The breast augmentation surgery

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A breast augmentation can be achieved with lipofilling, in which body fat is injected into the breast, or by the insertion of implants. It is also possible to enlarge breasts without surgery. Below you will find extensive information about these three options.

Breast augmentation with implants

A breast augmentation operation with implants (breast prostheses) is almost always performed under complete anesthesia. To insert the implants, an incision (cut) will be made at the bottom of the breasts or in the armpit. You can also choose to make the incision around the nipple.

To achieve a fuller breast, implants will be inserted into the breast. These prostheses consist of a plastic or silicone bag filled with silicone gel, a salt-water solution or a combination of both.

In most cases, a silicone implant will be chosen because most plastic surgeons think this gives the best results.

Due to the recent problems with silicone implants , there are also women who prefer an implant with a saltwater solution.

There are two types of implants with a saltwater solution on the market, the saline implant and the hydrogel implant. The first contains a liquid filling, while with the hydrogel implant the filling is made into a gel using a thickening agent. A hydrogel implant thus approximates the look and feel of silicone implants.

Shape of the implant round and anatomical breast implants

Traditionally, round implants are used to reach fuller breasts. These implants give the breast a fuller and more rounded appearance.

For slim women or women with small breasts, round implants sometimes produce a very unnatural result. That is why more and more women opt for breast augmentation with anatomically shaped silicone implants.

Anatomical implants are less filled at the top than at the bottom and therefore provide a more natural transition at the top of the chest.

Profile of the implant

The profile of the breast implant largely determines the contour of the ‘new’ breast.

In general, a low-profile implant is chosen when a result that is as natural as possible is required.

Implants with a high profile are particularly used when a more firm and fuller chest is required.

Surface of the implant

The surface of an implant can be textured (rough) or smooth. Almost all anatomical implants have a textured surface. For round implants, the doctor can choose between a smooth and textured surface. The doctor will tell you what the best choice is in your case.

It is not always possible to choose the type of implant and the corresponding profile yourself. Your plastic surgeon will advise you which type of implant and profile will give the best results in your individual situation.

It is advisable to bring photos of your desired result when you go to consult. Show the photos to the doctor and ask the doctor how the desired result can best be achieved.

Types of textured silicone breast implants (Merk; Siltex). On the left you see round implants with different profiles and on the right anatomical implants with a low and a high profile. See also the before and after photos at the bottom of this page for results in practice.

Silicone breast implants Safe, or not?

Modern silicone implants are safer and firmer than ever. The gel currently used in the implant is a solid gel. Should the wall break, this gel will spread less quickly through the body.

According to rumors and disturbing news reports, silicone implants could lead to breast cancer, rheumatism or immune disorders. Researchers at the VUmc in December 2013 indeed found a connection between silicone implants and the prevention of health complaints such as fatigue and joint pain.

Incidentally, this does not mean that silicone implants are unsafe. The conclusions in reports from a number of media that this is the case therefore seem premature. For the time being it is a small group of women who react differently than the large majority.

If you prefer not to have silicone implants in your body, then it is best to opt for a hydrogel implant.