Sudameria Estetic

Breast augmentation is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons:

• To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
• To correct a reduction in breast volume after pregnancy.
• To balance a difference in breast size.
• As a reconstructive technique following breast surgery
• By inserting an implant behind each breast, surgeons are able to increase a woman's bustline by one or more bra cup sizes. It does not correct asymmetries in the location of the areolas or nipples.
• It does not lift hanging breasts..
• Even though it will make your body look more beautiful and harmonious, and it will probably also improve your self-esteem, it will not be enough to make you look perfect. We must be realistic and accept that that kind of perfection does not exist.

Pre-operative
Clinical and radiological (x ray) tests of the breasts are requisite. Biology: usual pre-operative tests.
• The method of inserting and positioning your implant will depend on your anatomy and your surgeon's recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.
• Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples.
•. Drains may be used for several days following the surgery. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.
• discuss the pros and cons of these alternatives with your doctor before surgery to make sure you fully understand the implications of the procedure he recommends for you.
• breast augmentation usually takes one to two hours to complete.,. A gauze bandage may be applied over your breasts to help with healing.

Post operation
• At some point in the first 24 to 48 hours, you will experience swelling, bruising, numbness, discomfort and mild pain in the chest area
• During the first 15 days, you will feel temporary pain whenever you tend to move your arms as your breast will be still fragile and sore.
• You will need 3 months at least to be accustomed to the presence of the implant and be able to resume to normal activities such as exercising, breast feeding and pregnancy.
• Unlike what you hear at times, flying and diving do not have any effects on the surgery. Whatever the location or kind of implants, one breast may heal faster than the other, resulting in a temporary asymmetry.

Tthere might be two kinds of scars,
a) A semicircle under the lower outline of the areole (periareolar). This scar heals very well. It is disguised by the areolar outline and in due time it becomes very difficult to notice..
b) Located right at the lower fold of the breast, where it meets the chest.
Recovery
You will have to rest at the hotel during 48 hours. You will probably feel a burning sensation during the first days and discomfort when lifting your arms, as though you had done an excessive amount of push-ups in the gym. From the fourth day onwards you may be able to return to your social life and job, only if it does not require that you lift heavy objects. The surgeon will indicate you what kind of bra will you be able to use. You will be able to do physical exercise again 30 days after the surgery.

Possible risks and complications
• Adverse reactions to anesthesia.
• Infections, although they are very unusual if you take the right antibiotics. If there is an infection, the implant will have to be removed and it will not be replaced until the infection has disappeared completely and the scar formation process has ended (4 months approximately).
• Asymmetry. Even though the surgeon marks very carefully the areas he is going to treat, there may be asymmetries in 1% of the cases.
• Capsular contracture due to excessive tissue proliferation around the implants. It has three levels of severity and it is the most common cause of pain, shape alteration and hardening, it can even alter the sensibility. Many times it becomes necessary to perform a surgical intervention to correct it.
• In approximately 3% of the cases, keloids or hypertrophic scars may develop, according to the genetic traits of the patient.
• Temporary alteration of the nipple's sensibility. It may become more sensible, less sensible or it may merely acquire a different sensibility. This alteration is almost never permanent.
• Breast implants may puncture or rupture due to excessive or violent pressure. If this happens it will lose its volume and it will have to be replaced
• They do not affect breast-feeding, nor do they contaminate the mother's milk.. *They do not interfere with mammograms, though you will have to tell the person in charge of doing it that you have implants, so that he will take the necessary precautions. *There is no proven scientific evidence that shows that they may increase the risk of breast cancer or connective tissue diseases, in spite of the fact that there have been many investigations on this field.
• If you still have doubts, it is advisable that you ask your surgeon whatever questions you may have so as to feel more assured and relieved from those fears so common for those who are about to undergo surgery. we will gladly answer all the questions you may want to ask before your trip and during the personal interview before the surgery. It is advisable that you write down all the questions you may have prior to the interview, so that you will be able to read them to the physician and get answers for all of them.
• If you know that you are prone to developing keloids or hypertrophic scars (excessive scar tissue), you should tell your surgeon in advance, since the application of gel or silicone strips may prevent this from happening.
• Remember that smoking reduces the body's oxygenation, and insufficient oxygenation may result in complications after the surgery, such as, slower healing of wounds, more thick and visible scars, and even skin necrosis in the area around the wounds. Therefore, if you are a smoker, we strongly recommend you not to smoke during a few weeks prior to the surgery.
• You should carry with you loose-fitting and comfortable clothes. Remember that there should be enough space for the bandages between your skin and your clothes... and that your breasts will take up much more space than before!
• It is advisable that you get the medication indicated by the physician (antibiotics, anti-inflammatories, analgesics) and a strong sports bra in advance, so that you will not have to take care of that right after the surgery.Try to get wet towels like those used for babies, they are very useful when we cannot take a bath.

Hospitalization
If the surgery is performed with local anesthesia, no hospitalization is required. If general anesthesia was used, you will have to be hospitalized for one night.

Anesthesia
Local anesthesia and complementary sedation, or general anesthesia.

Length of surgery
Between 60 to 120 minutes, according to the complexity of the case

Advantages of cohesive silicone gel implants
• Cohesive means that it tends to remain whole. This means that, even if the shell were to rupture, its content would not spill out. It would remain whole without any divisions.
• They do not lose their volume as time goes by.
• They do not make 'liquid' sounds during physical activities.
• They have a very natural consistency when touched.
• In the past, its content used to leak through the micropores of the shell and caused capsular contractures. Nowadays, these leakages have been almost completely reduced thanks to the cohesive properties of the content and to the new shells made of several superimposed layers.
• In most European countries, in Asia and America the use of these implants for cosmetic purposes is allowed, but not in the United States, where they may be used, however, for reconstructive purposes.

Smooth or textured?
We can divide the saline implants in two groups, according to the characteristics of the shell: smooth and textured.

The smooth ones do not have any kind of bumps on its surface. The shell is thinner and very resistant, since it has no irregularities that may lead to fissures.They remain looser inside their respective pockets, since they are not 'stuck' by the other tissues. This results in a more natural consistency and mobility that make them yield to the different positions of the body. Since they are not incorporated into the tissues, in the very unlikely case that they need to be removed, the procedure presents no major complications. Since they are more slippery, they are less palpable, and they are easier to introduce through the small incisions that the surgeon makes during the surgery.

The textured ones have a bumpy surface, rough like sand. They were created in an attempt to reduce the risk of capsular contractures, but this has not been proven yet.

Before	After