Natural Looking Breast Augmentation

How to Get Natural Looking Results after Breast Enlargement Surgery

When considering breast enhancement, it’s important to understand all the options available to you. Natural looking Breast Augmentation isn’t just about changing how you look; it’s also about ensuring the method aligns with your physical needs and lifestyle. Each method has its distinct processes and outcomes, and the best choice depends on your individual body type and personal preferences.

In this blog, Consultant Plastic Surgeon Anthony MacQuillan will discuss natural-looking breast augmentation, offering details about the two primary methods available: breast implants and fat grafting.

Choosing the Right Implants to Get Natural- Looking Results

Breast implants are prosthetic devices surgically inserted to enhance the size and shape of your breasts. These implants come in two main types of materials:

  • Silicone Implants: These are filled with a silicone gel that mimics the feel of natural breast tissue closely. They are preferred for their ability to create a smooth, realistic silhouette.
  • Saline Implants: These consist of a silicone shell filled with sterile salt water (saline). They are generally inserted empty and filled once in place, allowing Anthony to adjust the size during the procedure.

Both types are encased in a silicone shell, regardless of the filling, and both have been extensively tested for safety and effectiveness.

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Types of Breast Implants

When selecting the shape and texture of an implant, you have several options, each offering different aesthetic results:

  • Round Implants: These implants make the breasts appear fuller, especially in the upper part. They are often chosen for the pronounced lift they give to the breast profile.
  • Teardrop-shaped Implants: These are designed to mimic the natural slope of the breast and are often chosen by those looking for a subtle, gradual enhancement.

Implants also differ in their surface texture:

  • Smooth Surface Implants: These have a soft exterior which can move freely within the breast pocket, mimicking the movement of natural breast tissue more closely.
  • Textured Surface Implants: These have a rough surface that adheres to the surrounding tissue, reducing the risk of the implant moving around and becoming repositioned.

Selecting Implants for Your Body Type

Choosing the right implants involves more than just picking a size or type; it should be a decision tailored to your body’s unique needs. Consider these factors:

  • Body Shape and Size: Your body’s width, chest size, and overall proportions should influence the size and shape of the implants you choose. For instance, wider-bodied individuals may require larger implants to achieve proportionate symmetry.
  • Skin Elasticity: The quality of your skin, including its ability to stretch and maintain shape, is crucial in deciding the type and size of implant. Elastic skin can usually handle larger implants better than skin with less elasticity.

When consulting with Anthony, it’s important to:

  • Discuss Expectations: Clearly articulate what you hope to achieve with breast augmentation. This helps Anthony understand your aesthetic goals and recommend the best options.
  • Ask Questions: Inquire about the details of the surgery, including the risks, recovery process, and any follow-up procedures that might be necessary.

Selecting the right breast implants is a significant decision that should be made with careful consideration of your personal preferences, physical characteristics, and the expert guidance of Anthony. This ensures that the results not only enhance your appearance but also feel right for your body.

The Surgical Procedure

Breast implant surgery is performed under general anaesthesia, meaning you will be asleep throughout the procedure and not feel any pain. The surgery generally lasts between one to two hours, depending on the complexity and the type of implants chosen. Here’s what you can generally expect during the operation:

  • Preparation: Just before the surgery, Anthony will mark your breasts to guide the incisions.
  • Incision: Anthony will make an incision in one of several places: underneath your breast, around the nipple, or under your arm. The location of the incision depends on several factors, including your anatomy, the type of implant, and the degree of enlargement desired.
  • Placement of Implant: The implant can be placed either under the pectoral muscle or directly behind the breast tissue, over the pectoral muscle. The placement depends on the type of implant, the degree of enlargement, your body type, and Anthony ‘s recommendations.
  • Closing the Incisions: After placing the implants, Anthony will close the incisions with layered sutures in the breast tissue and use sutures, skin adhesive, or surgical tape to close the skin.

Fat Grafting to Get Natural- Looking Results after Breast Augmentation

Fat grafting, also known as autologous fat transfer, is a process where fat is taken from your own body and re-injected to enhance the breast area. This method stands out from traditional implants because it uses your own biological material rather than a silicone or saline implant, providing results that feel and look more natural.

The primary benefit of choosing fat grafting is the dual advantage it provides – not only does it enhance the breasts, but it also contours the areas where fat is harvested, such as the abdomen, hips, or thighs. This can lead to a more overall balanced and pleasing body shape. Additionally, because the material added to your breasts is your own fat, there is a lower risk of allergic reactions or rejection by the body.

The Procedure of Fat Grafting

The fat grafting procedure is meticulous and involves several steps:

  • Harvesting Fat: Fat is removed from your chosen area using liposuction. This part of the process is carefully done to ensure the fat cells are kept viable for transfer.
  • Processing Fat: Once the fat is harvested, it undergoes a purification process to separate the healthy fat cells from damaged cells and fluid. This ensures only the best quality fat is used to enhance the breasts.
  • Transferring Fat to the Breasts: The processed fat is then carefully injected into the breast area. Multiple small injections are used rather than one large deposit to create a smooth, natural-looking increase in volume.

Suitability and Considerations

Fat grafting is not suitable for everyone. Ideal candidates are those who have adequate fat reserves for harvesting and are looking for a moderate increase in breast size. It is particularly appealing if you prefer a less invasive option with a natural outcome.

Comparatively, the pros of fat grafting include reduced scarring and a lower risk of complications such as capsular contracture, which can occur with implants. The cons include limitations on the amount of volume increase possible in one session, and there’s a chance that some of the transferred fat may not survive, which can lead to less predictable results.

Comparing Implants and Fat Grafting

When considering breast augmentation, you have two prominent options: implants and fat grafting. Being aware of the effectiveness, longevity, and associated risks of each method will help you make decisions that aligns with your expectations and lifestyle.

Effectiveness and Longevity of Results

  • Implants are highly effective for achieving a significant increase in breast size and can offer immediate results after surgery. The longevity of breast implants can vary, but they are generally designed to last for many years. Silicone and saline implants can maintain their shape and consistency for anywhere from 10 to 20 years, although they may eventually need to be replaced due to changes over time or rare complications like implant rupture.
  • Fat grafting, on the other hand, provides a more subtle enhancement and relies on the successful integration of transplanted fat cells into the breast tissue. The effectiveness of fat grafting can be less predictable as some of the transferred fat may be reabsorbed by the body within the first few months after the procedure. The results are more natural in appearance and feel, and the improvements made are generally permanent for the fat that remains viable. However, changes in body weight can affect the results, so maintaining a stable weight is advisable to preserve the outcome.

Risks and Complications Associated with Each Method

  • Implants come with specific risks such as capsular contracture (the hardening of tissue around the implant), implant rupture, and possible need for revision surgery. There’s also the potential for complications from the surgery itself, including infection or adverse reactions to anaesthesia.
  • Fat grafting has a lower risk of these complications since it uses your own body fat, reducing the likelihood of allergic reactions or rejection. However, there is a risk of uneven texture, lumps, or fat necrosis (where fat cells do not survive the transfer). The procedure requires expertise to ensure the aesthetic outcome is smooth and natural.

Each method has its benefits and drawbacks, and your choice will depend on how you weigh these factors against your personal goals for breast augmentation.

FAQs about Natural Looking Breast Augmentation

How long does it take to see the final results of a natural-looking breast augmentation?

  • After undergoing breast augmentation, whether with implants or fat grafting, the final results are visible once the swelling has subsided and the tissues have settled. This process usually takes about three to six months. For fat grafting, some of the transferred fat may be absorbed back into the body during the first few months, and the final outcome can be assessed after this period.

Can breast augmentation affect my ability to breastfeed in the future?

  • Breast augmentation has the potential to affect breastfeeding, depending on the surgical technique used. Incisions made under the fold of the breast or through the armpit are less likely to interfere with milk ducts and nerves than incisions around the areola. Discussing your desire to breastfeed in the future with Anthony before the procedure can ensure that the surgical approach is tailored to minimise this risk.

What are the signs that I might need a revision surgery after breast augmentation?

  • Revision surgery might be necessary if you experience issues such as implant rupture, capsular contracture (scar tissue that forms around the implant), shifting of the implant, dissatisfaction with the size or shape, or changes in breast tissue due to ageing or weight fluctuations. Regular follow-ups with Anthony can help monitor the condition of your implants or the results of fat grafting.

Is it possible to achieve a significant increase in breast size with fat grafting alone?

  • Fat grafting usually offers a more modest increase in breast size compared to implants. It is best suited for individuals looking for a small to moderate enhancement and a very natural feel. For those desiring a more significant increase in breast volume, implants might be the preferred option. Multiple sessions of fat grafting can be planned for larger increases, but each session will depend on the availability of donor fat and how well the previous grafts survive.

How do I choose between saline and silicone implants for the most natural look and feel?

  • Silicone implants are generally considered to provide a more natural feel than saline, as the silicone gel has a similar consistency to natural breast tissue. However, the choice between saline and silicone implants can also depend on personal preference, body type, and specific aesthetic goals. A detailed consultation with Anthony can help determine which type best meets your needs for a natural appearance and texture.

Further Reading about Breast Enlargement with Consultant Plastic Surgeon Anthony MacQuillan

Medical References about Breast Augmentation