Dr. Dirk Lazarus, Plastic Surgeon, Cape Town, South AfricaDr. Dirk Lazarus, Plastic Surgeon
MBChB (University of Cape Town), FCS (South Africa, Plastic and Reconstructive Surgery)

CAPE TOWN, SOUTH AFRICA

Member of the Association of Plastic and Reconstructive Surgeons of South AfricaMember of the International Society of Aesthetic Plastic Surgery
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Dr. Dirk Lazarus
Plastic Surgeon

Tel: 021 424 1112
Fax: 021 424 1118

86 New Church St
Tamboerskloof
Cape Town, 8001
South Africa

BREAST AUGMENTATION is a surgical procedure to enhance the size and shape of of a woman's breasts.

In my practice breast augmentation is performed as a day case procedure under a twilight sedation supplemented with local anaesthesia. You will be asleep, pain-free and unaware at the time of surgery and you will have a quick recovery.

I usually use a small cut (incision) underneath the breasts for placement of the implants, although in women who require a bit of a lift as well, an incision around the areola may be used. I do not really like the armpit incision: the armpit is a "dirty" area and placement of implants from this distance away is associated with a significant risk of implant height variation. I do not use the belly button as an incision site.

I place most implants in a sub-glandular position on top of the muscle, directly under the breasts - a position I believe to be more natural. Surgery tends to be simpler and less painful than sub-muscular placement, but the implants may be more visible and palpable. Sub-muscular placement, although providing more soft tissue cover for the implants, is associated with a more protracted post-operative course and implants are more likely to displace or move. I use sub-muscular placement in very thin women.

I use silicone gel filled implants which have a more natural feel and, unlike saline implants, they do not tend to slosh, wrinkle or deflate. All silicone implants used are cohesive and have a textured surface. I usually use Eurosilicone implants, but I do have access to all makes available. Silicone gel filled implants are the preferred implants used by plastic surgeons and there is no evidence at all (after many years of study by non plastic surgeons) that silicone breast implants cause any known disease.

The cuts are closed with dissolving sutures, a light dressing is applied and a post-operative surgical bra is used. I do not routinely use drains. The whole procedure usually takes me about 60-75 minutes. Post-operative recovery is relatively quick and normal activities can be resumed after about 1-2 weeks. Overseas patients can return home approximately one week following surgery. Complications are rare, but can include bleeding, infection and capsular contracture. See my more in-depth description for a more detailed list of complications. The surgery gives immediate and predictable results, the effect is long lasting and the procedure is associated with a very high degree of patient satisfaction.

For a more detailed description of this procedure, click here.
Testimonials from patients who have had breast augmentations.
Read my newsletter on breast augmentation: choice and consequence.


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© DDAL Last update: 20 March 2009