Breast Enlargement (Breast Augmentation)

Breast enlargement or breast augmentation is one of the most popular cosmetic surgery procedures available today.  There are different reasons that cause the fluctuation of the size and shape of the breasts.  The size of the breasts is genetically determined and may sometimes remain small throughout puberty and as a consequence of hormonal changes later in life.  The breasts may also change through fluctuations in weight, and after pregnancy and breastfeeding, while the ageing process may cause them to droop. 

For many women, the size and shape of their breasts affect their confidence and self-esteem.  This could be improved by using breast implants to change their size and shape. 

It is very important to choose a surgeon with a specific interest and with extensive experience in breast augmentation before going ahead with surgery.  The surgeon will advise you on which shape and size of implant will be right for you, and the method of inserting the implant will be determined and discussed.

Breast Augmentation Procedure

The surgery itself involves a short incision in either the crease under the breast, the armpit or around the areola.  Implants may then be positioned either between the breast tissue and the pectoral muscle (sub-glandular) or behind the muscle (sub-muscular).

Mr Prinsloo is a very experienced breast surgeon who has been carrying out breast augmentation procedures dating back to 1989.  He prefers a natural, “unoperated” appearance of the breasts after surgery.  He will give advice regarding the type of implants and positioning in order to achieve the best result for each patient. 

Breast implants

A breast implant comprises an outer shell of silicone filled with either silicone gel or salt water.  Cohesive silicone gel implants are commonly used by cosmetic breast surgeons today.  Implant shapes are either round or oval with a teardrop contour, and the shells have either smooth or textured surfaces.

The manufacturer’s predicted life expectancy of breast implants is 10 years or more. However, as there is no specific expiry date, implants can stay in place without problems for a much longer period.

Breast augmentation Recovery

Following breast augmentation surgery, there will be some soreness around the chest area, particularly when moving the arms.  This will improve within the first few days after surgery.  It is usually advisable to stay away from work for one week.  A good support bra (for example, a sports bra) should be used for four weeks following surgery.  It will take four to six weeks to return to normal routines and to resume any type of strenuous activity.

Is it safe?

Many studies have been conducted to determine whether silicone breast implants are safe.  As a result of these studies, there is at present no evidence to suggest any association with increased incidence of breast cancer or auto-immune diseases. 

Possible complications of  breast augmentation surgery include bleeding, infection, asymmetry, scar tissue contracture (capsular contracture), loss of sensation, and wrinkling or folding of the implants.