mammoplasty

Breast Surgery

Mammoplasty is plastic surgery that reshapes the breasts, giving them the right proportion for the body – and it can be augmentation, reduction, remodelling or reconstruction. The demand for this type of surgery is closely linked to the cult of image, in which the breast is of great importance as it is one of the main representations of femininity.

LEARN ABOUT THE TYPES OF MAMMOPLASTY

Augmentation mammoplasty

Increased Breast Volume

It is, along with liposculpture, the most widely performed cosmetic plastic surgery in the world.
The level of satisfaction is over 96 per cent, and the impact of this surgery on women’s lives is so strong that 97 per cent would return for another operation if necessary.

It is defined as the remodelling of breast shape and volume through the fitting of breast implants.

It is very common in young women whose breasts have not developed naturally, or after childbirth, when there can be significant involution of the breast tissue … with changes in shape and volume.

Breast augmentation is a surgery with a very high success rate and a huge impact on the lives of the women who undergo it. That’s why tens of millions of women undergo this surgery on every continent.

Surgery

The surgery is performed under sedation and local anaesthesia.

It lasts between 50 and 120 minutes.

The choice of prosthesis, route of approach (areolar, infra-mammary or axillary) or anatomical site where it is placed (sub-mammary or retro-muscular) are discussed in a prior consultation.

Post-surgery

The patient leaves the clinic on the same day, wearing only a specific post-operative bra, and drains are rarely used in primary surgeries.

The most important indications during recovery are

  • Application of ice;
  • Lack of effort;
  • Wear a specific bra for 1 month.

The return to socio-economic life depends on the woman’s profession and varies from 3 to 4 days to 3 weeks.

See Before and After

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Reduction mammoplasty

Breast reduction

Large breasts often cause serious psychological and/or physical discomfort and prevent these women from leading a normal life. Breast reductions can be mild to moderate (up to 500 grams per breast), severe (more than 500 grams per breast), and gigantomastia when more than 1000-1500 grams per breast are removed.

The psychological aspects of macromastia (exaggerated breast volume) can be devastating and are characterised by:
– Shame.
– Lack of physical attractiveness.
– Profound loss of self-confidence and femininity.

At very young ages (adolescence and young women), they can decisively condition the psycho-motor development of these people.

There are many physical problems attributable to excess breast volume:
– Neck, shoulder and back pain.
– Breast pain.
– Maceration and infection in the inframammary fold.
– Neurological sequelae due to overloading the cervical spine.
– Sedentary lifestyle.

Because of all the physical and/or psychological consequences it causes, surgery is essential for improving the quality of life of these women.

I believe that major breast reductions are surgeries that improve quality of life, such is their impact on the day-to-day lives of these women.
We use the appropriate techniques for each case in order to obtain the best results with the least possible after-effects, particularly the most reliable techniques for maintaining breast sensitivity.

Surgery

The surgery is performed under general anaesthesia or sedation with local anaesthesia.

It lasts 2h30-3h30.

Post-surgery

Usually the patient spends one night in the clinic, leaving the next day with the recommended bra.
The stitches are removed after 8 to 15 days, and during this week the patient should..:

  • Application of ice;
  • Lack of effort;
  • Wearing a specific bra for 45 days.

The return to socio-professional life depends on the woman’s profession and is, on average, 15 days for professions without manual labour.

See Before and After

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Mastopexy

Breast lift surgery

Since ancient times, the shape of the breasts has been idealised and immortalised in paintings, sculptures and poetry… In this ideal of beauty, which changes depending on the era and civilisation, we have a common denominator – an attractive “breast” is not ptotic or saggy.

This surgery aims to restore a youthful breast shape, where the breasts are not sagging. In the same surgery, if it is necessary to add volume, we use breast prostheses, and we call the surgery mastopexy with prostheses. If no more breast volume is needed, it is called mastopexy without prostheses.

Mastopexy is a very common surgery, since maternity, weight or hormonal changes, gravity, sagging breast tissue and/or skin …. etc, often cause ptosis or drooping of the breasts …. often also associated with changes in breast volume. Surgical techniques have evolved in order to restore breast beauty with as few scars as possible.

Surgery

The surgery is performed under general anaesthesia or sedation with local anaesthesia.

It lasts 2h-2h30.

I try to keep the scars as small as possible, using the vertical scar in most cases.

Post-surgery

The patient usually leaves the clinic the same day, wearing a post-operative bra, and usually without drains if it’s a primary surgery.

During recovery, the most important indications are:

  • Application of ice;
  • Lack of effort;
  • Wear a specific bra for 30 to 45 days.

The return to socio-professional life depends on the woman’s profession and is, on average, 7-10 days for professions without manual labour.

See Before and After

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Tuberous breasts

Congenital abnormality of the breasts

It’s an asymmetry or malformation, apparent from puberty onwards.
Young women who suffer from this disease feel they have “abnormal”, “strange” or “unsightly” breasts, causing severe discomfort and loss of self-esteem.

These young women systematically avoid any social activity that has any breast exposure.
The alterations have varying degrees of severity, often with asymmetry of the breasts and are characterised by:
– Areolar herniation of the breast tissue, usually with a large increase in the diameter of the areolas.
– Reduction in breast volume.
– Abnormal elevation of the inframammary fold.
– Tightening or constriction of the breast base.
– Retraction of the breast skin.

Tuberous Breasts are a serious deformity of breast volume and shape.
Their correction requires complex surgery to restore a normal, youthful breast shape.
It is very important for the parents of these young women to know that the deformity does not improve over the years …. and they should seek the help of a plastic surgeon.

Surgery

Depending on the degree of severity, we can use different techniques. In my clinical practice I correct most cases with:

– Reducing the diameter of the areolas
– Releasing the fibrotic restrictions of the breast tissue.
– Making a new lower infra-mammary fold.
– Using a breast implant to give the desired volume.
– In some cases I combine a vertical incision and fat grafting.

The surgery is performed under general anaesthesia or sedation and local anaesthesia.

It lasts 2h-2h30.

Post-surgery

The patient usually leaves the clinic the same day wearing a post-operative bra.

The most important indications during recovery are

  • Application of ice;
  • Lack of effort;
  • Wear a specific bra for 30 to 45 days.

The return to socio-professional life depends on the woman’s profession and is, on average, 7-10 days for professions without manual labour.

See Before and After

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What to consider before an intervention

Patient’s real expectations

Ageing effects

Expertise in different techniques

Priority in returning to social and professional life

When aesthetic units match, with smooth transitions, beauty reveals itself