The following are questions
frequently asked by our patients.
If I am having breast augmentation, is it better to go over the muscle or under the muscle?
There are advantages and disadvantages of both approaches, depending on your build; at the Bougainvillea Clinique we provide both options. Most of the data indicates that the risk of hardening around the implant, (capsular contracture) is significantly lower under the muscle, and there is much less chance of having noticeable rippling in the upper part of the breast where it would be noticeable in a swimsuit or low cut dress. We also perform the ‘no-touch’ technique which seems to significantly cut the risk of hardening. On the other hand, women with larger, lower set breasts, may get a better appearance over the muscle, unless they are prepared to have a breast lift as well.
If I am having breast augmentation, which incision is best?
There is no best incision. The incision position is your choice! We explain the advantages and disadvantages of the 4 most common approaches; under the breast, around the areola of the nipple, under the arm, and the TUBA (belly button) incision with endoscopic (surgical telescope) control. All of the incisions work well, but we will go over your options and decide what works the best for you depending on your preference.
Are saline implants safe and how long do they last?
Any individual undergoing breast augmentation must be aware of the two important issues with regard to possible long term problems with implants. The first is that an implant will most likely deflate sooner or later; fortunately the implant manufacturers give lifetime warranties on the implants, and so this is more of a nuisance than a real problem. The average lifespan of an implant is about 15 years. The other concern is the risk of hardening, and for this reason we recommend under the muscle, if your breast shape will accommodate this. Other problems such as infection, can happen but are extremely rare.
Can I breastfeed after having breast implants?
Though occasional problems with breast feeding have been reported, this is extremely rare. And by far the majority of women who have implants have no problem breast feeding normally.
How do I know whether I need a breast lift or breast enlargement?
The most important consideration in this regard, is the position of the nipple. If the nipple is at or above the breast fold, then a breast augmentation alone will give you adequate lift. If the nipple is below the fold, then most likely a lift, with or without an augmentation, will be needed to give the best breast shape.