Breast Enlargement
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Candidates

Women who feel that her breasts are too small, when clothes fit well around the hips but are too large around the bust line. This can be due to the fact that, the breasts have not developed properly, or evenly, leaving one breast smaller than the other or that the original shape and volume may have been lost due to weight loss, childbirth or aging.

Incisions and technique:

Objective

Increase breast size using silicone gel or saline implants.

Anesthesia

Local anesthesia with sedation is preferred, general anesthesia can also be used.

There are several options: an incision about two inches below the breast along the fold, or a half moon on the lower rim of the areola, or an incision in the armpit. Whether the implant will be placed above or below the chest muscle will depend on each case and the type of implant chosen. After the incision, a pouch is made into which the implant will be inserted behind the breast or under the pectoral muscle. If the breasts are flabby, a breast lift may be recommended in conjunction with the breast augmentation.

Recovery Time

Operating Time

1 to 1 and half hours

In/Outpatient:

Usually performed on an inpatient basis.

Sensibility

A return to work, if not physically strenuous, is possible within a few days. The scar will disappear after several months, but may take up to a year or more in some cases. Dressings will be changed over several days immediately after surgery. Bathing is allowed between three and seven days after surgery, and stitches are removed after 7 days. A supportive bra is worn for one month, driving is allowed after two weeks and exercise after two to three weeks.

Details

A computer consultation helps tremendously when choosing the appropriate new breast size and shape. The patients' image can be seen with various breast sizes and the location of the incision is chosen.

Duration of Results

Results vary but are generally long lasting, however implants may require removal or replacement after 10 years. Mammograms are routinely prescribed annually after age 40. Significant weight loss can affect the outcome. Pregnancy and breastfeeding can change the size of the breasts unpredictably, although breast implants do not affect pregnancy or breastfeeding. If, with aging, the appearance of the breasts changes, it is possible to do a breast lift to improve the appearance.

There may be temporary pain and tenderness, swelling, a change in nipple sensation and possibly bruising for two to three weeks.

Risks

The sensation of the nipple or breast may change, usually temporarily. Surgical removal and replacement of implants may be necessary to treat a possible capsular contracture that may lead to breast hardness. (0.5% of cases)

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Cascais
Av. 25 de Abril, 900

Lisbon
Hospital Saint Louis
Rua Luz Soriano 182, 1o. andar
Bairro Alto

 

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