Breast Surgery

The purpose of breast surgery is to obtain, by means of various techniques and procedures, the shape, volume and position conforming to current beauty standards, but adapted to the expectations and needs of each patient.
In the daily practice, we observe different situations which may be solved by using one of the following methods or a combination of some of them:

Augmentation mammoplasty

The purpose of increasing breast size, through the use of a prothesis, is to achieve attractive and natural breasts according to the desires of the patient and her own body features.
The prothesis is inserted through an incision in the submammary or periareolar region; and it may be placed either subglandularly (beneath the mammary gland ) or submuscularly (beneath the major pectoral muscle); the decision depends on the patient's previous diagnosis and physical examination.
It is also important to inform the patient about the types of prothesis available. They include silicon gel and physiological solution protheses, which can take several shapes - either round, anatomic, high profile, moderate or low profile.
The surgery lasts around 2 hours and is performed with local anaesthesia with sedation or in some cases with general anaesthesia.
In the postoperative period, the use of antibiotics and analgesics together with 48 hours of rest are indicated, and a special girdle is used for a period of at least two weeks. This surgery may entail certain risks which should be previously evaluated.
The difficulty to visualise the gland in a later mammography, the possible formation of a retractile capsule around the implant and the possibility of a rupture of the gland should be carefully explained by the surgeon in the interviews prior to the surgery.

Reduction mammoplasty

Women with excessive breast size undergo a series of problems not only related to body image and psychological difficulties but also bone problems in their dorsal and spinal cord, i.e., pain in the neck and shoulders, skin irritations, breathing problems and difficulty in the use of the appropriate clothes.
Reduction mastoplasty removes skin, fat and mammary tissue, resulting in smaller and lighter breasts.
There are many breast reduction techniques available; they all aim at maintaining the sensitivity of the areole-nipple complex. However, the achievement of nice breasts with a satisfactory aesthetic aspect and minimum scars is as important as the former.
The incisions performed in this procedure may be periareolar, vertical or in inverted "t", depending on the level of ptosis and hypertrofia.
This surgery lasts around 3 hours, is performed with general anaesthesia and requires a 24-hour hospitalization.
In the postoperative period, the use of antibiotics, antiinflammatories and analgesics is indicated.
Recovery is rapid, and the patient may resume normal activities a few days later.

Breast Lifting or Pexia Breast

Pexia breast is a technique used to correct very fallen but normal-sized breasts. Different techniques may be used, including vertical or periareolar pexias which are almost completely unperceivable, skin excess is dried and the shape and height of breasts are changed.
In some cases, this technique may be combined with a prothesis.
This surgery is performed with local anaesthesia and sedation and recovery is rapid. The use of a special girdle is recommended during the postoperative period.

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