The most commonly used prosthesis are the ones of highly cohesive silicone gel, as they provide a more similar aspect to normal mammary glands. Their side effects are well studied and they do not present the inconvenient substance exudation.
Micro-textured (rough) heptalaminar (seven layers constituting the wrap), anatomical (shape of a drop of water), as well as different round options, these always vary depending on each case.
The way of implantation of the prosthesis is decided depending on the morphology of the breast, the chest and the height of the patient. There are three options:
Making an incision in the armpit from where the prostheses are inserted in the retro-muscular space. It is possible to implant them in the retrofascial space, through laparoscopic dissection, given that the prosthesis are of a round shape.
An incision is made along the lower nipple-areola in order to place the prosthesis. Depending on the case these can be set in the retro glandular space (behind the gland), in the retro muscular space (behind the muscle), or, following more innovative techniques, in the retrofascial space (under the fascia or membrane that surrounds the greater pectoral muscle).
This last location is always the first choice unless stated otherwise. This way of implanting is the one that is preferably chosen if anatomical prosthesis is being placed (in droplet form).
An incision is made in the sub mammary fold in order to place the prosthesis. Depending on the case these can be set in the retro-glandular space (behind gland) or retro muscular space (behind the pectoral muscle).
This type of placement is obsolete and should be avoided whenever possible as this is what can lead to linear scars “in the middle of nowhere”.
The type of anesthesia is “short general anesthesia” and, whenever possible, with a laryngeal mask and not through endotracheal intubation, as the intervention time is between 45 and 60 minutes. Such anesthesia means that the patient will remain hospitalized in the clinic for 24 hours.
The postoperative period is common for all of the procedures. When removing the post-surgical compression bandage, it is replaced by a sports bra which must be used for 2 weeks. Regular activity is restored within 72 hours, whilst performing strenuous exercise or physical efforts with the arms must be postponed a few more days. Ultrasound treatment should be carried out during the following weeks in order to accelerate recovery and reduce the risk of periprosthetic capsular fibrosis.
Efectivamente. Habitualmente 1 dia.
Micro-textured and with silicone gel filling of high cohesiveness.
Yes, we have a test kit that can be tried before surgery.
As long as no strenuous work will be done with the arms, approx. 4 days.