5 Key points about breast augmentation

Written by: Dr. Óscar Villafañe
Edited by: Roser Bernés Ubasos

Breast augmentation is indicated when patients have breast hypoplasia or breast underdeveloped, when there is a minimal drop, to give symmetry in patients who have abnormalities in the chest or when you want to symmetry following breast reconstruction for cancer.

Breast augmentation

Techniques and breast prostheses

The most common way of placement of prostheses are three: axillary, periareolar or submammary. Moreover, today it proceeds to the placement of the prosthesis so subfascial, ie below the fascia overlying the pectoralis. Each procedure has its peculiarities and every plastic surgeon , your preferences when making one technique or another.

As for the types of breast implants there is variety: textured or smooth, round or anatomically shaped. In addition there is a difference in the profiles that can be high, medium or low.

There is also the possibility of placing submuscular implants under the pectoralis major muscle, or Subglandular, below the mammary gland and above the muscle.


Benefits and differences of breast implants

Each path of insertion of the prosthesis has its peculiarities. The periareolar has increased risk of interfering in infancy or produce changes in nipple sensation. The axillary leaves a visible scar. The inframammary route has major advantages in relation to minimizing complications and the scar is hidden in the inframammary groove, being barely noticeable; also it allows greater accessibility to insert the implant and so is not damaged during insertion, which can occur with other routes.

As for the location, the submuscular track has a somewhat annoying subsequent recovery, is a bit more difficult technically, but are less palpable implants. In addition, there is a lower risk of breast tissue contracture and is best viewed on a mammogram in the implant Subglandular.

The type of prosthesis is conditioned by the complexion of the patient, the degree of laxity your skin or if you want to fill more or less the upper pole. The profile is determined by the desired projection and size as the circumference and chest symmetry. In short, they have to be consistent with the body proportions of each patient so that the result is an ideal, natural and harmonious.


Is it possible that the body rejecting the prosthesis?

The term rejection refers to an immune response of the body to a foreign substance. In this respect the body does not reject an implant. What may happen is that capsular contracture is scar formation of fibrous tissue that hardens around the prosthesis. Give a harder, more rounded than it is to look and can cause pain. In cases where symptoms occur more may require release the capsule partially or completely with parts of the implant. In any case this complication does not cause danger to health. On the other hand, it has ruled that women with breast prostheses have a greater risk of breast cancer.


Procedure for breast augmentation

Initially , the surgeon indicated or contraindicated intervention, it should be emphasized that only a specialist in Plastic, Reconstructive and Aesthetic is qualified for this work and therefore all preoperative consultations should be concluded with the surgeon.

During the assessment visit, the expert will advise the patient on the type of implant according to: the size of your chest wall, his physique, the degree of laxity of the breast tissue and breast screening. There is also a decision of the patient about the size you want, as long as it falls within the parameters recommended by your surgeon.

There trial prosthesis so that patients get a very rough idea of ​​how it will be the new size of your breast and quickly adapt to the new body shape after surgery.


Care and efficacy of breast prostheses

Once fulfilled postoperative reasonably annual checks are recommended with the surgeon. On the other hand you must perform the mammograms corresponding to programs for early detection of breast cancer that exist in each region. Of course this does not mean that women go at any time whenever you notice any discomfort or have questions.

Regarding durability, it depends on the type of implant and patient. Therefore it is essential to use implants backed by renowned business houses that give assurance of quality and durability. The old idea that the implants would last 10 years is outdated, the current technological development ensures a much greater durability of the implant with full guarantees.


Edited by Roser Berner Ubasos.

*Translated with Google translator. We apologize for any imperfection

By Dr. Óscar Villafañe
Plastic surgery

Dr. Óscar Villafañe is a renowned expert in Plastic, Aesthetic and Reconstructive Surgery. Formed in leading centers of the World, such as the Canniesburn Hospital (United Kingdom) or the Chan Gung Memorial Hospital in Taiwan. In addition to his extensive experience in cosmetic surgery, he has extensive training in hand surgery and microsurgery. He is a pioneer in the use of endoscope and video camera to perform microsurgery and was selected by CV from the Royal College of Surgeons of Glasgow to work in the Plastic and Maxillofacial Surgery Unit of Taiwan, the unit with the most experience in Microsurgery in the world. . Currently he is working in two cities: Pamplona and San Sebastián, keeping in constant evolution and training, performing advanced techniques such as otoplasties with suture threads that entails millimeter scars.


*Translated with Google translator. We apologize for any imperfection

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