Augmentation mammoplasty: how it is done, recovery and frequent questions

Cosmetic surgery to insert silicone prosthesis may be indicated when the woman has very small breasts, is afraid of not being able to breastfeed, has noticed a reduction in their size or has lost a lot of weight. But it can also be indicated when a woman has breasts with different sizes or needed to remove the breast or part of the breast due to cancer. This surgery can be done from the age of 15 with parental permission, and is performed under general anesthesia, taking about 45 minutes, and can be with a short hospital stay of 1 or 2 days, or even in an outpatient setting, when he is discharged on the same day.


INTRODUÇÃO
Cosmetic surgery to insert silicone prosthesis may be indicated when the woman has very small breasts, is afraid of not being able to breastfeed, has noticed a reduction in their size or has lost a lot of weight. But it can also be indicated when a woman has breasts with different sizes or needed to remove the breast or part of the breast due to cancer.
This surgery can be done from the age of 15 with parental permission, and is performed under general anesthesia, taking about 45 minutes, and can be with a short hospital stay of 1 or 2 days, or even in an outpatient setting, when he is discharged on the same day.
The most common complications are chest pain, decreased sensation and rejection of the silicone implant, called capsular contracture, which can occur in some women. Other rarer complications are rupture due to a strong blow, hematoma and infection.
After deciding to put silicone in the breasts, the woman should look for a good plastic surgeon to safely perform the procedure, thus reducing the risks of surgery.

How is breast augmentation performed
In breast augmentation or plastic surgery with silicone implants, a small cut is made in both breasts around the areola, in the lower part of the breast or even in the armpit through which the silicone is introduced, which increases the volume of the breast. more appropriate for women who already have a breast. This round shape is safer because the teardrop shape is more likely to rotate inside the breast, making it crooked. In the case of the round prosthesis, a natural shape can also be achieved by injecting fat around it, called lipofilling.
Prosthesis profile: it can have a high, low or medium profile, the higher the profile, the more upright the breast is, but also a more artificial result; Prosthesis size: varies according to the height and physical structure of the woman, it is common to use prostheses with 300 ml. However, prostheses with more than 400 ml should only be placed in tall women, with a wider chest and hips.
Place of placement of the prosthesis: silicone can be placed above or below the pectoral muscle. It is best to put it over the muscle when you have enough skin and fat for it to look natural, while it is recommended to put it under the muscle when you have virtually no breasts or are very thin.
In addition, the prosthesis can be silicone or saline and can have a smooth or rough texture, and it is recommended to use cohesive and textured silicone, which means that if it breaks it does not disintegrate and reduces the risk of infection , with lower chances of developing rejection, infection, and silicone leaving the breast. Nowadays, completely smooth or over-textured dentures seem to be the cause of a greater number of contractures or rejection.

How to prepare for surgery
-Before performing the surgery for silicone placement, it is recommended: -Get blood tests done in the lab to confirm it is safe to perform the surgery; -ECG From the age of 40, it is recommended to carry out an electrocardiogram to check that the heart is healthy; -Take prophylactic antibiotics such as amoxicillin the day before surgery and adjust the doses of current medications as indicated by the doctor; -Stop smoking at least 15 days before surgery; Avoid taking some medications such as aspirin, anti-inflammatory drugs and natural medications in the previous 15 days, as they may increase bleeding, as indicated by the doctor.
On the day of surgery, you should fast for about 8 hours and during hospitalization, the surgeon will be able to trace the breasts with a pen to delineate the cut sites for the surgery, in addition to deciding the size of the silicone implants.

How is recovery from surgery
The total recovery time from the augmentation mammoplasty is about 1 month and the pain and discomfort is slowly decreasing, and 3 weeks after the surgery it is usually possible to work, walk and train without exercising with the arms.
During the post-operative period, you may have to have 2 drains for about 2 days, which are containers where excess blood accumulated in the chest leaves to avoid complications. Some surgeons who perform infiltration with local tumescent anesthesia may not need drains. To relieve pain, analgesics and antibiotics are administered.
In addition, it is necessary to maintain some precautions, such as: Always sleep on your stomach during the first month, avoiding sleeping on your side or stomach; Wear an elastic bandage or a comfortable elastic bra to support the prosthesis for at least 3 weeks, not even taking it off to sleep; Avoid doing too many movements with your arms, such as driving or exercising intensely, for 20 days; Only take a full bath normally after 1 week or when the doctor indicates and do not wet or change the dressings at home; Remove stitches and dressings for 3 days to a week at the medical clinic.
The first results of the surgery are noticed right after the surgery, however, the definitive result should be seen within 4 to 8 weeks, with invisible scars.

how is the scar
The scars vary with the places where the cuts were made in the skin, with small scars being frequent in the armpit, in the lower part of the breast or in the areola, however, these are usually very discreet.