An edema (swelling) is present for 1 to 3 months. Most of the time the pain is very well tolerated. An analgesic treatment will be prescribed for 8 days. Sports activities will be allowed after 6 to 8 weeks. The volume of the breasts immediately after the operation is not the final volume. In fact, the initial oedema will disappear in 1 to 3 months. In the same way, the transferred fat volume will decrease by about 30% in the long term. The final result will therefore be assessed at 6 months.

FAQs Archive

Q: Où placer les prothèses mammaires : devant ou derrière le muscle ?

Depending on your morphology, the breast prostheses will be placed during a breast augmentation either in front of the pectoralis major muscle or behind this muscle. Retromuscular position (behind the muscle) : Recommended position especially for thin women with little fat on the upper part of the breast. The result after breast augmentation is more natural because the upper edge of the prosthesis is hidden by the muscle and the risk of periprosthetic shells is reduced. Premuscular position (in front of the muscle) : Position chosen for breast augmentation in very sporty women, with enough fat in the upper part of the breast to be able to hide the upper edge of the prosthesis.

Q: In practice, how does the operation take place?

MODE OF ANESTHESIA General anaesthesia is typically offered. A diazanalgesia can also be performed: you sleep during the operation and do not feel any pain but breathe by yourself. Waking up is usually more comfortable. HOSPITALIZATION MODALITIES In most cases, a so-called "outpatient" hospitalisation with discharge on the same evening as the operation is possible. Your surgeon will see you again the day after the operation for a check-up. Sometimes, the surgeon for certain medical reasons may decide a 24-hour hospitalization. In this case, an overnight stay at the clinic is necessary. DURATION OF THE OPERATION The operation lasts approximately 1 to 1.5 hours.

Q: The prostheses are classified schematically in 2 categories

Round or symmetrical prostheses In profile, these so-called "round" prostheses are perfectly symmetrical. They provide more volume in the upper part of the breast compared to anatomical implants. If the prostheses are rotated in the breast after the operation following a possible trauma, the shape of the breasts remains identical, which is not the case with the anatomical prostheses presented below. Anatomical prostheses From the side, these anatomical prostheses are drop-shaped, providing more projection in the lower part of the breast. They are asymmetrical, reproducing the shape of a natural breast. On the other hand, they have the disadvantage of being able to rotate in the breast and thus deform it (low but existing risk). The choice of the type of prosthesis to be used will be made during preoperative consultations with your plastic surgeon, according to the wishes and expectations of the patient.

Q: What are the objectives of breast augmentation with implants?

The objective of a breast augmentation with prosthesis is to obtain natural and well-shaped breasts , an advantageous cleavage and to reinforce the self-confidence of a patient who is sometimes very complex, especially when dressing or during intimate relations.

Q: In practice, how does the procedure take place?

MODE OF ANESTHESIA General anaesthesia is typically offered. A diazanalgesia can also be performed: you sleep during the operation and do not feel any pain but breathe by yourself. Waking up is usually more comfortable. HOSPITALIZATION MODALITIES Usually a 24-hour hospital stay is necessary. The operation is performed in the morning, and discharge is possible the following morning. However, in some cases, a so-called "ambulatory" hospitalization with discharge the same evening of the operation is possible. DURATION OF THE OPERATION The intervention lasts from 1 to 3 hours.

Q: What are the principles of intervention ?

Preoperative drawings are made in a standing position in order to identify the areas of fat removal by liposuction in the buttocks, abdomen, hips and/or thighs. Drawings of the precise reinjection site on the breasts are also made. The procedure for ammaire augmentation by lipofilling begins with a fat removal by liposuction (liposuction). The fat thus removed is then treated by centrifugation. This step is essential to keep only the fat cells of good quality. Finally, the fat is reinjected into the breasts through millimetre-sized incisions, which are almost invisible over time. (breast augmentation by re-injection of fat into the breasts after liposuction).

Q: Is there a risk of breast cancer ?

Classic calcifications are visible on mammography after fat transfer to the breasts. But these calcifications are different from those seen in breast cancer and do not pose diagnostic problems for experienced radiologists. To date, there is no scientific evidence to suggest that breast augmentation by fat transfer could lead to the development of breast cancer.

Q: Who is this technique for?

This procedure is intended for patients with no personal or family history of breast cancer. Because breast augmentation by fat transfer uses the patient's own fat, patients must also have sufficient fat harvesting sites on the buttocks, abdomen or hips. In addition, each patient requesting this type of procedure agrees to have a mammogram and ultrasound of the breasts before the procedure and to repeat these examinations at 1 year, 2 years and 3 years after the procedure. This technique is becoming more and more widespread and it is now possible to have this type of breast augmentation even after the age of 35.

Q: What are the advantages of breast lipofilling?

This recent technique of breast augmentation without prostheses allows a moderate but completely natural increase in breast volume without foreign bodies. The result is totally harmonious, avoiding the appearance of artificial breast. Also on palpation, the breast remains supple. This breast augmentation cannot be detected by touch. At the same time, as this fat transfer requires liposuction first, the excess fat located on the rest of the body (removal sites) will be treated during the same procedure. The usual scars from a breast augmentation with prostheses are also absent.