Saline implants, silicone gel implants, first, second, third, fourth and fifth generation implants are the more common implants used in breast augmentation surgeries.

Saline-filled breast implants, first manufactured in France in 1964, innovated by Arion were surgically laid via smaller incisions. Current saline devices are fabricated with thicker, room temperature vulcanized (RTV) shells than earlier generations of devices. These shells are made of a silicone elastomer and the implants are filled up with salt water (saline) after the implant is laid in the body.

Plastic surgeons first invented the first silicone breast prosthesis with the Dow Corning Corporation in 1961. The first woman was imbedded in 1962. Silicone implants are ordinarily described in terms of five generations which segregate mutual characteristics of manufacturing techniques.

First generation or the Original Cronin-Gerow Implant was first produced in 1963. The Cronin-Gerow implants were created of a tear drop shaped silicone rubber envelope (or sac), filled with a thick, viscous silicone gel with a Dacron patch (to cut back rotation of the implant) on the posterior shell. In response to surgeons’ requests for softer and more vivid implants, breast implants were redesigned in the 1970s with flimsier, less cohesive gel and leaner shells.

Third & fourth generation implants, from the mid 1980s, represented sequential advances in manufacturing principles with elastomer-coated shells to diminish gel bleed, and are filled with thicker, more cohesive gel. The increased cohesion of the gel filler decreased potential leakage of the gel compared to earlier devices and the more significant shell improved durability as compared to 2nd generation implants.

Fifth generation a.k.a. “gummy bear” or solid, high-cohesive, form-stable implants is in preliminary stages in the United States but these implants have been widely used since the mid 1990s in other countries. The semi-solid gel in these types of implants largely extinguishes the possibility of silicone migration.

In case of smaller breasts that do not sag too much, concentric mastopexy is the preferred method of breast reduction.

In many instance, this technique may only need a local anesthesia and a sedative in lieu of general anesthesia.

Concentric circles are drawn and cut around the nipple area. The donut-shaped skin around the nipple is then extracted and the nipple and areola are lifted upwards. The outer skin is later stitched up around this area.

For some patients, the skin that is around the nipple can wrinkle and bunch up because of excess skin. Imagine that the skin is cloth, and you have more fabric than you need, resulting in pleats and ruffles.

Normally, this wrinkling will go away shortly after surgery because the skin will adapt to the new and smaller breasts. Sometimes, in cases where there is too much skin to adapt, an incision can be made from the areola down to the bottom of the breast for a tighter fit.

A strip of skin is removed from the area sliced open and the remaining skin is stitched together to tighten the skin. Concentric mastopexy can cause scarring, but this is usually smaller and less than other mastopexy techniques.

Women with only slightly large breasts that do not sag drastically can consider concentric mastopexy as an option for breast reduction.

Depending on the area to be removed, the surgery could involve little more than a local anesthesia and sedatives instead of general anesthesia to knock you out.

Centered on the nipple, concentric circles are drawn and cut out. The donut-shaped skin around the areola is then cut off and the nipple and areola are lifted upwards. When this is done, the breast is then stitched closed and the operation is done.

At times, the skin that is stitched around the nipple can wrinkle because of excess skin. This is similar to pleats on clothes because of extra fabric.

In most patients, this wrinkling will diminish in the weeks following the surgery as the skin conforms to the new contours of the breast. At times, in cases when adaptation of the skin is unlikely, a vertical cut is traced from the nipple down to the base of the breast.

A strip of skin is removed from the area sliced open and the remaining skin is stitched together to tighten the skin. Concentric mastopexy can cause scarring, but this is usually smaller and less than other mastopexy techniques.

Your breasts will experience quite a beating during breast augmentation, and you will have to be very careful with them while they recover because they will be bruised, sore and swollen after surgery.

You may only be able to wear a surgical bra for the first few days, while any soreness will usually be treated with prescription medicines. your doctor may recommend that you wear a sports bra for added support until the soreness goes away.

Do not go to the gym or engage in strenuous physical activity immediately after your surgery because this may worsen the swelling. You can usually be back on your feet within a few days and return to full activity in a few weeks, so it’ll just be for a while.

While breastfeeding will usually not be affected by breast augmentation surgery, you should ask the doctor about this before undergoing the operation.

You may experience scarring after the surgery, but these are normally small and hardly noticeable. Your surgeon has been trained to make them as inconspicuous as possible.

Inframammary and periareolar incision scars are on the breast. Transaxillary or TUBA incisions can be placed in a natural fold in the skin under the armpit, virtually unnoticeable after surgery. There is a risk of infection, as with any surgery, but with proper precautions by the surgical team, complications are typically minimized or prevented.

Breast reduction surgery is an option for women with large, heavy breasts and those with gigantomastia, since the weight of their breasts may cause constant pain of the head, neck, back, and shoulders. Oversized breasts may also cause shortness of breath and circulation problems.

Heavy breasts can also cause discomfort when bra straps cause abrasions or exert too much pressure on the skin because of the weight. If to relieve discomfort, breast reduction procedures are usually covered by medical insurance.

Even if over-sized breasts do not cause discomfort, some women may be embarrassed with their breasts, especially if they are disproportional to the rest of their bodies.

As a general rule, breast reduction is only performed on adults whose breasts have developed completely. If a candidate breastfeeds or has plans to breastfeed, reduction surgery might be ruled out.

Males afflicted with gynecomastia may feel awkward and humiliated by their condition, usually occurring in their teenage years. They may get the surgery for their self-esteem

The technique used may vary, depending on whether the breasts are made of fatty tissues or mammary glands. If glandular tissue is widespread across the chest, this will affect what surgery will be performed.