Breast augmentation

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Mastoplastica additiva: informazioni sull'intervento

It is one of the most requested surgeries. It is the operation required to improve the size and shape of the breast. Thanks to the use of breast implants that can be of different shapes and sizes, the different expectations of patients are met. It is an operation that affects a very wide age range (from 18 to 55-60 years).

durata intervento

Duration

1 hours

Anaesthesia

Local/General

durata intervento

Recovery

5 days

controllo mastoplastica

Follow-up

1 Week first follow-up
2 weeks second follow-up
4 weeks third follow-up

I risultati della mastoplastica additiva

These patients clearly have different needs: the younger ones want fuller, more prosperous breasts while the older ones simply require filling in a breast that has been emptied by age or pregnancy.

Il seno è un elemento estremamente importante per una donna. Simbolo di femminilità e prosperità il seno può donare o togliere molto alla figura femminile. Questo intervento dovrà quindi creare armonia là dove non c’è. Dovrà riempire ma senza creare sproporzioni.

This is why I always insist on obtaining results that are as natural as possible.
I spend a lot of time visiting my patients as I want to understand exactly what each patient's expectations and needs are before I perform these procedures, and according to the different needs, I will use different implants and techniques.

In addition to being of different shapes and sizes, breast implants can be placed under the mammary gland or under the pectoral muscle, resulting in different shapes and volumes.
Considero questo intervento come un mosaico in cui tanti elementi devono combaciare insieme: le protesi mammarie sono solo una parte del mosaico, la cosa più importante è come utilizzare i tessuti per costruire il mosaico… in pazienti magre la protesi dovrà andare sotto al muscolo, mentre nel caso di seni leggermente cadenti sarà meglio posizionare le protesi sotto ghiandola per ottenere un effetto lifting… e così via.

Anche per la cicatrice ci sono opzioni diverse: dall’areola, dal cavo ascellare o dal solco sottomammario. In realtà però la cicatrice che quasi sempre raccomando è quella periareolare. Tale cicatrice guarisce molto bene e dopo poche settimane diventa quasi invisibile. La cicatrice periareolare non comporta maggiori rischi rispetto alle altre ed è in assoluto quella che guarisce prima.

This surgery can be performed in day hospital, under general anaesthesia or even local anaesthesia with sedation. The duration of the operation is rather short and the postoperative course is also rather simple: one week to remove the stitches and to return to everyday life; four weeks before being able to do sport; for four weeks a supportive bra must be worn.

It is an extremely successful operation.

Post-surgery

Total rest for the first week during which you will need to: avoid exertion of any kind; avoid raising your arms upwards; do not drive a car; do not get the scars wet; do not touch the dressing; do not sleep on your stomach or hips; wear a support bra; take prescribed medication.

Seven days after surgery you will have your first check-up during which the stitches will be removed and after which you can return to work, always avoiding excessive exertion.


For the four weeks following the operation, wear a support bra night and day and avoid excessive exertion.
After four weeks you will have your second check-up after which you can consider yourself fully recovered and can also return to sporting activity.

At this point it will no longer be necessary to wear a support bra. At this stage you should start massaging your breasts daily, moving them clockwise and anticlockwise. 

For the first six months, do not use underwire bras and do not sunbathe your scars.


After the first six months: final check-up.

FAQ

The procedure you need to follow to prepare for breast augmentation surgery is very simple: on the day of the operation, you must fast. In addition, your body should be free of creams and your nails should be unpolished.

An experienced professional does not need more than an hour for a standard breast augmentation, which requires the placement of prostheses inside a pocket that can be sub-glandular, submuscular or dual plane.

Generally there is no need for general anaesthesia, and therefore intubation is avoided, which is in any case a traumatic practice, but anaesthesia-assisted sedation is used, thanks to which in the post-operative period the patient is able to recover very quickly. As a result, the return home is guaranteed within a few hours.

Depending on the different anatomical characteristics of the patient, breast augmentation can be performed with different surgical techniques. Specifically, the breast pocket where the prosthesis will be housed can be:

1) dual plane, which we mentioned earlier, is able to guarantee a long-lasting result that is both natural to the eye and to the touch. It is a state-of-the-art solution that ensures adequate coverage of the implant, which will not be noticeable, and a very natural softness to the touch.

2) retro-glandular, again provided that the breast tissue is thick enough to allow it: in this case the prosthesis is positioned above the muscle, behind the breast tissue.

3) retromuscular mastoplasty, on the other hand, the breast implant is placed behind the great pectoral: this allows a natural-looking breast to be obtained, with the neckline not allowing the implant margins to be seen. This technique is recommended when the subcutaneous and breast tissue is particularly thin.

The post-operative course is generally painless or not very painful, but can still be a source of discomfort: it is necessary for the patient to wear a special medical bra for 4 weeks, which will usually be provided by your plastic surgeon. This must be worn at all times, day and night, for 30 days. Then, for the next 20 days it can only be worn at night. The purpose is to make sure that the prosthesis fixes itself as needed inside the lodge that the surgeon has made.

It must be said, however, that after an additive mastoplasty one can resume all normal social activities within 24 hours. Some extra care is needed for full use of the arms: before returning to sports or lifting weights, it is necessary to wait a few weeks.

If after the operation the breast seems harder and swollen, you have nothing to worry about: it is normal for it to be that way. As time passes, it will take on the desired conformation, as long as the instructions are followed. 

Self-palpation remains possible, however, since the prosthesis is located behind the glandular tissue.

Contact the best breast augmentation plastic surgeon to make sure you obtain an impeccable result!

This is actually an urban legend, according to which prostheses could explode in flight due to increased atmospheric pressure; actually, inside an aircraft, the level of atmospheric pressure does not change depending on the height at which one is standing. It must be said, on the other hand, that prostheses are made with a high resistance capacity that can tolerate sudden changes in the level of atmospheric pressure.

Such a hypothesis, therefore, can be safely ruled out.

During the nine months of gestation, breasts subjected to breast augmentation will behave like unoperated breasts and will therefore tend to increase in volume and, for them too, all the changes that usually occur during pregnancy will take place.

Breast augmentation does not compromise breastfeeding, as the implants do not prevent the mammary gland from producing milk. In this sense, therefore, there are no contraindications.

An augmented breast with the breast augmentation technique looks exactly like a natural breast, provided that 

  • the implants inserted are of a suitable shape and size for the patient's body
  • are placed in the correct breast pocket.
  • there are no post-operative complications, such as the aforementioned capsular contracture.

When the implants are positioned in the right way and no adverse reactions have occurred (such as capsular contracture or rupture of the implants), the breasts look very natural. 

Breast augmentation surgery, in the vast majority of cases, involves no risks whatsoever. Like any other surgical solution, however, it can lead to both general and specific complications; the most common is capsular contracture, i.e. the rupture of the silicone implants, in one breast or both.

The contracture may be mild, in which case a new operation will not be necessary, or severe, when a further operation to replace the prosthetic device may be necessary.

However, it should be emphasised that, thanks to the innovative materials that are used for the operation today, this unexpected occurrence is increasingly rare.

After breast implants are inserted, it is possible to undergo diagnostic examinations, meaning ultrasound scans, mammography or magnetic resonance imaging, without any problems. They will always be able to return sharp images of the breast tissue.

This type of operation can be performed alone or at the same time as other surgical solutions, such as abdominoplasty or liposuction or rhinoplasty.

Manila Nazzaro

Mastoplasty

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