An augmentation mammoplasty is a surgery that aims to increase breast volume. This type of intervention, in the same way as any other cosmetic surgery operation, must be performed in a hospital by a doctor specialized in plastic surgery.
What are the steps prior to the surgery?
Before undergoing a mammoplasty, it is important that the plastic surgeon evaluates the general health conditions of the patient, as well as her emotional and psychological state. It is also important that the specialist knows the reasons why the patient wants to undergo this operation. In this way, he/she will be able to know the patient’s expectations.
Once the plastic surgeon has reviewed the patient’s physical condition, he/she will be able to indicate which technique is the most appropriate to perform the breast augmentation depending on the patient’s height, weight and physical build.
During this stage, it is important that the surgeon informs the patient about how the procedure will be performed, as well as the benefits and risks of the surgery.
Types of breast implants
There are different types of implants in size, shape, but there are also the following types:
What types of surgical approach are there?
Once the most appropriate implant has been chosen, the next step is to decide which type of surgical approach will be used. The surgical approach is the area of the incision to place the implant.
- Peri-areolar approach: an incision is made, leaving a barely perceptible scar. This type of approach is not recommended for people with small areolas or with little pigmentation.
- Axillary approach: it is not recommended in very thin patients and it is important to know the postoperative period, since it is usually more painful than the other approaches.
- Inframamammary or mammary sulcus approach: in this approach, which is usually performed in women with very small areolas, the incision and subsequent scar will be about 4 cm in the submammary sulcus.
How to decide the position of the implant?
Deciding the position of the implant is important to avoid encapsulation or contracture of the implant capsule.
The capsule is the scar that surrounds the implant that is placed. This scar, when contracted, can be painful for the patient, negatively affecting the appearance of the implant, so it is important to decide well the position of the implant.
The different implant positions are as follows:
- Sub pectoral position
- Subfascial position
- Subglandular position
Each of them has its advantages and disadvantages and it is a decision to be made by the surgeon according to the patient’s characteristics.
Can the implant be removed after some time?
Even if the mammoplasty has been successful, it may be necessary to remove the breast prostheses through a surgery known as breast explant.