BREAST AUGMENTATION SURGERY
Complexity: 2 of 5
To increase small breasts or those that suffered atrophies or decrease after the pregnancy.
It is also done to correct asymmetrical breasts.
Much used to rebuild breasts that suffered mastectomy as a consequence of tumours.
It consists of a silicon prosthesis introduction, or a pair of them, usually well tolerated by the organism.
In agreement with the patient’s indication and expectation, the several sizes and formats existent in the market are chosen.
In the surgery of increasing mamoplasty, most of the time the option falls over the local anaesthesia associated to the sedation.
The incision is usually made in the armpit, (also being able, in some cases, to be done around of the halo or in the infra-mammary furrow) remaining totally hidden.
Afterwards the plan is dissected (retromuscular or retroglandular, according to the cases), being formed a bag where the prosthesis will be placed. After the suture, the bandage is made with special stickers.
The time of surgery has an average of 1 hour for the mamoplasty of bilateral increase.
The patient is discharged in the same day.
Pre and Postoperative Care
In the preoperative it is recommended to stop smoking and the use of aspirin or medication containing salicylic acetyl acid, which affect the time of bleeding and coagulation.
The interruption of medication for weigh loss and the consumption of alcoholic drink are also recommended, 10 days before surgery.
Any change in the physical state (influenzas or indispositions) should be communicated to the doctor.
It is advised to feed slightly the day before and absolute fast starting from midnight of the surgery day.
It is uncommon to feel pain in the postoperative, and having, it can be controlled with analgesics.
In the period of 3 weeks, it is recommended to avoid hyperactivity, to lift or open the arms and to sleep face down.
Edemas and ecchymosis are common, disappearing with the time.
The loss of temporary sensibility in the area can happen.
In cases of pregnancy after the placement of the prosthesis, the breast-feeding is perfectly possible not harming the physiology of breasts.
That fact is important for women that intend to have children and they reject the idea of the surgery for fearing they lose the breast-feeding capacity.
The occurrence of complications is rare, since the patient follows the medication and the orientations recommended by the doctor.
In some cases it can have a “encapsulation” (fibrous capsule retraction that involves the prosthesis) as a consequence of the excessive interior cicatrisation. That provokes the hardening of the breasts, resulting in discomfort for the patient. To prevent, massages are recommended, guided by the doctor or clinical and surgical procedures.
Another complication possible, but also rare, is the infection. The treatment of infection is almost always the removal of the prosthesis.
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