Implants are a safe and efficient technique to increase breast volume. The manufactures have designed many different types and shapes that allow the results to appear very natural.

Doctor Rajaonarivelo uses implants that comply with the EC standards regulations and also comply with the security regulations of the FDA and are guaranteed for 10 years.

The best option for the patient will be determined before the breast augmentation surgery.
This custom surgery will provide a result as close as possible to the expectations of the patient.

Shape of the implant:

  • the implant can be round or anatomical, “waterdrop shape.” Anatomical implants recreate the natural shape of the breast. However, they may rotate and create a deformation of the breast. For that reason, the use of anatomical implants will always be considered during a consultation and the shape of the implant will be chosen accordingly by the patient.

Projection of the implant:

  • the different projections for each implant appear to give a somewhat rounded shape to the breast. The projection of the implant will be defined according to the size of the breasts before the surgery, the expectations of the patient, and the anatomy of the chest. The larger the chest, the smaller the projection will be to occupy its space.

Positioning of the impant:

  • the implant can be placed in front of or behind the pectoralis major muscle.
  • A positioning in front of the muscle is best suited for athletes or patients with a certain breast volume.
  • A positioning behind the muscle will be considered for patients with small breasts patients who are very thin. In addition to these solutions, two other options can be considered:
  • The dual plane positioning of the implant, under the muscle in its upper part and under the gland of its lower part, is a solution combining the benefits of both positions and avoiding the drawbacks. Finally, a common practice consists of placing the implant in its physiological position, in front of the muscle and filling the upper area of the cleavage using lipofilling in order to obtain a natural result even on thin patients.

Scars:

  • Scars are usually located under the arms or the breasts so as to be discreet. They can be located in the armpit (axillary scars), on the areola (periareolar or transareolar scars), or under the breast (submammary scars). An areolar scar is likely to cause a loss of sensitivity in the area of the breast.

Before the surgery

  • The size of the implant will be defined during 2 test consultations aiming at defining the best solution for the patient.
  • A mammography and an ultrasound exam are always required.

Blood analyses will be done and a urine monitoring will help determine the potential presence of an asymptomatic urinary infection, which should be treated before surgery in order to prevent an infection of the implant.

The procedure

The surgery is performed under general anesthesia in a semi-upright position in order to see the results in a standing position. It usually lasts 1 hour. The patient arrives in the morning and returns home in the evening or the next morning.

Generally it is not necessary to use drains.

After the procedure

There is no bandage to apply, but a medical bra should be worn day and night during the first month. Patients will be able to go back to their normal activities after 1 week and sport activities can be resumed progressively after 1 month. Postoperative physical therapy will help the recovery proceed faster for good mobility in the arms and attaining the natural suppleness of the breast.

The definitive shape and volume of the breasts will be determined somewhere between 3 to 6 months following the surgery. Regular check-ups will be scheduled after the surgery.

Following a breast augmentation in France, the patient will be given the implants traceability card, with references and serial numbers, along with the operative report after the surgery. It is strongly advised to replace implants after 10 years in order to avoid potential complications such as capsular contractures, etc….

Potential complications may include the following:

  • Bruising: postoperative bleeding generally appearing within 24 hours following the procedure. Surgery is immediately carried out in order to contain the bleeding. Aspirin-based and anti-inflammatory medication must be avoided 8 days before the procedure in order to reduce the risk of bleeding.
  • Infection: it is very rare in cosmetic surgery and generally avoided through strict aseptic conditions before the surgery (depilation, showers with Betadine…) and the elimination of all sources of infection such as dental infection, or cystitis.
  • Capsular contracture: an excessive scarring of the tissues around the implant. This can occur if there is bruising or from an underlying infection. It is best treated quickly when it appears. However, when the capsular contracture is in place, and the breast is painful and distorted and a surgery will be required. Postoperative check-ups are essential in order to detect and to treat a potential capsular contraction.

The first shower is permitted the day after the surgery but baths should be avoided during the first month. The scars must be protected from the sun during the first year after the surgery in each and every case.

Before / After PhotosPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèsesPhoto avant /après d'augmentation mammaire par prothèses
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Cas 6 : Augmentation mammaire par prothèses rondes profil modéré 300cc en dual plane, cicatrice aréolaire.

Les photos montrent, avec son consentement, les clichés de la même personne avant et après traitement. Aucune retouche n’a été effectuée. Il est important de souligner que le résultat attendu est propre à chaque personne.


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Frequently Asked Questions

How should I choose the right size for my breast implants?

You should not do what people often do and take into account the size or type of breast implants of another woman. A given implant will have a different appearance on different women due to body shape, breast type and skin texture. A type of implant that looks great on one woman can produce a completely different effect on another.

You will be measured at your consultation to decide which implants will work best based on your natural chest and the result you’re looking for. The type of implant will then be selected according to the appearance you want.

We can simulate the final result by placing implant sizers in a bra to give you an idea of what your body will look like. In any case, you will have two trial sessions before the operation to be sure about your final decision.

How long do breast implants last?

There is no expiration date for implants, but no type of implant is currently considered permanent. You’re advised to have a breast MRI scan after about 10 years, as that is the best way to determine the condition of your implants and detect any leakage. If everything is fine, the implants can be left in place, but another MRI is recommended five years after that (i.e. 15 years following the operation). They can be changed if a leak is detected. Otherwise, you should have a check-up every year and plan to have your implants replaced in the event of the slightest change. You’re better off changing your implants before complications arise.

Do breast implants increase the risk of breast cancer?

Breast implants do not increase the risk of breast cancer (breast adenocarcinoma) One in 10 women in the entire population is at risk of developing this form of cancer, and having breast implants does not increase your chances. Having breast implants does not complicate the detection of breast cancer, however small the tumor may be, and wherever the implant is placed (in front of or behind the muscle).

However, a very particular type of cancer, anaplastic large cell lymphoma, has been found in recent years in women with breast implants with a textured outer shell (with a rough surface to adhere better to tissue and reduce the risk of complications related to capsular contracture). This extremely rare lymphoma (one in 8,000 women) can be detected by an increase in breast size (due to fluid collection) and, if treated rapidly, can be totally eradicated without after-effects.

Can I breastfeed after the operation?

Breastfeeding is always possible with breast implants. However, you should know that breastfeeding, although recommended for the baby, will in most cases have a negative impact on the breasts. The breasts generally sag more and look droopier and emptier after breastfeeding.