Breast Augmentation (AUGMENTATION MAMMOPLASTY).

As a symbol of femininity and quintessential female sexual trait, breasts have elicited concern and admiration from women and men alike throughout the history of humankind.

Their beauty and harmony are linked to feelings of self-confidence and security in interpersonal relationships, sex life, psychological issues and maternity. Women attach great importance to their breasts, with concern over external appearance (shape, size, fullness, the specific features of the areola and nipple) and breastfeeding capacity, and attend regular medical examinations to ensure their health.

Mammoplasty is surgery to increase the size of the breasts.

Candidate

Women 18 years of age and over who would like to enlarge their breasts because they feel their current figure is too small, because their breasts are not the same size or because, due to significant weight loss or pregnancy, their breasts appear empty or sag.

Preoperative Period

During the first visit, the surgeon will perform a physical examination to assess the patient’s clinical condition and that of her breasts. By means of a complete medical history, he or she will learn of any personal or family histories of disease (high blood pressure, diabetes, lung diseases, close relatives who have had cancer, etc.), the history of the breasts themselves (size, shape, firmness) and anything that might alter the condition of the glands (pregnancy, breastfeeding, changes occurring as part of the menstrual cycle).

Based on this information and the patient’s motives, the physician will recommend the type of surgery to be performed, the appropriate breast size, the shape of the implants and content to be used (saline solution, silicon gel or hydrogel).

Surgical Technique

The surgery is performed in an operating room, usually under general anesthesia.

Mammoplasty surgery tends to last between 1 and 2 hours.

The surgical incision is made by the surgeon in accordance with the chosen approach: periareolar (lower half of the areola), inframammary (fold under the breast), transaxillary (armpit) or periumbilical (belly button), depending on the specific characteristics of the individual patient. Periareolar and inframammary incisions are the most common.

The procedure varies depending on where the implant is to be located (subglandular or submuscular placement).
For subglandular implant placement, after the incision has been made, the mammary gland is separated to create a ‘pocket’ into which the implant is inserted.

For submuscular placement, after the incision is made, the lower portion of the pectoral muscle is dissected sideways, towards the anterior or midaxillary line and downwards until at least approximately one or two centimeters below the projection of the inframammary fold. The implant is then inserted in this pocket.

Postoperative Period

The patient will remain at the clinic for the first 24 hours with the appropriate dressing, receiving painkillers.

As of the second day, the patient may be discharged with medication and instructions from the surgeon.

Swelling, dull pain, occasional sharp pain and tingling and burning in the nipples are normal during this stage and can be lessened with the use of a mild painkiller.

Between the fourth and sixth day, an examination is performed at the surgeon’s office in which the dressing will be removed and ultrasound therapy will begin. Five ten-minute sessions of this therapy will be scheduled, at least twice a week. A special bra similar to a sports bra should be worn day and night for the first four weeks following surgery, during which time a compression garment will also be worn around the breasts.

Patients can return to work relatively quickly, provided they follow the specialist’s instructions.

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