Body Surgery

Augmentation Mammoplasty

Mamoplastia

Augmentation Mammoplasty is the surgical procedure in which a mammary implant or prosthesis is placed on the patient to increase the size and volume of the breasts.

In the Augmentation Mammoplasty are used silicone gel breast implants or saline breast implants. The first choice is often used, given that its being seeing that the saline breast implant, eventually can present volume loss; this does not happen with the silicone breast implant. Currently, there are not restrictions with this implant given that no connection has being proved with cancer or any collagen diseases; even the F.D.A in the United States of America removed the moratorium for this kind of implants.

Breast implants can be round, natural or anatomical; smooth, textured, micro-textured and wrapped in polyethylene. Choosing a breast implant will depend of the anatomical characteristics of the patient, her wishes and the surgeon concept.

This procedure is indicated in patients that by genetic, atrophy or decrees of the mammary secondary tissue, given pregnancies of hormone alterations, do not have a satisfactory breast size; this procedure is better for women over eighteen years old that have already completed the growth and developing process.

This procedure can be done with several approaches, according the patient wishes and the surgeon experience. These approaches involve small incisions or wounds. 1. Periareolar incision, this is the most used approach, given that the scar is inconspicuous; 2. Inframammary Incision, below the sub mammary region; 3. Transaxillary incision, this is not a usual approach; 4. From the bellybutton, endoscopic or Translumenal, is not very used because it needs, beside the endoscopy, the use of empty prosthesis that are filled with saline after placed on the patient.

The implant can be placed, according indication, behind the glandule or the subglandular, behind the muscle or submuscular, or combining both locations, better known as dual plane, which in our opinion gives the most natural result, conserving the advantages of these as well as eliminating the disadvantages of those.

Augmentation Mammoplasty is the surgical procedure in which a mammary implant or prosthesis is placed on the patient to increase the size and volume of the breasts.

During the postoperative there will be swelling, pain, weight felling and chest pressure, bruises (ecchymosis), with a three weeks top length.

Within adverse eventualities, we can find hematomas, fluids accumulation or seromas, skin infections or cellulitis. Infections at the implants as seromas or hematomas, given undrained fluids, can appear up to two years after the surgery. The body can reject the implants, it can also present extrusion or can push out the implants, the rupture of an implant, the hardening of the implants given a contracture of the capsule surrounding, visible scars can appear given poor cicatrization on the patient as well as loss or transient decrees of sensibility in the breast or areola. The anesthetics and surgical risks are similar to all the other surgical procedures.

The recovery implies the use of analgesics, antibiotics and bandages; sleeping semirecumbent for a week; the use of special bras for two months; massages to avoid the enduring of the implants starting three weeks after the surgery; all the general cares for scars, as creams. The patient must restrain him/her self of big efforts and raising arms for two or three weeks and for two months the patient won’t be able to sleep upside down. The stitches removal will be done a week after the surgery, the patient must attend medical controls as scheduled. The medical leave of absence will depend of the job preformed by the patient, but it goes between three to fifteen days.

Gallery Augmentation Mammoplasty

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