Silicone Breast Implants Under the Breast Incision in Porto Alegre BR

Breast augmentation, or augmentation mammoplasty, is one of the most common plastic surgery procedure performed today. Over time, factors such as age, genetics, pregnancy, weight changes, sun exposure, and gravity can cause the size and shape of the breast to change. Women who are dissatisfied with the size of their breasts, or have experienced changes in breast appearance can achieve a fuller, shapelier breast with breast augmentation. During breast augmentation, a breast implant is placed inside a pocket formed in the breast tissue. This can help to increase or balance the size of the breast, restore breast volume, or restore the shape of the breast after partial or total loss. It is important to realize that breast augmentation cannot correct significantly sagging or drooping breasts. In these instances, a breast lift is often necessary, which may be performed in conjunction with this procedure.

Re-approved by the FDA in 2006, silicone implants are made of a silicone rubber shell and are filled with silicone gel. There is no significant evidence that suggests silicone implants increase your risk for breast cancer, connective tissue disorders, or autoimmune disease. You must be at least 22 years old to receive silicone implants. Breast implants differ by shape, texture, and profile. Breast implants may be round or contoured, and may have a smooth or textured surface. The breast implant profile may be standard, moderate, or high. Lastly, breast implants vary by size, or volume. The type, style, and size of breast implants you choose are determined by your lifestyle, body contours, the amount of breast tissue you have, and the cup size and appearance that you would like to achieve. Be sure to talk with your doctor in depth about choosing the breast implant option that is right for you.

The breast consists of glands and milk ducts, surrounded by fatty tissue which provides its shape and soft form. The elasticity of your skin also contributes to its shape. As you know, certain factors such as age and pregnancy can affect the elasticity of your skin and breast tissue, which results in changes to shape and appearance.

Breast implants can be placed in two general locations, known as submuscular and subglandular placement. Submuscular placement refers to an implant that is placed partially or completely beneath the pectoralis muscle, against the chest wall. In contrast, subglandular placement refers to an implant that is placed beneath the breast tissue, but above the pectoralis muscle. Your surgeon will help determine the implant placement that is best for you.

Breast augmentation procedures typically last approximately one to two hours. Prior to the start of your procedure the treatment area will be thoroughly cleansed and an anesthetic will be administered. Depending on the surgeon’s preferences and the nature of the procedure, a local anesthetic in combination with intravenous sedation or general anesthesia will be used.

The inframammary incision is placed along the crease of the lower portion of the breast. A single, small incision is made along each breast. Using an instrument known as a retractor, the surgeon will open the incision in order to gain better access to the breast tissue below. Although the incision will be made as inconspicuously as possible, its length and appearance may vary depending on the type and size of implant, your body contours, and the surgeon’s preference.

The surgeon will carefully separate the breast tissue with a minimally invasive cautery device and a scalpel, in order to reach the area of the breast in which the pocket will be formed. Using an instrument known as an elevator and their fingers, the surgeon will carefully create a pocket in which to place the breast implant.

Unlike saline implants, which are usually inserted empty, silicone implants are pre-filled. As silicone implants are pre-filled, they generally require a slightly larger incision than saline implants. The surgeon will insert the implant into the pocket and visually inspect your breasts to ensure that they are symmetric. They may adjust the pocket and the position of the breast implant itself to ensure that the desired look is achieved.

The incisions will be closed using sutures in the breast tissue. Sutures, skin adhesive or surgical tape may be used to close the skin. Your surgeon may choose to use non-dissolving sutures, which will be removed in seven to ten days. The scars from the incisions will fade slowly over several months, but it may take up to a year for them to refine completely. As with any surgery, you will most likely experience some pain and swelling after surgery. The majority of the swelling will likely subside within a few days. However, some swelling may persist for several weeks.

Your physician may place you in a special bra or compression garment to aid in the healing process. Compression garments provide support and comfort, minimize swelling, and help to maintain the position of the implants. This is why it is important that you wear the compression garment as recommended by your physician.

You will most likely be able to return to work within three to seven days after your procedure. However, it is important that you avoid any strenuous activity and lifting for approximately three to four weeks. Doing so may delay healing and could damage the implants. You will be able to notice the final results from your procedure once the implants have settled and the swelling has subsided completely.

It is important to realize that your breasts will continue to change shape over time. However, the results from breast augmentation are typically long-lasting, which means that your breasts will maintain the fuller, shapelier appearance that you desire for years to come.

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  • Research published early online in the European Heart Journal suggests that percutaneous coronary intervention (PCI) is safe even if performed during uninterrupted anticoagulation (UAC). According to the researchers, a common consensus is to postpone PCI until international normalised ratio (INR) levels of < 1.5–1.8 are reached. Therefore, the safety and efficacy of various periprocedural antithrombotic strategies in patients on long-term oral anticoagulation with warfarin was investigated. The study involved a retrospective analysis of all consecutive patients (n=523) on warfarin therapy referred for PCI in four centres with a policy to interrupt anticoagulation (IAC) before PCI and in three centres with UAC during PCI. Major bleeding, access-site complications, and major adverse cardiac events (death, myocardial infarction, target vessel revascularisation, and stent thrombosis) were recorded during hospitalisation. A total of 241 patients underwent PCI without pauses in warfarin therapy (the UAC group; mean INR = 2.2), and in 254 patients (IAC group), oral anticoagulation treatment with warfarin was stopped before the procedure (mean 3.0 days, range 1–30 days). Furthermore, a total of 28 patients underwent PCI when warfarin treatment was interrupted on the day of the index procedure. The following results were reported: • Glycoprotein IIb/IIIa (GP) inhibitors (P < 0.001) and low-molecular-weight heparins (P < 0.001) were more often used in the IAC group. • Major bleeding and access-site complications were more common in the IAC group (5.0% vs. 1.2%, P = 0.02 and 11.3% vs. 5.0%, P = 0.01, respectively) than in the UAC group. • After adjusting for propensity score, the group difference in access-site complications remained significant [OR (odds ratio) 2.8, 95% CI (confidence interval) 1.3–6.1, P = 0.008], but did not remain significant in major bleeding (OR 3.9, 95% CI 1.0–15.3, P = 0.05).

  • Objective  To delineate the anatomic architecture of the melolabial fold with surrounding structures and to elucidate potential implications for face-lift techniques. Methods  A total of 100 facial halves (from 50 cadaveric heads) were studied, including gross and microscopic dissection and histologic findings. Laboratory findings were correlated with intraoperative findings in more than 150 deep-plane face-lift dissections (300 facial halves) performed during the study period. Results  In contrast to previous reports, the superficial musculoaponeurotic system (SMAS) was not found to form an investing layer in the midface. The SMAS, zygomatici muscles, and levator labii superioris alaeque nasi were found to be located in corresponding anatomic layers and to form a functional unit. Additional findings of the present study include the description of 3 structurally different portions of the melolabial fold, of an anatomic space below the levator labii superioris alaeque nasi (sublevator space), and of extensions of the buccal fat pad into the sublevator space and the middle third of the melolabial fold. Conclusions  The findings of the present study may contribute to augment our understanding of the complex anatomy of the midface and melolabial fold. Potential implications for modern face-lift techniques are discussed. (Source: Archives of Facial Plastic Surgery)

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