MAMOPLASTY

Breast Augmentation - Breast Implant

Scientific Name: Also known as increase mammoplasty, the mamma increase surgery uses implants to give volume to the breasts or to restore the volume lost mammary after weight or pregnancy loss.

Purpose The increase Mammoplasty is a surgery that is possible to increase the size and to lift the mammas through the silicone prosthesis inclusion.

Indication: The Mammoplasty is indicated from the 18 years that is in this phase that the mammary glands arrive to your natural growth.



Kind of Anesthesia: The anesthesia accomplished for this kind of surgery can be the peridural or the local anesthesia with sedation and can eventually employ the general anesthesia.

surgery Duration: On an average, the surgery is accomplished between 90 and 120minutos. However, the surgical time should not be confused for time of patient stay in the environment of Surgical Center, because this stay also involves the period of anesthetic preparation and postoperative recovery.

Time of internment: The internment varies from 6 to 12 hours.

Scar: This surgery allows us the scars be disguised through the access ways for the placement of the prosthesises that can be:

• Periareolar who locates at the bottom of aréola.
• Inframamária located in the breast base.
• Axillary located in the armpit.

The scars will pass by several phases until reaches the final phase, being these:

• Immediate Period (until the 30th day): During the first month, the scars present an excellent aspect and little visible. Some cases present discreet reaction to the points or to the dressing.
• Period Mediato (2nd until the 12nd month): In this period, there will be espessamento natural of the scars, as well as change in the tonality of its color, passing of "red" for the "brown", that goes, little by little, clarifying. This period, the least favorable of the evolution cicatricial, is what worries most the patients. As cannot hurry the natural process of the cicatrization, we recommend to the patients that are notworried, because the tardy period will take care of decreasing the vestiges cicatriciais.
• Tardy Period (12nd to the 18th month): After a year, the scars start to become clearer and less consistent reaching, this way, your definitive aspect. Any evaluation of the definitive result of the surgery, in terms of cicatrization, should be made after this period.

The Prosthesises There is an arsenal very large of prosthesises, that we can classify:
• Fulfilling internal, a gel of cohesive silicone or saline solution.
• Coating, that it can be Lisa or texturizada.
• Forms, that they can be round or anatomical.
• Projection or Profile, varying in top, conservative or low.
• Location, that it can be below the mammary gland or below the pectoral muscle.
• Size, that there is in excess varied range of volumes.
• Manufacturers; There are in the countless market companies, supplying an enormous range of high quality prosthesis.



Preoperative Recommendations:

• Accomplish laboratory exams: Complete hemogram, Coagulograma, Glycemia, Urea and creatinina, sorologia for hepatitis B and C, sorologia HIV, dosage sérica of Sodium and potassium, E.C.G., Urine exam.
• Accomplish photographic documentation.
• Communicate your doctor up to 2 days before the surgery, in influenza case, period menstrual,indisposição, etc.
• Avoid alcoholic drinks.
• Do light meals in the surgery eve.
• Avoid the cigarettes use at least 15 days before the surgery until its complete recovery.
• Do not do medications use with Salicylic Acid Acetyl (THE ONES, Aspirin) or anticoagulant, as well as Ginko Biloba, for 20 days before and 10 days after the surgery accomplishment.
• Depilate by the pubianos, higienizar well the navel, accomplish a good corporeal hygiene and to do not use make-up in the surgery day, according to orientations documents supplied by the Dr. Ferrer.

Postoperative Recommendations:

• Avoid efforts in the 8 first days.
• Careful corporeal hygiene to without weting the dressings.
• Do its normal dental hygiene
• Return to direct after 30 days, on an average or second orientation of the Dr. Ferrer.
• Sleep of of dorsal (belly upwards).in the first days of postoperative.
• Do not rise the arms above of the shoulders for 3 weeks neither movimente in excess.
• Do not catch excessive weights
• Relative exercises to the inferior members, they will be able to be restarted between 5 to 10 days, avoiding itself the "high impact". The exercises that involve the thorax, generally should wait from 30 to 45 days.
• If Do not expose in the sun for at least 2 months, and use fotoprotetor 40 FPS daily.
• Safe in special cases, free alimentation, from second on day, mostly to the proteins base (meats, milk, eggs) and vitamins (fruit).
• Wait to do its weigh loss diet or regime, after the medical liberation. The anticipation of this conduct independently, it will be able to determine difficult consequences to are healed.
• You can use Hirudoid gel or similar in areas with bruises or ecchymosis, post-bath.
• If necessary can use a kind laxative Agarol or another habitually used.
• Do use of the postoperative bra as medical orientation.
• Do not use bathtub, swimming pools and beach for 30 days.
• In the stays close to hot places and avoid cooking for 4 weeks.
• Avoid to the maximum the cigarettes use until the complete recovery.
• Return for revisions of a month, two, four and six months. Final return for picture with a year.
• It abstain of sexual activities for 30 days or as another orientation.
• Avoid render pregnanting at least 1 year

Time of recovery: The patient's recovery occurs between 7 and 15 days after the surgery, this period can vary according to the physical condition of each patient.

Result: Immediate result in this surgery is very good, but only between 3 and the 12nd month is that the mammas will reach its definitive form.

Surgeries associates: The increase Mammoplasty can be associate Lipoaspiração , Abdominoplastia, come in another.