The increase in breast volume can be achieved either by placing implants or by injecting the patient's own fat (lipofilling).
BREAST IMPLANTS
This breast surgery technique involves placing breast implants in custom-made pockets created by the surgeon. The implants are chosen based on the patient's preferences as well as her morphology. Thanks to a computer simulation system (morphing), Dr. Zirak offers you the opportunity to get a fairly precise idea of the result based on your implant choice.
Contrary to popular belief, implants do not need to be replaced every ten years. They are extremely durable and allow for all types of sports activities.
The implants used by Dr. Zirak are lifetime guaranteed; they are from one of the two best manufacturers worldwide.
TECHNIQUE
The breast surgery procedure, performed under assisted local anesthesia or sedation, is done on an outpatient basis (One Day Clinic) and lasts about an hour.
There are three approaches: the "submammary" approach in the submammary fold, the "inferior hemi-periareolar" approach at the areola, and the "axillary" approach in the armpit. These scars, four to five centimeters long, will become almost invisible over time thanks to techniques specific to Aesthetic Surgery.
The implant is placed either in front of or behind the pectoral muscle, but in any case, it is always behind the mammary gland. As a result, this operation does not diminish your ability to become pregnant and/or breastfeed.
POST-OPERATIVE CARE
Pain is moderate when the implants are placed pre-pectorally (in front of the muscle) and lasts two to three days.
It is more significant when the implants are placed retro-pectorally and lasts about a week.
A special bra must be worn day and night for six weeks.
Sutures will be removed after two weeks. Sports activities are allowed after six weeks.
RESULTS
This is a procedure with a satisfaction rate exceeding 95%.
The results are immediate. However, it will take between three and six months to achieve almost natural tissue suppleness.
A "capsule or peri-prosthetic shell" will form around the implants; this is the natural course of such an intervention. It is by no means a complication.
Thanks to a series of measures, Dr. Zirak and his CHU team have achieved one of the world's lowest rates of thickened or retractile capsules. This ensures the most natural possible result over time.
Before/after photos
FAQ
Should the implants be replaced every ten years? No—the implants used by Dr. Zirak have an extremely long lifespan.
How to choose the surgical approach and the placement of the implants? The surgical approach is chosen based on your preferences, your morphology, and the size of the implants chosen. Dr. Zirak will guide you in this choice. The same applies to choosing an implant placed in front of or behind the pectoral muscle.
What are the advantages and disadvantages of placing the implants in front of or behind the pectoral muscle? Behind the muscle, it hurts more for a little longer. Also during muscle contraction, there is a risk of slight breast deformation. On the other hand, the breast feels more natural to the touch and in its shape. Moreover, the risk of developing a thick or retractile capsule is lower. In front of the muscle, postoperative pain is very low, there is no deformation of the breast during muscle contraction. The upper pole of the breast is rounder and in very thin people, this may not be aesthetically pleasing.
What is the lifespan of an implant? It depends on the trauma the implant will suffer. It is clear that repeated shocks prematurely wear the implants.
Do you use anatomical or round implants? Regarding aesthetics, I use round implants because they are more flexible than the anatomical ones, which, to preserve their shape, must have a more cohesive silicone gel and thus are firmer. I place anatomically shaped implants in the context of breast reconstruction surgery. But this is a personal choice because I believe my patients should benefit from what is as natural as possible.
Does breast augmentation cause breast cancer? Not at all. It does not prevent its occurrence and does not interfere with monitoring for such cancer.
Can one breastfeed after breast augmentation? Yes; whether the implant is in front of or behind the muscle, it is always placed behind the mammary gland. Therefore the ability to breastfeed is absolutely not affected.
Can one fly after surgery? Yes, you can fly. You can also go scuba diving.
Can the implant be rejected by the body? No, that does not happen because silicone is chemically inert.
Will I necessarily have a peri-prosthetic capsule? Yes this is the natural evolution of this procedure. The body forms tissue around the implant to isolate it, given that it is a foreign object.
What if the capsule bothers me? First the breast becomes firmer and this can lead to deformation of the breast. In these cases, one can open or remove this capsule.
What happens when the implant ruptures? What should be done in this case? The breast simply changes shape. You should see Dr. Zirak who will prescribe an MRI. There are two scenarios: either the implant is ruptured and the peri-prosthetic capsule is intact, in which case you have months before changing the implant. Or the implant is ruptured and the capsule is torn, then, as a precaution, you are asked to change the implant within the following month. There is no longer any urgency to change a ruptured implant because the silicone that fills the implants is no longer liquid but gel; it does not leak out.
