or Breast Augmentation
Breast augmentation surgery increases or restores breast size by using the implant (silicone gel), or in some cases, by transferring patient’s fat from another site to the breast. (see breast augmentation mammoplasty with autologous fat grafting). It is currently one of the most sought plastic surgery techniques by women for a variety of reasons:• Improve body contour, when a woman feels that the size of her breast is small or insufficient;
• Restore breast volume after significant weight loss or pregnancy;
• Achieve breast symmetry when there is a disproportion in breast characteristics (size and shape);
• Improve breast shape, in stituations which it is pending or has lost firmness. In these cases, a "Lift" procedure or breast lift (mastopexy) is also used;
• Improve the contour of the breast when it is altered following a surgical treatment for breast cancer;
• Improve the breast appearance when it is disfigured in the context of trauma (burn, accident), hereditary causes or congenital anomalies.
Augmentation Mammoplasty | Tecniques
Increase Mammography | Techniques
Breast augmentation mammoplasty with autologous fat grafting
In selected cases it is possible to modestly increase breast volume only with the patient's own fat. In this technique, fat is aspirated as in liposuction and then is processed and reapplied in the patient’s mammary region. Even as a refinement procedure, to improve the final aesthetic aspect of the breast after having undergone another intervention (breast augmentation, mastopexy or even reduction), breast autologous fat grafting is a very useful technique and with very satisfactory results.
Breast Augmentation Revision
When a breast augmentation surgery does not lead to the intended results, a revision procedure may be required. The main problems which lead to surgery revision are: "rippling" or implant wrinkling under the skin, implant descent beyond the lower breast contour, simulation or absence of a well-defined limit between one breast and another; dissatisfaction with size or shape. Augmentation mammoplasty revision surgery is, as a rule, a much more complex procedure than the initial augmentation surgery. To do this, it is essential to understand what the patient's concerns are and then to develop a treatment plan, which may involve one or more steps.
Breast Augmentation Surgery Review with Strattice TM / Alloderm®
The revision surgery is performed when the patient seeks the correction of a surgical problem. The main problems that motivate this procedure are the rippling or wrinkling of the implant under the skin, the descent of the implant beyond the lower contour of the breast, symmastia or lack of a well-defined limit between one breast and another; the poor position of the infra-mammary fold or dissatisfaction with the final size or shape of the breast. An Acellular Dermal Tissue Matrix such as Strattice ™ or Alloderme® can be used to correct these changes. These matrices may also be often indicated in breast augmentation and lift surgeries. A personalized treatment plan that meets the individual needs of each patient and each case is essential in these more complex interventions.
Capsular Contracture Correction
Capsular contracture may be due to a variety of reasons; however, the common denominator in all cases is the development of a scar tissue or an extensive scar around the implant, causing hardening, implant deviation (bad position) and often pain. Regardless of the cause, the solution is to remove all or nearly the entire capsule (scar tissue), placement of a new implant, and sometimes revision of the "pocket" or cavity of the implant with the application of an acellular dermis matrix such as Strattice ™ or Alloderme®.
Tuberous Breast or “Snoopy Breast"
It is a rare congenital anomaly that manifests itself during breast development in adolescence. The typical changes are: smaller breast implantation base; hypoplastic or deficient mammary tissue, and the one that exists is located mostly behind the areola and nipple, extending these structures; elevated inframammary fold and lower breast pole, which is generally round and full, is deficient in its horizontal and vertical dimensions. The cause of this anomaly is unknown but is thought to originate from a kind of "collar" or ring, which causes constriction of the breast and affects its development. This "lack" of tissue in the breast results in a strange appearance reminiscent of a "potato"- in English," potato-like "breast - and is called TUBEROUS BREAST. In adolescence this anomaly becomes evident and can lead to psychological imbalance. The techniques employed to correct these alterations are diverse; however, they are all aimed at: restoring the dimensions of the breast implantation base, correcting the hypoplasia of the lower quadrants of the breast, releasing the inframammary fold and placing it in the normal position, decreasing the dimensions of the breast areola and improve breast symmetry as much as possible. The phase of life in which these corrections take place is crucial, for at a very young age, when the breast is not yet developed, they can cause damage to its future development.
Breast Augmentation Mammoplasty (Breast Lift)
This is a procedure sought by women who wish to improve breast firmness by reducing excess skin, improving the position of the nipples and simultaneously increasing the volume of the breast with an implant. Patients seeking this combined surgery usually have small breasts with excess skin and an "emptied" appearance. This is obviously a more complex procedure than simple breast augmentation.
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