Choosing the right size of breast implants is the top concern of women when choosing breast augmentation. One of the factors that bring success to the surgery, both in terms of aesthetics and long-term stability, is choosing the right size of breast implants that are suitable for the anatomical structure and in harmony with the shape of each body.
Below is the sharing of Dr. Ho Cao Vu about how to choose breast implant size and the consequences of choosing the wrong breast implant size. The doctor is currently working at the surgery department of Cho Ray Hospital, performing more than 1000 breast augmentation surgeries each year using the Ultrasonic surgical scalpel.
Ultrasonic knife precise cavity shaping technique
Ultrasonic surgical scalpel with good burning - welding - cutting function to stop bleeding, does not damage tissue in the first use, brings optimal efficiency, combined with the method of dissecting points with the naked eye or endoscopic screen to help the process of creating the pocket cavity accurately to the millimeter.
In addition, experience in performing many surgeries to handle complications helps doctors operate quickly and accurately, helping women overcome complications caused by placing too large an implant, while minimizing the risk of recurrence after surgery.
Why is it important to choose the right breast implant size for your anatomical structure?
For example, when placing a breast implant in a cavity, it is similar to pumping air into a balloon with a fixed volume. If it is inflated too much, there will be a reaction force and the balloon will be very hard. Similarly, when the breast implant size is too large for the narrow cavity, it will lead to a condition that Dr. Vu calls pseudocapsular fibrosis, capsular contracture (hard breasts immediately after implant placement), and over time, it can lead to rupture of the breast implant at the folds due to the bag being constricted.
In case of pumping just the specified volume of the balloon, when touching the balloon is soft and minimizes the risk of bag rupture over time.
Each person has a different anatomical structure, so the selected breast implant size must be appropriate and the surgeon's technique of creating the implant cavity must follow the prescribed milestones in surgery. If exceeded, it will lead to early and late complications such as fistula, implant retraction, pseudocapsular fibrosis, capsular contracture, etc.
Consequences of choosing the wrong breast implant size
Most women choose the size of breast implants based on their desired shape rather than their current physical condition. If the doctor does not advise based on the anatomical structure but follows the customer's wishes, it will lead to some common consequences as follows:
Open space: Each person has a different rib cage structure such as a convex chest in the middle (chicken breast shaped chest), a concave chest in the middle, balanced. Therefore, the technique of creating a pocket to place the implant requires precision at each anatomical landmark to ensure that the breast implant is in the correct position as determined by the pre-operative drawing.
Especially for women with a concave chest structure, there is a high risk of cleft defect. If the breast implant is tilted inward, if the cavity is created too close to the purpose of creating a cleft, or the cavity is much larger than the bag, it will lead to the breast implant putting pressure on the inner pole, leading to complications of cleft defect over time.
With the cavity creation technique using the Dual Plane combined point dissection method with cavity plane transfer, the surgeon can limit the above complications.
Retraction: Retraction is a common late complication that occurs 1 year after breast augmentation. Signs of retraction: The breast implant moves below the crease under the breast, the nipple is abnormally high or pointing upwards indicating that the breast implant has moved, the upper pole is increasingly deflated and the lower pole is full, the length of the lower pole is longer than the upper pole causing breast asymmetry.
One of the causes of implant slippage is that placing a large breast implant creates pressure on the lower pole, at the same time due to the surgeon's incorrect technique of creating the implant cavity, placing it in the wrong plane, and if the lower pole of the implant cavity is not properly shaped, it can be changed under the weight and pressure from the large breast implant, causing the implant to fall down.
With the blind dissection method through the axilla (Blunt Dissection), the lower pole will not be shaped using the Dual Plane technique and the pocket will be shaped more precisely compared to the point dissection method.
Pseudocapsular contracture (hard breasts immediately after surgery)
This is a common complication that occurs immediately after surgery but many women do not know about it. The symptoms are easy to recognize: the breasts are hard immediately after surgery and do not soften, the breasts become harder over time.
The reason is that the implant is not suitable for the cavity size, leading to the breast implant being squeezed, creating pressure and making the breast hard, mostly due to the incorrect technique of creating the cavity. Therefore, it is necessary to choose the right breast implant size and create the cavity with the correct size of the implant to create softness for the bust immediately after implant placement.
Reducing breast size depends on many factors.
For customers who have placed large breast implants, after experiencing complications, most of them want to remove the implants without re-inserting or reduce the size. With the option of removing the implants without re-inserting, depending on the elasticity of the skin, the time of placing the breast implants is too long, which will affect the size of the bust after removal, which may or may not return to its original state before the implant was placed.
In the case of breast implant size reduction, the doctor must evaluate based on the current condition and wishes of the customer, and during surgery, check the condition of the implant cavity to be able to decide on the appropriate implant size.
In many cases, the pocket is too large, and surgery cannot reshape the pocket to be smaller than the customer's wishes. Therefore, when deciding to reduce the size of the breast implant, women need to listen to the doctor's advice based on their current condition to achieve optimal aesthetic results.
Disadvantages of creating a cavity by blind dissection in breast augmentation
The blind dissection method of breast augmentation through the armpit and using an electric cautery knife often has some disadvantages as follows: It often leads to a high risk of bleeding, tissue trauma, a lot of fluid secretion in the chest cavity and difficulty in applying the Dual Plane technique well, difficulty in the process of precise internal and external plastic surgery, almost impossible to handle complications such as capsular contracture, fistula, pocket retraction, pseudocapsular fibrosis and capsular contracture...
Trend of ordering small breast implants
Most young people today prefer breasts that fit their bodies, are natural and soft rather than large, bulky breasts. A healthy lifestyle, exercise, and a cut-out fashion style that shows off body curves influence the trend of choosing breast implants among young people.
In addition, placing a small bag size and creating a suitable cavity helps limit complications after cosmetic surgery. The application of the Ultrasonic surgical scalpel brings many values in breast augmentation surgery such as high precision in the cavity creation process, fast healing, discharge after 8 hours, no need to take painkillers and antibiotics after surgery, limiting complications.
Dr. Ho Cao Vu, a specialist in cosmetic plastic surgery, has more than 10 years of experience in the field of cosmetic surgery and plastic surgery using the Ultrasonic surgical scaple knife. He has a lot of experience in repairing damaged breasts - asymmetrical, exposed implants, ruptured implants, severe capsular fibrosis levels 3,4...
In 2010, Dr. Vu underwent direct training at the plastic surgery department of MD Aderson Cancer Center Hospital, Houston, Texas, USA; Professor David Chang was the direct instructor.
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