Breast prosthesis surgery (or breast augmentation) is indicated for patients who have a small breast volume or who had a reduction in this volume after breastfeeding without breast drop (breast ptosis).
The quality of breast implants has evolved considerably in recent years. The first ones began to be manufactured more than 30 years ago and it was once speculated that they could harm women's health, making early diagnosis difficult or increasing the risk of breast cancer. However, after numerous researches and scientific investigations carried out mainly in the United States, it was concluded that these harms were completely non-existent.
Due to better quality of the latest generation breast implants, it is estimated that they should be changed on average 20 years after placement, since after this period there may be wear on the surface of the prostheses leading to changes in their shape.
The excellent results obtained with this surgery in Brazil increase the number of patients seeking breast enlargement every day. According to data from the Brazilian Society of Plastic Surgery, breast augmentation was the most performed plastic surgery in Brazil in 2008, with about 21% of all surgical procedures performed. Find out a little more about this surgery.
Local with sedation, epidural or general. Depends whether or not associated surgeries occur.
The breast prosthesis can be placed through three different incisions: submammary (in the inferior sulcus formed between the breast and the thorax), periareolar (around the lower half of the areola) or axillary (in a natural fold inside the armpit). Regarding the anatomical location, the prosthesis can be positioned just behind the mammary gland or behind the pectoralis major (submuscular) muscle.
Each incision and anatomical location has its advantages, disadvantages, indications and contraindications and its choice must be made jointly between patient and plastic surgeon after thorough medical consultation.
Local anesthesia with sedation, epidural or general.
Surgical incision performed at the previously chosen site (submammary, periareolar or axillary).
The plan on which the prosthesis should be placed is formed on an empty space below the mammary gland or muscle.
The breast prosthesis is inserted into the previously formed space.
Surgically open structures are sutured (mammary gland or muscle, subcutaneous tissue and skin). A drain is usually left within the first 24 hours so that accumulated secretions inside the breast do not accumulate near the prosthesis.
Breast Implant Types:
There are numerous types and models of breast implants, each having a specific indication depending on the patient's breast type, expectations with the surgery and the plan to be used (subglandular or submuscular).
Breast implants may vary in profile, content or wrap. The profile corresponds to the shape of the breast prosthesis and can be round or anatomical (gout). Among the round profile prostheses one can have different prosthesis projections, which correspond to the distance between the base and the apex of the prosthesis. The greater this distance, the greater the projection of the breast prosthesis and from such variations we have the low, moderate, high and super high profile prostheses. The contents of the prosthesis may be silicone, polyurethane foam or saline (saline prosthesis). Your wrap may also vary and may have a smooth or textured surface.
Due to the wide variety of breast implants, the choice of the ideal prosthesis is made during the medical consultation, when the plastic surgeon, through a thorough physical examination, indicates the prosthesis that will provide the patient with the best aesthetic result.
Length of hospital stay
From 12 to 24 hours
Augmentation mammoplasty usually provides a quiet postoperative period, with very mild pain that usually subsides with common painkillers. In general, excessive arm movement should be avoided for at least 1 month and sun protection for at least 3 months. The drain is usually removed 24 hours after surgery, before hospital discharge.
Some possible complications in breast augmentation are:
• Occurrence of hematoma, seroma and infection;
• Changes in nipple sensitivity;
• Capsular Contracture;
• Prosthesis rupture;
• And anesthetic complications.
The end result of augmentation mammoplasty, as in all cosmetic surgeries, will depend on the reaction of the patient's body and zeal with pre and postoperative indications.
• Fasting at least 8 hours before surgery, including water, avoiding drinks and overeating on the days preceding the procedure;
• Smoking should be stopped 15 days before surgery;
• Avoid any weight loss medication or diuretics for at least 10 days before surgery.
• Communicate changes in health status on the eve of surgery;
• Do not wear dark colored nail polish on the day of surgery and avoid wearing jewelry and watches;
• Attend surgery with a companion.
The immediate result of augmentation mammoplasty is very good, however only in the late period (after about 6 months) the breasts reach their definitive shape, with the regression of all operative swelling. However, most of the edema (about 90%) subsides about two months after breast implant surgery. In addition, the scar gains resistance and gradually matures during this period. Regression of edema makes the breasts look more natural and beautiful, so the result of the surgery progressively improves until the 6th postoperative month.
Frequently asked questions
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