According to the characteristics of your own body and to the kind of implant chosen, the surgeon determines which of the two incisions is the most adequate for you. Using special instruments, he works through the incisions to make a pocket inside each breast where the implants will be placed. Then he places the implants inside each pocket, using the nipples as reference to place them correctly. He places the drainage tubes and closes the incisions with stitches.
It is important to highlight that the implants will ALWAYS BE PLACED BEHIND the mammary gland, but there are two possible locations:
- Behind the pectoral muscle: this procedure is more complicated and the recovery period is a bit more painful, but it has the advantage that the muscles prevent the implant’s outline to be noticed through the skin, giving the breasts a more natural look. Placed behind the muscles, the implants interfere less in mammograms.
- Subglandular:: this is the most advisable location for women who do intense physical exercise using their arms
We use general anesthesia. It takes between 90 and 120 minutes.
Regarding the kinds of incisions, two are the most frequent. They are both about 4 cm long:
-Periareolar: a semicircular incision that follows the lower outline of the areola (dark area around the nipples).
-Submammary: on the lower fold of the breasts, where they join the chest.
To heal properly, you will have to wear a compression bandage on the treated area for about 24 hours. It is a bit uncomfortable but, unfortunately, it is necessary. During the following week, you will have to wear a sports bra day and night and, for another month, you will have to wear it only during the night.
Regarding the pain, Implants placed over the pectoral muscle: mild to moderate. Implants placed behind the pectoral muscle: moderate. In both cases, you will be greatly relieved if you take analgesics every 6 or 8 hours. We remove the stitches in 14 days . No matter the kind or location of the implants, one breast may heal faster than the other and you may notice a temporary asymmetry. The inflammation is at its worst during the first three days, then it lessens progressively during the next three or four weeks. It tends to be greater and to last longer when the implants are placed behind the muscle.
The total recovery time will be 2 weeks, but to do physical activity or similar you need to wait 1 month.
Every surgery, no matter how simple it may be, has certain risks, and we should not rule them out.
-Adverse reactions to anesthesia.
-Infections may develop but, if you take the right antibiotics, they will be less likely to develop. If there is an infection, the implant will have to be removed and will not be replaced unless the infection is completely healed and the scars are fully formed (about 4 months).
-Asymmetry. Even though the surgeon marks the areas he will operate on very carefully, in 1% of the cases there may be asymmetries.
-Capsular contracture due to excessive tissue proliferation around the implants. There are three levels of severity and is the most common cause of pain, of changes in shape, of hardening and even changes in sensibility. Many times a second intervention is necessary for treating it.
-Keloids or hypertrophic scars may develop, according to the genetic traits of the patient.
-Temporary alteration of the nipple’s sensitivity. The nipples may become more sensitive, less sensitive or may feel differently. These changes are never permanent.
-The implants may puncture or rupture if a violent pressure is applied or if they are hit strongly; if this happens, the implant must be replaced. When this happens to saline implants, they lose their volume very quickly and it is very easy to notice. Those with cohesive silicone gel, however, do not lose their volume, since the gel does not leak outside the pocket in which the implant is placed. This is why it is very important to check the implants often with magnetic resonances. The FDA of the United States recommends a first control 5 years after the surgery, and then every one or two years.
The results of this procedure are permanent. Your new breasts will remain with you for many years without losing their attractive shape and firmness. You will quickly learn to choose new styles of clothing that will allow you to dress them the way you like best. Even though it is the procedure with the highest satisfaction rate of all plastic surgery procedures, it is good to know that it can be reversible. If you do not get the results you expected, the implants can be removed or replaced by others of a different size.
Mastopexia and Breast Reduction
The breast lift or mastopexy is a surgical procedure used to lift the breasts.
It starts with choosing the right technique with the degree of breast ptosis of each patient. Then the incisions are made according to the marks. Subsequently, in most cases the gland implant is placed ( in a small % in retromuscular position ) . Subsequently resection of skin and glandular tissue and tissue is performed. Fatty surplus and the flaps are repositioned , placing the areola and nipple on the new site previously established .
There are different techniques , such as periareolar , the periareolo - vertical, or “ t inverted or “the anchor” , etc.
This is a procedure that takes about 3 hours under general anesthesia and 1 day of hospitalization.
The stitches are removed from the second week. Postoperative usually lasts for the first month .
Complications are common to any breast surgery : infection, hematoma , pain of skin and areolar complex . Asymmetries, altered sensitivity in general. Poor healing . Encapsulation of the mammary prosthesis. etc.
Mastopexy usually does not interfere with breastfeeding.
Reduction Mammaplasty ( Breast Reduction )
It is the process by which modifies the size and shape of the breast and the height of the nipple-areola complex .
As in the case of Mastopexy , different techniques, each one has a accurate to the degree of complexity of each patient, which is related to the degree of breast ptosis gigantomastia and existing indication.
Remain in most cases scars periareolar , vertical scar and in the inframammary fold .
The procedure is performed according to prior art dial , then during surgery to resect the tissue surplus skin both mammary gland and adipose tissue. Subsequently the breast is reshaped and repositioned the nipple-areola complex .
The procedure time is 3 h. Is performed under general anesthesia and requires a hospital day . Spots start to withdraw from 2 weeks.
Postoperative usually continues during the first month .
Complications include infection , bruising , pain in the tissues, skin and nipple-areola complex . Asymmetries . Changes in sensitivity , transient general. Poor healing . Sometimes altered breastfeeding process.