Mr Sabbagh uses cohesive gel silicone implants manufactured by Allergan (Natarelle gel) which offers one of the widest ranges of implants. Allergan are leaders in the medical aesthetic industry and offer a lifetime guarantee for rupture.
Both round and teardrop implants are used. The chosen implant will depend on accurate assessment of the breast. Generally teardrop implants produce less fullness in the upper pole to simulate a more natural breast contour.
The incision for breast enlargement is positioned in the inframammary crease, the crease under the breast. The scar is well hidden and once fully healed (after several months) will be almost invisible.
The implant is positioned either behind the breast or behind the pectoral muscle. Generally in slim women it is preferable to place the implant under the muscle as this provides better soft tissue cover and produces a more natural shape.
In most cases drains are not necessary.
Following surgery a small waterproof dressing is placed over the incision. In addition to this the patient will need to wear a sport type or post-surgical brassiere for support for a period of 6 weeks.
There will be some minor discomfort of the breasts following the surgery. In addition elevation of the arms may also be uncomfortable in the first week. Small non- vigorous tasks can be performed following discharge from hospital, however, the degree varies between patients. It is advisable patient avoids carrying heavy objects or engaging in strenuous physical activity for 2 weeks following surgery. Upper body gym exercises should be avoided for 6 weeks.
Breast uplift is performed under general anesthetic. Effective breast uplift alters the shape of the breast gland as well as tightening the skin. This is done by first separating the skin from the breast tissue. The breast gland is then converted into a more rounded, firmer shape by using special sutures. The excess skin is then removed. To do this there will be surgical scars around the areola, a vertical scar and a small horizontal scar in the crease under the breast.
In the majority of patients the scars heal extremely well leaving fine faded scars which are only visible on close inspection. This could take up to a year. In a very small number of patients scars can become ‘hypertrophic’. This means the scar is a little red and raised. This can be treated to improve their appearance.
Although in breast uplift no breast tissue is removed the breast cup size usually decreases as essentially the breast has been squeezed into a smaller firmer breast.
Breast reduction is performed under general anesthetic. The operation removes excess breast tissue, fat and skin. Detailed pre-operative markings are performed to determine the new position of the nipple and the amount of skin that will be removed. The amount of breast tissue removed is tailored according to how much reduction the patient requests. The nipple with its blood supply attached is moved upwards whilst the remaining breast tissue is reshaped.
The suture line is positioned around the nipple and extends as a vertical scar to the inframammary crease with a horizontal scar in the crease. In the majority of patients the scars heal extremely well leaving fine faded scars which are only visible on close inspection. This could take up to a year. In a very small number of patients scars can become ‘hypertrophic’. This means the scar is a little red and raised. This can be treated to improve their appearance.
Breast reduction invariably affects nipple sensation as many of the small nerves to the nipple are transected in the surgery, however this varies from one individual to another as the nerve supply and nerve regrowth is variable between patients.
A significant percentage of the milk ducts will be transected during the surgery. Therefore, although there will be some milk produced, it is unlikely that it will be sufficient to breast feed.