Find out here all the interventions and procedures you can do to the breasts at Dr. Ana Silva Guerra Clinic in Lisbon. Whatever the nature of your problem, we are here to take care of you! Whether reconstructive or aesthetic problems, we have the solution for you. Contact us and ask for more information!
Breast Augmentation with Implant
The breast augmentation or mammoplasty of augmentation involves the presence of an implant filling in the mammary region. The implant increases the mammary volume and improves the shape contour. It is a surgery performed on an outpatient basis, with just over an hour of duration, without the need for drains. It has a profound impact on women's self-esteem and the result is very rewarding.
Breast Augmentation with Fat
It is not always necessary to use a breast implant to improve the characteristics of the female breast (volume, contour, projection). In women with availability of adipose tissue, it is possible to enlarge the breast using only fat auto-transplantation. Usually performed on an outpatient basis, this surgery is associated with minimal scarring related only to the harvesting of fat. There are no scars on the breast and no drains are placed. The result, once stabilized, is definitive, without the need for revision surgeries.
Breast reduction remains one of the most sought after breast interventions. The symptomatic relief and the improvement of the woman's quality of life are dramatic. Often, the intended weight loss only happens when the weight and volume of the breasts are lightened, allowing for a freedom of movement that is a powerful stimulus for a change in life. The scars are a consequence, but, well cared for and looked after, they become insignificant in view of the enormous benefit achieved.
Mammary Lift or Mastopexy
(with and without implant)
Mastopexy aims to correct the excess skin of the breast that makes it flaccid, droopy and without projection. The need to place, in the same procedure, a breast implant, arises when the breast, in addition to ptotic, fallen, is emptied, without enough content to achieve a good surgical result. When the breast still has enough tissue, it is possible to obtain a natural shape with adequate volume, without resorting to the implant. Mastopexy scars may vary, however, the larger the excess skin, the greater the size of the scars.
Breast asymmetry is a common reason for low self-esteem and lack of confidence. The differences between the breasts can be of several types (one breast is larger than the other, the two are large and yet different, totally differing in shape of both the areola and the implantation of the breast, amongst many other situations). The surgical approach is specific to each case. The techniques do not differ from those used in different breast surgeries, however, they are combined to achieve the best result. The impact of the intervention is dramatic, especially when the intervention occurs at an early stage in a woman's life.
This is one of the most challenging breast deformities from a corrective point of view. The spectrum of clinical manifestations is wide, but in the most severe cases, the deformity is notable. Typically, all elements of the breast are present, however their inter-relationship and organization are significantly altered, contributing to an abnormal appearance. The most determinant characteristics of this pathology are: a reduced diameter of the base of the breast, an abnormally high inframammary groove, exhibiting a variable degree of constriction, as if the breast were strangled and the volume concentrated in its most distal portion, behind an enlarged areola. Breast asymmetry is almost always present, the breast most severely affected is usually the smaller in size and the other, more developed, is bulkier and significantly more sagged.
There are more and more cases of women who, for the most diverse reasons, intend to remove their breast implants without replacing them. Over the years, the weight of the implants (especially when they are large) can further aggravate the aging of the breast and the woman can rejuvenate her breast by removing the implants and repositioning the breast. Breast surgery in a pathological context (cancer, suspicious breast lesions), capsular contracture, rupture of the implant are other reasons that may be at the base of the breast explant. Anaplastic giant-cell lymphoma associated with breast implants, a rare lymphoma of the immune system associated with the fibrous capsule of the implant, is treatable if diagnosed early, by removing the implant and the respective capsule.
Gynecomastia is a benign, temporary or permanent enlargement of the mammary gland in men. Unlike women, the development of the mammary gland in men does not happen, thus, the so called "normal" male breast is formed of fatty tissue and an incipient mammary gland.
The situations in which breast enlargement occurs only at the expense of increased fat correspond to a false gynecomastia, or pseudogynecomastia.
It appears that, in an important percentage of the male population (35%), the mammary gland develops. Peak breast augmentation occurs in adolescence (64%) and in the elderly (40 to 60%). Gynecomastia can be related to physiological situations, diseases, drugs and can also be idiopathic, that is, not having an apparent cause. It is not (contrary to what many men fear) associated with an increased risk of breast cancer in men. In either situation, what happens is a hormonal change (increase in female hormones or decrease in male hormones) in circulation. Due to the diversity of causes, the medical evaluation of these patients must be comprehensive.
Except in cases where a cause treatable with drugs is identified, the resolution of gynecomastia is surgical. The technique will depend on the volume of the breast and the presence or absence of excess skin. The bigger the breast and the bigger the excess skin, the bigger the scars.