Gold Coast Queensland Australia Breast Augmentation Video Dr Craig Layt
So Jamie you’re thinking about a breast augmentation. Yes I am. Okay how old are you now? 27. Great. And you’re otherwise fit, well, healthy? Yes I am. Okay any history of breast cancer? No none at all. And you would never have had a mammogram or anything like that? No. Any children? No. Okay and you ever had any problems with your breast? Lumps, bumps, any other issues like that? No no. Okay.
So you know much about breast augmentation? Not too much no. Okay well I’ll take you through everything and we can make sure you understand what we’re talking about. In the end what we’re trying to do is design an operation that will get you the best result we can in your particular situation. So that means we’ve got a few decisions that we can make and some of them will make a difference and some of them really aren’t that important so I’ll try and take you through all of those.
Essentially there’s six decisions we need to make. They are: where we make an incision, whether we go in front or behind the muscle, whether we use a textured or a smooth implant, whether we use a round or a shaped implant, a silicone or saline implant, and finally size, and that’s often the thing that you really want to get to. Yeah. We’ll get to that last. Okay so each of those decisions that we make have some pros and cons about them, and what we really need to do is go through those pros and cons so we can understand why we’re trying to make the decisions we’re trying to make.
Let’s look for example at going in front or behind the muscle. Most of the time I would be encouraging you to go behind the muscle rather than in front. There’s a few reasons for that. The most important of those is it gives you a lower rate of capsulacontracta, or hardening around the implant. I’ll talk to you a little bit more about that in a minute. But there are some other advantages. It tends to give you a smoother look at the top of the implant, you don’t tend to get that Tory Spelling edge to the implant. The other thing is you don’t use mammogram view, whereas if you go in front of the muscle you actually lose about 25% of the mammogram view. So there are obviously some pretty big positives.
There are some negatives. It hurts more going behind the muscle, but that’s only for the first few days. The other negative going behind the muscle is that if you were to put your hands on your hips and push in hard you can sometimes find your implants will move a little bit. That’s usually not an issue for people, and they don’t stay up there, they just pop back in.
So I mentioned to you about capsulacontracta. Now that’s a very important thing because it’s the one thing that we really try to avoid. You would have heard of hardening of an implant. Yeah. Okay that’s capsulacontracta’s the technical term for that. So this implant here is 30 years old. I took that out of somebody because it was rock hard. So you can see that that’s not a rock hard implant. So what makes it feel hard? Well what makes it feel hard is this. If I was to make a 10 cm cut on your leg today in a year’s time it might be 8 or 9 cm in length, it shortens. So if I put an implant inside and there’s a little scar about it which would be a natural thing to happen, as that scar tightens then the natural thing for it to do is to become a spear and squeeze on it, so it’ll feel hard. What we’ve found is that putting it under the muscle decreases that risk from about 15-30% down to about 1-3%. That’s a huge difference.
The other things that we can do is we can either use a textured or a smooth implant and just use a different technique with each. With the smooth implant we great big pocket that this implant sits in. From about day 1 or 2 after the operation we show you how to move that implant around inside that pocket. So that keeps the pocket open so even if it shrinks a little bit it’s still not going to tighten onto the implant. The advantage of that is it gives you that nice floppy kind of a breast that jumps up and down and it’s a very good way to do things.
The other alternative for us, similarly it’s a very good way to do things, is to use this style of implant which has a textured surface. So that surface has all hills and valleys in it and if we were to magnify that up it would look like a random pattern, set of mountains kind of thing. We put that in, we put it where we want it to be, and the scar grows into it. So that means it’s got a big surface area and it breaks up the direction of the collagen. So that means that as that scar tends to tighten it’s just gonna smooth off over the implant and it won’t tighten quite as much because of the higgldy piggldy pattern of the collagen fibers.
So they’re two different ways of doing things. Now there’s been a lot of studies done on this and what they’ve found is that in front of the muscle the textured implant is significantly better from the point of view of hardening. Behind the muscle there’s been no significant difference at this moment found between the two. So if they do find there’s a difference at some stage it’s going to be fairly small. Okay. So that decision in the end we can make that together based on what we’re really trying to achieve.