Breast enlargement before – after, Dr Bellity
Mammary hypoplasia is defined as having insufficiently large breasts in proportion to the patient’s morphology. This may be a consequence of insufficient breast growth during puberty or it may appear later through a loss of volume (after pregnancy or weight loss or through hormonal disruption for example).
he lack of volume may also be accompanied by a drooping of the breast known as « ptosis ». In this case, the tissue collapses, the skin stretches and the nipples are too low. The procedure can be carried out on anyone over the age of 18. It is not covered by social security. However, in the case of a total absence of tissue (breast aplasia) social security may agree to meet the costs.
Breast implants consist of a shell and a filling. The shell is the same for all implants; it is made from a silicone elastomer. The filling may vary but is generally made of viscous silicone which is like a gel. Should the shell tear, this substance does not easily find its way into the body, unlike the old-style implants which contained a fluid product.
Over the last 10 years, implants have been gradually improving and their shell is more waterproof and sturdier than before. We have a range of different shapes to suit each and every breast. The consultation with the surgeon is essential to discuss the choice of implant and ensure as natural and tailored a result as possible.
The patient will also have the placing of the scars explained. There are various, viable alternatives but surgeons always prefer one or two. Personally, I favour the « Periareolar » incision which allows me to fully control the placing of the implant – essential for an attractive result – and gives greater control over bleeding which is the most common complication. If the patient specifically requests it, or if the nipple is too small, I practice the « axillary » method where the scar is hidden under the armpit.
There are two or three possibilities when it comes to placing the implant: either behind the pectoralis major muscle (« sub-pectoral ») or on top of the muscle (retro-pectoral) or in front of the pectoralis major (sub-glandular or pre-pectoral).
Or you can have a combination: the top of the implant can be beneath the muscle and the bottom can be under the tissue (this is known as the Dual-Plane technique). For me, I find this technique the best because it gives a better result with a gentle slope and a well-filled bottom of the breast while the contours of the implant are hidden.
Associated procedures: if the breast is sagging slightly, we can also perform a breast lift technique known as “round block” when we inset the implants. This enables us to tighten the skin and raise the nipple through a circular scar. This very useful technique avoids the « T » scars seen with classic ptosis.