Breast augmentation with implant
The principle of the method
The intervention aims to introduce implants under the mammary gland or under the pectoral muscle with the consequent increase of the breast volume and the improvement of the aesthetic aspects of the breasts. The intervention is addressed to patients with small breasts, disproportionate to the chest volume, in order to increase the volume of the breasts and harmonize with the chest or patients who want a sharp increase in breast volume. At the same time, it addresses unilateral or bilateral breast hypoplasia (an incomplete development of the breast that remains small), unilateral or bilateral breast agenesis (underdevelopment of the breast).
This goal is achieved using breast implants of shapes and sizes adapted to the proportions of the chest, or at the request of the patient. In general, implants with a volume between 250-400 cc of round or anatomical shape (which mimics the breast profile) are used. The content of these prostheses can be represented by saline and in most cases by silicone gel. Silicone is a synthetic material that is not reactive in the body, does not react chemically, and has been used for over 30 years without any noticeable problems or complications. Silicone has the advantage of providing a feeling very close to natural. The interference of silicone with breast cancer is another misinterpreted aspect. The membrane that covers the silicone gel can be smooth, textured or covered with polyurethane foam. The latter has a greater adhesion to the surrounding tissues giving greater stability to the implant. Accidental bursting of implants with saline (which can occur in traffic accidents or sudden depressurization of airplanes) does not in any way induce risks but only requires the replacement of the implant.
Breast augmentation is done primarily with breast implants with silicone content. It is possible to increase with autologous fat harvested and processed from the same patient but the quantities are small and present numerous risks. Silicone is an inert material that does not cause breast cancer.
The most common possibilities for implant insertion are through submammary incisions. They can also be inserted through periareolar or transaxillary incisions.
Consult and analysis
The patient will describe the medical history insisting on the medical problems of the breast, pain, inflammation, history of mastitis, surgery, personal physiological history, number of births, abortions, period of breastfeeding, installation of the last menstruation, types of contraceptives used. The patient will receive all the necessary information about the types of breast implants, the methods of introduction, the complications that may occur, the remaining scars and will choose the breast implant that best meets their expectations and desires. The necessary preoperative tests are those of blood, urine, radiological examination of the breast (ultrasound, mammography for those over 40 years).
The surgery is performed under general anesthesia and lasts about 2 hours. The incision has a size of about 4.5 cm in the case of textured implants and about 5.5 cm in the case of implants covered with polyurethane foam. The implant can be placed under the mammary gland or deeper under the pectoralis muscle. This possibility, under the pectoral muscle, gives a greater stability over time.
Postoperatively, cold compress (ice pack) and avoidance of ample arm movements are recommended, especially in the first 7-14 days. If necessary, the medication indicated by the specialist is associated to combat the pain. Prophylactic and intraoperative antibiotic therapy, associated with rigorous aseptic implant insertion measures that are safe means of combating septic complications.
Complications are generally minimal. Unsightly scars can be corrected after a minimum of 6 months. Other complications include hematoma, serum, infection, and capsular contracture.
The results are long lasting. Pregnancy is recommended at least 6 months after surgery and breastfeeding can be performed. About 12 months after birth, sometimes it is necessary to consult and review the shape and position of the implant or breast.
Local massage with anti-inflammatory ointment is recommended to reduce discomfort in the first period. Normal sexual life can be resumed at 3 weeks postoperatively. Post-operative flight does not pose a risk to the patient, only sudden depressurization of the aircraft can lead to implant rupture which is not life threatening. Normal hygiene care can be resumed at about 5-7 days postoperatively, and social and professional activities at about 7-10 days postoperatively. It is recommended to wear bras well adapted to the new shape and volume of the breasts for a period of about 2 months.
|Round breast implant
||from 3200 €
||from 16 000 Lei
|Anatomical breast implant
||from 3400 €
||from 17 000 Lei
|Diagon breast implant
||18 000 Lei
|B-Lite Round breast implant
||20 000 Lei
|B-Lite Anatomic breast implant
||20 000 Lei
Certificate of participation, Allergan Masterclass – Medical Aesthetics Academy, Heidelberg 2011
Certificate of participation, Beauty through Science, International Aesthetic Symposium, Stockholm 2014
Certificate of participation, Biodimensional planning with form stable implants in mastopexy augmentation and how to perform the safety procedure, Waterfront Congress Center, Stockholm 2014
Certificate of participation, Round and anatomical implants: choosing the right shape for your patient, Waterfront Congress Center, Stockholm 201
* The surgeries are performed in an accredited private clinic, not at the company’s headquarters.