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Breast Augmentation Explained

Breast Augmentation Explained

What will Hortman Clinics discuss with you in your consultation?

Hortman Clinics will discuss various topics of breast augmentation in Dubai with you during your appointment, such as:

  • Whether your implants should be silicone or saline
  • Whether they should be sub-pectoral (under the muscle), sub-glandular (over the muscle), or sub-fascial (between the fascial tissue and the pectoral muscle)
  • Whether they should be round or shaped
  • Whether they should be smooth or textured
  • What size should the implants be during breast augmentation Dubai
  • What kind of incision should be made

What’s the difference between saline and silicone implants?

In essence, saline implants are balloons filled with sterile salt water. Their outside shell is made of silicone. A tube is used to fill them with salt water after they are implanted empty. As soon as the tube is withdrawn, the implants instantly shut themselves. Selecting the right materials and approach is a key part of planning a custom breast augmentation surgery in Dubai to ensure your long-term satisfaction.

The silicone casing of silicone implants is the same, but silicone gel is already within. Depending on whether you want your breasts to feel more firm or like natural tissue, the gel can be either soft or hard (the hard kind is called cohesive gel). In order to lower the risk of capsular contracture and implant rotation—the movement of the implant while it is in place—some implants are coated with polyurethane.

What is meant by ‘under the muscle’ and ‘over the muscle’ breast augmentation?

The pectoralis major is the name of the concerned muscle. It is a big, thick muscle located beneath your breast and over your ribs. The thinner, smaller pectoralis minor muscle is located beneath that. For example, these muscles are what people mean when they discuss “pecs” in regard to bodybuilding. Consulting with the best breast augmentation surgeon in Dubai will help you determine which anatomical placement aligns perfectly with your physical goals.

Implants for breast augmentation can be positioned above or beneath the pectoralis major muscle. Both types of implants offer benefits and downsides, and medical opinions differ on the best approach. Which choice is best for you will be determined by your surgeon.

 

Advantages

Drawbacks

Below the muscle (also known as sub-muscular or sub-pectoral)

Has less of an impact on breast cancer screening (mammograms) and gives a more natural appearance since the implants are cushioned by both breast tissue and muscle. Reduced the likelihood of wrinkles, especially in women with low body fat. Reduced chance of capsular contracture, which occurs when scar tissue hardens and deforms around an implant. The implant is supported by the muscle, which lessens skin wear.

Invasive surgery: More discomfort following surgery and an extended recuperation period. The breasts sit high because it takes weeks for the muscles to reach their normal position. There is a slight possibility of severe animation deformity, which occurs when the implant moves in response to muscle flexion. This condition can impact upper body strength and may cause problems for weightlifting and bodybuilding.

Over the muscle (also known as sub-glandular)

Less invasive and simpler surgery. Reduced pain and suffering following surgery. Reduced recuperation time permits more cleavage since the implants may be positioned closer to one another. This technique permits the use of bigger implants, albeit this is dependent on the breast’s soft tissue content. Absence of animation deformity (the movement of the implant when the muscle is flexed)

The breasts may appear less natural and more augmented, although some women might prefer this look. There is a higher chance of the skin rippling (wrinkling). There is a higher risk of capsular contracture, which can distort mammogram results, meaning more X-rays need to be taken

What is sub-fascial breast augmentation?

The fascial tissue, a thin collagen-based connective tissue, envelops the pectoral muscles as well as the majority of your body’s muscles. In sub-fascial breast augmentation, the implants are positioned below the fascial tissue of the pectoralis major rather than the whole muscle (as in sub-pectoral augmentation). Discussing these highly specific anatomical variations is standard practice during a comprehensive consultation for breast surgery Dubai.

Because it is highly difficult to separate the fascial tissue from the muscle and does not usually provide good results, this form of breast augmentation is rarely employed. (For example, sub-fascial implants may be more noticeable since there is less space to hide them.)

Should I choose round or teardrop implants?

There are two types of breast implants: teardrop and round. If you are looking for the best breast augmentation Dubai experience, evaluating how each shape interacts with your natural silhouette is an essential step in the pre-surgical planning phase.

Because they provide round, well-proportioned breasts, round implants are the conventional form and the option of choice for the majority of women. The best breast surgeons in Dubai have more freedom to adapt the implant to your physique and the desired breast form since teardrop implants come in a variety of teardrop (oval) shapes.

It’s advisable to talk to your surgeon about your alternatives when deciding which implants to use for your individual augmentation.

Round implants

Produce well-proportioned, round breasts. Permit the use of a smooth implant shell to prevent skin ripples. Their form is more fluid, and their position and movement are more organic.

Teardrop implants

It may fit every woman’s breast and body type due to its great form flexibility. The cohesive silicone gel improves the implant’s ability to maintain its form.

Should I choose smooth or textured implants?

The silicone outer shell of every breast implant can be smooth or textured. If you are currently researching terms like boob job surgery near me to find trusted regional advice, understanding shell texture is vital for your safety and outcome.

While textured implants are intended to help retain the implant in place and prevent it from rotating or sliding, smooth implants are meant to resemble the breast’s natural movement. Although they are known to rupture more frequently than smooth implants, textured implants are also thought to reduce the likelihood of capsular contracture.

Some surgeons prefer smooth implants because breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has been reported more frequently with certain textured implants. This highly uncommon form of lymphoma is very unlikely to arise (about 1 in 30,000–50,000 cases), even though it is more prevalent with textured implants than the smooth version.

Many surgeons contend that by placing the implants beneath the muscle, the sub-pectoral technique eliminates the need for textured implants. As always, though, it should ultimately depend on what your surgeon thinks is best for you.

What kind of incision will be made?

The sort of incision utilized for breast augmentation will ultimately depend on what your best breast implant surgeon in Dubai recommends.

Inframammary incision

This incision is made beneath the breast, near the junction of the breast and chest. The inframammary incision’s primary advantage is its ability to conceal scars. Additionally, it is adaptable since it permits the implant to be positioned above or beneath the muscle. This type of incision is most frequently used by Hortman Clinics Dubai.

Periareolar incision

A cut made along the areola’s edge, which is the pink or brown skin surrounding your nipple. Because of the color and texture of the areola, this type of incision is very effective at hiding scars. Additionally, it allows the surgeon to place the implant with greater accuracy. However, the increased risk of infection makes Hortman Clinics Dubai less likely to utilize a periareolar incision.

Transaxillary incision

An armpit cut. An endoscope—a long, thin, flexible tube with a light and a camera at one end—is occasionally used for the process since it provides the surgeon with an improved view during implant placement. This method’s greatest benefit is that it doesn’t require any kind of breast incision.

Can I have a breast lift (mastopexy) and breast augmentation at the same time?

Breasts that have sagged as a result of pregnancy, nursing, or aging can be reshaped using breast uplift surgery, sometimes referred to as mastopexy. The procedure entails repositioning the nipples and removing and tightening the skin and tissue surrounding the breasts in an effort to make them feel firmer and seem younger. Breast size is not much affected.

Breast augmentation and breast lift can be performed together. Women whose breasts have not only sagged but also lost a significant amount of their fullness—a typical occurrence in women who have lost a lot of weight or breastfed—are the greatest prospects. Restoring that fullness is the goal of the procedure.

However, rather than doing the surgeries all at once, many surgeons advise doing them in phases (breast lift first, augmentation a few months later). This is due to the fact that the outcomes of the combination operations may occasionally be unforeseen and may complicate the healing process.

What is the fat injection transfer procedure, and does it work?

Women can get bigger breasts without the hazards associated with implants by using a relatively new method called fat injection transfer (also known as stem cell fat transfer). 

Are there any methods of breast augmentation that don’t involve incision?

Because they only need a little skin incision, all techniques—including fat injection transfer, a kind of liposuction—are “minimally invasive.” Nonetheless, a skilled surgeon will carry out this procedure with the highest level of care, accuracy, and with little apparent scars.

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FAQs

Silicone and saline implants both have a silicone outer shell, but the material inside them is different. Saline implants are filled with sterile saltwater after they are placed, while silicone implants come pre-filled with silicone gel. Many patients feel that silicone implants provide a softer and more natural breast feel. Saline implants can be adjusted slightly during surgery and require a smaller incision for placement. Both options are available in different sizes and profiles to suit individual preferences. Modern silicone implants are designed to maintain their shape and reduce leakage concerns. Your surgeon will recommend the best option based on your body type, aesthetic goals, and lifestyle.

Breast implants can be positioned either above the chest muscle (subglandular) or below it (submuscular/subpectoral). Placement below the muscle often creates a more natural appearance and may reduce the visibility of implant edges or rippling. It can also have less impact on mammogram imaging and may lower the risk of capsular contracture. Placement above the muscle generally involves a shorter recovery period and less post-operative discomfort. This option may also allow for greater cleavage and accommodate larger implants in some patients. The ideal placement depends on factors such as existing breast tissue, body composition, and aesthetic goals. Your surgeon will evaluate these factors to recommend the most suitable technique.

Yes, a breast lift and breast augmentation can often be performed during the same procedure. This combination is commonly chosen by women who have experienced breast volume loss and sagging due to pregnancy, breastfeeding, weight changes, or aging. A breast lift reshapes and elevates the breasts, while implants restore fullness and enhance size. Combining the procedures can create a more youthful and balanced breast appearance. However, not every patient is a candidate for a single-stage procedure. In some cases, surgeons may recommend performing the surgeries separately to optimize healing and results. A detailed consultation will help determine the safest and most effective approach for your needs.

For women who prefer not to use implants, fat transfer breast augmentation may be an alternative option. This procedure involves removing fat from another area of the body through liposuction and injecting it into the breasts to increase volume. Because the procedure uses your own fat, the results can feel very natural. Fat transfer is generally best suited for patients seeking a modest increase in breast size rather than a dramatic enhancement. The technique can also provide the added benefit of body contouring in the donor areas. However, not all transferred fat survives long-term, and multiple sessions may sometimes be required. Your surgeon can help determine whether fat transfer or implants are more appropriate for your goals.

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