There are six main steps to surgery.
Step 1: Marking the correct position for the implants.
To start with, Dr Barnouti will mark the breasts outlining the correct position for the incisions.
Step 2: Incisions for the implants
After cleansing the skin with an antiseptic agent and draping the area with sterile sheets, he will make a small incision about 4cm long, either in the lower portion of the crease where the tissue meets the chest (an inframammary incision), around the nipple or in the armpit. We will advise you on the best approach during your initial consultation.
The third step is to create a pocket through the incision. The pocket size is carefully created to fit the selected implant. This pocket can be created under the muscle (for sub-muscular implants), under the tissue (for sub-glandular implants) or half under the muscle and half under the tissue (known as dual plane implants).
Step 3: Creating a pocket for the implants
Dr Barnouti prefers to use the dual plane approach to create the pocket for implants. This is the latest technique in enlargement and offers the advantages of both the sub-muscular and sub-glandular techniques.
Step 4: Inserting the implants
Once the pocket has been created, Dr Barnouti inserts the selected implants into their pockets and check the breasts for symmetry. This often involves sitting the patient up while still under sedation to see how the implants look under the influence of gravity.
This check ensures the implants sit well in their pockets and look natural, both when you’re lying down and when you’re standing or sitting up.
Step 5: Closing the incisions
The incisions are then closed using self-dissolving stiches so you won’t have to go through the inconvenience of having them removed.
Step 6: Fitting a compression garment or special bra
We will fit you with a compression garment or special enlargement bra to aid the healing process. Compression garments provide support and comfort, minimise swelling, and help keep the implants correctly positioned.