Welcome to my November newsletter!

This month on my newsletter, I want to talk about a highly requested surgery at my practice: Breast Augmentation! The last months of the year are always filled with Breast Augmentation requests and as a plastic surgeon, I like giving advice and guidance.

I hope you enjoy this newsletter and remember to visit my website and my Facebook page for more info on all the procedures I perform!


The implants

Silicone vs. Saline implants
Silicone breast implants are filled with a silicone gel. In my opinion, they are the most natural feeling implants. Gel filled implants are generally softer to the touch and less likely to wrinkle or ripple than saline implants. I use gel filled implants almost exclusively in my practice.

Gel filled teardrop breast implants are contoured and offer the most anatomical shape. They are shaped like a natural breast and create a sloped shape when placed over the chest muscles. To achieve the result implant makers need to use a stiffer more cohesive gel. 

Round implants are the most common implants used in my practice as they generally give women the most lift, fullness and cleavage. In South Africa round implants are also significantly cheaper than anatomical implants.

One of the less talked about breast implant options is the profile. There are three implant profile types: low, moderate and high. The profile of the implant you choose will impact the appearance of your implants in terms of projection.

The majority of the breast implants I use in my practice are textured breast implants. Recent advancements in implant manufacturing allow textured implants to have thinner shells thus making them softer and less likely to ripple.

How long will breast implants last?
Breast augmentation does require some maintenance. Some women find that 10 to 15 years later, they would like to change their implants. As time goes on, the appearance of the implants may change as the skin around the implants changes with natural ageing and pregnancy.

What Breast Augmentation can do for you

Breast augmentation surgery, also known as augmentation mammoplasty, is the surgical placement of breast implants to:

  • Increase fullness and improve symmetry of the breasts,
  • Restore breast volume lost after weight reduction or pregnancy.

The most common reason women want to undergo breast augmentation surgery is that they are dissatisfied with their breast size. Augmentation makes breasts bigger and fuller. Some women want breast augmentation to improve the balance of their figure or to enhance their self-image.

Other women want the surgery to restore breast volume after pregnancy or weight loss. Women also get implants to reconstruct their breast or breasts after a mastectomy.

During breast augmentation surgery, I will insert breast implants into your body via an incision. Incisions can be made in a variety of locations. I usually put the scar under the breast but we will also discuss the other options during your consultation.

My tips for you

I always advise my clients to be close to their ideal weight before undergoing the surgery. You must know that significant weight loss after the breast augmentation procedure can alter results in a way that may be dissatisfactory to you.

It is important not to arrive for you consultation with a specific incision in mind, as you body, implant size and desired outcome will all play a role in the incision choice, so too will safety and post-surgical risk.

I always remind my patients that it’s best to avoid getting stuck on desired cup size when planning a breast augmentation. There are far more important factors to include like:

  • Chest wall size,
  • Skin quality,
  • Soft tissue coverage and
  • Current breast tissue limitations. 


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