to reduce the skin excess, which leads to more important periareolar and vertical scars.

Breast enlargement surgery is performed under general anesthesia or local anesthesia with sedation, and usually takes between one and two hours.

A one-day hospitalization is usually enough.