Breast enlargement

What you should know

You have the breasts you should have according to your body shape, size, hormonal, congenital and ethnic particularities. Even if this statement shocks you, it is as true as for the shape of your nose and silhouette.

However, you do have the right to challenge their shape and volume. The request can be quite legitimate even if against nature.

That being said, you must understand that your desire is one thing, but acquiring a beautiful, harmonious and invisible result is another…

The benefit of this type of intervention is in obtaining new breasts, which are magnificent, natural-looking and well-proportioned. We do not operate repeatedly; we do not change our mind each year etc. In short, we do not mess with our breasts.

It is my duty to inform you, so you understand the ins and outs of such a procedure:

  • Any foreign matter implanted in the body will one day, either sooner or later and over varying time spans, cause problems and even more so if this foreign matter is not adapted or is badly adapted to your body.
  • It is not you who decides on the ideal size and shape of an implant, it is your body. Around Twenty factors must be taken into consideration: size, amount of fat tissue, shape, nipple position, ptosis, asymmetry, width of thorax, breast base, skin quality etc. Only one size and shape of an implant will be perfectly adapted, the result being a natural-looking bust that you would have had if breast growth had been greater. Problems and odd-looking results are due to implants too large or badly adapted.
  • Never forget that your own breasts will age, their skin become more fragile, that you may have several pregnancies etc. Thus, the result will naturally deteriorate as you age. Problems will be proportional to the size of the implant and the speed at which it deteriorates; that which was amusing and very sexy at age twenty, will be much less so at age forty when further operations are on the cards and your breasts become more a preoccupation than an advantage or an asset.
  • An implant damages the breast, compresses it, causes the gland and fat to melt; what was very beautiful in the beginning becomes an embarrassment, a complex and can create huge problems.

That said, it is a magical intervention, its satisfaction rate is enormous if both patient and surgeon are reasonable.

Surgical techniques

There are no sound alternatives

1) Implantation of breast implants

In each and every case, an implant is slid behind the breast to increase its volume.

The incisions to be made will be decided on between you and me. Each has its advantages and disadvantages, but all are of good quality. Priority lies with safety, good sense and anticipation of any later problems. Remember that each case is unique.

The same goes concerning the choice of prosthesis (shape and size) and its position beneath the muscle or the gland.

There is no fixed rule since the aim is to obtain the most beautiful result possible, natural-looking and adapted to your body. The second priority is that of procedure safety and anticipation of any possible further procedures.

The procedure is performed under general anaesthetic and requires 24 hours hospitalisation.

Any pain is managed and relative impotence lasts seven days during which arm movements should be limited. A month later, you will have forgotten you had an operation!

2) Autologous fat implant

This is a promising surgical alternative to implants, but which addresses several difficulties:

  • It requires a lot of fat (minimum 800g to obtain a moderately satisfying result because some of the fat cells will “die off”)
  • Yet, patients wanting this treatment are often slender.
  • Moreover, for security reasons we are not allowed to perform this procedure on patients over 30, and who have no family history of breast cancer.

The procedure remains under strict surveillance by the health authorities, which is understandable; it is mostly performed to improve prosthesis results (fine skin, lack of fat, asymmetry…) and to manage inaesthetic damage over time.

In several years’ time, it may well be possible to replace prostheses thanks to fat cell cultivation and more advanced morbidity studies.

This of course is desirable. In conclusion, this procedure affords an excellent result. If it is not the case, then it would be better to do nothing than to replace existing problems by others.

It is only after one or several thorough consultations that we shall be able to decide whether this is the correct intervention for you or not.

Each case is unique; it is not reason enough to want to increase the size of a bust, so it appears more beautiful. On the contrary, the result may be worse! The enemies facing these beautiful results are skin, ptosis, gland, and fat quantity and in many instances the intervention will be totally and utterly discouraged.