WHAT IS A BREAST AUGMENTATION?
Breast augmentation is a surgery in which a prosthesis is used to increase the volume and / or modify the shape of one or both breasts.
WHO IS A GOOD CANDIDATE FOR THE INTERVENTION?
Some of the indications for breast augmentation are:
– Patients who feel unsatisfied because their breasts have not developed to the size she expected.
– Patients who want to equalize the two breasts for being one bigger than the other.
– Women who want to restore the natural volume of their breasts that has been reduced due to pregnancy, weight loss or age.
WHAT SHOULD I TAKE INTO ACCOUNT BEFORE THE INTERVENTION?
If you are considering this intervention you should take into account:
– In very young patients, breast development must have been completed.
– The patient must be emotionally mature and be totally sure why she wants to have the operation: Feel better about herself.
WHAT IS VALUED ON THE FIRST VISIT?
Some of the characteristics that are evaluated during the consultation are:
– Medical and surgical history.
– Regular medication.
– Results of previous imaging studies.
– Existence of a history of breast cancer in the family.
WHAT SHOULD I TAKE INTO ACCOUNT BEFORE THE INTERVENTION? PREOPERATIVE RECOMMENDATIONS
There are a few considerations to keep in mind:
– Avoid certain medications that may complicate the intervention.
– Quit smoking for a period of time, before and after the intervention, since tobacco has been shown to worsen and hinder wound healing.
– Keep in mind that you will need some help after the intervention.
WHAT SHOULD I TAKE INTO ACCOUNT AFTER THE INTERVENTION? POSTOPERATIVE RECOMMENDATIONS
Some recommendations include:
– Avoid tobacco.
– Take the prescribed postoperative medication.
– Relative rest of one week.
– Wear a bra for a postoperative period of time.
HOW IS A BREAST INCREASE PERFORMED?
Breast augmentation is a surgery in which, using a small incision, space is made under the breast tissue, where an implant is placed that will add volume to your chest.
SOME DECISIONS TO MAKE
Before carrying out the intervention, we must make a series of decisions together. Each has its advantages and disadvantages, so the decision must be individualized and agreed:
- First, we will decide if the prosthesis is placed above (subglandular) or below the pectoralis major muscle (“dual-plane”). There is a third possibility, which is to place the implant in a subfascial position.
- Secondly, we must choose the approach to perform the surgery, that is, where the incision will be made through which we will place the prosthesis. There are 3 possibilities: the submammary incision (in the submammary fold), the periareolar incision (in the lower part of the areola) and the axillary incision.
- Next we must take another important decision: what type of implant are we going to use. They can be round or anatomical (teardrop or drop shaped). The implant surface can be smooth or textured, there are different types of texture, there are different implant profiles…
- Finally we must choose the size of the prosthesis that will be the one that will help us define the final volume of the breast.
WHERE IS THIS INTERVENTION PRACTICED?
Breast augmentation is usually performed under general anaesthesia. The intervention lasts approximately an hour or an hour and a half and you must remain in hospital for one night.
WHAT IS THE EVOLUTION AND POST-INTERVENTION CONTROLS?
Although each patient has their own particularities, the postoperative course contains phases common to all patients:
One week after the intervention:
– We will remove the stitches.
– The inflammation will peak.
– You can gradually return to work.
After several weeks of the intervention:
– The inflammation will gradually decrease and you will start to see the final results.
– You will no longer have to wear your bra all day.
– You can start exercising and move your arms freely.
WHAT SHOULD I KNOW ABOUT THE RESULTS?
The vast majority of women who undergo this intervention each year are satisfied with the result. They like their new image and when they see that they have a more stylized figure they want to wear other type of clothes. Many women feel more self-confident.
Although the results of the intervention last for years, do not forget that the breasts are not immune to the passage of time or to changes in weight.
CAN IT BE COMBINED WITH OTHER SURGERIES?
Without a doubt, both in the same breast, as in the elevation + breast augmentation (augmentation mastopexy) or with surgeries in other areas (tummy tuck, liposuction…)
FOR HOW LONG SHOULD I CONTINUE TO SEE THE DOCTOR?
During the first months the monitoring will be more strict. Later, the visits will be spaced out. It should be borne in mind that although current prostheses do not have an expiration date, it is recommended to carry out some image tests 10 years after the intervention (breast ultrasound is the most common) to rule out any complication.