BREAST AUGMENTATION
(INCREASED MAMMOPLASTY)
Breast augmentation is one of the most frequently performed plastic surgeries worldwide and unfortunately it is also the one that is most likely to be performed by doctors who are not specialists in Plastic Surgery, due to the false belief that it is a “simple operation. ”. The reality is that it must be performed by Certified Plastic Surgeons in order to achieve optimal results, consistent over time and with a low rate of complications.
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There are several approaches, the most common are: periareolar, submammary, and axillary.
There are also several planes of placement: subglandular, subfascial and retromuscular.
As for the implants, they are generally filled with a silicone gel and their coverage can be smooth, textured or with micropolyurethane coverage.
Its shape can be round or anatomical (drop-shaped) and its profile or rather its projection ranges from low to extra high. The projection is not the high position (near the clavicle) of the implant, it refers to the relationship between the base and the height of the implant.
As you can see, there are many variables to take into account. My personal choice is to use the periareolar approach, as the scar goes unnoticed in the transition between the skin and the areola.
I place them in a subfascial plane, since it is the most anatomical, it offers the most beautiful shape,
it hurts much less than the retromuscular, the recovery is faster, and it does not present animation of the implant (movement and deformation of the implant when doing exercises
or strength with the arms).
Regarding the shape and profile of the implant, I choose it depending on the anatomy and expectations of the patient. What is the rule for me is to use implants with MICROPOLYURETHANE coverage, since these adhere completely to the tissue, avoiding its unwanted displacement, rotation, and almost 100% avoids the most frequent complication, which is capsular contracture.
In addition, they come with a lifetime guarantee against capsular rupture or contracture.
BEFORE AND AFTER
