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AUGMENTATION
MAMMOPLASTY INTRODUCTION The enlargement of
the breasts is not a medical decision, but a personal option. The
way people see themselves will define them as persons, helping them obtain
social recognition and approval. Some women do not consider that the enlargement
of their breasts gives them any advantage, but there are many women with
small breasts who will find personal satisfaction after the performance
of the surgery. No other physical exercise or treatment can have effect
on small breasts. The procedure of
breast enlargement is the only solution to obtain an increase in breast
size and better contour. Your friends and the
members of your family may tell you their opinion regarding this procedure,
the plastic surgeon may offer you medical advice, but it rests exclusively
on you to decide what is best for you. This type of surgery
has been practiced since the 60s and a large number of women have reaped
benefits from the procedure. Breast enlargement is common practice for women with hypo-developed breasts, mammary asymmetry and for those who suffered a modification in the breast shape and size after pregnancy and breast-feeding, after an aggressive diet and for those who want an enlargement and shaping of their breasts. TYPES OF IMPLANT Currently, the
most widely used implant for breast enlargement is saline solution.
The implant consists of an envelope made of rubberized silicone that is
filled with saline solution, which is the basic component of all the body
fluids. In the unlikely event that the implant leaks, the saline solution
is absorbed by the organism and released in the urine. Under certain circumstances,
silicon gel implants may be used but these have special indications. There are various
types of implants, each having advantages and disadvantages. The most
extensively used are round anatomical (teardrop-shaped) implants. Round
implants tend to create large and unnaturally round breasts, but many
people think of this as an improvement of the natural aspect, whereas
anatomical implants give the breasts an anatomical shape. Implants may also
have a smooth or ribbed surface. IMPORTANT!
There is no relation between mammary implants and breast
cancer; on the contrary, many studies conducted in developed countries
found a lower incidence of breast cancer in women with mammary implants. SURGICAL INTERVENTION The surgery consists
in incision, separation of the soft tissues of the anterior thoracal wall,
creation of a pocket in the mammary area and insertion of the implant. The incision used
are axillar, trans-areolar, sub-mammary and through the umbilicus. Axillar incision will
leave a scar that may be visible when sunbathing or when an evening gown
is worn. Submammary incision will leave a linear scar 3 to 4 centimeters in length in the submammary cleft, which may be concealed by the brassiere. Incision through the umbilicus is a rarely used procedure where the implant is inserted only submammary. This will leave a barely discernible scar. Generally, after a
period of time, postoperative scars tend to be less visible. The implant is inserted either under the mammary gland and front of the pectoral muscle or beneath the pectoral muscle. The operation is performed
under general anesthesia, because it is safer and provides the necessary
comfort to the surgical team. The risks of anesthesia are low but they
cannot be completely eliminated. Please provide the anesthetist with your
case history in order to establish the course and conduct of the surgery. The time required
for the operation of breast enlargement depends on several factors, including
the surgical approach, location of implants (submammary, beneath the muscle),
patient anatomy and type of anesthesia. Generally, the procedure
lasts for 1 to 3 hours. Most operations require 2-3 days of postoperative hospitalization. In this way the medical and surgical staff may monitor the patient. POSSIBLE COMPLICATIONS Some of the complications that may occur are: infection, hematoma (blood clot between the implant and mammary tissue that requires elimination), rupture of the implant, deflation of the implant, capsular contracture, modifications in the sensitivity of the nipple, extrusion of the implant, modifications in the mammography reading. Follow the plastic surgeon' counsel to avoid the appearance of such complications. POST SURGICAL EFFECTS After the operation
you must wear an elastic brassiere or a bustle. This will help the correct
positioning of the breasts during the healing period in order to maintain
their symmetry and compactness. The initial discomfort
shall be kept under control using analgesics. Removal of suture
material shall be performed 7-14 days after the operation. The elastic bustle
shall be worn 4-6 weeks after the operation. The scars will take
approximately one year to be completely healed and exposure to sunlight
should be avoided because of the adverse responses that may occur. Implants located under the mammary gland may cause minimum pain during the first few days after the procedure. Those located beneath the muscle will expand the muscle, causing pains similar to those felt after intense muscular exercise. Usually, current activities
may be resumed 2-3 days after the operation. Pain may persist for
a period and if that is the case, avoidance of activities requiring intensive
use of the arms is recommended. Intense physical exercise should be postponed
in order to ensure the proper healing of the scars. Complete activity may be resumed 3-4 months after the surgery, but this period may vary in length, depending on the technique employed, location and type of implant and level of exertion during current activities. The plastic surgeon will recommend the optimum time at which normal active life may be resumed. The surgery can produce
the increase in breast volume to the desired size in order to achieve
a renewed equilibrium of the body. This will lead to increased confidence,
as the new look will be pleasing to the eye. The emotional and psychic benefits of the procedure are an increased self-assurance, a better self-image and a great personal satisfaction. SPECIAL INFORMATION · Wash thoroughly
before the procedure; This presentation
serves exclusively for information purposes. Radu
Voicu, MD Spital Clinic CF2,
63 Marasti Blvd, Sector 1, Bucharest
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