An ever timely topic: breast augmentation

Written by: Dr. Agustín Blanch
Edited by: Top Doctors®

breast augmentation surgery The breast is one of the areas of highest symbolic value of the female body and is an expression of refuge and safety for the baby, which becomes a symbol of femininity. A nice cleavage is usually a big plus for women, because it contributes significantly to create harmony of forms and proportions of the female body, with a natural enhancement of security and self-esteem.

The time of the TV series Baywatch beach is over, and the most common wish is to have a nice chest, but as natural as possible and, above all, "to measure".

All these premises have made ​​this type of intervention is very frequent. Technically, you can be one of the easiest in plastic surgery, but in fact is one of the most difficult to perform, because the result has to be consistent with the physical proportion and expectations of the patient.

I will briefly explain what a breast augmentation. It is the increase in breast volume by inserting a prosthesis of silicone gel. Routes of implant placement are three: by the arm, the lower periareolar area and below the submammary. The use of either depends on the expertise of the surgeon and the patient morphology. Affirm, a priori, without evaluating each particular case, that one technique is better than another is inaccurate and limiting. The placement of the breast implant can be retromuscular, subglandular or subfascia. In these three cases there is no dogma that tells us what is the best technique; always depend on the type and shape of the breast of the patient.

Prostheses can be round or anatomical, and this variable must be evaluated in the specificity of the patient. In addition, we analyze the starting conditions, related to the shaping of the breast, chest width, weight and height of the patient.

A useful complement to these techniques is the use of body fat to improve the outcome or correct minor imperfections that can occur in some patients. A good surgeon should be able to recommend, advise and perform the operation with the proper technique seeking the right size, based not only on the patient's physique, but also on other variables, the most important: the psychological aspect.

The decision to have surgery should be based on a sincere conviction, and not superficial. It is the female desire to wear a dress that highlights her cleavage, according to their physical and natural look to reach the quintessence of femininity. In the years of profession I have seen women who doubted whether or not surgery, but I've never seen superficial women from this kind of intervention.

For all these reasons, the first visit with the plastic surgeon for a breast augmentation should be sufficiently long and wide. There should always be at least one or more subsequent visits, to understand the expectations of the patient and to understand what the end result we get.

The technological evolution of breast implants has undergone a major improvement in quality and texture. This helps to minimize complications such as capsular contracture, which today is quite rare. But no prostheses are perennial, and in any case must be replaced every 10-20 years.

It's funny tastes in the volume and shape of the breasts vary considerably from one country to another, as I have seen in my travels around the world as a teacher. In Europe they prevail balance and naturalness; Asia I see a continuous increase in the size of breast implants; while in South America and North America, the implants are large chest to balance the volume of the buttocks, increasingly bulky, following the fashion of famous people for their reality shows, etc.. In short, different tastes to achieve the same goal: to feel good.

*Translated with Google translator. We apologize for any imperfection

By Dr. Agustín Blanch
Plastic surgery

Doctor Specialist in Plastic, Aesthetic and Reparative Surgery at the University of Milan (Italy). Obtained first place in the "Italian National Opposition Competition" to attend the Plastic Surgery, Aesthetic and Reparation Specialty with a scholarship from the Italian Ministry of Universities at the University of Milan, being the first member of the non-Italian European Economic Community to achieve this . Dr. Blanch is also a recognized Professor since 2006 of the Università Degli Studi di Milano, Catedra di Chirurgia Plastica e Recosttrutiva.

Expert in facial aesthetic surgery and facial aesthetic medicine, pioneer of otoplasty technique EarFold without surgery.

*Translated with Google translator. We apologize for any imperfection

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