When is this procedure indicated?
This surgical intervention is well used in the adjustment of mammary volumes: - in those patients suffering from mammary hypoplasia (hypodevelopment), mammary asymmetries (a breast visibly different in size from the contralateral one); postgravid mammaries; - Poland syndrome (characteristic for the mammary region is the absence of the pectoralis major muscle...); the "tuberous" breast, so defined for its deformity that reminds a tuber and classified according to the deformation in a scale that includes IV degrees.
How is it performed?
The patient undergoes a careful clinical evaluation starting from the reason for wanting a volumetric breast augmentation, followed by all the measurements and the corresponding agreement on the most adequate volumetric augmentation with the proposal of the optimal breast prosthesis (anatomical or round). The surgery will be conducted with the use of the safest breast implants for the patient currently on the market, with the best consistency and tissue integration, and with its own insurance.
The surgical procedure, performed under mild general anesthesia, involves the placement of breast implants with variable shapes and projections. There are several ways of surgical access. The most common techniques will result in scars at the level of the submammary sulcus, or at the level of the inferior periareolar margin or circumferential to the areolar margin (breast augmentation + mastopexy). There are also different prosthetic positions. In fact, depending on the cases, the prosthesis can be pocketed under the plane of the mammary gland (sottoghiandolare) or under the plane of the pectoralis major muscle (submuscular, "dual plane"), but the surgical project is chosen and discussed preoperatively. Surgery takes about 90 minutes depending on the case.
The patient generally can be discharged the day after surgery. In some cases, the procedure can be conducted in day surgery. The patient will have internal stitches, rarely a few external stitches that will be removed after a few days, and will have a moderately elasto-compressive dressing that will be replaced at discharge with a supportive bra. Such bras, i.e. those without underwire and that are fastened in front, must be worn for the first month day and night. Depending on the type of profession carried out, the patient will be able to resume work once the surgical wounds have healed, generally after 2-3 weeks or sooner, and the resumption of sporting activity after about 30/40 days from the operation following the indications that will be given.