Breast silicone implant

The mamoplastia of increase is the surgery carried through in intention to increase the size and volume of one or both the breasts. Nowadays it is done through, basically, the inclusion of silicone implants under the breasts.

After anesthesia, is done an incision in the skin of the region of the breast. It is confectioned the store where silicone implant will be through the dissection (more frequent behind the suck-gland, or behind the pectoral muscle). The cauterization of bloody vases is done. The silicone implant is put through the incision in the prepared store. A suture is done carefully.

Through the incisions, local where stayed positioned to future scar. The most frequent are:
Periareolar (in I spill lower of the aréola)
Inframamária (in the lower mammary furrow)
Transaxilar

Concerning to the positioning, the prostesis can stay:
between the mammary gland and the chest muscle
below the chest muscle
More rarely, in mixed positions (part below the muscle, part below the gland) or below the membrane that recovers the chest muscle

 

The choice of the location of the implant and of the scars is individualized, according to the clinical indications and the desire of the patient, during the consultation. Patients with family history (relatives) of breast cancer are candidates to the placement of the implant by under the muscle, therefore the prosthesises, excessively been put below the gland, complicate the achievement and interpretation of the mammography (more common exam for be detected the breast cancer).
Already the athletes, that utilize the muscle peitoral regular and intensely are candidates to the placement subglandular (between the gland and the muscle), therefore the vigorous movement of the musculature can lead, although rarely, to the displacement of the prosthesis.
The prosthesises should be changed periodicamente (to each 10 or 15 years).

People with little or no mammary gland (Hipomastias light, moderated or severe), since after 3 to 4 years of first menstruation.
Mammary insufficiency after breastfeeding.
Small mammary falls.
Differences of size between the breasts.
Mammary reconstruction after mastectomies.

Habitually, 12 hours.

It's generally tranquil. A local sensation of weight can be felt, that in 1 to 2 months finishes. When the prosthesis is put by under the gland there is little or no pain. In the cases of positioning submuscular (below the muscle), pain occurs, easily contoured with habitual painkillers. The movement of the arms will be limited, and liberated gradually. They are carried out bandage in the scar for 2 months, and exists the need of the use of appropriate bra, also for two months.

The complications that occur soon after surgery until 5 to 7 days are the wound, seroma and infection, that have very reduced rates, when observed all the post-operative cares prescribed.
Subsequently, the formation of capsule can occur, a reaction of the body against the prosthesis, that, depending on its thickness, can deform the prosthesis, having need of change it.
More rarely, can have manifestation of the prosthesis and late infections.
As any surgery, the anaesthetic risks still exist, as the systemic ones, that should be well researched in the pre-operative, and which have been smaller with the advancements of the medicine.

The immediate result is already enough satisfactory. Around a month occurs the reabsorption from 80% of the swelling, giving good notion of as the breast will stay. From the 30th day to the 6th month the breast earns bigger harmony and better consistency by the accomodation of the prosthesis into the tissues.
The scars are only considered as definite after the 12th month.

1. Food:
The food after surgery should be gentle to avoid nauseas. The next day, the diet is normal.

2. Positions:
The rest is relative, being bigger in the first day. Subsequently, are just necessary small walks inside home.
Upon sleeping: of belly for top , with a high pillow or cushion under the head. The arms must stayed always next to the body. If necessary, tie a streak of dressing gown to the around of the waist. (Time: during 1 month).
Upon raising itself: with help, without support the arms for raise (in the first week).
In the first 30 days, maintain the elbows always next to the waist.
After the first 30 days , the elbows will be able to to be raised up to height of the shoulders.
After 60 days the movement of the arms will be able to be normal.
Do not it carry weights, in the first 15 days.

3. Baths:
The bandage surgical will not be able to be wet in the first 7 days, so that the bath in this period should be taken of little shower and with humid compresses.

4. Girdles and bodices:
Should be uninterruptedly. If necessary wash it, withdraw them in position laid down and like this remain, to that the they be found dry to be put again.

5. Medication:
They will be prescribed common painkillers, by a medium period of 5 days.

6. Returns:
The returns are weekly for 30 days, fortnightly to the 2th month, and monthly to the 4th month.
Those frequencies can be altered, according to the clinical need.