Breast augmentation

Breast augmentation by lipofilling

Breast augmentation by lipofilling improves the silhouette by getting rid of the surplus fat in the abdomen and thighs and by increasing the breast volume. Thus, two interventions in one.

 
 

[Nota bene: the photographs presented above are only for information purposes. They are the results of a previous intervention. They do not predict in any case a future result.]

FREQUENT QUESTIONS (BREAST LIPOFILLING)

Please, remember that only a consultation with a plastic surgeon can give you personalized information.

WHAT IS THE AIM OF FAT INJECTION IN THE BREASTS?

The objective of fat injection in the breasts (or breast lipofilling) is to increase in a definitive manner the breast volume. It is an interesting alternative to breast implants. Your own fat is harvested from the thighs or the abdomen and during the same operation is injected in your breast area to improve the breast volume. This fat is autologous (i.e., coming from your own body) and therefore cannot be rejected by your organism (non-immunogenic). Thus, this intervention has two effects: it slims down the silhouette by liposuction of the body excess fat and increases the breast volume.

TO WHOM CAN THIS INTERVENTION BE PROPOSED?

To all women who would like to increase their breast volume and have some surplus fat in the body.

HOW TO OBTAIN A GOOD RESULT?

A specific preparation of the skin is required (application on the breast skin of a product for a few days before surgery to improve the definitive result). One to two interventions may be needed in function of the desired final breast volume.

WHAT CONSULTATIONS AND EXAMS ARE NEEDED BEFORE THIS INTERVENTION?

You must see your surgeon twice before the operation. A pre-surgery mammography is required. A blood test will be performed to assess your blood coagulation.

WHAT KIND OF ANAESTHESIA WILL BE USED FOR THIS INTERVENTION?

Usually, general anaesthesia.

HOW LONG DOES A BREAST LIPOFILLING INTERVENTION TAKE?

About 1.5 hours.

WILL I HAVE SCARS?

A very thin hollow tube (2-3 mm in diameter), which will be used to inject the fat, is introduced under the skin through small hidden incisions that do not need stiches. Ultimately, scars are almost not existent.

HOW LONG DO I HAVE TO STAY AT THE CLINIC?

From few hours to overnight.

WILL I HAVE TO TAKE TIME OFF FROM WORK?

From one to ten days. However, you recovery time depends on the treated areas and the natural healing capacity of your body.

IS THE INTERVENTION PAINFUL?

After the intervention, breasts are not painful. Pain in thighs and abdomen is usually controlled with painkillers.

WHEN CAN I TAKE A SHOWER AFTER THE OPERATION?

A shower is recommended from the morning after the intervention.

WHAT ARE THE USUAL IMMEDIATE EFFECTS OF THIS SURGERY?

Breasts and the areas where fat was harvested (abdomen, thighs, knees …) are swollen and blueish for about one month. The final result is visible three to four months after the intervention.

DO I HAVE TO WEAR SPECIAL CLOTHES AFTER A BREAST AUGMENTATION BY LIPOFILLING?

Yes, special compression garments must be worn for ten days after the intervention to promote healing of the areas where fat was harvested; they can be taken off for showering. Breasts are left free, without bra or bandages, for ten days.

MUST I STOP DOING SPORT?

Stopping all physical activities is recommended for three weeks.

DO I HAVE TO MASSAGE THE TREATED AREAS OR PUT CREAMS AFTER THE INTERVENTION?

A simple hydrating cream is recommended in the days after the intervention for the breasts and the fat-donor areas. For the fat-donor areas, manual lymphatic drainage is recommended starting from the 7th day after the intervention and then cellu M6 (= « endermology » = « LPG ») may be useful.

Breast augmentation by using implants without visible scar

«I never had a nice bust»
«My breasts are empty, they are falling down»
«After the pregnancies and breast-feeding, I lost my breasts»

A breast augmentation – or augmentation mammoplasty to employ the technical term – is a surgical procedure that uses implants or fat harvested from the patient’s own body to improve the size and shape of a woman’s breasts.

The introduction of a silicone breast implant, associated with injection of fat (from the patient’s body), is currently the technique that gives the most natural results: it is called combined mammary augmentation. This gives a much improved cosmetic result and the implants cannot be detected. The implants are placed before the pectoralis muscle (which is the natural position of the mammary gland) and during the same operation, the injected fat is evenly spread (nappage) between the implant and skin. This procedure is particularly suitable for slim women because this nappage of fat perfectly conceals the implants. Moreover, fat injections improve the skin quality thanks to the regenerative effects of the stem cells that are naturally present in our fat (biostimulation).

 
 

[Nota bene: the photographs presented above are only for information purposes. They are the results of a previous intervention. They do not predict in any case a future result.]

FREQUENT QUESTIONS (BREAST AUGMENTATION WITH IMPLANTS)

Please, remember that only a consultation with a plastic surgeon can give you personalized information.

WHAT IS THE AIM OF BREAST AUGMENTATION?

This intervention will give volume to the bust thanks to the placement behind the breast of implants filled with a gel. In some cases, the implant is not needed and can be replaced by fat harvested from the patient’s own body (thighs, bottom, belly…).

When implants are used, Dr Franchi is among the surgeons who have chosen the revolutionary American innovation called «Keller Funnel®» that allows inserting the implants by reducing the risk of complications. This procedure allows introducing the implant without risk of damage. The risk of infection and of capsular contraction is also reduced. The skin is not traumatized and the final scar is therefore nicer.

WHICH KIND OF EXAMS ARE REQUIRED BEFORE THE INTERVENTION?

A pre-surgery mammography is obligatory. A blood test will be performed to assess your blood coagulation.

WILL I HAVE A SCAR?

Yes, there will always be a scar; however, everything is done to make it, if possible, not visible: placed in the areola, hidden in the fold under the breast or under the arm. Its position will be chosen during the consultation, after discussion with Dr Franchi.

WHAT KIND OF ANAESTHESIA WILL BE USED FOR A BREAST AUGMENTATION?

Most often general anaesthesia, but in some cases it could be a local anaesthetic infusion.

HOW LONG WILL SURGERY TAKE?

About 1 hour.

HOW LONG DO I HAVE TO STAY AT THE CLINIC?

From few hours (ambulatory surgery) to 24 hours (admission in the morning of the intervention and departure the morning after) according to the type of surgery.

WHEN CAN I GO BACK TO WORK?

After three to ten days. However, you recovery time depends on the type of intervention and the natural healing capacity of your body.

WILL I FEEL PAIN AFTER THE OPERATION?

Pain is normally moderated and controlled by painkillers.

WHEN CAN I TAKE A SHOWER AFTER A BREAST AUGMENTATION WITH IMPLANTS?

A shower is recommended already on the morning after the intervention.

DO I HAVE TO WEAR A BRA AFTER THE OPERATION?

No bra should be worn during the first month and then all bra types are allowed.

MUST I STOP DOING SPORT?

Stopping all physical activities involving the upper part of the body is recommended for one month. Similarly, heavy weights should not be lifted for the same amount of time. «If it is painful, I do not do it».

DO I HAVE TO MASSAGE MY BREASTS OR PUT CREAMS AFTER THE OPERATION?

A simple hydrating cream is recommended for few days after surgery.

CAN I TRUST IMPLANTS MADE OF SILICONE GEL?

All implants proposed by Dr Franchi are high-quality and last-generation implants. Most implants carry a life-long guarantee by the manufacturer. In the unlikely case of implant rupture, new implants will be given free of charge. You will receive a guarantee card that will give you the right to a life-long insurance for your implants.

DO I HAVE TO STOP SMOKING BEFORE AND AFTER THE INTERVENTION?

Smoking can increase the risk of infection of the respiratory tract and can slow down the healing process.  Smoking can also increase the risk of infection in the area concerned by surgery. If you smoke, we will ask you to reduce or stop smoking in the weeks before and after the intervention.

OUR PLEDGE

Dr Franchi’s team will give you the best quality of care. We promise to take care of you before, during and after your breast augmentation. You can be sure that Dr Franchi will be the surgeon who will personally perform the totality of your operation.

A LIFE-LONG FOLLOW-UP

Dr Franchi follows all his patients in the long term. We suggest you to consult him whenever you feel the need. You may see your surgeon at any moment after surgery.

HOW TO CHOOSE YOUR BREAST IMPLANTS?

In France, three types of implants are available:

  1. implants filled with silicone gel
  2. implants filled with physiological saline solution
  3. implants filled with hydrogel (carboxy-methyl-cellulose)

Implants filled with silicone gel (1.) give the most natural results. The new generations of silicone gel have a thicker consistence and maintain the shape in the case of implant envelope rupture (the gel does not leak into the body).

The new-generation implants offer a large range of sizes and shapes.

You will choose, in close collaboration with your surgeon, implants that are perfectly adapted to your morphology, in function of the initial shape of your breasts, your silhouette and your wishes. Dr Gérald Franchi offers you a study using the 3D software CRISALIX® that allow choosing with precision the best breast implants for you as well as the implant shape and volume in function of your wishes and your morphology.

WHAT ARE THE LONG-TERM CONSEQUENCES OF BREAST AUGMENTATION?

Breast augmentation is a long-term commitment and a new surgical intervention may be required later, after the first intervention. It is currently recommended to change implants every ten years. You must be aware that a new intervention to change your breast implants may be needed in the future.