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Esthetic surgery office |
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Breast surgery in Iasi
NEW!!! The implant is inserted through the alxillary area (armpit), retro-pectorally (behind the great pectoral muscle) through the new endoscopic technique. This technique minimizes the post-surgery risks and it ensures a more exact placement of the implant. Endoscopic surgery is a cutting-edge method that enables the surgeon to have a much larger view of the targeted area with a very small incision. The advantage of endoscopic surgery is that it allows the surgeon a much accurate view to the operated area and it also shortens the recovery time. The endoscopy method is newly used in esthetic surgery and it is used in only very few centers throughout Europe. The silicone implant is placed behind the mammary glad. The implants used are of the latest generation produced by the French company (Eurosilicone), and they can be a round or an anatomical shape. The Eurosilicone implant has a three layered structure that makes it very durable to wear. The cohesive silicone gel content stays within the implant even in case of outer layer tearing so migration risk is reduced. Upon request, there are other implants available (Mentor, McGhan, etc). The latest generations of silicone implants are not carcinogenic. According to the latest research and the new technological advancements in the field of implants guarantee this conclusion. Moreover, implants with an outer layer of silicone are very well tolerated by the body. The implants with a polyurethane outer layer, which are rarely used and only under special circumstances, carry a slight risk of being rejected by the body.
Breastfeeding is not affected. However, it is highly recommended to allow one year between the surgery and getting pregnant in order to avoid misshaping the newly operated breast. The last surgery consultation takes place a week before the surgery. During this last meeting, the patient along with the surgeon will decide on the final details: the size and volume of the breast, the type of implants, and the implantation method. METHODS: a) The Axillary Incision through video-surgery (the implant is placed behind the pectoral muscle through a 5-7 cm incision under the arm).
-endoscopic surgery reduces up to elimination the bleeding risks associated with the traditional methods -it ensures a much more exact placement of the implant -the postoperative scar will be minimal and it will be the least visible within 6 months up to 1 year from the surgery; the scar will not be associated with the breast augmentation -the implant itself, being behind the pectoral muscle, will be very discreet and it cannot be felt even in very thin patients -the mammary gland is separated from the implant through the pectoral muscle -minimal risk for developing capsular contracture -minimal risk for the implant exposure -breast augmentation through such a method has a more natural aspect and does not look like a hemisphere artificially applied to the torso. Disadvantages: - theoretically, there is a greater risk for developing a hematoma - there is also a chance for a slight asymmetry (less than 1 cm) of the infra-mammary fold Note : However, these risks are practically eliminated when using the endoscopic method which enables the surgeon to check both the size and the bleeding spots of the "pocket of the implant." Thus, this method is a significant step forward in the field compared with the classical techniques used in the main centers of esthetic surgery in Europe. -there will be some discomfort when moving the arms during the first two weeks B) Periareolar Incision is done right around the edge between the dark area of the areola and the light colored tissue of the breast. The prosthetic is introduced right behind the mammary gland, but it also can be placed behind the big pectoral muscle. Advantages: -the breast has a good projection -the symmetry of the infra-mammary folds can be very well controlled -low risk for hematoma Disadvantages: -although barely visible, the scar is directly associated with the breast surgery -it has an artificial hemispherical look (especially in very thin patients) -higher risk of capsular contracture C) Infra-Mammary Approach with a 6-7 cm incision in the infra-mammary fold. Most often, the implant is placed behind the mammary gland, but it also can be placed behind the pectoral muscle. Advantages: -the breast has good projection - the infra-mammary folds can be symmetrically positioned -low risk for a hematoma Disadvantages: -long lasting visible scar -it has an artificial hemispherical look (especially in very thin patients) -it carries a risk of implant exposure -higher risk for capsular contracture The order of the three methods represents the surgeon's preference. The surgical intervention takes place under general anesthesia and it can last up to 1 and 2 hours. The hospital stay is between 24-36 hours. The patient can resume her social life within 3-5 days and his professional life within 5-7 days. Post-surgery The patient will have an IV during the whole hospital stay which will be used for administering the antibiotics and the pain management. The dressings will be changed before leaving the hospital. The drainage tubes which are connected to a sealed vacuuming system will be kept between 3-5 days. During this time, the patient will be checked on daily and will also follow an in-home treatment for at least 3 days. If not absorbable, the stitches will be removed 2 weeks after the surgery within which time the dressings will be changed 3-4 times. During this time, the patient can take showers but without wetting the dressing. The patients who opted for the axillary incision may not lift their arms above the shoulder level for about three weeks after the surgery. The patient must wear a special bra at all times (day and nights) for a month. The patient can resume physical activity 2.5 months after the surgery. How to avoid possible post-surgery complications : Hematoma : this risk can be reduced by maintaining the drainage system immediately after the surgery. Infections: the antibiotics treatment must be strictly observed (starts one day before the surgery and continues for a prescribed number of days following the surgery.) If, in spite of all the precautionary methods, there appear to be complications, surgical re-intervention might be the only option. Pain: breast augmentation is one of the surgical interventions with a high degree of physical discomfort during the first 3-4 days after the surgery. To prevent this, it is common to prescribe a pain management plan. Some of the most common discomforts are uncomfortable breathing caused by the pressure that occurs due to the weight of the implants which puts pressure on the rib cage. Usually, this type of discomfort disappears by the end of the 1 st week after the surgery. There might be some discomfort when feeling the breast until three months after the surgery, which is also when the edema will disappear almost completely as well. Bruising: although insignificant, whenever they appear can last up until 3 weeks after the surgery. Other Possible Complications * Capsular contracture is the process of exaggerated thickening of the fibrous capsule which surrounds the implants. When this happens, the breast can become misshapen and painful. The only solution in this situation is to remove the implants along with the thick capsule and possibly change the implants. The newest types of implants, with a textured coating, have lowered this post operative complication. World wide the incidence of this complication is below 10%. ** Implant exposure happens when the implant comes in contact with the outside through a breach in the skin. It may happen in case of breast infection, wound of the breast, when a patient with thin skin has a bigger size implants, or when the surgical scar opens up with time (in infra-mammary implantation). |
