Breasts seem to play an important role in how society views women. Apart from being a focus of attraction for males, an attractive breasts make a woman feel more feminine, confident and happy.
Reasons why women want their breasts to be reshaped can vary. Some women notice their bodies change after weight loss or pregnancy, while others have always disliked their breasts since puberty
It is also quite variable what women like as we all are different. Research has found that more than 50 % women favoured moderate C cup, followed by a D and then a small C. The wish has to be respected by the surgeon, but the implant choice has to balance a few variables to suit you
It is proven beyond doubt that breast implant surgery has many benefits to offer than just being attractive
Confidence build – There is no doubt that appearance has a big impact on confidence. Many women find that having larger and curvy breasts makes them feel more feminine and attractive which has a big positive impact on their overall confidence levels.
Look – Breast augmentation is a perfect way to add volume and curves to your silhouette, the way you want. Whether your goal is to go up to a certain cup size, fill out a bikini top, or just have curves in your everyday clothing, a breast augmentation can give you that new look you desire.
Feel young – Having fuller and perkier breasts makes some women feel more youthful.
Healthier lifestyle – Many women find that having breast implant surgery pushed them into a healthier lifestyle. They value their figure and would exercise and eat healthy to maintain it,
Asymmetry and Micromastia – Micromastia is undeveloped breasts. There is none to a very little breast mound and it looks like nipples sitting on a flat chest like in men. There is hardly anything more embarrassing for a woman than this.
Asymmetry in breasts can be very significant even visible through clothes.
Body image – Body image is dfferent to self esteem. Deformed breasts from birth, surgery or trauma can cause psychological problems where mind can refuse to consider these breasts as normal body parts. A breast augmentation also improves body image
Restoration after pregnancy & ageing – pregnancy can take a toll on a mother’s body, especially her breasts. Breast augmentation can make them youthful and perkier.
Length of Surgery | 1 – 2 hrs |
Hospital Stay | Day procedure |
Anaesthesia | General Anaesthesia by a board certified Anaesthetist |
Recovery | Back to desk job after 1 week . Normal activity after 4-6 wks |
Final Outcome | 3 – 6 mnts |
Details of implant types , implant selection , and procedure details can be found as you browse trough this website.
What suits you essentially depends on 2 broad variables ,your anatomy and the desired look.
1 ) Your Anatomy -your body frame and breast tissue quality
2 ) Your desired look –
Dr Mahadik will measure you up and talk you through the procedure and help select an implant that suits you the best.
Women have different ideas of what they want. Some women walk in with a size and shape in mind while others would want our opinions so they can make a decision. At Esmee, we understand that its is not an easy decision to make. So we take pride in empowering our patients to take educated decisions and stand besides them when they need us.
Important fact is, the actual implant size in ‘cc ‘ , is not really descriptive of what a breast augmentation will look like, or what the final cup size will be after the procedure. There are many other factors that govern how a particular implant will look after 6 months.
As per Dr Tavakoli ( Sydney ), “Final breast implant size is a complex function of the elasticity of a patient’s skin envelope, chest wall diameter and implant dimensions but most importantly pre existing breast volume.”
To explain this further – A tall, broad-shouldered patient with small A-cup breasts may require 450cc implants to achieve a C-cup breast volume postoperatively, while a shorter patient with medium B-cup breasts may only need a 250cc implant to achieve a C-cup breast volume.
Measurements – By careful physical examination Dr Mahadik will measure the Chest diameter, breast width and height and the projection of your natural breasts.
3 questions and the answers for them help Dr Mahadik to determine a right implant for you.
1 . Your breast width – The diameter of your breast footprint , or your breast base width, is the maximum implant width that can be selected. Small alterations are possible depending on desired cleavage and side boobs. For eg. if the breast width measures 12 cm, the implant width is limited to 12cm ( +/- 0.5 mm) Any implant diameter more than this is not suitable for your body frame.
2 . How big ( perky) you want to go – This depends on the implant profile ( moderate / high & extra high ) . Moderate profiles give a more balanced look. Those who want their breasts to stand out in the crowd can go for extra high profile.
3 . What shape you want –
There are a few options to choose from to match your shape of choice.
Tear drop ( anatomical ) implants give you natural look as they are sloping in the upper half and full in the lower half of the breast . Round implants benefit in women looking for more cleavage and upper pole fullness.
Dr Mahadik will guide you through the process so you choose the best one that suits you.
A small 4 – 5 cm skin incision has to be made to insert the breast implant. The implant although much bigger can be folded and squeezed through a small cut. Due to its cohesive gel technology, it unfurls into its original shape when it goes into the pocket created by your surgeon.
The incisions are placed in a way to hide the subsequent scar into your skin crease.
There are 3 common incision sites although , the commonest one is inframammary.
Layers of the chest wall include –
1) skin
2) breast tissue
3) muscle and
4) ribs.
Pocket is the space into which the implant sits on your chest.
The pockets used for implant placements are submuscular and subglandular
Submuscular pocket – this is the most favoured approach for impant placement . The implant sits in between the muscle and the rib cage ( layer 3 and 4 ).
The upper end of the implant being covered by mucles gives a nice take off from the chest wall and better contour especially in thin women with smaller breasts. Benefits include
Subglandular pocket – The implant sits in between the breast tissue and the muscle ( layer 2 and 3 ).
If you have a good amount of breast tissue especially in the cleavage area this pocket suits better. Benefits include
This is a new technique popularised in Texas and Sweden. It combines the advantaes of both the subglandular and submuscular pockets.
Dr. Mahadik dissects 50% above and 50% below the muscle to create a dual plane. The freed breast tissue flap then spreads better and sits well over the lower pole of the implant. This prevents the double bubble deformity ( a deformity which forms due to a tight band of skin over the breast ) . This technique is proving very successful in most type of implant procedures that are undertaken.
Modern day implants are ‘Cohesive’. That means they hold their original shape. They contain semiliquid cohesive gel inside a resilient silicone shell. The gel gives it a softer feel and the shell maintains the desired shape.
Advances in technology has made breast implants more safer with a more natural feel. They allow the surgeon to fold and insert the implants through a much narrow opening in the skin. Implants then unfurl into its natural shape once in their pocket on the chest.
Unfortunately, breast implants do not come in cup sizes. Cup sizes are confusing for implant manufacturers and for us as well.
1) C-cup from one bra manufacturer is not necessarily the same as a C-cup from another manufacturer and
2 ) Final cup size will be partially determined by the preoperative breast size, and every patient is different in this aspect.
However , it can be expected that a B-cup implant size is approximately 250g (cc) and a C-cup is 330cc in a woman of average height and average build
The final size of an implanted breast is guided by these 3 factors + your desires to go ‘ how big ’
Dr. Mahadik will do a careful physical examination and guide you to select an implant that suits you the best.
Your native Breast Diameter is the most important determinant of all in deciding what implant you can choose. This is often the starting point of your implant selection process.
As the implant size ( volume in cc ) goes up the implant diameter also goes wider. So larger implant than your chest size will look out of proportion and cause issues like migration of implant, symmastia and stretch marks. Smaller implant to your chest size does not give cleavage and upper pole fullness.
However, it can be expected that a B-cup implant size is approximately 250g (cc) and a C-cup is 330cc in a woman of average height and average build. That number will be higher if the woman is tall or has broad shoulders. Similarly, if the patient is shorter than average or has a narrower chest, that number can be expected to be slightly lower.
They come in 2 shapes , Round and Tear drop ( anatomical )
Each shape comes in 5 different Profiles or Projections or Heights to choose from. The choice depends on how much cleavage and side boobs you want. The more cleavage you want the higher profile you go. However, it is important to remember that putting an Extra or Ultra high profile does give people that ‘fake boob’ look which could be someone’s choice.
They are round from all over and provide same girth all over. They are ideal for those patients with well-shaped natural breasts who desire a straightforward enlargement in all dimensions but specially in the upper pole.
They are fuller in bottom half and sloping in the upper half , like natural breasts. Use of the teardrop (anatomical) shape depends on the patient’s desire, as well as her breast shape. Two groups of women who benefit from teardrop-shaped breast implants ;
No matter what the coating or the shell is, the inside is silicone gel for all types of silicone implants.
The choice and advances in coating surfaces (smooth, textured and polyurethane ) are to reduce capsular contractures and reduce implant migration. Technology is fast evolving and we hope that one day we have a ‘ prefect implant ‘
They give a relatively softer feel especially important under thin breasts. Although they come with a higer rate for capsular contracture, they pose less of a risk for ALCL ( a very rare cancer associated with breast implants )
Textured or rough surface implants claim to reduce capsular contracture and pocket migration. Highly active and athletic women should go for textured implants for a better tissue hold and less displacement.
Theses newer implants claim to have 1-2% capsular contracture rates than 5-7% for others. They are more firm and give a somewhat unnatural feel to the breast. Biggest advantage is that they firmly hold the breast tissue with the least migration.
You will have a dressing on the incision site and a bra garment fitted just after the procedure |
You will have a dressing on the incision site and a bra garment fitted just after the procedure |
Moderate discomfort and pain is expected for 5 -7 days till you get used to the stretch of the skin. Analgesic medications will help. |
Stitches don’t need to come out as they are dissolvable . You will be seen in the clinic day 7 – 10 as a followup. |
Desk jobs can be resumed after a week . You can return to your normal activities gradually as you feel comfortable. Strenous activities should be avoided for 6 wks in total. |
General risks
Specific risks
Modern implants are made out of cohesive gel. This allows them to be folded and squeezed into the pocket through a small skin cut. They regain their original shape once inside. the pocket.
Breast implants that Esmee Clinic uses are made of silicone. There is no evidence that silicone implants causes any disease in the body.
Silicone is derived from the naturally occurring substance, silicon. Silicon is a metal-like element that reacts with oxygen to become the most common substance on earth, silica. From beach sand to crystals, silica exists on the earth naturally. With intense heat and carbon, silica becomes silicon, which then can be further processed to become silicone. It is commonly used in lubricants and oils, such as polishes, body lotions, soaps, processed foods, chewing gum, and waterproof coating
Breast implants do not interfere in breast self /clinical examination in any way.
You should inform the doctor before doing mammograms about your implants so he can take additional views to see as much of the breast tissue as possible. You may need a radiologist experienced with this.
Any skin cut heals with a scar. We hide the scars in skin folds and by meticulous suturing techniques. In most women scars are inconspicuous. You should speak to your surgeon if you have a tendency for hypertrophic scars or keloids.
They last for a good many years which depends on what age you have them put in. This is because even if the implant stays the same, your breast tissue keeps on changing as you age. So an implant done at 20 yrs of age looks very different when you are post pregnancy 40 yrs.
Majority will likely need to be replaced eventually and about 1% to 2% of breast implants break or deflate each year
Many women in their mid thirties, walking in the consult room have this question. “Can my drooping be corrected with just implants or do I need a lift”.
Breast implants provide volume and Breast Lifts provide just support and not volume. Sometimes the answer could be “both”
Implants alone will correct drooping, but only in early stage. drooping when . Implants alone help,
4. The areola is too large and the patient wants it reduced
Breast Implants do not interfere with pregnancy. Your breasts will enlarge at pregnancy like other bodily changes.
Is there an increased chance of cancer after breast Implant surgery
No, there isn’t.
The difference between 375 cc and 400 cc is so small as to be hardly noticable after surgery.
Remeber as well that when you try on the implants inside a bra they appear slightly larger than the same size implant after surgery. So always err on the larger size.
Natural breasts do fall out to the side, and to some extent, implants will do the same. A bra will give you the appearance you are creating with your hands. However, the only other way to gain more cleavage in that area is to add volume with a round implant
I have one breast larger than the other . Can implants fix this
Yes. Its very rare to have perfectly symmetrical breasts. The asymmetry can be minimised with choosing appropriate sized implants. You should not expect perfect symmetry.
Absolute no for the first 10 days as rise in blood pressure can risk a bleed. Avoid straining the arms and upper body and manual handling for 4 weeks. We advocate breast massage from 3 weeks post surgery. Unrestricted activities at 6 wks.
There is no evidence that compression garments help in anyway. Dr Mahadik likes to support the lower pole with a support snug fit bra for 4 weeks. This is applied before the patient is shifted off the operation table
The nerves of the breast skin and the muscle are stretched quite a lot. This causes hyperaesthesia and typical ‘ zingers’ which is sharp stabbing nerve pain. Sometimes it is a deep seated burning pain.
Breast massage with a moisturiser commencing 3 weeks post surgery desensitises the nerve pain and comforts the patient.
Most of this will get better in 3 months time. However, up to 10% remain with permanently altered nipple sensation – either too much or not enough.
Firstly, all patients are advised to “massage/moisturise” the breast skin commencing prior to surgery and continuing for 3 months after surgery.
At 1 week post-op we advise all our patients to commence massaging down the cleavage line to help reduce the swelling and start to define the new cleavage.
– At the three week post-op stage you are then instructed on how to commence massaging, designed to help soften and settle your breasts.
– Also at the 3 week stage we advise all our patients to commence massaging the scar/incision which helps soften it
The answer is “probably not”. However it does play a vital role in the initial softening of the breasts and reminds patients that their new breasts are not “fragile” and that they can be handled normally.
Most of the swelling settles in 6 weeks after surgery and you can really start to appreciate how things are going to look. With time the superior fullness of breast tissue corrects itself. The breast softens and settles called as a fluff or a drop. This takes anywhere between 3 – 6 months
Research says most women have realistic expectations that if this is done, they will look more satisfying to their own eye and to others.
Unrealistic expectations are common when sense of self and self esteem are fragile . Those patients who are going through major life changes like divorce, death in the family, a new partner or a job should wait before any mental heath issues like depression and anxiety are addressed.
Unfortunately, breast implants do not come in cup sizes. They come in volumes of the gel inside. Out of the several reasons the important ones are 1) C-cup from one bra manufacturer is not necessarily the same as a C-cup from another manufacturer. And 2 ) Final cup size will be partially determined by the preoperative breast size, and every patient is different in this aspect.
However, it can be expected that a B-cup implant size is approximately 250g (cc) and a C-cup is 330cc in a woman of average height and average build. That number will be higher if the woman is tall or has broad shoulders. Similarly, if the patient is shorter than average or has a narrower chest, that number can be expected to be slightly lower.
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