Friday 24 August 2018

Types of Surgery For Breast Augmentation in Delhi


Breast augmentation procedure includes using silicone implants or fat grafting to increase the size and shape of the breasts. For women who are not satisfied with their breast’s appearance, Dr. Ashok Tandon, MS Plastic Surgery in Delhi is happy to help them achieve more shapely, equally sized, and symmetrical breasts.

Types of Surgery For Breast Augmentation in Delhi
There are three types of conventional incisions for the introduction of the breast implant: axillary (armpit), periareolar (areola) or inframammary (breast fold).
Surgical incision and positioning of the breast implant
Transaxillary (axillary hollow - armpit)
Absence of scar on the breast.
Endoscopy Technique - Endoscopy involves introducing a small camera through a small incision that transmits the enlarged image to a monitor, which allows the surgical technique to be performed accurately and thus reduce the risk of possible complications.
  • Technique used for the majority of the patients
  • Reduced risk of infection
  • Reduced risk of excessive bleeding
  • 2.5 cm scar at the level of the axillary hollows (little or no apparent)
  • Ability to start massages in the first days after surgery
  • Reduced risk of loss of nipple sensitivity (direct visualization of the nerves)
  • Breastfeeding possible after surgery
  • In case of complications, such as: hematoma, rupture, or displacement of the breast implants, it is always possible by endoscopy to treat the complications by the same scar in the armpit.
  • The spacing of the breasts is directly related to the insertion of the pectoral muscle on the ribs. Therefore, after the breast augmentation, the distance between the breasts will be the same as before the surgery, regardless of the insertion site (axillary, inframammary or periareolar). However, when the implants are placed behind the mammary gland, the spacing of the breasts can be decreased
Warning! The technique with armpit incision without the endoscopy camera is not recommended, as there is an increased risk of bleeding, mispositioning of breast implants and loss of sensitivity.
Periareolar (around the areola)
Non-endoscopic technique.
  • Technique that may be associated with mastopexy
  • Scar may be visible in some patients
  • Increased risk of excessive bleeding and loss of nipple sensitivity due to poor visualization of nerves
  • Increased risk of infection due to passage through the mammary gland
  • Possibility of anomaly in mammography due to cicatricial sequelae of the mammary gland
  • Difficulty with breastfeeding
Inframammary (lower breast fold)
Non-endoscopic technique.
  • Increased risk of infection
  • Increased risk of surgical field contamination by the surgeon during surgery
  • Increased risk of loss of nipple sensitivity due to poor visualization of the nerves
  • Increased risk of excessive bleeding
  • Scar may be visible
  • Possibility of poor positioning of the scar due to the descent and positioning of the breast implant
  • Difficulty with breastfeeding
The location of breast implants
Whether sub-muscular, sub-glandular or muscular sub-fascia, check out the pros and cons of implant placement choices.
Submuscular
For patients with a volume AA / A or B-
  • Better recovery after the procedure of breast implant in Delhi
  • Natural aspect
  • Lower risk of palpating folds of breast implants
  • Ideal for patients with low mammary glands
  • Better visualization of mammary tissue at mammography
  • Breastfeeding possible
Disadvantages:
  • Patient more suffering
  • Increased risk of lateral displacement of implants
  • Possible deformation of the breasts when there is a contraction of the pectoral muscle
  • Does not change the gap between breasts (the difference remains the same before / after surgery)
Subglandular
For patients with a large amount of breast tissue (volume B + or C).
Advantages:
  • Patient less suffering
  • Can improve the gap between the breasts
  • Absence of deformation of the breasts during contracture of the pectoral muscles
  • Reduced risk of displacement of implants
Disadvantages:
  • Non-natural appearance of breast in the long term
  • Decreased visualization of mammary tissue at mammography
  • Higher risk of palpating breast implant folds
  • Impossibility of breast lift (mastopexy) in the future
  • Possibility of increasing the risk of contracture of the fibrous capsule
  • Difficulty with breastfeeding
Muscular subfascia (novelty)
For patients with a large amount of breast tissue (volume B + or C).
Same advantages and disadvantages as the subglandular technique, but may be more natural, because the muscular fascia could camouflage the contour of the breast implant.
Once the plastic surgeon in Delhi has made the incision, it is to prepare the cavity to receive the breast implant using specific surgical instruments. The breast implant with unfilled physiological saline is inserted and positioned, either under the mammary gland or under the pectoral muscle. Once in place, the breast implant is then filled with physiological saline (by aseptic transfer) to obtain the desired volume. The procedure lasts an average of one and a half hours and is performed under general anaesthesia. Convalescence for endoscopic breast augmentation is approximately one week.
ENDOSCOPY
The ultimate dream of the plastic surgeon in Rohini would be to see disappear under his eyes with a single magic wand any surgical trace or scar. For now, this aspiration is partly satisfied by endoscopy.
The basic principle of endoscopy is to make an incision of a few millimetres to insert the instruments and a tiny camera that transmits on the monitor the enlarged image of the internal structures of the body. The surgeon thus directly visualizes the work he does without having to make a large incision for direct vision.
Some plastic surgeon in Pitampura refuse the technological advancement of endoscopic surgery for lack of scientific knowledge or for financial reasons since this technique requires a large investment and high maintenance costs.


Wednesday 1 August 2018

Types of Breast Implant in Delhi


Breast augmentation is a cosmetic surgery in Delhi that involves introducing an inflatable breast implant (prosthesis) behind the breast or pectoral muscle (on which the mammary gland rests) to increase volume.

The procedure of breast augmentation in Delhi lasts an average of one and a half hours and is performed under general anaesthesia. For this type of surgery, convalescence is about a week.
The physiological saline implant is inflatable while the silicone gel implant is pre-swollen. There are several types of breast implants and all consist of a flexible outer shell.
The envelope
The outer shell wall is made of silicone, but be careful, it is not silicone gel. Silicone is a material that offers great biocompatibility with the human body. This material is also used in the manufacture of joint implants, pacemakers and heart valves, condoms and lubricants as well as in certain drugs.
Implants with physiological saline
The shape of the envelope is round and has a high profile, a moderate profile or a moderate PLUS profile. The high profile has a smaller circumference than the moderate profile and the moderate profile PLUS and gives more projection to the breasts. High-profile breast implant in Delhi are suggested for women with narrow chest or breast. The smooth surface is preferable to the textured one. The textured surface is not recommended because it increases the risk of complications such as perforation of the implant and deformity of the breast. The breast enlargement in Delhi with an anatomical profile (in the form of a drop of water) is not recommended since there is a risk of rotation of the implant during the manipulation of the breast.
Saline
The physiological saline is in fact sterile water containing a concentration of sodium (salt) to 0.9%, product which is reabsorbed by our system in case of leakage and which is completely harmless since it looks a lot like liquid which makes up 70% of our body.
Silicone gel
Breast implants put on the market in the sixties were filled with a silicone gel. This gel, which has been responsible for all the controversy surrounding implant safety, has now been on sale in India since October 2006, with restrictions for the next ten years.
By allowing manufacturers to sell silicone gel breast implant in Delhi, Health India is subjecting them to certain conditions including:
  • Review continuously for 10 years the results of long-term clinical trials.
  • Conduct a large, long-term study of tens of thousands of women.
  • Continue implant resection studies and analyses - from all available sources to better characterize possible modes and causes of failure.
It is therefore important to know and understand that silicone gel breast implants are now freely available in India, but still subject to numerous studies.
Possible consequences related to the rupture of the silicone gel breast implant:
The consequences of breaking a breast implant with silicone gel are not entirely known since the studies are in progress. However, there have been reports of silicone gel leakage to the chest, armpit, upper abdomen, upper arm, and groin. Studies have demonstrated the presence of silicone gel in the liver of patients with breast implants filled with silicone gel. Cases have also been reported where silicone gel has migrated to the armpit lymph nodes and caused lymphadenopathy, although there were no signs of rupture.
The possible consequences of a silicone gel leak are as follows:
  • Lesions to the nervous system
  • Degeneration of tissues in direct contact with silicone gel
  • Change in breast size or shape
  • Calcification of the fibrous capsule
  • Appearance of granulomas
  • Induration of breast tissue
  • pains
During rupture of the silicone gel implant or contracture of the fibrous capsule with calcification, the surgeries are difficult, time consuming and expensive.
In short, cohesive silicone gel implants:
  • Require an incision of 5 to 6 centimetres (axillary saline implants: 2.5 centimetres)
  • Increase the palpation of folds of breast implants (thicker wall)
  • Require Magnetic Resonance Imaging (MRI) monitoring to ensure there are no leaks. According to the Food and Drugs Administration (FDA), a patient with silicone gel implants should have first magnetic resonance imaging three years after plastic surgery in Delhi and then every two years. These follow-ups may be at the expense of the patient. The sum of the costs associated with these follow-ups may exceed the cost of the initial surgery.
  • To undergo a breast augmentation in Delhi or a second intervention with silicone gel implants, the patient must be at least 22 years old (for physiological saline implants, the patient must be at least 18 years old).
Current studies on cohesive silicone gel breast implants show that there is now a lower risk of fibrous capsule contracture, but this risk is still higher than that for physiological saline implants. According to these same studies, the risk of silicone leakage would also be reduced, but the phenomenon of silicone perspiration through the implant wall probably persists. It is in twenty years that we can say with certainty that these implants are safe. Do you want to be part of these studies?
The plastic surgeon in Delhi is responsible for giving you all detailed and written information regarding silicone gel breast implants. He must also have you sign a document stating that you have received the information and that your decision is informed.