In breast augmentation, we create the shape of the breast through expansion (balloon technique) during surgery. In this we are virtually alone.
We avoid making scars under the breasts by entering through the hair-bearing skin in the axilla. We do of course avoid the axilla itself. Breast enlargement can therefore be done safely avoiding the breast itself, provided that no breast lift is required. In cases of limited breast sag, it is sometimes possible to lift the breast tissue by using only an implant.
We have never had infections entering the breast through the axillary skin. The function of the arm has never been damaged by the employment of our technique. The patient does however have to start training both arms after four days and must continue for approximately one week! Simply lift up both arms together ten times three times a day! Our rate of capsular formation is now down to 1/701 cases (2013).
Our technique produces excellent results and virtually no post-operative complications. This means that we must call this the Surgery of the Future.
Cohesive Silicone Gel Implants
Today, the cover of all breast implants is made of silicone. This is so because no other material has even come close to such ready acceptance by the body. Although rejection of silicone never seems to happen, it could nevertheless take place if perchance any foreign material was to enter the implant during the production process. This has happened, but the source of the contamination was rapidly discovered. All complications following the use of silicone implants have been dramatically diminished since the introduction of cohesive gels and the thick outer layers. Gel implants were introduced about ten years ago.
What is silicone? It is a so-called polymer, made up of large molecular chains built up by some of our most common basic substances, such as coal, silicon (!) and oxygen. All breast implants consist of a more stable and multi-layered silicone cover and an interior that could vary (silicone gel, saline, polysaccharides etc.) Today silicone is not a fluid but a stable gel! This was different in the 1970s and -80s. Within a couple of days, every foreign body that is placed in the biological tissues will be surrounded by a thin layer of delicate fibrotic tissue and this diminishes the pain. There is rarely a transformation of this delicate fibrotic structure into a hard capsular formation (1/701). The thick layer of solid silicone around the implant makes it dry, and this has even greater benefits. If a biological capsule around an implant becomes thick and hard, it often means that even the soft parts of the implants seem hard, and finally the entire breast will feel hard and unpleasant. As mentioned above, our risk is today down to 1/701 cases. There is also a free insurance against this occurrence.
Saline implants also have a cover of silicone. The disadvantage with saline implants is that they feel harder than breast tissue and frequently cause folds at the sides and on the inferior surface of the breast. This is called rippling. It is more noticeable if you have thin breast tissue. They are more visible and annoying when you lean forward, even though the shape of saline implants can be excellent when you stand up. Saline implants do rupture and leak and this can happen several times over the years. It is a small comfort that you will receive a new implant if you have to pay for your implants exchange at the surgery.
Compression Bandage (Post-Operative Treatment)
For 2-6 weeks after the surgery, we stabilize the breast and the implant pockets by the use of an elastic bandage on top of the breast and frequently also in (the new) sub-mammary fold. Compression should be used for as long as the upper pole of the breast is too high, and the patient should participate in this. We create the sub-mammary fold in the right position, but the muscles of the breast press to move the implants upwards. For some weeks the upper pole will need help in order to stay pressed down. The use of push-up bras is therefore strictly forbidden for a long period.
Breasts frequently deviate laterally and women dislike this. Never try to push the breast from the lateral to the medial side! The nipple areola will then deviate further laterally. The correct way is to pull the central breast mound (areola/nipple) towards the middle. Once more, don’t push laterally but pull medially!!!
Please note! We never completely but only partly release the sub-mammary fold during surgery – which another clinic does – because too many patients then get uneven breasts placed too low!
Breast augmentation / enlargement is performed at the Institute of Plastic Surgery, Western Harbour, Malmö, Sweden.