Combination breast augmentation enhances the breast fullness with a natural look
Many women undergo breast augmentation wanting beautiful and natural-looking breasts. However, if the original breasts are very small, or the subcutaneous fat layer is thin, a general breast augmentation using only implants can result in the implant edges or the wrinkled surface becoming noticeable.
Using the combination breast augmentation techniques the surgeon can make the soft tissues thicker by grafting autologous fat and increase the breast size by inserting breast implants.
Combination Breast Augmentation
Implants are inserted using HD endoscopy technology.
Fat Graft Breast Augmentation
The area of incisions has to be minimized; longer incision can make surgery easier but create more visible scars. For sutures, we use a type of thread that absorbs into the body for the hypoderm and special tape on the surface of the skin to bring the edges of the incision together. There will be no need to remove the stitches and the visible scarring is minimized. You can start to take showers 2 to 3 days after the operation.
The common periareolar incision method uses a circular incision shape which could leave a visible scar.
In JW Plastic Surgery Korea we use the more complex “zigzag periareolar incision method” which minimizes visible scarring.
The picture on the left shows JW’s site of incision after breast augmentation surgery with the IMF incision method (inframammary fold incision method).
The picture on the right shows another clinic’s work which has left a scar after the breast augmentation using the IMF incision method (inframammary fold incision method).
Although breast symmetry is considered during breast augmentation, the breast shapes may become asymmetric as time passes depending on the lifestyles or breast tissue type. For example, a right-handed person uses their right arm much more frequently putting more strain on that side. In addition, the heart is tilted towards the left side of the chest and the general usage of the muscles of each side varies.
A shaping bra helps maintain the balance of the breasts. In addition, some patients may find the bottom line of the breasts change or become unnatural after breast augmentation. To prevent this, a shaping bra is recommended to the patients who want beautiful and natural-looking breasts.
JW Plastic Surgery provides a free special shaping bra after the operation. We’ll adjust the shape of the bra whenever you visit the hospital.
Many patients worry about the pain during and after breast augmentation surgery. Pain is usually generated by bleeding and tissue damage. Using HD endoscopy, JW Plastic Surgery minimizes bleeding and tissue damage during the operation to reduce pain.
During the operation, intercostal anesthesia is applied to prevent pain. Analgesics will be prescribed after the operation. The patients hardly feel any pain and don’t need any epidural injections for pain management. Patients can leave the hospital on the day of the surgery without hospitalization.
|Smooth Breast Implants||Textured Breast Implants (JW)|
|Massage required (O)||Massage NOT required (X)|
When breast implants are inserted, a thin layer of scar tissues will form around them. This film is called a capsule and is your body’s natural reaction. Capsular contracture refers to a phenomenon where this capsule layer becomes abnormally thick and puts pressure on the implant. If the patient experiences severe capsular contracture, it may make the breasts seem unnatural.
Capsular contracture may occur when the surgical site is infected or filled with blood. The patient may experience capsular contracture due to severe rejection reactions as well. To prevent this, the surgical sites should be carefully stanched and disinfected. Also, the space for breast implants should be secured accurately.
In addition, the patient should take preventive measures after the operation. The patient should receive massage therapies after for smooth breast implants. However, textured breast implants do not require massage therapy because their surface is already treated with capsular contracture preventives.
M.D. Seul Chul-hwan, director of JW Plastic Surgery, has been performing endoscopic breast augmentation since the method was first introduced in Korea.
Through numerous academic presentations and academic activities, he played a pioneering role in disseminating the endoscopic breast augmentation technique in Korea. He operates using an HD breast endoscope from the beginning to the end of the procedure to complete the operation more safely.
If the patient’s breast size, shape, nipple position, sagging degree, inframammary fold position, and chest wall are asymmetric, different sizes and shapes of implants will be used on each side to create harmony.
In addition, other breast asymmetry correction methods such as different degrees of muscle detachment, levels of inframammary fold correction, degrees of breast lifting, and simultaneous fat grafting (combination breast augmentation) can be combined to achieve better results.
Before inserting breast implants, we check the optimal breast size, breast symmetry, and detachment using a tool called ‘sizer’.
Since this step extends the surgery duration and increases the costs, many hospitals often skip it. However, JW Plastic Surgery considers this step to be very important in finding the most suitable sized breast implants and obtaining optimal results.
JW Plastic Surgery minimizes the size of incisions to reduce scarring, patient satisfaction, and rapid recovery.
JW Plastic Surgery uses various types and sizes of breast implants to match the best breast implant option to each patient.
In order to design beautiful breasts, we are using various breast implants such as Allergan, Mentor, Silimed, Sebbin, and Polytech that have been proven safe.
If you have a wide sternum, pigeon chest, or wide-set breasts, it may be difficult to create natural-looking cleavage. In combined breast augmentation, autologous fat is grafted to the empty part between the breasts to create a beautiful cleavage.