- Gluteal Prosthesis
- Calf Prosthesis
- Post-Weight Loss
BREAST AUGMENTATION (BREAST PROSTHESIS)
The breast augmentation surgery, with the placement of a silicone prosthesis, is the surgery for breast increase and/or projection.
The prosthesis that is used nowadays consists of a texturized silicon envelope full of cohesive gel, that is, if the prosthesis breaks, the gel won’t leak.
There are many sizes and formats of prosthesis. The quality of the material has improved over the last years, providing greater safety and less need to change the implants.
Before the surgery, the patient must be submitted to an ultrasound and/or mammography to investigate the breast tissue, in order to discard the presence of suspicious injuries that might deserve a more detailed investigation.
Despite intense discussion regarding its safety, we know the prosthesis doesn’t cause breast cancer or interferes with its diagnosis, and its use is approved by the Brazilian Plastic Surgery Society. All the patients who had mammary prosthesis must continue to frequently perform mammography or breast ultrasound to prevent breast cancer, just like any other woman.
After the breast implant, the body’s natural reaction is to create a fibrous membrane called capsule, around the prosthesis. Usually, the implant will naturally rest inside this capsule, which will remain thin and inactive. Unfortunately, in some patients, this tissue might contract, leading the breast to become rounder and firmer, making the edges visible, providing a non-natural appearance, and possibly, pain. This can happen right after the surgery or after a few years, and the intensity of this reaction is unpredictable.
Fortunately, factors such as the modernization of the material used to make the implants, refinement of the surgical techniques and the use of specific medication have significantly lowered the cases of capsule contracture. Currently, this phenomenon happens in less than 2-4% of the patients, and the treatment basically consists of the removal of the scarring tissue and implant exchange.
The insertion of breast prosthesis is recommended in cases of dissatisfaction with the breast size, improving the body shape and increasing women’s self-esteem. It is also recommended to correct asymmetries (different breast sizes) and breast atrophy after pregnancy, besides being used for breast reconstruction for patients who were submitted to breast resection.
After the clinical exam and detailed history, the diagnosis can be defined, with surgical possibilities. This surgery demands a refined esthetic sense by the surgeon, who can’t just follow the patient’s requests, but look for satisfactory results according to each patient’s body type.
During the appointment, the doctor and the patient decide together the size and shape of the prosthesis to be implanted, taking into account what the patient desires, but also aspects such as breast size, symmetry, nipple position, skin characteristics and elasticity, thorax and hips sizes, height, among other aspects.
The surgery is usually performed in a hospital, under general anesthesia or local anesthesia with sedation, and lasts about 1 and a half hour. Usually the patients leaves the hospital on the same day.
The prosthesis is inserted through a small 3cm incision on the lower part of the breast, near the nipple, or through the underarm, being placed under the breast or under the muscle, depending on the case. Once the surgery is over, the doctor makes a bra with hypoallergenic adhesive plaster, which will be changed after 4 or 5 days.
Right after the surgery you can already see the results, although the breasts stay swollen for approximately 30 days.
Pain during the post-surgery are very rare. The patient might feel some discomfort for a few days, and shouldn’t carry weight, raise her elbows above her shoulders, drive, exercise or sunbathe for two weeks after the surgery.
It is recommended that the patient wears an appropriate bra for 1-2 months to allow the scarring of the tissues, to keep the implant in a proper position, and accelerate the absorption of the swelling. In some patients, it is also recommended to use thoracic compressions.
After the patient is discharged, she should walk and eat normally, and it’s not necessary to stay in bed, being able to return to moderate activities 2 days after the surgery. The first post-surgery follow-up is made 4 or 5 days after, and the stiches are removed after 10 days.
The final result can be appreciated only after the tissues are fully accommodated and the swelling has been completely absorbed, which happens after 3-6 months. The result from a precise technique associated to a proper choice of prosthesis is a very satisfied patient with increased self-esteem.