Procedure: Breast augmentation involves improving the size and appearance of the bust by placing silicone prostheses. The approach may be either the inframammary fold, the areola, or the armpit, and the implants may be placed in front of or behind the pectoralis major muscle.
Breast augmentation involves improving the size and appearance of the bust using silicone prosthesis implants.
The incisions may be made in the submammary sulcus, around the areola or the axilla. Implants can be placed behind the mammary gland and in front of the major pectoral muscle, or behind the same, according to each particular case.
The new generation implants are of cohesive gel, therefore before a fracture of the capsule of the accidental implant, the content does not leave the prosthesis. Today we have different sizes, shapes, and turgidity to choose together that best suits your tastes and needs. Implants except for rupture, or encapsulation grade 3 - 4, have no indication of replacement.
It is always advisable to use implants as small as possible and to achieve a good size with proper surgical techniques (not always bigger implants is equal to bigger breasts).
Approximately 2 hours.
Generally, local anesthesia and intravenous sedation are used, although general anesthesia may be used.
It is an outpatient procedure, so it does not require a hospitalization, but a few hours of recovery.
Feeling of shortness of breath, temporary bruising, mild to moderate swelling, changes in nipple sensitivity, back pain.
Complications can be immediate or mediate. Within the first, hematoma or accumulation of blood, seromas or accumulation of inflammatory fluid and infection are the most important to control. Within the mediate, the late seroma, asymmetries, or capsular contracture are the ones that we must take into account.
Hematomas should be resolved immediately once detected in the perioperative by surgical drainage. Seromas generally are speculated. The infection, unfortunately, leads to the need to remove the implants, wait about three months and replace them if the patient wishes. Capsular contracture can be treated with oral medication, percutaneous manual rupture, or surgically removing them.
It is necessary to place ice for 48 hours intermittently avoiding falling asleep with it placed on the skin. The semi-rested position is recommended when resting. It is not necessary to be in bed but to avoid raising your arms and making repetitive movements or efforts. In only a few days you can resume work activities. Physical contact with the breasts should be avoided for 2 weeks except for the sports bra that should be worn day and night. The healing will mature within 3 months to 2 years, depending on each patient. Intense physical activity is allowed after 4 weeks.
The results are usually very satisfactory, improving the physical appearance of the patient, however, vary from person to person. The asymmetries prior to the surgery can be improved but in general it is very difficult to eliminate them definitively. Beyond the physical appearance, the change in self-esteem and appearance of clothing is radical.
A breast lift involves the removal of excess skin that accumulates in the mammary gland either through weight changes, pregnancy or aging, and in some cases requires volume replacement, either with the remodeling of flaps or placement of implants.
Breast lift or mastopexy involves the removal of excess skin that accumulates in the mammary gland due to variations in weight, pregnancy or aging. In some cases, it is also necessary to reposition the tissues through different flaps to redistribute the volume, or in cases of loss of the same, you can opt for the placement of silicone implants.
Approximately 2 to 3 hours.
It is usually done with local anesthesia and intravenous sedation or general anesthesia.
In general, it takes only a few hours of observation to rule out immediate complications of surgery.
Inflammation, mild to moderate discomfort, ecchymosis, more or less sensitivity to the skin, dryness and numbness.
The most important immediate complication to be ruled out is the hematoma, after removal of stitches may result in the formation of keloid or aesthetic scars, infection, probably loss of sensitivity in breasts and nipples, asymmetry in their position.
Breast reduction can be a purely aesthetic surgery or be a surgery of necessity since often large breasts are associated with health problems. The reduction techniques vary according to the size and shape of the breasts, the amount of tissue to be removed and other factors such as healing or the need to be able to breastfeed in the future.
Breast hypertrophy is an abnormal and excessive increase of the mammary glands. It can occur in young women as an isolated symptom (juvenile hypertrophy) or in older women. Many times they generate alterations in the spine and pain of back, neck and shoulders, mycoses in the folds, in addition to psychological sufferings, especially in school age.
When they exceed 1000 cc they are called gigantomastia, and they are really complex to treat. There are different types of surgical techniques to perform the reduction and can even be associated with liposuction, especially of the axillary extension. In most cases, the resultant is an inverted T-scar, which is partially obscured in the submammary sulcus.
Approximately 3 hours.
Local anesthesia and intravenous sedation, or general anesthesia.
Not generally required, although observation hours are expected.
Temporary inflammation, tension, pain controlled with medication, more or fewer alterations in the sensitivity of the skin, ecchymosis, feeling of tightness.
Bleeding from wounds or bruises, slight asymmetries, temporary or permanent sensory disturbances, necrosis of the nipple areola complex, especially in giant breasts. Smokers should stop smoking one month before and after surgery, otherwise, the complications are for sure, so the surgery is contraindicated.
The patient should sleep in semi-position, do not lift heavy objects or perform repetitive movements with the arms. You can resume your work activities after a week and you should wear a sports-type bra for two to three months.
The results are very rewarding for both the patient and the doctor. Back, neck and shoulder pain will cease. Patients who undergo a breast reduction are more grateful than those who undergo an enlargement mastoplasty.
Breast asymmetry, tuberous breast, inverted nipples, nipple hypertrophy, very large areola, supernumerary breasts.
There are different types of asymmetry, from different heights of the nipple areola complex, up to important differences in volume. All asymmetries can be reduced surgically with different techniques that seek to restore harmony to the breasts.
Is a type of breast that developed conically and elongated forward, usually due to the presence of a contractile ring around the areola, which did not allow expansion of the mammary base. Surgically this ring is accessed and sectioned to increase the base. Generally, mammary prostheses are placed in the same surgical act.
Congenital or acquired, there may be inverted nipples. After discarding pathology at that level, different surgical techniques can be tried to reverse the situation.
Either at puberty by a constitutive characteristic or by hypertrophy from pregnancies, the nipples may increase in size, without any disease present. Simply by esthetics can be made the reduction of them with simple surgical techniques.
The areola desirable these days for the majority of the patients has a diameter of 4.5 to 5 cm. If it presents a bigger diameter and it is wanted to reduce in harmony with the mammary size, a periareolar incision can be made, the cutaneous excess is removed and closed with a circular technique.
Many women have supernumerary nipples that are confused with moles, or breast tissue in the armpits, chest, or other locations beyond the normal ones. Generally, this tissue undergoes changes with the hormonal cycles, which makes them more easily detectable. By means of small incisions in the skin, this ectopic mammary tissue is removed and sent to the pathologist to analyse and to rule out any process at that level.
Agenesis, burns, traumatisms, have a solution with different surgical techniques.
Breast reconstruction surgery can be initiated at the time of mastectomy (immediate reconstruction) or performed later (delayed reconstruction). Currently the majority of the patients who undergo a mastectomy are performed breast reconstruction immediately, usually the ability to receive post-operative treatment is not affected, this means that it does not affect tolerance to chemotherapy or radiation therapy.
The diagnosis of Breast Cancer undoubtedly has important repercussions on the woman in psychological, immunological, endocrinological, social, labor as well as physical, and affects 1 of every 8 women in our environment. The patient is confronted with a great deal of information, which is often confusing. Specialists are the ones who should recommend the best surgical option as appropriate and work as a team, providing honest and clear information about the options available, including breast reconstruction. When the tumor is small, it can be removed, plus a variable volume of surrounding tissue and axillary emptying or treatment of the sentinel node.
Breast reconstruction surgery can be initiated at the time of mastectomy (immediate reconstruction) or performed later (delayed reconstruction). At present, the majority of patients who undergo mastectomy are breast reconstructed immediately, usually not affecting the ability to receive post-operative treatment, this means that it does not affect tolerance to chemotherapy or radiation therapy. At present, the majority of patients who undergo mastectomy are breast reconstructed immediately, usually not affecting the ability to receive post-operative treatment, this means that it does not affect tolerance to chemotherapy or radiation therapy. It is important to assess the general condition and preferences of the patient, as well as assess the conditions of the tissues of the mammary area and the thoracic area.
Generally, an expander is placed, which is nothing more than a prosthesis that is filled regularly in a clinic with physiological solution, until it reaches the appropriate size, and then retires to place a definitive silicone prosthesis. Subsequently, reconstruction of the areola and the nipple is performed, which can be performed surgically or with dermo pigmentation techniques or 3D tattoo. In patients who, because of local conditions, are not suitable for reconstruction with implants, or who do not accept them, autologous flaps may be proposed. Oncoplastic surgery has advanced enormously, so both mastectomy and reconstruction techniques seek to optimize the results, always with oncological safety as an objective. For this reason, skin-sparing mastectomies are often performed, allowing silicone implants to be placed directly, and in some cases, the areola and nipple of the patient can be preserved, without the need to reconstruct the patient, thus the post-surgical impact is much smaller.
Approximately 3 hours.
It may require from 12 to 24 hours depending on the interventions performed and the general condition of the patient.
Temporary inflammation, pain controlled with medications, alterations in the sensitivity of the skin, ecchymosis, sensation of tension.
Bleeding from surgical wounds, bruising, asymmetry, infection.
The patient should sleep in semi-position, do not lift heavy objects or perform repetitive movements with the arms. You can resume your work activities after 2 weeks and perform physical activity after 4 to 6 weeks.
The results must coincide with expectations prior to surgery, which must be discussed again and again, understanding that a breast can not be reconstructed as such. In general, they are rewarding and help restore safety and self-esteem after a traumatic event such as mastectomy.
DR. MARTÍN A. FERNÁNDEZ | MP 116.132 - MN 154.169
Specialist in Plastic, Aesthetic and Restorative Surgery.
(0249) 444 5792 / (0249) 444 9060 / (0249) 444 5793
(0249) 444 5794 / (0249) 443 1010
(0221) 15 400 8039 / Desde el exterior +54 9 221 400 8039
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