Breast augmentation
Breast augmentation, technically known as augmentation mastoplasty, is a surgical procedure through the implantation of a silicone prosthesis intended to increase the size and shape of the female breast, for different reasons, among which we could include: 1) to improve the body contour of the woman, who for personal reasons feels that the size of her breasts is small 2) to restore the breast volume lost after a decrease in weight or after breastfeeding 3) to achieve a better symmetry when the breasts are moderately disproportionate in shape and size 4) to improve the shape of the breasts that have fallen, or have lost firmness, In these cases should be evaluated the need to perform a procedure of breast lift 5) to provide new form to the breast, after which a breast has been removed or altered in its form after surgery to treat breast cancer, or after trauma, a hereditary condition or congenital
Considering a breast augmentation
Breast augmentation, technically known as augmentation mastoplasty, is a surgical procedure through the implantation of a silicone prosthesis intended to increase the size and shape of female breasts, for different reasons, among which we could include:
1) to improve the body contour of the woman, who for personal reasons feels that the size of her breasts is small
2) to restore the breast volume lost after a decrease in weight or after breastfeeding
3) to achieve better symmetry when the breasts are moderately disproportionate in shape and size
4) to improve the shape of breasts that have fallen, or have lost firmness, In these cases should be evaluated the need to perform a breast lift procedure
5) to provide a new form to the breast, after a breast has been removed or altered in its form after surgery to treat breast cancer, or after a trauma, a hereditary or congenital alteration.
The best candidates
The best candidates for breast augmentation surgery are women who want to improve their physical appearance, physically healthy and realistic in terms of their expectations. Breast augmentation surgery can improve your appearance and self-esteem, but it will not necessarily change your way of being, nor will it imply that others treat you differently. The age, although it is important, does not constitute any contraindication to perform aesthetic and reparative procedures on your bust.
Types of implants
The choice of implants, in terms of size, shape and other characteristics, will be determined based on the anatomical characteristics of your body, your breasts and your desire for the size you want your breasts to have. Your lifestyle goals and personal preferences will be important when choosing implants.
Silicone implants are formed by a silicone gel of high cohesiveness (adherent), (this implies that in the rare case of breaking, this silicone will not spill through the body, but will not leave its cover), surrounded by a Solid silicone trilayer cover. These types of implants are authorized by the FDA, and Anmat, which means that they have been rigorously examined and tested. In the case of saline implants, the cover will be the same as for the silicone ones, but the content will be constituted by saline solution. The size of the implants is measured in cubic centimeters, based on the volume of silicone or saline solution they contain. Other features include: Texture: the cover can be smooth (usually used in retropectoral or retromuscular placement) or textured (rough) (generally used in retroglandular placement) This difference does not imply that one is better than the other, but allows us to choose the implant according to the placement site. Form: the implants have two faces, one flat that will go in contact with the thorax, and another convex or domed, which is the side that will give the projection. They can be round or anatomical (in the form of a drop or tapered), the latter generally intended for breast reconstruction after mastectomy (removal of the mammary gland). Profile: low, moderate, moderate plus, or high .Implicates the height from the base to the highest point, and goes in inverse relation to the base, that is: before the same volumes, the high profile will have a narrower base (diameter) and the low profile, wider base.
Planning your surgery
In the initial consultation, we will evaluate your health status, and we will explain what surgical technique is most appropriate for you, based on the previous condition of your breasts and the tonicity of your skin. In this consultation you can determine the volume of breast implants indicated to achieve the final size you want and meets your expectations. If your breasts were down, we could also recommend you to do some additional procedure to achieve a breast lift, at the same time that the increase is done. Do not forget to inform us about taking any medication, vitamins, etc.
Preparing for your surgery
Before the surgery we will give you specific instructions, such as a guide to meals, drinks, cigarettes, taking certain vitamins and medicines, and about washing your body. Carefully follow those instructions that will help your surgery go smoothly, and have a comfortable postoperative period. An important aspect is that she makes sure that someone takes her home after surgery and that she can help her for a few days, if she needs it.
Where will your surgery be done?
Breast implants surgery is performed in the clinic, which has all the necessary medical equipment and the greatest comfort for you. You must arrive about 30 minutes before the scheduled time, to complete the admission procedures, prepare a complete medical history, and take preoperative photographs. In your room you can change clothes. After the surgery, he will stay in the clinic for two to four hours, until we make sure everything is in order and he can return to his home, where he will continue to rest.
Types of anesthesia
Breast augmentation surgery can be performed with local or general anesthesia. We prefer local anesthesia, since it has many advantages with respect to general anesthesia, such as less bleeding, good collaboration on your part, rapid recovery, and much less risk than general anesthesia. With local anesthesia, you will be with a gentle sedation, and your breasts and the area that surrounds you will be asleep, you will be awake and calm throughout the surgery, relaxed and insensitive to pain.
Surgery
Breast augmentation surgery by means of implant placement, usually lasts between 1 and 2 hours. The technique to be used will depend on its anatomy. The possible insitions can be in the axillary furrow, in the groove underneath their breasts, or at the periareolar level (just in the color change of the skin of their breasts and the darker skin that surrounds the nipple). Every effort will be made to make the scar as unobtrusive as possible.
We will work through this small incision and the breast tissue will be raised to create a pocket to place the implants, or in the case of the retromuscular placement, the pectoral muscle will also be raised and the pocket will be made underneath this muscle.
Once the implant is positioned, it is controlled that the center of the implant is centered behind the areolas and then the insitions are closed. Rarely, small drainage tubes are placed, which are usually removed between 24 and 48 hours. At the end of the surgery, a tight elastic top will be placed, which should be worn permanently during the first week and should only be removed at the end of the surgery. time to shower. The sutures will be removed after approximately ten days. With the retromuscular placement, the incidence of capsular contracture is reduced. The placement behind the muscle produces less interference in the mammographic studies, and also decreases the possibility of directly touching the implants through the skin, a situation that is frequently seen in thinner patients. On the other hand, the postoperative placement of the implants behind the muscle is usually a little more painful than the retroglandular placement.
After surgery
She will feel tired and upset for a few days, but she will be up and doing mild to moderate activities from 24 to 48 hours. post surgery The post operative discomfort will be totally controlled by analgesic medication that we will prescribe, in addition you will have to take antibiotics for seven days. You will be placed the day after the surgery, a bodice that fits, you should use it for four weeks. You may feel burning in the nipples for approximately two weeks, it will cease when the bruising subsides. The stitches will be removed in about ten days, but the swelling in your breasts may take between three and five weeks to come down.
Returning to normal
In about five days you should be able to return to your job, depending on the level of activity that it requires. For approximately two to three weeks, avoid direct physical contact, since your breasts will be hypersensitive. At first their scars will be pink and hard, but after a short time they will clear up and become more imperceptible. On rare occasions, they become wide and require a correction. Usually, the first four weeks will see some swelling in your bust and surroundings, which will gradually decrease. Most patients begin to forget that they carry implants six to eight weeks after surgery.
Potential risks or complications
Breast augmentation through prosthesis, is a low-risk surgery, but like any surgery, there are potential risks and specific complications associated with this procedure .. You will be given intraoperatively antibiotics to avoid infections, which you should continue taking orally by seven days post-surgery. The most common problem is capsular contracture, which occurs if the capsule around the implant becomes tight. The compression on the implant can make the chest feel hard. Depending on the degree to which it is found, it can be treated in different ways, either with medical treatment in the milder grades or require removal of the capsule in more advanced cases. With the retromuscular placement, the incidence of capsular contracture is reduced. The placement behind the muscle produces less interference in the mammographic studies and also decreases the possibility of directly touching the implants through the skin, a situation that is frequently seen in thinner patients. On the other hand, the postoperative placement of the implants behind the muscle is usually a little more painful than the retroglandular placement.
Your new look
For many women, the result of a breast augmentation is highly satisfying, even stimulating, and when they appreciate their new appearance they experience an increase in their self-esteem and even experiencing improvements in their sexual sphere. You will notice that the possibility of wearing certain clothes will be a pleasant experience. The decision to place mammary implants is a totally personal decision, and only you will understand or what it means. The important thing is how you feel about this. If this surgery meets your goals, then it will be a success.
