MASTOPLASTY (BREAST AESTHETIC SURGERY)
Breast aesthetic surgery is performed to enhance the size and shape of a woman’s breasts. Surgery typically improves the individual’s self-image and could be executed with others aesthetic body procedures, as liposculture and abdominoplasty with the final aim to restore armoniously the entire trunk shape. There are basically three procedures augmetation, mastopexy and reduction.
Why it’s done.
Breast augmentation might help you:
- Enhance your appearance if you think your breasts are too small or that one is smaller than the other
- Adjust for a reduction in the size of your breasts after pregnancy
- Correct uneven breasts after breast surgery for other conditions
- Improve your self-confidence.
Implants have been used since the 1960’s to enhance and enlarge the shape of female breast tissue. Currently, it’s considered the preferred approach for augmentation mammaplasty. As an alternative or performed in the same session, fat could be taken into account (fat graft, lipofilling) with the final extension to improve the result or just to obtain a subtle volume enhancement. Implants may be either round or teardrop shaped. Round implants are disc shaped and exhibit equal fullness in all 4 quadrants of the breast. Teardrop or anatomic implants exhibit reduced augmentation fullness in the upper pole of the breast with increased fullness in the lower half of the breast. These implants also are narrower at the superior and inferior poles than rounded implants. Implants, of different sizes and shapes (round or teardrop), may be placed by a number of routes (inframammary periareolar transaxillary) that typically vary with surgeon preference and experience. The individual’s desired results may influence the site of implant placement. Implants may be placed directly beneath the mammary gland or in a plane below the pectoralis major muscle.
MASTOPEXY- BREAST LIFT
Mastopexy, or breast lift, is a procedure designed to improve the appearance of sagging or ptotic breasts. The goal of surgery is to improve the shape of the breast while minimizing visible scars. The aesthetic goals are to obtain a more youthful appearance, improved projection, and reduced ptosis. Unfortunately, aesthetic improvement comes at the cost of scars. Multiple techniques exist depending on breast characteristics and on surgeon preference and experience in order to get the best result reducing the scars.
You might consider a breast lift if:
- Your breasts sag – they’ve lost shape and volume, or they’ve gotten flatter and longer
- Your nipples – when your breasts are unsupported – fall below your breast creases
- Your nipples and areolae point downward
- Your areolae have stretched out of proportion to your breasts
- One of your breasts falls lower than the other.
Why it’s done.
Breast reduction surgery is meant for women who have large breasts and want to resolve issues such as:
- Chronic back, neck and shoulder pain that requires pain medications
- Chronic rash or skin irritation under the breasts
- Nerve pain
- Restricted activity
- Poor self-image related to large breasts
- Difficulty fitting into bras and clothing.
Reduction mammaplasty is the surgical treatment of macromastia, a condition in which heavy and enlarged breasts may cause chest, neck, back and shoulder pain; cutaneous chronic inflammation and the inability to fit into proper clothing. Multiple breast reduction techniques exist depending on breast characteristics.
Is indicated as complementary technique in many augmentation, pexy and reduction procedures.
Anesthesia, Postop and Recovery
These procedures are now sometimes performed on an outpatient basis (Day surgery) and sedaction, inpatient hospitalization for up to 2 days is required when general anesthesia is indicated. On average, patients are able to resume most normal activities within 1-2 weeks. Some patients need a longer recovery time. Elastic brasserie has to be dressed for at least 4 weeks. The process of deep scar tissue development and resolution takes as long as 6-12 months. Wound care is important in order to prevent scar hypertrophy; this reinforcement is achieved with the use of silicon tape. The tape can be left in place for 3-6 months.
Lipoplasty or Liposculture is a general term indicate a cosmetic procedure used to remove unwanted body fat. The basic technique works sucking out small areas of fat that are hard to lose through exercise and a healthy diet. It’s carried out on areas of the body where deposits of fat tend to collect, such as the buttocks, hips, thighs and tummy. The aim is to improve the body shape, and the results are generally long-lasting, providing you maintain a healthy weight. It works best in people who are a normal weight and in areas where the skin is tight and elastic.
In addition, liposuction can sometimes be used for breast reduction or treatment of gynecomastia. After liposuction, the skin molds itself to the new contours of the treated areas. If you have good skin tone and elasticity, the skin is likely to appear smooth. If your skin is thin with poor elasticity, however, the skin in the treated areas may appear loose. Liposuction doesn’t improve cellulite dimpling or other skin surface irregularities. Likewise, liposuction doesn’t remove stretch marks. How your liposuction procedure is done depends on the specific technique that’s used. The surgeon will select the appropriate technique based on your treatment goals, the area of your body to be treated, and whether you have had other liposuction procedures in the past.
If your procedure requires the removal of only a small amount of fat, the surgery may be done in an office setting. If a large amount of fat will be removed — or if you plan to have other procedures done at the same time — the surgery may take place in a hospital followed by an overnight stay. You’ll wear a supportive garment or collant for about 4 weeks after your liposuction. This helps prevent fluid buildup and provides support while you heal.
TUMMY TUCK – ABDOMINOPLASTY
A tummy tuck is a cosmetic surgical procedure to improve the appearance of the abdomen. During a tummy tuck — also known as abdominoplasty — excess skin and fat are removed from the abdomen. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. The remaining skin is then repositioned to create a more toned look. Abdominoplasty is a commonly requested procedure for many reasons, including the concerns of an aging population determined to maintain a youthful physique, women intent on restoring their prepregnancy appearance, the rise in massive weight loss patients who are seeking to remove the stigmata of residual excess skin from weight loss. The goal of abdominal contour surgery is the aesthetic improvement of the affected soft tissue layers of skin, fat, and muscle through the least conspicuous incision feasible. Depending on the anatomic nature of the “disagreeable biologic condition,” the goal can be achieved through a range of procedures starting from limited abdominoplasty, to standard, to extended with liposuction (Lipoabdominoplasty).
During the typical tummy tuck, the plastic surgeon makes incisions to remove most of the skin and fat between your bellybutton and pubic hair in a horizontal oval or elliptical shape. Connective tissue (fascia) that lies over the abdominal muscles is then tightened with permanent sutures. It will then repositioned the skin around your bellybutton. Your bellybutton will be brought out through a small incision and sutured in its normal position. The incision from hip to hip above the pubic hair will be stitched together and will leave a scar that falls along the natural crease within the bikini line.
The procedure typically takes about two to three hours.
Anesthesia, Postop and Recovery
These procedures are now sometimes performed on an outpatient basis (Day surgery) and sedaction, inpatient hospitalization for up to 2 days is required when general anesthesia is indicated. You’ll wear a supportive abdominal garment (abdominal binder) for about six weeks after your tummy tuck. This helps prevent fluid buildup and provides abdominal support while you heal and it will be explained how to care for your scar. For the first six weeks after a tummy tuck, you’ll need to be careful when moving around. You’ll also need to avoid positions that strain your incision line — such as quickly bending at the waist — to prevent the reopening of the wound. The process of deep scar tissue development and resolution takes as long as 6-12 months. Wound care is important in order to prevent scar hypertrophy; this reinforcement is achieved with the use of silicon tape. The tape can be left in place for 3-6 months.