It is a surgery in which a silicone implant is placed to increase the volume of the breast, giving an aesthetically pleasing shape and texture. This procedure uses breast implants that meet all quality standards, providing safety and a natural result.
During the initial assessment, it is evaluated whether the surgery is appropriate for each patient and the approximate implant size is chosen according to the physiognomy, needs and expectations of each patient.
In the surgery, a small incision is made in the lower edge of the areola, or in the submammary groove, which makes it almost imperceptible. Afterwards, a detachment of the muscle is performed, since in the vast majority of cases we implant them underneath the muscle in its upper part and the lower third is covered by the breast tissue (dual plane) in order to achieve a more natural result in the short and long term. We then close the wound with absorbable materials and an external suture on the skin that is removed after fifteen days.
In this procedure, other alterations such as sagging breasts and the size of the areola or nipple can be corrected at once.
In all cases where breast augmentation is desired for aesthetic purposes or as a complement to other breast surgery, for example, breast lift. Also to correct a reduction in breast size after pregnancy, to modify mammary asymmetries, i. e. when one breast is larger than the other, or when you want to return breast volume for reconstructive purposes after breast cancer surgery.
It should be performed in older than 18 years, the minimum age at which the mammary gland has reached maturity.
The mammary implant we use for breast augmentation surgery is designed to last as long as possible under normal conditions of use. The most serious studies indicate that implants have an average lifespan of 10 years, based on worldwide statistics that show a rupture rate of 5 to 10 percent in the first decade of implantation and after this period a rupture rate of 50 to 60 percent.
It is advisable to carry out frequent checks by your Plastic Surgeon supported by diagnostic images that can determine the final duration of the implant. Keep in mind that when a patient undergoes this type of surgery, it may require a change in 10 to 15 year periods.
The annual ultrasound examination is strict and necessary for the supervision of implant stability.
Sensitivity is affected temporarily for the first few days after the surgery, but will recover on its own. In some cases breast tenderness may vary, increasing or decreasing.
In very few cases the sensitivity of the nipple areola complex is lost completely, and it is usually due to anomalous cases of the sensory nerves or single trunks in different positions that are severed to make the pocket where the implant will be placed.
As we said before, the annual strict revision is very important, because in 90 or 95 percent of the patients ruptures are lost and only when a long time has passed it can cause problems of reaction to the foreign body or swollen lymph nodes.
The warning signs are 4 and if you find yourself going to the surgeon immediately.
1. Pain: after one month of surgery, this symptom should not occur or be minor until the first 3 months.
2. Inflammation: This should completely disappear in the first three months, if re appears in an upward or gradual manner it should be consulted immediately.
Masses or balls in the armpit or breast: This is a major sign of alarm, which is why it is important to self-examine the breast and periodic consultations with the gynecologist once a year and with the plastic surgeon who implanted the prostheses.
Hardness: If the breast begins to become hard, it is a sign of encapsulation and if detected early, it can be treated with medication and massage.
5. Deformity: This is a late sign of rupture or advanced encapsulation and ideal is not to reach this state.
The rupture of the implant usually goes unnoticed in the beginning and the free silicone in the pocket when it is medical grade does not produce any risk or imminent danger to the patient's health, however, once detected must proceed to change immediately.