Breast augmentation with prosthesis
Breast augmentation, technically known as breast augmentation, is a surgical procedure to enhance the size and shape of the breast of women in different situations:
- To improve the silhouette of the woman who thinks her breasts are too small
- To correct breast reduction that occurs after some pregnancies
- To correct a difference in size between the two breasts
It is one of the most common cosmetic surgery procedures performed in. You can increase the size of one or more breast size by introducing a prosthesis below the breast.
¿What method is used to perform breast augmentation with prosthesis?
The only definitive method to get a breast enlargement is by implantation of a breast prosthesis, behind the existing gland. There are other methods that use the body's own tissues and are used mainly in Reconstructive Surgery. The breast implant can be placed behind the gland itself and in front of the pectoral muscle, or muscle, behind that, depending on the individual case. Normally boarding incision to implant the prosthesis is located on the areola, in the armpit or submammary, performing the operation under general anesthesia.
Stents are used in most cases are cohesive silicone gel enveloped in a silicone membrane of rough. The shape may be round or anatomical ( teardrop shaped ) depending upon the case and needs of each patient.
The information contained herein can in no event, nor is it intended, to replace the information provided during the informative tour.
¿: I am a good candidate for breast augmentation?
Ideal candidates for undergoing breast surgery are healthy people, emotionally stable comprising the results that can be obtained after surgery. Many women want to increase after pregnancy or breastfeeding has left empty and fallen chest. Although there is no increased risk of future pregnancy alters, if you must know that your breasts may sag again somewhat after a new pregnancy.
¿How will the plastic surgeon evaluate me for breast augmentation surgery?
During the initial consultation, your plastic surgeon will evaluate the size and shape of the breasts, the firmness of the skin and overall health. He took measurements and photos. They also conduct an exploration breast and in some cases mammographic study was requested. He explained the different surgical techniques, the size and shape that will have their breasts and the options or combination of procedures that are best for the patient will be discussed.
Breast augmentation with aesthetic purposes not included in the catalog of Social Security benefits;however, the significant asymmetry and breast reconstruction after surgery for breast tumors if they are.
Do not forget to have a smoker or if you take any medication or vitamin, the number of previous pregnancies and if you plan to become pregnant or breastfeeding. Feel free to ask any question that arises, especially those regarding your expectations about the results.
¿How should I prepare for breast augmentation?
There are instructions on how to prepare for surgery, including guidelines on food and liquid intake, or taking snuff or suppression medications, hydration of the skin of the breasts prior to surgery, vitamins and iron supplements. Any medication that would alter the coagulation of bleeding should be deleted including aspirin and derivatives. In breast augmentation is not required blood transfusion during surgery.
¿How will the day of breast implant surgery ?¿That I can wait?
Breast surgery is performed in operating room. It should be high income and the next day. The breast augmentation surgery is performed under general anesthesia, the patient remained asleep during the operation. After the intervention will be in room resuscitation controlled by an anesthetist and nursing care until this is considered to be in satisfactory condition in your room. Some very specific cases can be performed under local anesthesia with sedation. It may initiate fluid intake between 4 and 6 hours after the end of its intervention. Usually after a day of admission, the patient may leave the hospital.
¿Where I undertake to practice incisions breast augmentation?
Breast augmentation is performed through a small incision that is placed, depending on the anatomy of the patient, around the areola, in the armpit or under the breast groove. The incision is designed so that the resulting scar is almost invisible. Through this incision the breast tissue is raised, a pocket is created and the prosthesis is placed directly under the breast tissue or under the chest muscle sometimes below the fascia of the pectoral muscle. They are placed in most occasions drainage tubes were removed the next day and dressing or bandage on your breasts until the time of discharge. The procedure takes between 1 and 2 hours.
Both as a way of addressing the placement must be treated with the patient at the time of the first interview.
La via areolar to change the size or position of the areola and modify the shape of the breast prior to insertion of the prosthesis via.The pectoral avoid opening the mammary gland via submammary and is the most direct.
¿kind of prosthesis placed me?¿are the best prosthesis?
The prosthesis can be round or anatomical ( teardrop shaped ), smooth or rough, low, medium or high perfil.Las smooth prostheses, although more economical, can cause a higher incidence of capsular contracture. The valuation of the prosthesis follows many parameters: body shape, chest width, position of the breast, skin elasticity and consistency of the mammary gland are the main factors to consider to find the prosthesis with the right dimensions and provided. We must find the most harmonious possible and that the body can tolerate for the result lasts over time. Every breast prostheses are composed of two elements: an envelope containing silicone. Up there the similarities. The interior can be cohesive silicone gel or saline;silicone envelope also varies and can use smooth implants or prostheses with some kind of roughness. The rough textured implants are prostheses that produce less strange sensations, less discomfort and complications.
In terms of shape, implants also offer variety: be anatomical or round. The anatomical prostheses are named for their ability to conform to the anatomy of the breast, so the result is a very natural breast, one of the main demands of women undergoing an intervention of this type. For this characteristic are the most indicated for cases with moderate breast ptosis empty -the fall of mamas- without having to perform a more invasive surgery which could cause difficult to hide scars. Also recommended in cases where the patient wants a large increase in size in these cases being the most natural result.
¿, can I expect during recovery?
After breast surgery is normal to be a little tired some days, but the patient could do almost normal life at 24-48 hours. May shower in 48 hours. Most discomfort is well controlled with prescription medication ( antibiotic, anti-inflammatory, an analgesic and gastric protector), although the breasts can hurt a couple of weeks. The dressing or bandages will be removed the day following the operation, being replaced by a special bra, the patient should take 1 month 24 hours a day and only retired for daily shower. It is normal to have a burning sensation in the nipples during the first two weeks. Stitches are removed between 7 and 14 days;edema not completely gives up 3 to 6 weeks. At first keychain pink scars, something that continually improved from 6 weeks.
Appropriate for each woman according to her age mammograms can continue to make, although it should be noted the existence of the prosthesis.
Views are usually performed weekly for the first 3 weeks, then a month, 3 months and thereafter once a year.
¿When I can resume my normal activities after breast augmentation?
After a breast augmentation may return to work within a few days, depending on the activity carried out. Follow your surgeon's instructions about exercises that can be performed;be avoided lifting above the head for 2 to 3 weeks. Your breasts are more sensitive than normal for 2 to 3 weeks, so you may want to avoid excessive physical contact until 3 or 4 weeks.
¿What risks exist?
Breast augmentation surgery is a safe technique, provided it is performed by a qualified plastic surgeon and hospital in a satisfactory. However, as with any operation can always be complications and risks associated. In breast augmentation, the most common complication is capsular contracture, which occurs when the internal scar that forms around the implant shrinks excessively, causing the breast to become harder. It can be treated in different ways, sometimes requiring removal of said internal scarring, and even to change again the prosthesis.
Another complication, typical of any surgery is the hematoma that required only in specific cases of a new intervention to remove the accumulated blood. A small percentage of women may have an infection around the prosthesis, usually in the first few weeks after surgery. Some women notice the more or less sensitive nipples, and even insensitive. These changes are usually temporary, but in a few cases will be permanent. There is no evidence that breast prostheses affect fertility, pregnancy or breastfeeding.
It is extremely rare that the prosthesis can break, causing the content goes out of his capsule. When the prosthesis is filled with serum, the liquid is absorbed quickly without causing any damage, reducing the breast volume in a few hours. If this silicone filled two scenarios can occur: if the capsule formed by the body is not broken, do not notice any change; if broken, especially when it has been under a lot of pressure, the silicone out decreasing the volume of the breast. With both types of prostheses to replace a new intervention will be necessary.
¿What results can I expect?
The results after breast augmentation can be very pleasant for the patient. It is explained in the first visit you can get depending on your anatomy. The periodic reviews by your plastic surgeon and periodic mammograms (if you qualify for their age) will ensure that if there is any complication is detected early and resolved. The decision to undergo breast augmentation is something very personal that not everyone has that understanding;if the patient is satisfied, the intervention will have been a success.
¿That technical differences between breast augmentation today and 5 years ago?
One of the most important differences are in the quality of the prosthesis. Now often work with cohesive gel prosthesis and this makes not have to Replace at age 10, only control. Currently 95 % of implants chosen by our patients and ourselves are preferred by the anatomical implants, because women today are looking above the naturalness of his chest.
Working with anatomical prosthesis has also changed the placement technique. 5 years ago we pointed plastic surgeons all round high profile prosthesis and placed sub-muscularly to hide the protrusion of the upper pole of the prosthesis.
Today, we prefer without doubt the anatomical placement of a prosthesis for the subfascial aesthetic result is the same or better and have the following benefits:
- Top very filling, but gradually, without projections Polo.
- The mammary gland is attached by ligaments of Cooper to the pectoral fascia and if we place the implant underneath, do not break these ligaments and your chest is off hook less.
- By not cutting the pectoral muscle, postoperative en"painless" ;, no immobility of the arms and back to work almost immediately required .
- The muscle never displace the prosthesis, and in fact must be anatomically your chest above the pectoral muscle.
- The route of entry for placement of the implant of choice, via periareolar because it is the scar that looks less and because it allows us the anatomical placement of the implant perfectly, seeing that the prosthesis marks match the direction of the nipple the patient.