breast implant surgery In Mumbai and Pune - Dr Mohan Thomas Aesthetics

There are different sizes and shapes of breasts as well as implants hence it is very difficult for an inexperienced physician to pick the right size for you. You can help the doctor by using different cup size bras (one or two cups bigger than what you are wearing), filling them with cotton and wearing normal clothes over them. You can then choose what looks good on you. These can be very well duplicated by Dr. Mohan Thomas and provide you with a very natural looking outcome.

Breast Implants can be divided by their shape, surface or the material used to fill them with. Based on the material- They can be Silicone implants or Saline implants. Saline implants are considered comparatively safer but are associated with risks like the rippling of edges, deflation of the implants and feeling of sloshing. Silicone implants are now considered very safe as they contain a cohesive gel which does not flow or leak. These feel like normal breast tissue and makes the breasts look perky. Based on the shape- Implants are divided into Round or Tear Drop shaped. This differentiation is only possible in a silicone implant. Round implants are used to give fullness in the upper part of the breast whereas the Teardrop shaped implants give a flat upper pole and are used by people who want a normally slightly droopy breast. Based on the surface- Implants are divided into smooth surfaced or textured implants. Smooth implants are associated with a slightly increased risk of capsular contracture whereas the textured implants have been recently known to increase the risk of ALCL in breast implant patients.

Breast Implants are usually placed through 3 access incisions, namely, Inframammary (below the breast and the most commonly used), Periareolar (less common usage due to the destruction of 50% of milk ducts) and Axillary (very uncommon in India due to the tendency of scarring and pigmentation). There is another technique which is called TUBA and involves placing a saline implant through an umbilical incision. This technique is rarely practiced today. The safest technique and the most commonly used is the Inframammary technique because the scar is well hidden in the crease, bleeding control and placement of the implant is easier, it is easy to replace the implant and the incision is away from the nerves and vessels supplying the nipple.

Once you have met Dr. Mohan Thomas and discussed your requirement, he will assess your chest and advise a suitable implant size for you. We use only FDA approved implants supplied in India which is Motiva. This surgery is carried out under anesthesia and a small cut is made below the breast. Suitable size pockets are created and breast sizers are placed to assess the adequacy. The implant is then placed in the pocket by a single touch technique pioneered by Dr. Mohan Thomas to reduce the risk of infection. Closure and dressing are then done and the patient is sent home in a few hours.

The only alternative to Breast Implant for augmentation is to use your own fat injected in small aliquots so that the injected fat develops a blood supply. Fat is harvested in a sterile manner from your abdomen and thighs. Live fat cells and stem cells are then separated and loaded onto small syringes. These are then injected systematically in different quadrants of the breast. Dr. Mohan Thomas only injects enough fat to increase the breast size by one cup size only at a time. A further increase can be undertaken 3 months later.

The greatest concern about this technique is the necrosis, destruction, and scarring of the grafted fat creating a lumpy breast. Moreso is very difficult to differentiate between a scarred area and early malignancy on Mammogram.

Breast Implant surgery poses various risks which include

1. Scar tissue that distorts the shape of the breast implant known as capsular contracture
2. Breast pain
3. Infection
4. Changes in nipple sensation
5. Implant leakage or rupture

Before considering breast surgery you would need the following:

1. Baseline mammogram or a sonomammogram is needed before the surgery.
2. Aspirin and other blood thinners have to be stopped prior to the surgery.
3. If you smoke, you need to stop smoking 2 weeks before the surgery.

Soreness and swelling remain for a few weeks after the surgery. Bruising is also possible. Scars fade away over time but don't disappear completely. You might be able to return to work within a few weeks. Avoid strenuous exercises and any activity that could raise your pulse or blood pressure for at least two weeks. If there's any warmth and redness in your breast or you have a fever, this might be an indication of an infection. In such a situation contact us as soon as possible.

Breast Augmentation cost varies based on the surgery technique, hospital chosen and the type of implant. Dr. Mohan Thomas and his team only use US FDA approved implants along with International standard of care. Please call 022-67337500 to know more about the procedure.