¿What is the importance of diagnosis?
The success of an intervention of breast implants depends on many things but one of the first and fundamental is to make a good diagnosis. Fortunately we now have tools that are going to allow that much more accurate diagnosis. We will assess as is the anatomy of the patient, who has thorax, which previously has volume, quality fabrics that have previously, that measures have. And within that we will simulate the type of prostheses and prosthetic volume is the best you will go to your anatomy. We do this with a tool that seems very useful, not only for patients but also for us, that is the 3-dimensional simulator Vectra 3D Real Life. It is a simulator that allows the patient to be seen from different angles, allowing the patient to see the actual result that you will have after the type of implant to be put with the volume of implant is going to be and that view from different angles. And allow us to make very accurate measurements of not only the chest but also the volume that has the patient previously and we want to achieve. Perhaps one of the hardest things is to have good communication between the surgeon and the patient, for the patient to explain that we want and we can actually access within the anatomy that has those preferences.
¿What types of prostheses are often used?
Many types of prostheses on the market. Generally we can define them according to their anatomical way or round. I personally like much more the anatomical prosthesis, however some patients round prostheses going well and can be placed. The big advantage is that the anatomical prosthesis will allow us to assess the prosthesis in three dimensions: width of the breast, we want to get high and projection. The prostheses we use, certainly so if we have to be clear is that they must be of the highest quality available on the market.
¿, consisting in surgery?
Of course surgery is a crucial step for the success of a breast implant. There are many techniques. My perception, what I do is to use the technique that best fits your patient but always have in mind that if I can, I will preserve fall within the gland. I will not go into the gland because the patients will have to be made after revisions for early detection of breast cancer and if possible not to touch the gland, to me are the techniques that I like. Therefore, if I can I walk through the inframammary fold and if we can put the implant or partial denture retropectoral situation, what we call a dual plane. & iquest;Why ? Because we know that long-term coverage, the amount of tissue that will cover this implant is essential for a good result. We like having the pectoral muscle ahead, if possible, of the implant.
¿May require postoperative care?
Every time we give more importance to postoperative care interventions breast augmentation. Not least because we do not have inflammation around the prosthesis. Today we know that inflammation around the prosthesis will condition many times that the capsule is good or not good. Therefore, postoperative physical therapy, manual lymphatic drainage around the prosthesis during the early postoperative period will be recommended in virtually 100 % of patients. And a refined surgical technique, which we do not swell too much it will be.