Deformation after breast augmentation

Deformation after breast augmentation

14th Jun 2021

For women with breasts too small compared to the rest of their anatomy, breast augmentation surgery is a good option to get a more harmonious body. Breast augmentation is usually performed with the patient under general anesthesia, and the type and volume of implants are discussed and agreed upon during the pre-operative consultation. After the patient is under the general anesthetic, the plastic surgeon will make incisions on the breasts. 

There are three types of incisions that could be used to insert the breast implants. We have the periareolar incision that is performed around the areola’s edge, an incision in the inframammary fold, under the breasts, and an incision on the axilla. Generally speaking, the inframammary incision is preferred and recommended by many experienced plastic surgeons as we can introduce implants of a larger volume and the incision can be used again in case revision surgery is needed. 

After the incision is done, the surgeon will create a pocket for the implants. The pocket is made either behind the mammary gland, the pectoral muscle, or in an in-between position called the dual plane. This position means that the upper part of the implant is positioned under the muscles and the lower part under the mammary gland. This ensures a natural look of the breasts after the procedure. 

The pocket where the breast implants are inserted needs to be of the perfect size to accommodate the implants without allowing them to rotate or shift inside the pocket. After the implants are inserted, the body will create a fibrous tissue around them to isolate them from the rest of the tissues. This is a normal occurrence, and it happens each and every time an external prosthesis is inserted into the body. However, this can lead to an unpleasant complication called capsular contracture. Capsular contracture is defined by the thickening and hardening of the fibrous tissue around the breast implants. In some cases, the hardening can lead to breast deformation and even pain. 

Capsular contracture can occur even months or years after breast augmentation surgery, and patients should pay attention to signs of hardening and abnormal pain in the breasts. In a vast majority of cases, a surgical intervention is required to eliminate the capsule that has formed. 

Deformation after breast augmentation is a complication and an undesirable result that occurs in rare cases. However, patients should seek medical help immediately as the pain can become rather intense and it can lead to the rupture and leaking of the implants, and this is something we should avoid. 

It will be very easy for an experienced plastic surgeon to diagnose a capsular contracture, so make sure to schedule a visit with your doctor. Also, keep in mind that it is not always possible to avoid the formation of capsular contracture. However, the use of new generation implants has reduced this risk considerably.

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