Breast augmentation

There are several reasons why women consult a surgeon for breast augmentation:

• Body image concerns: Breasts can be a source of significant self-consciousness, particularly among younger women. In such cases, cosmetic breast augmentation can be an excellent solution.
• Post-pregnancy or weight fluctuations: Women who have undergone multiple pregnancies or experienced significant weight changes may find their breasts have become sagging or flattened (ptosis). Implant placement and other specific procedures can lift and restore the breasts to their original position and shape.
• Purely aesthetic enhancement: Some women opt for breast augmentation purely for aesthetic reasons, even if they are initially satisfied with their breast size.
• Asymmetry correction: Breast implants can also address breast asymmetry, achieving symmetry in both shape and volume between the breasts.

Since breast implantation is reversible, concerns about regret are minimal.

There are two types of breast augmentation: with and without implants.

• With implants: This is the most common type of breast augmentation, with discreet scars and the ability to achieve a very natural result if the desired augmentation is moderate. Silicone gel implants, which are very soft to the touch, are used to precisely control the final cup size. The implants are placed either in front of or behind the muscle as needed.
• Without implants: Known as “scarless breast augmentation,” this technique uses the patient’s own fat harvested through liposuction (from the abdomen, thighs, knees, etc.) and injected into the breasts. It provides a very natural breast augmentation without the need for foreign implants. This method is suitable for those seeking a maximum increase of one cup size (e.g., from cup C to cup D).

Breast augmentation by fat transfer, also known as “scarless breast augmentation,” is the most natural breast augmentation technique available. The results are highly natural and permanent over time. The only limitation is the amount of fat that can be injected, typically allowing for an increase of up to one cup size. Another benefit is the opportunity to undergo liposuction during the same procedure.

1 – Breast augmentation by fat transfer technique

Breast augmentation without implants is a newer technique that achieves natural-looking results. Fat is harvested through liposuction and then injected into the breasts, known as breast lipofilling. This method is gaining popularity for its natural results.

2 – Specific advantages of breast augmentation by fat transfer

Breast augmentation by fat transfer can also include liposuction, allowing patients to reduce waist circumference or eliminate excess fat deposits. Moreover, this procedure offers long-term stability compared to the limited lifespan of breast implants.

Breast augmentation surgery using implants is the most commonly used technique. Today, breast implants undergo rigorous quality controls to ensure a safe procedure.

Note that we can also combine the two previous techniques (Implant + fat injections). In this case, the breast implant will be placed in front of the muscle.

Breast augmentation with implants allows for larger enhancements compared to fat injections (lipofilling) and can sometimes correct moderate breast sagging (ptosis) on its own. Depending on the patient’s anatomy, the breast implant may be placed in front of or behind the muscle.

Breast implants are filled with a highly flexible silicone gel, providing a very natural feel to the augmented breasts.

A breakthrough in breast surgery, the MiaⓇ procedure is designed for patients seeking to increase one cup size and/or enhance their cleavage without general anesthesia or social downtime. This minimally invasive procedure harmonizes the breasts in about fifteen minutes, offering a natural and subtle result with immediate return to daily activities.

Dr. Benjamin Sarfati is the first surgeon in France certified to perform the MiaⓇ procedure. He has successfully conducted the first 6 breast augmentations using this technique in France.

The cost of breast augmentation varies depending on several factors: the technique used, the size and type of implant (for procedures involving implants), and whether the surgery is cosmetic or reconstructive. The price will be determined during your initial consultation with Dr. Benjamin Sarfati.

Breast augmentation surgery is reimbursed when classified as reconstructive surgery. Therefore, the surgery is covered in cases such as:

• Breast agenesis (total absence of breast tissue)
• Breast hypotrophy or hypoplasia (breasts too small in proportion to the overall body)
• Severe breast asymmetry (significant difference in volume between the two breasts)
• Breast malformations
• Breast reconstruction following mastectomy or lumpectomy
• Severe breast hypertrophy, requiring removal of at least 300 grams per breast

Scars resulting from breast implant placement are positioned to be as discreet as possible. Patients can choose the location of scars that best suit them, including under the arm, around the areola, or under the breast.

Breast augmentation is performed under general anesthesia, requiring a consultation with the anesthesiologist beforehand. Following the procedure, recovery typically involves a few days at home, with minimal post-operative care required. It is necessary to quit smoking before breast augmentation to optimize wound healing.

Depending on your needs, body shape, and motivations, Dr. Sarfati will employ different breast augmentation techniques. Whether with or without implants, with fat transfer, or through the Mia procedure, the techniques and results vary. Discover the results of breast augmentations performed by Dr. Sarfati on the before/after page.