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A breast enlargement (or breast augmentation) usually involves putting an artificial implant either under the breast tissue or under the chest muscle behind the breast. The operation may be carried out as a day case or you may need to stay in hospital overnight.
At the hospital your nurse may check your heart rate and blood pressure, and test your urine. Your surgeon will discuss with you what will happen before, during and after your procedure, and any pain you might have. Your surgeon will measure your breasts and assess their shape, your skin and the position of your nipples.
Side-effects are the unwanted but mostly temporary effects you may get after having the procedure. It's common to have a slight difference in size and shape between your breasts, and this can be highlighted by implants. Yes, breast implants can affect breast screening and your nurse or radiographer may need to use different screening techniques.
Mammography (a low-dose X-ray of the breast tissue) is an effective way to screen for breast cancer in women with breast implants.
The amount of interference that is caused by an implant can depend on how your implants have been positioned.
Although very unlikely, the pressure on your breast during a mammogram may possibly cause an implant to burst. There are two main types of implant available in the UK: those filled with silicone gel and those that are filled with saline (salt water).
Saline implants have the advantage of being filled with a substance that is found naturally in your body.
Rarely, the pressure placed on your breast during mammography can cause an implant to rupture, but there is little evidence for this happening. It's usual for your body to react to a breast implant by forming a capsule of scar tissue around it.
The silicone gel can spread outside the capsule to form lumps in your breast and, rarely, may move to other parts of your body.
Saline-filled implants can rupture through a break in the implant shell or though a damaged or unsealed valve.
If you notice any of the signs mentioned here or you are at all concerned, talk to your doctor. If you do experience a ruptured breast implant, your surgeon will discuss what is best for you, which will probably include removing the implant. There is no single qualification for cosmetic surgery so you will need to do your homework.
Specialist breast surgeons, as well as plastic surgeons, often carry out breast reduction surgery. Check that your surgeon is on the General Medical Council's (GMC) specialist register - you can do this by looking at the General Medical Council's website.
Before deciding to go ahead with cosmetic surgery, you should have an initial consultation with your surgeon.
Physiologic Gynecomastia is seen in newborn infants, pubescent adolescents, and elderly individuals. Klinefelter's Syndrome - This is a genetic disorder characterized by abnormal enlargement of one or both breasts in men; hard tiny testicles that never grow, infertility, incomplete masculine body build, height, (6 ft. Gynecomastia occurs when glandular tissue of the breast swells, usually in response to an excess of the female hormone estrogen or a lack of testosterone, a male hormone. Any physically fit male who has significant breasts large enough to embarrass him is a candidate for surgical correction. The surgical procedure for correction of Gynecomastia involves Liposuction or Power Assisted Liposculpture (PAL) and Breast Reduction.
All the routine screening tests including blood and urine examination x-ray of chest will be preformed before surgical correction for Gynecomastia.
After the surgical correction of Gynecomastia, your breast will be covered with a gauze dressing.
Surgical correction of Gynecomastia has good results and men undergoing this procedure are quite pleased with the results. Gynecomastia can make you self conscious and as a result you may avoid gym classes, athletic activities, and swimming or beach activities and may resort to hiding your abnormal body image with clothes. Some residual deformity of the nipple areolar area may remain despite the best efforts of the surgeon. Liposuction - Liposuction is used to remove excessive fat tissue from the breasts and under arm area. It may differ from what is described here as it will be designed to meet your individual needs. You may be asked to wear compression stockings to help prevent blood clots forming in the veins in your legs. At both your initial appointment and before you leave hospital, your surgeon will advise you about returning to your usual activities.
We have not included the chance of these happening as they are specific to you and differ for every person.
The possible complications of any operation include an unexpected reaction to the anaesthetic, excessive bleeding or developing a blood clot.
If this happens, your surgeon may need to remove the implant to allow the infection to be properly treated.

Women in the UK aged 47 to 73 are invited for screening every three years, as part of the national breast cancer screening programme. Silicone implants can make taking an image of the breast more difficult and can also make it more difficult for the radiographer to interpret the results. Although they are not a worry in themselves, they can interfere with the findings of mammography. Your radiographer can then take extra X-rays using different views of your breasts to get the best image possible.
However, the softer silicone gel has a more natural feel than other implants but can show wrinkling on the skin in very slim people. However, saline implants may be more likely to rupture and cause wrinkling of your skin, and they may also feel and look less natural.
Soya bean oil-filled Trilucent implants and hydrogel implants have both been withdrawn from the UK market. If it happens to you, the symptoms you experience will vary depending on the type of implant you have.
If a silicone gel-filled implant ruptures, the silicone gel is likely to stay within this capsule. As well as pain and discomfort, other signs that a silicone implant has ruptured may include hard knots or lumps around the implant or in your armpit.
If a saline-filled implant ruptures, it usually becomes obvious very quickly but it can happen over a number of days. He or she may know of surgeons in your area and will also be able to pass on any important health information from your medical records to your surgeon.
Doctors performing cosmetic surgery can be trained in any of the nine surgical specialities that are recognised by the Royal College of Surgeons. Don't be afraid to ask the surgeon questions about his or her qualifications and experience.
The incision for this operation is placed just inside the areolar border (dark area of the breast) where it is less likely to be conspicuous. A drainage tube is placed to prevent any haematoma (collection of blood) under the skin, which is removed at the end of three days. Surgical correction for Gynecomastia will improve your body image, will boost your self confidence and self esteem and you will be able to enjoy the freedom of participating in sports and activities that expose your chest without being self conscious or embarrassed. To prevent this complication we take meticulous care in securing haemostasis and also routinely place a suction drain that is removed at the end of three days. You may want to have a breast enlargement to correct a difference in size between your breasts. They may be able to recommend a surgeon or help you to choose which hospital to be treated in.
Smoking increases your risk of getting a chest and wound infection, which can slow your recovery.
You may need to have an injection of an anticlotting medicine called heparin as well as, or instead of, wearing compression stockings.
You may need around two weeks off work, depending on the operation you have had and what you do at work or home. There is also no evidence that women with breast implants have an increased risk of breast cancer.
It's always important to be aware of any breast changes whatever your age, and whether you have had implants or not, and to get your doctor's advice. This is because the silicone in the implant can stop X-rays reaching part of your breast tissue. Having implants under your chest muscle makes it easier for your radiographer to analyse the results of your mammography. Both of these are surrounded by a firm elastic shell (made of silicone elastomer) that may be smooth or textured.
Saline-filled implants may be more likely to rupture compared to silicone gel-filled implants. This is often called a silent rupture, as you or your doctor may not notice it has happened. He or she may use some form of scanning of your breast, such as ultrasound, an MRI or a CT scan. If you don't want to involve your GP, you can find a surgeon yourself, but it's important to get as much information as possible about your surgeon's qualifications and experience. Ask whether he or she belongs to a professional association, such as the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) or the British Association of Aesthetic Plastic Surgeons (BAAPS).
Mild breasts usually have a glandular structure under the skin, made up of fat and fibrous tissue. The surgical correction for Gynecomastia is a procedure similar to Breast Reduction which is performed in women. A drainage tube will be inserted to collect blood and fluid which will be removed after couple of days following surgery.
It is important that you have realistic expectations and discuss them openly with your cosmetic surgeon.
Bleeding and haematoma formation is more common in patients with bleeding disorders and those taking drugs like aspirin. You may also consider breast implants if you're having surgery to treat breast cancer or other conditions. It's important that you talk to your surgeon about what you're hoping to gain from the operation and the results you can realistically expect.

Being fully informed will help you feel more at ease and will allow you to give your consent for the procedure to go ahead.
You shouldn't do any heavy lifting or arm or chest exercise for around three to six weeks afterwards. It may be possible to have breast screening done by other imaging techniques such ultrasound instead of or as well as a mammogram.
Your body may react to the leaking silicone gel by forming an even thicker capsule of scar tissue.
Surgeons from other specialities such as ENT (ear, nose and throat), ophthalmology (eyes) may carry out some cosmetic surgery. An incision is made around the areola, excess glandular tissue is excised out, fatty tissue is removed (either surgically or with Liposuction), excess skin may be removed to re-adjust to the new breast contour.
This firm fibrous tissue extends from the nipple areolar complex down to the surface of the pectoral muscles beneath. These discussions will help you to make an informed decision and be comfortable with your decision to undergo Gynecomastia correction.
If a patient is taking any such medication or has a bleeding problem, it has to be brought to the notice of the surgeon. Again this is extremely rare and is more prone to occur in those patients who have diabetes. If your surgeon placed your implant under your chest muscle, you may need to reduce your activity for longer.
Doctors with only basic medical qualifications should not do cosmetic surgery (basic qualifications are shown by the letters MBBS or MBChB). In moderate breasts, along with the gland, there is some excess of skin, which can contract after the gland is removed. If there is only excess fatty tissue in the breast that needs to be removed, your surgeon may just make one or two small incisions, insert a cannula through it, moving it in different directions to break and suction out the fat. At Hande Hospital we always use liposuction to remove the fatty tissue, which surrounds the ductal tissue. You will be advised to eat a healthy diet and stop smoking at least 2 weeks prior to surgery. It is common to experience some pain and tenderness for the first few weeks after surgical correction of Gynecomastia which will eventually subside.
Breast implants are made of an outer layer of firm silicone, and are usually filled with silicone gel or salt water. The implant usually lies under your breast tissue on top of your chest muscle, but is sometimes put under your chest muscle. Without liposuction, patients would have a “doughnut” or a “volcano” shaped defect after removal of the ductal tissue and the patients are unhappy with the inferior results. You will also be advised to refrain from eating or drinking anything at least 12 hours prior to Gynecomastia correction surgery. Inadvertent injury to the blood supply to the nipple areolar region could result in loss of sin in the nipple areolar area. Your surgeon will discuss the size, shape and type of implants that are most suitable for you. Putting the implant under your chest muscle reduces the chance of the edges of the implant showing. Liposuction is a procedure where fat is sucked out from under the skin with a blunt needle. Your dressing will be removed in about 2 - 4 days however, your stitches will be removed after about 3 weeks following the surgery. The vast majority of patients undergoing this operation are very pleased and adopt a more normal life with regard to exposure of the chest in normal social situations. Manufacturers of breast implants say that they last for at least 10 years, but they may last for longer than this without problems. It may also reduce the risk of a complication called capsular contracture, depending on the type of implant your surgeon uses. You may go home wearing a support bra, and you should follow your surgeon’s advice about when to wear this. You will be advised to avoid lifting anything heavy or pushing for the next several weeks although you can resume you non-strenuous daily activities with caution within a week after surgical correction for Gynecomastia. You may still be able to breastfeed with breast implants, and silicone hasn't been found in breast milk. However, it can make larger implants harder to place and will mean you have more pain afterwards. Liposuction of the abdomen and hips may also be performed simultaneously along with correction of gynaecomastia.
If you have dissolvable stitches, the amount of time they will take to disappear depends on the type of stitches.
If you're going for breast screening, tell your radiographer or nurse that you have breast implants. Your surgeon will close the cut with stitches (which may be dissolvable), and may wrap your breasts in a supportive dressing or support bra.

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