Mastoplasty

Among the interventions of breast and mastopexy enumerate:

Breast Augmentation WITH BREAST IMPLANTS FOR Hypoplasia

The operation consists in 'system of a prosthesis under the breast to improve their appearance and increase the volume, the implants can be placed under the pectoral muscle or over the muscle, and then subglandular; in the presence of moderate breast ptosis can finally adopt the technique known as "dual plane" with submuscular prosthesis loosening but also between the gland and muscle, which allows, in these cases, to slightly better than projected and traced the breast, without to the intervention of mastopexy, the gateway of the prosthesis may be the periareolar (incision along the lower half areola) submammary (along the groove underneath the breast) or axillary (not adopted), the indications for breast augmentation are those with small breasts, or emptied as a result of breastfeeding.
The implants are generally used as silicone gel, which can be round, or have a teardrop shape, which is a contoured. All have a surface "textured" that is not smooth but finely irregular. The completely filled with saline implants are used less because of less natural aesthetic result.
Any (rare) complications of breast augmentation with implants may be the infection, dislocation (displacement or rotation) of the prosthetic implant or capsular contracture, the latter fortunately quite rare, is a hardening of the breast caused late the formation of a capsule of tough connective tissue around the prosthesis. The texturing of the implant (not smooth and rough surface) and its submuscular position, greatly reducing the risk of contracture.

In case of possible increased risk of capsular contracture (previous experience of severe contracture or outcomes of radiotherapy) can be implanted prosthesis with special polyurethane coating that can reduce much the 'incidence of breast periprosthetic contracture.

Depending on the type, quality and positioning, the durability of a prosthesis can be very variable, some companies give a guarantee, the breakage of the implant is an exceptional occurrence,

The breast augmentation surgery is performed under general anesthesia, we recommend the placement of two drainage for 12 hours and requires an overnight hospital stay.
The result is immediate, even if a final settlement will apply after two weeks.
The prosthesis will not create any problems later to perform tests such as mammography and ultrasound, and then for the controls (follow up) in the case of previous breast disease

Breast Reduction FOR GIGANTOMASTIA

Intervention to improve volume and shape of the breasts; E 'shown in the presence of large udders, With this posting, is removed the required amount of breast tissue and excess skin, which can range from a few grams to more than a kilo per breast and the remaining breast tissue, including the nipple-areola complex, is then molded in the right position in this regard that there are many techniques have been developed and improved over the years, almost all provide for the maintenance of the connection between the areola and breast tissue remaining, which therefore will continue to act. In these cases, the nipple-areola complex will continue, even if a bit 'reduced tactile sensitivity.
Even in these interventions, as always happens in plastic surgery, you need a careful preoperative planning with measurements and drawings to be made about the area, which must be done with the patient standing.
The remaining breast tissue will retain its neuro-vascular connections through so-called pedicles of parenchyma which can be oriented in different ways depending on the technique used (postero-inferior, and internal or external, vertical, etc. ..)
In some cases of high-grade breast size (gigantomastia true) and in younger patients, however, can be necessary detachment and reengagement of the areola, with loss of function of the mammary gland and the sensitivity of the areola.
Over 40 years you should always evaluate ultrasound and / or preoperative mammography.

The scars that remain for these operations are usually around the areola, plus an inverted "T" that is, a groove and a scar averticale submammary.

The breast reduction is performed under general anesthesia, takes about three hours and requires at least one night of hospitalization, are always placed two suction drains are generally removed after 24-48 hours.

Sometimes, after a certain time after surgery may require a revision of scars or any small asymmetries, feasible also assisted local anesthesia (sedation).

FOR mastopexy breast ptosis

Mastopexy means for the intervention of repositioning and reshaping of the breasts, as a result of weight loss, you are very relaxed down. This method allows you to return to a more toned breasts and pleasant without affecting the volume (no increase or decrease).
Also in this intervention should be performed accurately Preoperative design, where it is calculated that the new location will take the 'areola.
The operation is carried out preferably under general anesthesia, the more traditional techniques provide as a result, a vertical scar or inverted "T", alternatively, may be taken, where possible, a technique called "round block" which has the advantage of leave a scar only around the areola. The planning of the intervention should always be done before surgery, the patient is standing.
In cases where the breast is particularly small and empty, as well as decreased, you may need implantation of a prosthesis in addition to the mastopexy, the prosthesis can be placed just under the breast or partially below the major muscle Chest.

Possible (rare) complications can be infection, postoperative bleeding and excessive loss of sensitivity of nipples.