Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Breast
enlargement
" A natural-looking, larger bust
"
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Rather than a long text,
we thought we would answer
the most commonly-asked
questions as concretely
and objectively as possible.
Dr Frederic Sarfati answers
your questions
Ex Head of Clinic, Hospitals
of Paris
Fellow of the Endoscopic
Plastic Surgery Center Baltimore,
USA |
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I) Before treatment
Back
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1. Why would I have breast enlargement ? |
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« To correct under grown breasts, or breasts that have got
smaller after pregnancy
or as a result of natural
feminine hormonal changes.
»
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2. How
do you find out what my
needs are ?
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« Before treatment, we discuss what would be suitable. We use both recent
and older photos and remorph
them so I can advise you
on how we get a nice natural-looking
result that fits with your
figure. » |
3. Does
breast enlargement make
my figure look younger ?
How long do the effects
last ? |
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« This primarily aesthetic treatment changes the size of your bust to get
a more even figure. You
will have shapelier, naturally
younger looking breasts.
Modifying this most feminine
part of the body will
probably have effects
elsewhere, influencing
your social life, sporting
and clothing habits and
also possibly your love
life. »
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4.
How
do you get natural-looking
results ? |
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« The aim of breast enlargement is to improve their aspect of youth and
beauty by using a breast
implant. Each implant
is chosen and positioned
on a totally individual
basis. We now use anatomically
shaped implants, shaped
like a breast. They avoid
the rounded look of previous
years, allowing a full
shape in the lower breast,
and a natural, flatter
shape in the upper breast.
So the enlargement makes
the breast look as if
it has grown naturally. »
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Abrupt
shape change
between the
thorax and
upper breast
using round
implants
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Natural
shape using
anatomical
implants
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5.
Do I need a medical examination before treatment ?
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« During
your preparatory consultation
with the anaesthetist
or the surgeon, we will
ask you for the results
of a general medical examination
to spot any medical contraindications,
including for example
a mammography for those
over 38 years old or if
there are particular problems
in the breast region.
You should take no aspirin
or anti inflammatory medicines
for ten days prior to
your visit. »
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| II ) During treatment :
Back
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6.
How
long will I stay at the
clinic ? |
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« Hospitalisation is from 24 to 48 hours;
we only remove the drains
the day after treatment.
»
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7.
How long will the treatment last ? |
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« The
treatment lasts about
one and a half hours.
»
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8.
What
kind of anaesthetic do you
recommend ? |
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« A general anaesthetic is needed
for this type of procedure. »
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9.
What
will happen during the treatment ? |
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« You will be held in a seated position
during the treatment,
to make sure the implants
sit right. We either insert
these under the gland
or under the muscle, from
the armpit, which is where
we make the incision.
During your pre-treatment
consultation, I will give
you a very clear explanation
of the technique, choice
and position of implant. »
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10.
Which kind of implant will you use ? |
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« The new generation prosthetic breast,
or implant, is a shaped
silicone sac containing
a silicone polymer gel.
We now use velvet-textured
implants, as they are
much more securely held
in the breast, greatly
reducing the risk that
they will slide around
inside, so minimizing
the risk of wear and tear.
There is also a smaller
risk of internal scar
tissue forming.
Put back on the market
in 2001 after in-depth
testing, implants' medical
safety is now well-established.
They are made, shaped
and sterilized in a laboratory,
with varying grades of
elasticity depending on
the size, shape and model.
Their elasticity is close
to natural and means a
soft warm presence in
the body. The new generation
of implants has a longer
life than before of 12-15
years, needing replacement
only after this period.
They can, however, be
guaranteed for life.
Risks of bursting are
now virtually eliminated
as wear and tear is so
reduced. However, we can
never totally exclude
the very slight risk of
small leakages. »
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11.
Where exactly do you insert the implant ? |
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« The first option is behind the pectoral
muscle. We put it here
when the patient is very
slim with small high breasts.
It means the muscle is
between the implant and
the outside, which makes
it impossible to detect
its presence either visibly
or by touch. It makes
for a very youthful looking
bust, but limits the implant's
mobility on the thorax.
»
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A
slim patient :
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Hiding
the implant
behind the
muscle is
preferable.
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After
augmentation
by a 295cc
implant.
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Between the muscle and the
gland: For patients with
larger busts with no visible
ribs. This position deepens
the crease under the breast
with the implant's weight.
The breasts have more mobility,
so look and behave more
naturally. |
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Patients
carrying a little weight
with flat breasts :
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After
with a prepectoral
implant
of 275cc.
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Patients
carrying a little weight
with lower breasts :
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Placed
in the gland,
the implant
moves naturally
with the
breast.
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After
with a 250cc
implant.
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The second option is to
place the implant behind
the pectoral muscle, above
and behind the gland. This
is recommended for slim
patients with drooping breasts.
It has the advantages of
both the above procedures
(see photos), as on the
upper part the muscle comes
between the implant and
the exterior, looking more
natural. In the lower part,
it is inside the breast
for more natural movement.
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The
implant inside the breast
looks more natural and
mobile :
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Before
and after
with upper
implant
behind the
pectorals
and lower
implant
behind the
gland.
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12.
Will there be any scars ?
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« In 95% of cases, scars will be lodged in the hair zone
in the armpits and will
be extremely short, about
4cm, so very discreet
even with your arms up.
So there will be no scars
at all in the breast region
and the nipples will retain
their sensitivity. Breast
feeding is unimpaired.
As for the remaining 5%
of patients, the scar
will be in the lower breast
crease or around the areola,
if we have an implant
change to do with complications.
We avoid as much as possible
planning on using the
latter technique, because
of obvious problems of
aesthetics, breast feeding
and decreased sensations
in the area. »
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13.
What are the risks ?
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« We
greatly reduce the risk
of haematomas by drainage
and bleeding prevention
during the treatment.
We operate in sterile
conditions and prescribe
antibiotics from two days
before the treatment to
the seventh day after.
Sensitivity in the nipple
and areola may be temporarily
increased or diminished.
In very rare cases a fibrous
casing may appear around
the implant, requiring
surgery. This risk is
today minimal with the
new textured implants
and even more unlikely
when the implant is behind
the muscle. If it should
appear, it would be from
between three months and
15 years; symptoms are
pain and discomfort with
changes in external appearance. »
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14. What
risks of phlebitis (deep
vein thrombosis) are there ?
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« There
is a very low risk of
phlebitis for this type
of treatment. It consists
of a blood clot appearing
in the deep veins of the
leg, which can detach
and move to the lungs,
causing a lung embolism.
We can effectively deal
with this risk using anti-coagulants
and support stockings
during your whole stay.
During the treatment,
we also do leg massages.
So far, we have had no
cases of phlebitis at
all. »
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15. Is
there any other important
information I should know ?
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« Breast implants do not in any way encourage
breast cancer, nor do
they interfere with mammograms,
you just have to inform
the clinic when you make
the appointment. You can
of course have babies
and breast feed, making
sure nipple hygiene is
absolute. You can fly
and scuba dive just as
before. »
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III )
After treatment
:
Back
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16. Will
it be painful ?
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« It
rates at 3.5 to 4.5 on
a scale of 0-10, going
down rapidly to a simple
level of discomfort for
a few days. »
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17.
How quickly will I see the results ?
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« Results are immediate and residual
swelling will go down
after two to three months,
at which point the breasts
will have reached their
full natural elasticity. »
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18.
How
often will I have to come
back ?
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« You
will have a return visit
after about a week, then
one month, then every
three months. Of course
you can make an appointment
at any other time too. »
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19. What
do you do to protect the
treatment zone ? will I
have to wear bandages ?
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« We apply
a shaping press to hold
the breasts in place for
one week. During your
first return visit, we
will apply special breast
holders which you will
keep for another week.
We recommend you wear
a seamless elastic sports
bra with front fastening
for a further six week
period. »
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20. What
care should I take afterwards ? |
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« You
can shower after the second
day, taking care not to
wet the bust holder, only
washing from the lower
abdomen down and you may
shave your armpits as
from two weeks. You will
need to do special arm
and shoulder mobility
exercises from the third
week, together with massages
of the armpits, all of
which will loosen up your
movements and help the
scars to heal properly. »
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21.
How
soon can I start work again ?
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« You
can start work after three
days if you have a sedentary
job, otherwise after a
week. »
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22. Should
I avoid physical activity
?
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