Female patients mainly recur to breast surgery because they wish to increase their breast size due to aesthetic reasons. But there are other reasons: amastia, or lack of breast development; atrophy, or involution usually related to ptosis or breast sagging; post surgery mammary tissue loss, burns, traumatisms, etc.
Involves the placement of a specially designed implants for this purpose, whose manufacturers have been developing for over 40 years. Currently, breast implants offer a wide safety margin.
Currently, the filler material for breast implants that are used is the cohesive silicone gel, which unlike conventional silicone gel, yet provides greater safety in the event of implant rupture.
Intervention : Increased breast size with breast implants.
Duration: 1 to 2 hours.
Preoperative Studies: Blood tests, electrocardiogram, chest X-ray, Mammography bilateral and pictures.
Income: One night.
Implant Types: Filled with cohesive silicone gel, with rough, round or anatomical, high profile, moderate or low.
Ways of Implementation:
– Via Periareolar (around the nipple areola.)
– Via Submammary (through a small incision in the groove located under the breast).
– Submuscular below pectoral muscle)
– Subglandular (above the pectoral muscles and below the mammary gland),
– subfascial (below the pectoral fascia and aponeurosis muscle and above, depending on each case .
Swelling, bruising, changes in nipple sensation and temporary itching sensation. Stimuli sensitive breast for several weeks.
Capsular contracture (scar tissue around the implant), implant rupture, infection, bleeding, increased or decreased sensation of the nipple or breast skin (usually temporary). Mammograms to be made in the future will require a special technique, commonly used by radiologists.
Elastic band and seamless bras for 2-4 weeks. Self-massage circulated daily from day 7.
Back to work: a few days. Physical contact with mom: 3 or 4 weeks. Full maturation of scars: several months to 1 year.
Duration of the results:
Variable. Implants may need to be changed.
It is advisable to carry out audits every 2-3 years to verify the integrity of the implant and the scar capsule that forms naturally around.
A too large breasts can cause back pain and shoulder, skin problems and irritations repeated submammary level.
Various techniques exist to reduce a breast, with variations in design and location of the residual scars, depending on each case in particular
The most used techniques are:
- Scar in “inverted T” or “anchor”
- Vertical Scar
- Scar Periareolar (in very mild cases)
- Liposuction Breast (no obvious scars – depending on the quality of the skin)
Surgical intervention can raise sagging breasts is called a mastopexy, and generally consists of modeling the contents existing breast by removing excess skin. The length and location of the resulting scars may vary depending on the particular case.
Grade I: large or hypertrophic breasts. Ptosis is caused by gland and/or adipose tissue excess and the procedure used to correct this is called mammoplasty. All hypertrophic breasts present a greater or smaller development of ptosis, except for virgin hypertrophies, which appear during puberty and are corrected before weight affects the elasticity of the skin.
Grade II: breast volume corresponds with a woman’s body but there is excess skin. The surgeon removes excess skin to adapt the skin holding the breast to the mammary tissues in the correct position. But this procedure is not as easy as it seems, since it is not only necessary to remove excess skin but also to treat mammary tissues with the aim of preventing or at least delaying, future sagging. As mentioned previously, it is mainly a skin alteration: the skin has lost its elasticity, so there are many possibilities that the breast will sag again if the patient only underwent excess skin tissue removal.
Grade III: drooping breasts that haven’t reached normal size or the size desired by the patient. In such cases breast implants increase breast volume. In cases of severe flaccidity, excess skin tissue removal might prove necessary
Sometimes you may need an additional volume, since there can not be enough breast tissue to achieve the desired shape, and we also place a breast implant
BREAST AUGMENTATION KEY POINTS
Ambulatory /24 hours
Depending on the position of the breast implant will be higher or lower, despite these annoyances are controlled by medication.
Swelling until the 6th week; Possible side bruises 2 weeks; temporary numbness.
At the 4th month