Breast augmentation (breast Prótese) 

How is the breast augmentation surgery (placement of silicone prosthesis)?
The surgery is done in a hospital setting, the patient is subjected to anesthesia, an incision is performed on the skin, it is made a store where it is placed the silicone implants. After the implant placement, the store is closed with sutures and dressings applied occlusive.

What is the type of anesthesia that may be used for the placement of the prosthesis?
The placement can be performed with local anesthesia, sedation and location, blocks and general anesthesia and the choice of type of anesthesia is consensus among the staff (Dr. Adivânia and the anesthesiologist) and the patient.

How long is the surgery?
The surgery lasts on average 1 hour.


Where are the incisions made?

The incisions commonly used for placement of silicone prosthesis can be made in the inframammary crease (most used), in the the periareolar region and in the axillary region. Each type of incision will be discussed with the patient and it is performed the most appropriate incision for your case.

What is the extent of the scars?

The scars vary in size between 3 and 5 cm depending on the patient and the type of prosthesis to be fitted. The result of scarring in most cases is very favorable, except in patients prone to keloids and hypertrophic scars.

Where are the dentures located?

After the incision, a store is made, (space) where the prostheses are placed. The dentures may be behind the mammary gland (retroglandular), most commonly used location or behind the pectoralis major muscle (retromuscular) and the appropriate plan varies from patient to patient.

What are the types of prostheses on the market?

Currently on the market there are the smooth implants, polyurethane and the textured. Each type is suitable for a particular patient. Regarding the way the implants can be round, anatomical and tapered.

How to decide between the volume and the type of prosthesis indicated in my case?

During the consultation, Dr. Adivânia explain to the patient what are the indications for each type of prosthesis and the volume that will be decided together with the patient from the desired volume and the evaluation of some parameters: width and length chest, thickness of the skin and subcutaneous tissue and breast initial volume.

Will the placement of prosthesis interfere with the breastfeeding?

No, the surgery will not change the architecture of the mammary gland and it does not interfere with the breastfeeding. The prosthesis is placed under the mammary gland or under the pectoral muscle.

After how long must I change my prosthesis?

There is currently no consensus on the need for change or the durability of the current implants. The existing recommendation is that the patient perform postoperative follow-up routine and in cases of rupture, capsular contracture and change in the way, these prostheses are exchanged.

  What is the capsular contracture?

It is an exaggerated retraction of the fibrous capsule (that normally forms around the implant), which determines the degree of hardening region when palpated. In some patients, this reaction can be very intense which will determine pain and need for a new procedure for exchange of the prostheses. The retraction of the capsule does not reflect the surgeon inexperience, but an anomalous behavior of the organism of patients that it presents.

What is the hospital stay?

On average, the hospital stay is 1 day.

Is the postoperative this surgery painful?

Generally not, as long as you follow the doctors instructions, especially regarding the handling of arms in the early days. Eventually pain may occur, which easily give in to the prescription pain pills.

Are there risks in this procedure?

No surgery is free of risk, but rarely, plastic surgery augmentation of breasts have serious complications. The most common complications are bruising, which are inherent in any surgical procedure.

Are the dressings used?

Yes, dressings with gauze and micropore which are changed daily and in returns to the team.

When are the stitches removed?

Like most points are absorbable, there is no need for removal.

When can I take full bath?

After 24 hours.

How long Must I wear the bra after surgery?

The ideal time is 45 days.

When can I return to driving?

The release to drive is on average after 3 weeks.

When can I return to physical activities?

The release for exercise is done progressively. Lightweight hiking after 15 days; weight training exercises that do not involve arms or chest after 20 days; and those involving the arms and chest after 45 days.

Preoperative Recommendations

- Report the team if before the operation, you have flu or indisposition;
- Intern in the hospital or in the clinic indicated, fasting 8 hours, including water, according to the established schedule;
- Avoid alcohol, drugs or very hearty meals the day before surgery;
- Schedule your social, domestic, professional or school activities, so as not to become indispensable to others for a period of about 15 days.

Postoperative Recommendations

- Avoid efforts in the first 15 days;
- Do not move your arms excessively;
- Do not expose yourself to the sun for 6 months;
- Obey the prescription;
- Normal Feed;
- You will probably be feeling so good, but this euphoria may lead her to an untimely effort, which determine certain disorders;
- Take us any doubts.



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