Breast augmentation surgery increases breast volume to treat breast hypotrophy, which can be either primary or secondary to pregnancy. Breast augmentation is performed on a personalized basis, in accordance with the patient's wishes, to achieve a natural result.
Breast augmentation consultation:
Two consultations are required before breast augmentation surgery. During the first consultation, Dr. David will discuss your expectations and desires regarding your breast augmentation, and propose the most suitable solution. During the first consultation, you'll make an initial trial to find your ideal breast size, using specially designed trial prostheses to determine your future breast size. You'll be given the Société française de chirurgie plastique et esthétique (French Society of Plastic and Aesthetic Surgery) form. During the second appointment, we'll validate the size of the prostheses as well as the location of the future scar and the type of hospitalization (conventional or outpatient). My cell phone number will be given to you during this second consultation. I can be reached 24 hours a day after surgery.
Goal of breast augmentation surgery
Increase breast volume by fitting breast prostheses, and reshape the gland if necessary (breast asymmetry, tuberous breasts). The most important thing is to respect the patient's wishes, and Dr. David will give you his informed opinion and best advice on the choice of prosthesis size and approach.
Breast implants:
Composition of breast forms :
Silicone implants:
Breast implants consist of a silicone envelope and a cohesive silicone gel that feels natural to the touch. Dr. Sylvain David uses the latest-generation implants, marketed in the USA, which guarantee FDA control tests. Silicone implants have an average lifespan of 15 years. However, it is not essential to change the implants after this time, but an annual consultation with your surgeon is necessary.
Polyurethane prostheses:
The shell of these prostheses is made of polyurethane and they are filled with silicone. Their advantage is that the shell rate is significantly lower than other prostheses, rotation is low and they are self-supporting. The disadvantage is breast inflammation, which is more severe in the first 6 months.
Saline prostheses:
These implants have a silicone shell but are made of saline, so they feel harder and less natural than silicone implants. Their lifespan is 10 years.
Hydrogel prostheses:
Their appearance is comparable to silicone, but they are less elastic and less resistant than silicone prostheses. Their lifespan is 10 years.
The shape of the prosthesis :
Breast forms can be round or anatomical. The disadvantage of anatomical implants is that they can rotate in their own box. Round prostheses can give a very natural result if placed in Dual Plan. Below, a round prosthesis on the left and an anatomical prosthesis on the right.
Implant profile :
Low-profile breast implant = large diameter and low prosthesis projection
High-profile breast implant = small diameter and high prosthesis projection.
The profile of the breast implant is important. The profile of the prosthesis is the ratio between the diameter and the projection of the prosthesis. A high-profile breast prosthesis will give a "domed" effect and greater volume. The diameter of the breast prosthesis should correspond to the size of your thorax.
Approach roads :
During the consultation, a discussion is held with Dr. David to choose the best approach according to the patient's anatomy and wishes.
The inferior hemi-areolar route :
This incision is often unobtrusive, and allows for
and reshape the gland, it is very useful in the treatment of tuberous breasts.
This incision leaves no scar on the breast, but is not feasible in the case of a ptotic breast.
When changing prostheses, this approach cannot always be used.
The sub-mammary route:
It is preferentially indicated in the case of ptotic breasts, enabling the scar to be hidden in the sub-breast fold. The incision is never longer than 4 cm.
Position of breast prostheses :
- Retromuscular:
The implant is placed under the pectoralis muscle, which gives a more natural result and reduces the risk of shell formation". The prosthesis is generally placed in Dual Plan, as a prosthesis placed entirely under the pectoralis major muscle is often placed too high."
- Retroglandular :
The implant is placed under the mammary gland; this location is less frequently indicated than the previous one. This technique is rarely performed if the patient is lean, as the prosthesis may be visible because it is not placed under the muscle.
- Dual Plan:
The breast prosthesis is placed under the muscle at the top and under the mammary gland at the bottom. This allows the upper part of the prosthesis to be hidden by the pectoralis major muscle, leaving the lower part of the prosthesis free for a more natural look. It feels more natural to the touch, as the implant is covered by muscle, gland and skin.
Anaesthesia :
Breast augmentation surgery requires general anesthesia.
A local anaesthetic is administered at the end of the procedure to reduce pain and increase post-operative comfort, and Dr. David can offer you outpatient surgery if you wish. You'll also benefit from a treatment tailored to your individual needs to minimize pain.
Duration of intervention:
Breast augmentation surgery lasts an average of 1h30. Dr. David does not use drains intraoperatively, so there are no drains to remove postoperatively.
Composite breast augmentation :
Breast augmentation with implants can be combined with fat transfer to optimize the aesthetic result.
This technique corrects asymmetry, hides the contours of the prosthesis and makes the touch more natural.
Operative sequences :
- One-day hospitalization or outpatient breast augmentation.
- Postoperative edema: Two weeks to 3 weeks.
- The bandage remains in place until the next morning, when it is replaced by a support bra to be worn for 1 month.
- No sporting activity for 1 month No upper-body activity for 2 months
- No exposure of scars to the sun for 1 year
Social security coverage :
No, except in exceptional cases (breast agenesis, i.e. total absence of breast development, or breast malformation), tuberous breasts)
Breast augmentation questions and answers:
When can I see my new breasts?
If you remain hospitalized in a single room at the St George Clinic, Dr David will show you your new breasts the following morning.
If you have chosen the outpatient surgery option, Dr. David will show you your new breasts the same evening.
How do I choose the right size for my prosthesis?
This is an important question, and the choice of prosthesis volume is made during two consultations, using "trial prosthesis" templates placed in a Z-BRAS bra.
Dr. David will advise you on your ideal prosthesis volume based on the measurements of your chest and breasts, as well as your height and weight.
What is breast hypotrophy?
Mammary hypotrophy corresponds to an abnormally low development of the mammary gland (synonym hypoplasia). Mammary hypotrophy can cause significant psychological discomfort. Mammary hypotrophy may be harmonious, or it may concern only one part of the breast ("tuberous breasts").
What is breast aplasia?
Mammary aplasia is defined as the absence of mammary gland development. (synonym atrophy). In this case, the operation can be undertaken as reconstructive surgery.
Is breast augmentation painful?
If the breast prosthesis is placed under the muscle, the post-operative period is painful. However, Dr. Sylvain David always uses a local anaesthetic, perhaps to reduce pain for the first 24 hours, in addition to a medicated analgesic treatment.
How long does it take for the result of the operation to be definitive?
In the immediate postoperative period, there may be significant edema, which makes it difficult to assess the result. After the first month, the swelling diminishes and the result can be partially appreciated. However, the result cannot be fully appreciated until the third month. However, scars take longer to develop, fading gradually over 12 to 18 months.
Breast augmentation Cannes & Nice
3D simulation before breast augmentation: Crisalix
What size breast implant should I choose? The Crisalix system helps you choose the ideal implant size.
Visualize the result before surgery
It is now possible to visualize the result before the operation, thanks to 3D imaging developed by the Crisalix company, which is used in the practice for various pre-operative simulations.
As a specialized surgeon, I'm equipped with tools that enable me to make precise diagnoses and show the actual changes that will be made during the operation.
Crisalix is a 3D virtual reality simulation software dedicated to surgery and aesthetic medicine.
This scanner enables patients to simulate how they will look after their future surgery, helping them to assess the result and make their final decision.
Thanks to Crisalix, I'll be able to show my patient a clearer and more precise simulation of the postoperative result before the operation, and be able to discuss and communicate visually about the future result.
It is often difficult for a patient to fully identify the modifications she wishes to consider, and above all to visualize the result of this "correction" with as much certainty as possible.
With 3D imaging, it is possible to analyze and study every part of the body and every feature of the patient in a totally objective and detailed way, to give him all the information he needs to make the right decision.
How does the procedure work?
Trust is the keystone of the doctor-patient relationship. The various preliminary appointments are also designed to provide advice and a professional opinion on the expected results.
During a consultation, to produce a 3D image of the patient, you must first be scanned. These images are then mounted on a 3D mask.
Once the mask has been created, it appears on the surgeon's computer, where it can be studied from every angle to detect the slightest defect or imbalance. A black-and-white version is also available, enabling the defects to be better isolated and highlighted, so that the most appropriate changes can then be made to suit the patient's requirements and wishes.
Did you know?
Thanks to Crisalix, after your consultation, you'll be able to access the various simulations carried out during the consultation, either to make your final decision or to share them with your family and friends.
The time for reflection is facilitated by the various simulations in your possession, enabling you to consider the different sizes of breast prosthesis with peace of mind.
Focus on breast augmentation
In Nice, more and more women are seeking breast augmentation for a variety of reasons. Some have small breasts and want to improve them. Others have seen their breasts lose volume as a result of mating, breastfeeding or weight loss. These women also want to improve their breasts. With breast augmentation, surgery can provide a real solution.
What is breast augmentation?
Breast augmentation is cosmetic surgery that adds volume and reshapes the breasts. I can perform this surgery using saline or silicone breast implants, or fat transfer (lipofilling).
What are the advantages of breast augmentation?
In addition to improving your self-confidence and body image, breast augmentation offers many advantages:
- give you fuller breasts and increase their projection
- harmonize the size and shape of asymmetrical breasts
- replacing or correcting one or both breasts following an accident or mastectomy
- restore breasts to their pre-breastfeeding size or after significant weight loss
What is the difference between saline and silicone implants?
It is important to understand the differences between these types of implants:
- Saline implants are filled with sterilized saline water. In the event of implant rupture, the saline solution will be absorbed and eliminated by the body with no adverse effects on your health. This type of implant is filled after being placed in the body, requiring a smaller incision than a silicone implant. Saline implants are also generally less expensive than silicone implants.
- Silicone implants contain silicone gel. Patients often say they feel more like natural breast tissue than saline implants. Because they retain their shape, these implants are available in a wider variety of shapes and sizes. Silicone implants are generally more expensive than saline implants.
The choice between silicone and saline is mainly a matter of preference, but price is also a factor.
During a consultation at our Nice office, you'll be able to touch samples of each type of implant to help you decide which is best suited to your body and desired results.
How does breast augmentation work?
Breast augmentation is performed by creating an incision along the fold under the breast, or around the lower part of the areola of each breast.
I then insert a breast implant behind the breast tissue (subglandular placement) or behind the pectoral muscle (submuscular placement) after creating a space for your implants (the lodge).
Once I'm certain that the size and shape of your new breasts meet the desired aesthetic results, I close the incision with absorbable sutures and cover the area with surgical tape.
When can you see the results of this surgery?
After breast augmentation, your breasts will be fuller and better shaped. The results are immediately visible. Once the initial swelling caused by surgery has subsided, you'll see the results more clearly. The incisions made during surgery generally fade over the following month to become fine scars.
After breast augmentation in Nice, you may notice some swelling or bruising around your breasts. Prescription pain medication can alleviate discomfort if necessary. You will need to wear a compression band or sports bra to provide additional support to your breasts for a short period.
Generally, most patients can resume their daily activities, including work and school, after one or two weeks.
Can breast reconstruction be performed after a mastectomy?
Yes, breast reconstruction is possible after a mastectomy, and there are a variety of methods that take into account the different conditions of the breast. Reconstruction after a mastectomy is a journey that many women have already experienced, so your surgeon will need to accompany you on this journey.
What size breast implant should I choose?
The first thing is to let yourself be guided by the practitioner who will perform the breast augmentation on you. This specialist will be able to give you the best possible advice, taking into account your morphological characteristics. Of course, this does not prevent you from submitting your desires. However, it's important to bear in mind that the result obtained depends on the volume chosen. The "smaller" the volume chosen, the more natural the final cosmetic result, and vice versa.
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