Breast implant surgery is usually performed under general anaesthesia. All anaesthetics carry a risk, so you should discuss these risks with the anaesthetist. The surgery usually lasts between 1 and 2 hours. In the UK, some breast implant surgeries may not require an overnight hospital stay. Single-day stay procedures are also common.
If your breast enhancement procedure includes a breast lift, then your procedure involves moving up the nipple of your breast and removing tissue to put your breast in a higher position.
Then the procedure to insert the new breast implant involves making an incision and creating a pocket for the implant. The safest and most widely used method is to place the incision along the crease beneath the breast where it meets the chest wall, also known as a submammary incision. Another option is to make an incision around the nipple (periaereola), though this may impact nipple feeling or, possibly, lead to an infection. Less common is an incision in the armpit. The incision is typically between 4 and 6 centimetres in length, and the scar will most likely not be visible when standing or sitting. The size and the type of the implant will determine the size of your incision and the most appropriate incision site.
Implant incision options: The most widely used and safest incision is along the crease. Another option is around the nipple, though this may be problematic. Less common is an incision in the armpit.
After the pocket is created, the breast implant is placed either partially under the pectoralis major muscle (submuscular) or on top of the muscle and under the glands (subglandular). Once the implant is placed, the incision is closed with stitches. In addition to stitches, it may also be taped.
Depending on the surgeon’s preference, you may have a drainage tube in place for a day to allow any blood or fluid that may collect in the wound and around the implant to escape. This also allows the surgeon to monitor that everything is going as planned while you recover from surgery.