Breast Implant & Augmentation Surgery

Breast augmentation, as the term implies means increasing the size of the breast. The increase in the size of the breasts is through either your own tissue like Fat or through the insertion of Implants which can be Silicone or Saline implants. The best results of breast augmentation are achieved in young patients who do not have sagging of the breast.

Breast Augmentation

Silicone is an inert substance which does not react with our body if presented in a particular form. Silicone Implants are basically Silicon solid balloon shell filled with either Silicone gel or Saline. Saline Implants are almost out of use.
The silicone gel-filled implants which are used, have silicone gel inside the shell which gives the consistency and feel of a normal breast. The outer shell may be smooth, textures or microtextured.

As long as there is no leak of Silicone from the shell of the implant, there is no significant reaction with the body (breast tissue), but if there is a leak then the Silicone gel may react with the surrounding breast tissue.

Usually, this leak does not happen and therefore Silicone gel-filled breast implant is considered safe.

The pros and cons of various types of breast implant may be discussed with the Doctor. The Breast implant surgery in Mumbai is relatively straightforward breast augmentation surgery with very few complications.

The implant is either put under the breast tissue over the chest wall muscle (Pectoralis Major Muscle) or under the Pectoralis Major muscle but above the chest wall. Which is better is still a matter of debate and can be discussed with your doctor.

The cut for Breast Implant can be below the breast in the under-breast crease called the inframammary crease, or in the axilla or on the junction of breast tissue and areola. There are plus and minus of each.

The inframammary incision tends to be more visible in the lying down position but in the standing position, it is not visible. The areolar incision supposedly gives the least visible scars as it mingles with the junction.

The axillary incision does not have any scar on the breast, but wearing a sleeveless dress may be an issue.

Breast Feeding:
Breast feeding is not hampered after breast implant because the implant is put under the breast and not in the breast tissue.

Breast cancer:
There is no evidence to suggest that breast implant increase the chances of Breast Cancer.

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL):

Recently there is a concern regarding BIA-ALCL. This is most probably a lymphoproliferative disorder or a T-cell Lymphoma, specific to breast implant but the incidence of which is very very low.

Although very difficult to ascertain the exact risk it is somewhat between 1 in 1000 to 1 in 10000 in various studies. To put it in correct perspective, the risk of this specific T-cell Lymphoma, specific to breast implant breast cancer is very very low.

Though this issue is relatively new, a new concept to put things in correct perspective is the concept of MICROMORT which is the risk of dying of a particular event per one million population.

The estimated Micromort of BIA-ALCL is 0.4. If we compare the Micromort of driving for 8 hrs in America, it is 16 almost 40 times that of textured breast implant-related BIA-ALCL.

Microtextured implants are supposed to be having much lower incidence of BIA-ALCL