Cosmetic breast surgery
Pectoral enlargement

A sculpted male torso...

Some men are unable to develop their pectorals despite on-going body building exercises. Some methods can help achieve a more athletic figure.

For some patients with malformations, these methods help to restore the symmetry of the thorax.

Lipofilling

It involves removing fat by liposuction from areas where there is an excess of fat. Then re-injecting this into the area requiring volume. This is performed during the same surgery under general anesthesia. The re-injected or grafted fat must first be purified by centrifugation, filtration or decantation.

The rate of engraftment varies between 50 and 70%, which means that we must inject more fat than necessary in theory to achieve the desired volume. We must therefore have a "reserve" of sufficient fat.

For big enlargement, we can perform several sessions of lipomodelage several months apart.

The advantage of this technique is the natural and definitive characteristic of the fat injections.  The result is permanent after the partial reduction phase is completed.  However, the volume of fat grafted will fluctuate with any significant weight change.

Hyaluronic acid injections

A very dense hyaluronic acid of non-animal origin (Macrolane) is injected deeply through several millimeter-sized incisions. Unlike fat injections, hyaluronic acid injections take place in the doctor’s office.

This method is the easiest way to increase the volume of the chest. However, the absorbable nature of the product requires that sessions be repeated every 10 to 12 months to maintain the results. This represents a significant cost that is higher than the cost of surgery after a few years.

The result is also very natural and the volume can be ajusted during the treatment.

Pectoral implants

The implants used are specially designed to increase the chest size. They are pre-filled with a more cohesive (firmer) silicone gel than those used for breast implants. The casing is also stronger. Finally, their shape is especially designed for this situation.

The procedure

augmentation pectoraux par protheses

It is performed under general anesthesia and lasts 1 and a half hours. The patient is positioned on the back with the arms crossed. The axillary incision is similar to the one used to insert breast implants via the armpit for women and measures between 5 to 7 cm. Each implant is placed under the pectoral muscle. No drain are inserted. Hospitalisation lasts 24 hours.

Outcome

The result is visible straight after the procedure. The vertical scar is hidden in the armpit.

Postoperative effects

The after effects are a feeling of painful pressure for the first few days (no strong pain). In all cases, analgesic treatment adapted to the intensity of the pain will be prescribed.

Edema (swelling), ecchymosis (bruises) and a hindrance to elevate the arms are frequent in the early stages.  Returning to work is possible between 5 days and 2 weeks after surgery depending on the job.  The patient can resume sporting activities after 1 or 2 months.

Complete healing is achieved within 2 to 3 weeks. The stitches are dissolvable and are concealed. The patient will need to wear a compression garment (bolero) 24 hours a day for 1 month.

Risk of complications

As with anysurgery, a number of complications can occur. But the likelihood of these complications is reduced in the hands of a qualified plastic surgeon and in the presence of a competent anesthesist. The patient’s compliance to instructions given by the surgeon is also essential and include :

  • stopping smoking 1 month before and after the procedure (reduction of all risks) ;
  • not taking aspirin for 10 days before and after the procedure (reduced risk of hematoma).

Fortunately, postoperative effects are generally manageable following a pectoral enhancement with implants that has been carried out properly, so serious complications are rare.

In spite of the fact that complications are so rare you must be aware of the following problems :

Haematomas are quite rare but can occur. They can be evacuated.

Infection : this is extremely rare when the procedure is carried out in sterile environment.

- Seroma : this lymph collection can be evacuated and will dry up without sequelae.

In case of a complications, your surgeon will treat them successfully if necessary.

In practice, the vast majority of cases take place without any problem and the patients are satisfied with the result.

Health insurance coverage

As this procedure is considered purely for aesthetic purposes, no coverage is provided by health insurance. In case of chest malformation or Poland syndrome, a partial reimbursement of the cost of the procedure may be considered.

Author:
Specialist in aesthetic surgery - Antibes
Updated: 16-08-2015

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