BODY PROCEDURES

Breast augmentation

Nowadays, breasts are a symbol of femininity and play a very important role in female sensuality.

You may also express with your Body the Beauty of your True Identity… a pretty shape plus volume and firmness. You may obtain all of this with breast implants that will allow you to show that part of your body with more self-confidence.

 

Types of Implants

A Breast Implant is a sort of silicone synthetic rubber bag or envelope, which may be filled with:

Cohesive silicone gel:
These implants have a durable and resistant silicone shell, composed of several layers to avoid “gel loss”, which may occur with standard silicone implants. Besides, the filling gel has a thick and cohesive consistency, which does not migrate if the implant breaks.

Its consistency is much more similar to the mammary tissue, than that of saline implants. Silicone gel breast implants also have “shape memory”, which means that they return to their original shape, reducing the possibilities of shell folding or undulating, which are the frequent causes of implant rupture.

A disadvantage of these implants is that they need a longer incision to insert them. Normally, the insertion is performed through an infra-mammary incision under the breast or through an incision in the areola. On the other hand, these implants are more expensive than saline breast implants and, in turn, the cost of breast augmentation surgery may also be higher.

Saline Solution:
Safety is a great advantage of saline breast implants. If it leaks or breaks, the human body could easily absorb the saline solution, which basically salted water. Besides, in the case of a saline implant, the rupture is almost immediately evident, as the implant deflates quickly.

Saline implants are much less expensive than silicone implants, which may be an important point when calculating breast augmentation cost and accessibility.

A disadvantage of saline implants is that, since they are water-filled, they tend to undulate more than silicone gel implants. This is particularly important in the case of thin women with less mammary tissue to cover the implants.

Saline breast implants also imply risk of capsular contracture. Capsular contracture is a possible complication of breast implants, where scar tissue forms around the implants and presses them. As a consequence of this, breasts become very hard.

 

Implant Texture

Smooth implants: Smooth implants are currently used in approximately 90 percent of breast augmentation surgeries. A smooth breast implant may move freely inside the bag formed by the breast where it is inserted. Smooth implants usually have thinner shells than textured implants, and this makes them softer. Some additional advantages of smooth implants are longer implant duration, smaller cost for the patient and less risk of undulation.

Textured implants: Textured implants have a rougher outer surface to achieve cohesion between the implant and the surrounding tissue. This helps the implant to maintain an appropriate vertical alignment. Textured implants were originally designed to reduce the risk of capsular contracture, but they have also proven that they may reduce the risk of displacement.

Different breast implant shapes

Round implants:
With round implants, the upper part of the breasts will initially look more rounded, but time, gravity and skin ageing produce a sort of "drainage“ of the upper part of the breasts, and they will look more fallen.

Anatomical implants
Teardrop implants follow the natural body lines, and that means that the upper part of the breast will remain full. Thus, you achieve a breast with a more natural shape. These implants are more indicated for transsexual women.

Surgery

Breast augmentation surgery takes between 60 and 120 minutes, according to each particular case. There are two very common and widely used types of incisions to insert the selected breast enhancement prostheses, which are explained below:

Periareolar
The surgeon makes an incision in the edge of the areola, which is the pigmented skin area that surrounds the nipple. The incision is made in the edge, where the fairer mammary tissue joins the darker tissue, concealing the scar.

Infra-mammary:
This incision is made in the fold that forms under the breast, where it joins with the chest. The resulting scar should only be visible when the patient is in a horizontal position.

There are two ways of placing the prostheses into the breasts, according to the patient’s need:

Subglandular: The breast implant is placed between the pectoral muscle and the mammary gland. It is also known as “over the muscle breast implant placement”.

Submuscular: The implant will be placed behind the pectoral muscle. Since the muscle is only joined to the thoracic wall by the edge, there is a space behind the muscle where the breast implant may be placed.

In most cases, the pectoral muscle will cover about two-thirds of the breast implant.

Anesthesia, hospitalization and recovery

This surgery may be performed with local anesthesia, but it is recommendable to use general anesthesia. If the latter is used, the patient will only need a half-day interaction at the clinic. Once the surgery is over, the doctor will cover the breasts with bandages around the chest and the back, to avoid infections and achieve an effective recovery the next day. The drains placed at the end of the surgery will be removed and you may use cotton supports. The discomfort may be a burning sensation in the incisions, breast inflammation, and some bruises, which will disappear gradually.

Possible complications

Our surgeons are highly qualified to prevent any post-operatory complication. In the case of breast augmentation, the risks may be:

Infections.- All our patients are medicated with the respective antibiotics, according to the type or surgery they have undergone. This prevents any type of infection and reduces the possible infections of the procedure to a minimum.

Asymmetries.- Due to our doctors’ experience and the accuracy in the marking of the zones to be operated, this type of situation is very unlikely.

Accumulation of fluids (which must be drained)

Adverse reactions to anesthesia.

All patients must go through a pre-surgical process, and must undergo the following tests:

Complete blood and urine tests, radiology, cardiology, and pulmonology tests, among others. These tests reduce the possibility of irregularities during surgery and subsequently.

Keloid formation is very rare.

BODY PROCEDURES