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Breast Implants

The enlargement mammoplasty is a surgical technique which seeks to improve the shape and the volume of the female chest.

It is normally indicated in women whose chest has not developed as they had hoped and also where there is a difference in size between both breasts or where the natural volume has been lost as a consequence of pregnancy, breast-feeding or sudden weight loss.

 

FROM: 5.400 €

 

ANAESTHESIA: general anaesthetic is normally used.

PREPARATION: it requires a blood test, electrocardiogram and x-ray.

 

 

During consultations prior to surgery, each patient is meticulously analysed in relation to volume, projection, physical constitution and skin quality. To select the exact implant size and establish the ideal dimensions, the desired length, height and projection are established.  Volume tests can also be undertaken with the patient, filling a bra to the required size.

 

 

HOSPITALISATION: it requires a hospital stay of 24 hours.

 

 

SURGERY: the surgery consists in introducing a breast prosthesis either through a periareolar incision (along the lower edge of the areola), or through a submammary incision (in the crease of the breast).  The implant can be lodged below the gland or below the pectoral muscle, with the latter being preferable, given that it looks more natural and is better protected by the tissue itself.

As a result of the operation, patients may notice a temporary loss of sensitivity in the breast area, which tends to gradually return.

DURATION: approximately an hour.

 

 

Frequently asked questions

What post-operative care must I follow?

A compression bandage will be worn for 3-4 days, which will then be replaced by a sports bra.  This bra keeps the prosthesis firmly in place and avoids seromas and hematomas.  It tends to be required for some 30 days.  During the first week, patients must avoid putting any strain on the arms.

The intradermal sutures are removed after 12 days and the patient is then advised that they may gradually begin to return to their normal activities.

One week after the operation, manual lymphatic drainage is recommended and when the sutures have been removed, rose hip oil is recommended for the scar together with sun protection until 6-8 months after the intervention.

Will I have to replace the prosthesis?  When?

There is no definite data stating that they must be replaced every certain amount of time.  The prostheses currently being used are of very high quality and much more resistant than the models used years ago.  As doctors we tend to recommend check-ups on the evolution of the prosthesis every 10 years via mammogram, ultrasound or MRI, and in cases of rupture (a very small percentage) the replacement of the prosthesis is advised.

Can a strong blow damage the prosthesis?

Only in the case of a very serious accident, such as for example a car accident.

Is it possible for the prosthesis to explode when travelling by plane?

No.

Can the weight of the prosthesis cause the breasts to droop?

No, providing the size of the implant is appropriate for the patient.  It is advisable to take the recommendations of the surgeon very much into account in this regard.

After the mammoplasty, is it possible to breastfeed?

Normally, yes.  Patients undergoing this procedure can breastfeed in the future, apart from in exceptional cases where due to reasons involving the mother herself, this is not possible.

Do mammograms continue to be reliable after undergoing this type of intervention?

Yes.  Mammograms are just as reliable and you do not need to increase their frequency.  In some cases it is possible that the mammograms may require additional projections in order to cover the areas that may be covered by the prosthesis.

Can a breast prosthesis cause cancer?

No, absolutely not.  It has been proven that there is no link whatsoever between cancer and breast prostheses.

How can I be sure about which prosthesis has been implanted?

The regulations of the Ministry of Health and Consumer Affairs require a document which includes the details of the implant inserted – brand, volume, etc – as well as those of the surgeon.

What risks are associated with this intervention?

As with any surgical intervention, there is a possibility of haemorrhage, infection, excessive bleeding or complications relating to the anaesthetic.

In relation to specific risks, the one that gives most concern due to its incidence rate is capsular contracture (hardening of the scar created around the prosthesis). When an implant is inserted, the organism wraps the prosthesis in a layer of tissue. This layer, called capsule, in the majority of cases has thin walls and allows sufficient space for the prosthesis to distend, thereby preserving adequate softness to the touch. In a small percentage of women, the capsule thickens, retracts and compresses the prosthesis, causing it to harden.  Capsular contracture can occur in one or both breasts.

The contracture can happen at any time.  It remains unknown why some women suffer from it and others do not.  If there have been no signs of hardening by six months after the operation, it is unlikely to happen.

The incidence of this complication stands at around 3% according to statistics.  In the event of having suffered from capsular contracture, the surgeon must explain to you the likelihood of recurrence, as it is then not just 3%, as it was initially, but greater.

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