BREAST AUGMENTATION
What is breast augmentation?
Breast augmentation is the second most common plastic surgery procedure worldwide, after liposuction. It is a completely safe procedure with long-lasting results, improving both physical appearance and a woman’s psychology, offering a more youthful and firm breast in the desired size.
What is the purpose of breast augmentation and who is it for?
Breast augmentation is a procedure aimed at increasing breast volume, mainly through the placement of silicone implants. The procedure can be performed at any age after 18.
The most common reasons a woman chooses breast augmentation are:
• Breast atrophy due to genetic causes.
• Loss of breast volume after pregnancy or significant weight loss.
• Correction of breast asymmetry.
• Reconstruction after mastectomy.
• Treatment of micromastia or congenital hypoplasia.
What are the main advantages of breast augmentation?
Modern breast augmentation with advanced techniques such as Dual Plane and Subfascial offers multiple benefits:
• Completely natural and harmonious result with the body.
• Minimal pain and fast recovery.
• Minimal trauma to natural tissues.
• Reduced risk of capsular contracture.
• Preservation of breastfeeding ability and breast milk composition.
• No effect on nipple sensitivity.
• Long-lasting aesthetic result.
• Option for simultaneous breast lift (Augmentation Mastopexy).
What types of implants are used in breast augmentation?
Breast augmentation uses implants filled with either silicone (most common) or saline. All modern implants are safe, high-tech, and biocompatible.
Implants are also categorized by shape:
• Round: Provide uniform fullness in both upper and lower breast poles.
• Anatomical (teardrop-shaped): Less fullness in the upper pole, enhancing the lower breast contour.
Where are the implants placed in breast augmentation?
Regarding implant placement, there are four options, with the last two being more modern techniques:
• Above the muscle (Subglandular).
• Below the muscle (Submuscular).
• Dual plane: Partially under the muscle (usually the pectoralis major) and partially under the gland.
• Subfascial: Under the fascia of the chest muscle.
The plastic surgeon, considering breast characteristics (skin thickness, base), body type, and patient preferences, selects the implant type and placement level.
How is the appropriate implant size selected?
Choosing the correct implant size is crucial for a harmonious and natural result. The process includes detailed consultation and examination:
• Patient’s desires and expectations.
• Body type and anatomy (chest width, existing breast tissue).
• Detailed breast measurements (breast base, nipple-to-fold distance, skin thickness and elasticity).
The goal is a proportional and natural result that blends with the rest of the body.
What is the procedure and duration of breast augmentation?
It is normal to experience mild discomfort or pressure during the first few days. Pain is manageable with common painkillers:
• Return to work: Possible within a few days, depending on the job.
• Avoid strain: For 2–3 weeks, avoid heavy lifting, intense physical activity, and sexual activity.
• Special bra: Wearing a sports bra without underwire is recommended for about 1 month.
• Sutures: Usually absorbable (intradermal sutures).
How can you start the breast augmentation process?
The first step is a detailed consultation with Dr. Konstantinos Floros. During the visit:
• Your expectations and lifestyle will be discussed.
• A clinical examination and body measurements will be performed.
• You will receive full information about the technique, recovery, and cost.
Will implants need to be replaced after breast augmentation?
Modern silicone implants do not have a fixed expiration date and do not require replacement after a specific time. Most companies offer lifetime warranties.
Replacement may be needed in rare cases or by patient choice:
• Patient preference (change of size or shape).
• Changes in the body (significant weight loss, pregnancy).
• Very rare medical cases (e.g., rupture or capsular contracture).
Tip: Regular follow-ups and check-ups help detect any changes early.
How is breast augmentation performed with autologous fat?
Breast augmentation can also be done using fat transfer (lipofilling):
• Procedure: Excess fat is removed from areas like the abdomen or thighs via liposuction, processed, and injected into the breast.
• Suitability: Ideal for women seeking a mild increase (about one cup size) or shape improvement. Also used in reconstruction or to soften implant edges in very thin women.
• Advantage: Natural and permanent result without implants.
What are the possible complications of breast augmentation?
Breast augmentation is considered safe, with a very low complication rate. However, as with any surgery, risks exist:
• Mild inflammation or irritation at the incision.
• Temporary changes in nipple sensitivity.
• Rare capsular contracture.
• Implant rupture (extremely rare with modern implants).
Choosing a specialized plastic surgeon and following post-operative instructions minimizes complications.
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Dr. Konstantinos Floros was born in Athens, studied Medicine at the University of Thessaloniki, and specialized in Plastic Surgery in the United Kingdom. He has participated in specialized aesthetic surgery seminars in London and New York. In Greece, he practices privately with a focus on aesthetic plastic surgery and modern applications of cosmetic medicine and anti-aging. He has served as a Plastic Surgery registrar at the university hospitals Queen Mary’s University Hospital in London and Addenbrooke’s Hospital in Cambridge.
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