Breast augmentation is designed to increase the size of your breasts. Most commonly it is done due to the failure of the breast to develop to an adequate size or because significant shrinkage has occurred after pregnancy or breastfeeding. Breast augmentation can also be performed on one side if one breast has failed to develop.
A number of incisions can be used to insert the breast implant. Most commonly these are in the fold of the lower edge of the breast, on the border of the darker skin of the nipple or in the armpit. The choice of incision has to be matched to the choice of implant as certain implants can only be inserted by some incisions. At your consultation with Dr Scamp or Dr Magnusson you will be asked which incision you prefer but an assessment of your breast shape and your wishes for improvement will be made and this may favour one particular form of implant.
Over the past 15 years more types of implants have come available. It is therefore now more than ever possible to match a given breast shape and desire with a specific style of implant best designed to achieve this. Some people will do well with any type of implant but others will get a superior result with one style alone. Much of the consultation process with Dr Scamp or Dr Magnusson is spent discussing this so that an appropriate selection is made in your case.
At surgery, a space is made for the implant behind the breast. Implants can either be placed behind or in front of the chest muscle. For most people, placement behind this muscle produced the better result. It tends to give a more blended upper border and avoids the fake look that can announce the obvious placement of an implant. Placing the implants behind the chest muscle also reduces the risk of hardening (capsular contracture). When the implant is behind the muscle, flexion of the muscle will lead to the implant moving up temporarily. Strong flexion of the muscle may also lead to an unusual appearance as the muscle pulls on the scar capsule surrounding the implant. This distortion of shape is temporary and disappears as soon as the muscle relaxes again. It occurs in a greater and lesser extent in all patients that have had the implant placed behind the muscle, but it is more obvious in some, especially those who have little breast tissue of their own.