Breast Augmentation

Many women can feel self-conscious about small or asymmetrical breasts, and breast augmentation surgery can increase a woman’s self-confidence and enhance her appearance. The procedure may be suggested for underdeveloped or smaller-sized breasts, or following breast-feeding when the breasts become less voluminous.

The Da Vinci Private Clinic has a wide array of implants available for breast augmentation. Implants of the best quality and safety can be obtained in Hungary. Individual consultation with the plastic surgeon is imperative before the surgery in order to select the right type, shape and size of implant.

Implants can differ in composition, surface texture and shape. The raw material most commonly used is silicone, although several materials have been tested as replacements for silicon hydrogel, such as vegetable oils (banned not long ago due to cases of inflammation the tissues). Saline implants are also available, and are generally comprised of a silicone casing filled with physiological salt solution.

It has not been proven that the rate of developing tumours or immune illnesses is higher among women with silicone implants.

The surface of the implant can be smooth, textured, or micro-textured. The more textured the implant, the less chance the patient has of developing capsule formation. The shape of the implant can be low profile, high profile, teardrop-shaped or anatomically shaped. The selection of implant shape depends on whether the implant is to be placed under the muscle or under the breast tissue (gland), and which technique is the most suitable for the original shape of the breast.

About the Surgery

The implant can be placed under the big breast muscle (pectoralis major) or under the breast tissue directly overtop the muscle. The surgery does not impair glandular function, as the surgery does not come in contact with the glands.

Surgical incision can be made under the mammary fold, around the areola of the nipple, or under the axilla fold, and surgical penetration is about 3.5 to 5 cm, and the surgery is performed under general anaesthesia. Following surgery, one night is spent under clinical observation. Breast-feeding is still possible after implantation.

Method of Anaesthesia: general or epidural anaesthesia
Duration of Surgery: about 1 to 1.5 hours
Duration of clinical treatment: 1 night of in-patient clinical observation
Suture Removal: 2 to 3 weeks after surgery
Wearing Special Compression Bra: 3 to 6 weeks after surgery
Restriction from Exercise and Physical Strain: 6-8 weeks after surgery

Advantages of Breast Augmentation

The result of breast augmentation - Nicely shaped, attractive breasts with barely noticeable, short surgical scars - is visible immediately.

A Few Words about Implants

Implants containing silicone gel have never been proven scientifically to have damaging effects of the health, such as carcinogenic effects, or to increase the likeliness of developing immune or connective tissue illnesses. This is sometimes contrary to misinformation patients may have received via the media.

Silicon is a widely used substance in medical science, such as in cardiac surgery, urology, neurosurgery and otorhinolaryngology. Numerous medicines taken orally, cosmetics, sutures, injection needles, and creams all contain silicon and do not demonstrate any negative side effects.

Breast augmentation with implants does not inhibit either later breast-feeding or regular mammography screenings or check-ups. After the implant settles under the muscle, the breast can be touched and examined as normal. Patients planning to lose large amounts of weight or breast-feed following breast augmentation surgery must be mindful that the look of their augmentation may be altered as a result.

About Possible Complications

Breast augmentation surgery - like every other surgery - has possible complications. In additional to complications of surgery such as hemorrhage, infection, or thrombosis, which are very rare, there are some complications particular to breast augmentation surgery that can occur.

Regardless of the high level of surgical efficiency in introducing the silicone implant, it is still regarded by the body as a foreign substance, and a thin connective tissue-like capsule can form around the implants, however, normally this does not cause any problems. In some cases (between 10% and 30%) this capsule thickens and shrinks, causing a condition called capsular contracture. If capsular contracture develops, the implant becomes closed in a capsule of scar tissue, which can cause hardening or deformation of the breast, create creases, or create shifting of the implant. The patient can develop feelings of tension in the chest, have pain associated with movement, or feel pressure, even in a still position.

If the implant does become encapsulated, another surgery would be required in order to restore the desired shape of the augmented breast and remove the scar tissue surrounding the implant. In subsequent surgery to treat capsular contracture, the intervention is much smaller than the first, and the possibilities are good that capsular contracture will not recur.

After Surgery

Hemorrhage (bleeding) after the surgery is usually not significant and it can be controlled quite safely, sometimes using a drain in the wound immediately following surgery. In extremely rare cases, infection or difficulties in the wound’s healing could lead to the removal of the implant.

After breast augmentation surgery, it is necessary in all cases for the breasts to settle, and the patient is to wear soft, elastic bras without underwire.

It is recommended to have the regions regularly massaged as the implants settle into their final position, and slight repositioning of the implant may be required according to the surgeon’s instructions.

After surgery, the patient should not drive for two weeks, and will be restricted from intense physical activities such activities as lifting heavy things or do sports involving lots of movement for six weeks. During this time sunbathing and the use of solariums are not recommended, and even as surgical scars heal, the use of sunscreen is advised on the regions of incision.

The breast implantation will have no affect on a later pregnancy or breast-feeding. In the case of small and pendulous breasts, a mastopexy (breast uplift) may also be performed alongside the implantation, which can be determined by the position of the mammilla (nipple). If the nipple is located under the submammarial fold, a mastopexy is needed in order to achieve the best aesthetic result.