This procedure is carried out in women, who feel their breasts to be of inadequate size. It is also carried out in cases of asymmetry, where one breast is smaller than the other and in certain surgical conditions such as tuberous breast. It is also done in cases of large benign tumours (noncancerous tumours) of breast, where the removal of tumour leads to significant reduction in size of the breast.
Attainment of perky and full looking breasts is now a reality, thanks to the advances in science. For those women who desire this, the procedure of breast augmentation makes them feel more confident and complete.
There are two main types of operations. The breast may be augmented with the help of implants or without implants. (Fat Grafting)
In this procedure, bodyís own fat from areas like abdomen, buttocks, thighs, is harvested with the help of thin cannulae and suction. This fat is then processed/ refined on site by various methods such as centrifugation. This fat is then injected into three different levels (subglandular, pectoral muscle and subpectoral), depositing small quantities at each pass. External tissue expansion may be applied 10-12 hours a day, several weeks prior to this procedure, in order to create space for depositing a higher amount of fat graft. The procedure may need to be repeated a few times to achieve optimum result. This procedure may be suitable for those women, who do not want to use breast implants. The limitation is that, augmentation can be only up to one cup size in most cases.
Breast Reconstruction is the process of rebuilding breast, after it has been destroyed due to a disease such as cancer, burns, injury or removed in an attempt to get rid of tumours. The procedure may also be used for birth defects of breast.
Breast may be reconstructed using patients own tissues. This tissue, which is transferred from other areas, to produce a breast like projection is known as flap. Flaps may be harvested from muscle at back (Latissimus Dorsi Myocutaneous), Abdomen (TRAM) and Gluteal area (SGAP, IGAP). In cases where a sufficient skin and soft tissue envelope is present, breast may be reconstructed using implants, as described above. Another method, which has gained prominence recently is the use of patients own fat and stem cells, after harvesting these by liposuction and injecting these as described above, in combination with external tissue expansion.
Usually, it is a two stage procedure. In the first stage, flap or implant is used to provide a projection in the breast area, which is similar to breast. In a second operation, nipple and areola is reconstructed by using local tissues and skin graft. Sometimes, more stages may be required, depending on the complexity of case. In cases of breast reconstruction with fat grafts, 3-5 sittings may be required.