The most powerful weapon of women is their sensuality and one of their strategies is the bust, that is why every day more women are encouraged to perform surgeries, increasing, improving or reducing breasts.
The decision to make an aesthetic change in the body, generally associated with the need to look better and increase self-esteem, always brings fear but scientific advances have managed to dispel some, at least in terms of breast implants.
When a woman comes to the office with her battery of questions about how she can increase or decrease her bust, she does not know that there is not a single answer for each question but that each case is absolutely particular. The objective may be to increase (or decrease) the volume of the breast through implants that make them look natural, always taking into account the wishes and characteristics of the patient's body.
After reaching 18 years of age, when development is complete, and without a maximum age limit, always bearing in mind that there are no medical problems that may complicate surgery, the woman can either because she decided to do so, because she has an asymmetry breast or hypomasia - that is, small breasts - have a breast implant. The case of reconstruction surgery is a case that deserves a separate chapter.
Surgery
Before surgery, the doctor evaluates the patient's desire, the amount of existing mammary gland and the position of the breast. These last two indicators will be essential when deciding the type of implant and the surgery to be performed.
According to Dr. Angeles Petersen, Halitus Medical Institute, “The surgery is normally performed under general anesthesia for the comfort of the patient, although it can be performed under local anesthesia, and the prostheses are generally placed behind the muscle. They are placed through the areola, that is, an incision is made below the areola that is hardly noticeable unless the areola is very small and, in that case, it must be placed through the sulcus, that is, below the mother. There are precise indications where the prosthesis must be placed behind the gland but in principle behind the muscle they always remain more natural and have a lower percentage of capsule or encapsulation. "
Encapsulation is the covering that the body makes to the prosthesis to isolate it from the body, because it is a foreign body. When this covering is thin when palpated, it is not perceived either to the touch or to the sight: the prosthesis feels as if it were from the breast itself. If the coverage becomes thicker, it begins to be palpated and at a more advanced stage it can be seen.
“It is necessary to avoid by all means that a capsule is formed, although the possibilities of it happening invariably depend on each organism. But with current prostheses, new modern techniques and placing them retromuscularly - behind the muscle - the capsule percentage is much lower than it was previously when the prostheses were mostly smooth and were placed behind the gland ”, explains Petersen.
Today there is a 20% probability of encapsulation when the prostheses are smooth and in front of the muscle, as opposed to only 4% putting the prosthesis behind the muscle and textured. That is why it is important what type of prosthesis is placed. There are different types of prostheses. There are smooth and textured, round and anatomical, and others made of polyurethane that are used mainly in cases of reconstruction. The anatomical ones have a lot of axillary projection, so the round ones are much more natural.
But the fundamental difference is in the coverage of the implant: more projected or flatter, in general they are used with a little more projection. The ratio of the height to width of the prosthesis is called projection. It depends on the type of surgery (technique) and the surgeon.
The possibility of the prosthesis breaking is not that common these days. It is important to bear in mind that the prosthesis does not break spontaneously or because it is touched very hard. Although unlikely, it can occur as a result of a very strong blow or if there is a large capsule. Petersen maintains that “when there is a capsule, the prosthesis is surrounded by a tissue that is not elastic and compresses it, hence the prosthesis can break over time. That is why the importance of avoiding encapsulation ”.
In the event that this happens, the silicone may be contained within what is the capsule or, over time, if the capsule breaks, the silicone may come out of it. The problem would arise in the latter case, since the extravasated silicone outside the capsule spreads through the gland and generates palpable nodules. But the chances are very low because the technique has changed a lot and the amount of encapsulation with the new techniques that determine to place the prostheses behind the muscle and the new prostheses, no longer smooth that have a greater probability of encapsulating and breaking but textured and better quality, has been greatly reduced. There have been a large number of studies that have shown that women with prostheses are no more likely to develop cancer or immune diseases than those who do not.
The postoperative
The postoperative period is approximately 15 days to begin to deflate. “The first 3 days the patient is always very swollen but as the weeks go by she settles down. After a month it is almost completely settled and very minimal changes can be seen in the following days. The stitches are removed in the first week and the patient is removed without a bandage, it is only advisable to use those lycra and cotton tops. And from the third day they can bathe normally. The main indication is not to make efforts for a week, not to drive during the first week and then, week by week, the efforts can be increased and the body will only say that it can be done or not according to whether or not it feels pain ” describes Petersen.
Consultation with a specialist who listens to the patient's wishes and evaluates the possibility of fulfilling them is the first step towards change. There are many psychological studies that show that these types of operations are a way to fight against personal insecurity and make an immeasurable contribution to the self-esteem of women who frequently, after the aesthetic change, show a positive change in their confident attitude of being owners of a new sensuality.