Breast Augmentation in Karachi​, Pakistan

Breast augmentation and augmentation mammoplasty are plastic surgery terms for the breast-implant and the fat-graft mammoplasty approaches used to increase the size, change the shape, and alter the texture of the breasts of a woman. As a primary reconstruction, we at our clinic in Karachi, Pakistan apply augmentation to influence:

• Post–mastectomy breast reconstruction
• The repair of the chest wound consequent to the removal of a cancerous breast
• To correct congenital defects of the breast(s)
• To correct congenital defects of the chest wall

As an elective, cosmetic surgery, primary augmentation changes the aesthetics of size, shape, & texture of healthy breasts.

• It is important for women with breast implants to keep in mind that while breast implants are intended to last your lifetime, replacement may become necessary
• After breast implant surgery, you should have periodic examination by a board-certified plastic surgeon to monitor your implants
• Silicone gel−filled breast implants have been under scrutiny for years, but after gathering detailed and meticulous research and data, Cosmetic breast enhancement surgery, finding no link between silicone gel breast implants and connective tissue disease, breast cancer or reproductive problems
• Surgical techniques for breast augmentation and all breast implants are continually being refined, increasing the safety and reliability of the procedure
• Ask your plastic surgeon to provide you with the information you need to make an informed decision

There have never been more choices for breast augmentation. The following options are available at Aesthetic Shapes Karachi, Pakistan, depending on your medical history, body shape and aesthetic goals.

• Saline-filled breast implants
• Silicone-filled breast implants
• Cohesive gel silicone implants
• Autologous fat transfer

Factors that influence the size and type of breast augmentation recommended for you include:

• Your medical history
• Your goals for breast enhancement
• Your existing body frame and mass
• Your existing breast tissue
• Your preferences related to size and incision placement.

The goal of Aesthetic Shapes Karachi, Pakistan is to help you achieve the best results and to make your surgical experience as easy, safe and comfortable as possible.

• After careful examination and discussion about the actual requirements the augmentation surgery is carried out under local or general anesthesia
• About 2 inches cut is made under the breast where it joins the chest wall
• After making adequate space under the breast tissue or the underlying muscle the breast implant is placed and cut is closed
• Most of the patients go back home same evening and can resume light routine activities in about 2 to 3 days’ time
• Stitches are removed after 7 to 10 days after the surgery
• For uplifting the grossly drooping breasts surgery is of bit longer duration and entails fixing the breast tissues higher, removing excess of skin if present and inserting an implant if required
• The resultant scar line is usually inverted T shaped

• The implants are made of medical grade sialastic or silicone.
• It has outer shell and inner space filled either with saline or silicone gel.
• They are mostly rounded or spherical in shape however other shapes like oval or teardrop are also available
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• In the immediate post-operative period slight discomfort, swelling and pain is experienced temporarily
• Feeling of numbness, altered sensations can remain under the nipple for a varying length of period
• Formation of tight capsule around the implant causing it to feel hard or deformed is sometimes seen
• This capsule contracture can be treated by closed maneuvers or may require an open surgery
• Rarely infection can occur around the implant in which case it may require long-term antibiotics, replacement or even removal
• Implant rupture, leakage or deflation can also occur requiring further surgical interventions
• The operative procedure is absolutely painless and is usually done under local or general anesthesia
• No fatal complications are there because of surgery
• Collection of blood requiring aspiration or drainage, mild skin irregularities, depression of nipple region, temporary loss of sensations over the nipples are some of the correctable complications that might occur in small percentage of the cases
• Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem
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• Large breasts are also a pain and these can result in constant discomfort, shoulder and neck pain. Oversized breasts are seen both in young and elderly females
• Breast size can effectively be reduced by surgical removal of the excess tissues
• This surgery is done under general anesthesia and requires about 3 days of hospitalization
• Dressings are required for about 7 to 10 days until the stitches are removed
• There is a resultant scar around the nipple areola complex and inverted T shaped lines over the lower portion of breast and chest wall
• All efforts are made to make the breasts of equal size and shape however if the size in the pre-operative stage was too big this may not be achieved. But reduction in oversized breasts itself gives immense relief.
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During the initial consultation with Dr. Arif Hussain you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.

• In some instances, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery
• This will help to detect any future changes in your breast tissue. Following breast augmentation, you will still be able to perform breast self-examination
• If you are a smoker, you will be asked to stop smoking well in advance of surgery
• Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery
• Your surgeon will provide you with additional preoperative instructions
• Breast augmentation is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery
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• Your breast augmentation surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite
• Medications are administered for your comfort during the surgical procedure
• Frequently, local anesthesia and intravenous sedation are used for patients undergoing breast augmentation, although general anesthesia may be desirable in some instances
• When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored
• Your breasts will be wrapped in gauze dressings or a surgical bra
• You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight
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• A day or two after surgery, you should be up and about
• Any dressings will be removed within several days, and you may be instructed to wear a support bra
• Your plastic surgeon will probably permit you to shower between three and seven days following surgery
• Stitches will be removed in about a week
• Some discoloration and swelling will occur initially, but this will disappear quickly
• Most residual swelling will resolve within a month
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• At the conclusion of your breast augmentation procedure, you may be placed in a surgical dressing that may include a support bra or garment
• You should follow your plastic surgeon’s directions as prescribed
• Prior to your discharge, you and your caregiver will be given detailed instructions about your post-surgical care including drains if they have been placed, the normal symptoms you will experience, and any potential signs of complication
• You should be walking under your own strength immediately after your breast augmentation surgery
• It is very important that you walk a few minutes every few hours to reduce the risk of blood clot formation in your legs
• The first 2-5 days following your breast augmentation surgery you may feel stiff and sore in the chest region
• Any dressings will be removed within several days, and you may be instructed to wear a support bra
• Your breasts may feel tight and sensitive to the touch, and your skin may feel warm or itchy You may experience difficulty raising your arms
• You should not lift, push or pull anything, or engage in any strenuous activity or twisting of the upper body
• Some discoloration and swelling will occur initially, but this will disappear quickly
• Most residual swelling will resolve within a month
• It is important to follow all patient care instructions as directed
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• While it will take several days to return to more normal activities after your breast augmentation, it is important to your recovery that you get up and move around
• After breast augmentation, it is often possible to return to work within just a few days or a week, depending on the type of activities that are required at your job
• Physical activity should be avoided for at least the first couple of weeks following surgery
• After that, care must be taken to be extremely gentle with your breasts for at least the next month
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• An incision can be made either underneath the breast, just above the crease, around the lower edge of the areola or within the armpit
• One of the advantages of a saline-filled implant is that, because it is filled with saltwater after being inserted, only a small incision is needed
• Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous
• Another possible location for the incision is around the lower edge of the areola
• A third alternative is to make a small incision within the armpit
• Once the incision is made, the surgeon creates a pocket into which the implant will be inserted
• This pocket is made either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall
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Breast augmentation will make your breasts fuller and enhance their shape. You will find it easier to wear certain styles of clothing. Like many women who have had breast augmentation, you may have a boost in self-confidence.

• Except in the event of implant deflation requiring surgical replacement with a new implant, the results of your breast augmentation surgery will be long-lasting
• However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman’s breasts
• If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast “lifting” to restore their more youthful contour

• You will return to your plastic surgeon’s office for follow-up care at prescribed intervals, at which time your progress will be evaluated
• Your surgeon will encourage you to schedule routine mammographic evaluations at the frequency recommended for your age group
  Please remember that the relationship with your plastic surgeon does not end when you leave the operating room
• If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon
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