- Tummy Tuck
- Buttock Implants
- Calf Implant
- Ex-Obese Surgeries
- Post Pregnancy Surgery
Breast Enlargement (Breast Implants)
The mammaplasty for breast augmentation with the use of silicone-gel implants is the chosen surgical procedure for the enlargement and/or protection of the breast.
The implant most commonly used nowadays is a textured silicone-gel filled implant, full of a thick and stable gel, which means that if the implant bursts the gel doesn’t leak into the system.
There are implants of several sizes and shapes. The quality of the material has greatly improved in the last few years, offering higher levels of safety and less need of change.
Before the operation the patient will be submitted to an ultrasound and/or a mammography in order to examine the mammary tissue and to exclude lesions suspicions.
After a breast implant surgical procedure is done, the body’s natural reaction is to form a fibrotic membrane around the implant, called capsule. The implant will naturally rest inside this capsule, which will remain thin and resting. There is the possibility, unfortunately, of capsule tissue contraction, which will cause a hardening of the breast implant, which can also become more rounded and firm, with a somewhat not so natural look, and possibly pain. This may happen soon after surgery or some years afterwards. This reaction can vary in intensity and it is unpredictable.
Fortunately, factors like the state of the art raw material used in the fabrication of the silicon-gel implants, refined surgical techniques and the use of specific medication, reduce significantly the incidence of capsule tissue contraction. Nowadays, this reaction occurs on less than 4% of the patients, and the treatment consists on the removal of the scared tissue and of on the removal or change of the implant.
This kind of operation is advisable in cases of insatisfaction with breast size, as it improves body contour and also the patient’s confidence. It is also indicated to correct breast assymetry and breast atrophy which may happen after pregnancy, in addition to the cases of breast reconstruction after illness.
After a clinical examination and a detailed account of the patient’s history taken, the diagnosis and the surgical options are defined. This kind of operation requires the surgeon to have a high aesthetic sense, as he cannot only follow the patient’s pleas, but also, and most importantly, aim for the best result possible considering the patient’s anatomy.
During consultation doctor and patient will decide together about the implant sizes and shapes, always taking into consideration the patient’s goals, breast volume and assymetry, position of nipples, skin elasticity, hip and breast sizes and patient’s height, amongst others.
The procedure is performed in a hospital, under general or local anesthetic. It normally lasts one and a half hours, and the patient can go home on the same day.
The implant is inserted into the body through a small incision of about 3cm on the infra-mammary, periaoreolar or axial folds, and it is positioned under the breast or the muscle, depending on each case. When the operation is over the patient will wear a special bra made of cotton sterile dressing and adhesive tape, which will be replaced after 4 or 5 days.
Soon after the operation you can already notice some results, even though the breasts will be swollen for at least 30 days.
Pain is rare, although you might feel discomfort for some days, and should avoid carrying weight, lifting the elbows above your shoulders, driving, exercising or sunbathing for a period of 2 weeks after surgery.
Wearing the right kind of bra for 1 to 2 months is recommended in order to aid healing of the tissue, maintaining the implants in the ideal position and speeding up the swelling re-absorption. In some cases thoraccic dressing bands are also recommended.
After the operation you can resume back to your normal eating habits. There is no need to stay in bed, but only return to your normal activities after 2 days. Your first visit to the doctor after surgery should be within 4 or 5 days, and the stitches will be removed after about 10 days.
The final result will be fully visible with the settling of the breast tissues and the absorption of the swelling, which will happen after 3 to 6 months. The right diagnosis, choice of techniques associated with the right choice of silicone-gel filled implants result in a happy and extremely satisfied patient, which in turn will greatly improve the patient’s confidence.