What women are candidates for this surgery?
In the so-called mastopexy surgery with prosthesis, the candidates are women from a range of about 35 to 45 years, women who have already had children, who have breast-fed and who have had a sag and have been drained. the chest. What we do is an elevation of the chest placing it in its place and supporting us in prosthesis to achieve the desired volume
How is this surgery done?
This is perhaps the most interesting question of the mastopexy with prosthesis because there are many alternatives within the surgery. Perhaps the factor that determines if it is going to be done or not is the type of scar that we are going to leave. If we need a small elevation we can disguise the scar around the areola but if the elevation is larger we should leave a scar around the areola, a scar that goes down from the lower edge of the areola to the submammary groove and a scar that runs through the submammary groove. What at first seems like a problem, especially to the women who come thinking that they are going to recover the chest they had before, when proposing a surgery of so much scar, the truth is that it throws a bit back.
We are working a lot today to get very good elevations supported by prosthesis only leaving the scar around the areola, what happens is that it has some limitations that from which we skip them then the result is no longer the expected or the desired, that's why the strategy in the surgery before is fundamental to be able to indicate to the patient if only with a surgery with a scar around the areola we will be able to achieve the desired result. On the other hand, in cases where the sagging is larger, it is absolutely necessary to make the scar that we have talked about around the areola, the vertical scar from the edge of it to the submammary groove and a small one through the submammary groove.
How should scars be taken care of? Do they ever disappear?
As we have commented on the scars, when the patients come they are surprised a little bit of what we are thinking about them, well the result of those scars with time is really good. When I say really good it means that it is not after 1 month or 3 months, we must have a vision that those scars are going to be evaluated at least between one year and the following year. The care of these scars is essential for at least the first 6 months, we will give massages, we will put a type of creams, ointments, sometimes you will have to wear patches of silicone and with that we will greatly reduce the visibility of those scars, in some cases they become almost imperceptible.
How do aspects such as pregnancy, age or weight influence long-term outcomes?
If after the surgery we have pregnancies, or with age, or sudden weight changes, these are factors that negatively influence long-term results. Logically, what influences the most is the quality of the fabrics we are working with. There are women who at 18 years have a laxity and a huge drop and there are women who at 65 years old have their breasts in place or that genetics determines much the long-term result.