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Historical symbol of maternity and femininity, the breast is
for women of great importance. Today plastic surgery
succeeds in modelling with extreme perfection this organ,
being able to meet different requirements. In the course of
the life the breast is continuously modified by several
factors such as puberty, pregnancy, breast-feeding and
ageing. |
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Breast Augmentation |
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A not enough developed or emptied breast, after a pregnancy
for example, can be successfully increased of volume and
changed of shape by means of the insertion of a mammary
implant. Many women, even if wishing an aesthetic
improvement of the breast, fear that this surgical procedure
can facilitate the development of malignant tumours. But
wide studies have demonstrated not only that the material
with which the prosthesis are made are absolutely innocuous
and in compliance with the enforced norms, but also that the
same prosthesis absolutely do not alter the physiology of
the mammary gland, that can eventually also nurse. Moreover
the presence of the prosthesis does not prevent either the
normal autopalpation or eventually the execution of a X-rays
or an echographia in order to study the structure of the
gland. |
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Pre-operative evaluation |
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The pre-operative evaluation allows to estimate the
requirements of the patient, the type and the
localization of the skin, the type of prosthesis to
use. The largeness of the prosthesis can be chosen
among several existing measures, according to the
desire of the patient of having a more or little
voluminous breast and to the cutaneous situation
that can advise a greater or a smaller measure. |
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Operation |
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Through small incisions carried out in less visible
zones (around the areola, submammary furrow,
axillary) is obtained a pocket under the gland or
under the pectoral muscle, where will be inserted
the chosen prosthesis |
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Postoperative course |
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This type of surgery is always performed in general
anaesthesia and demands an hospitalization of 24/48 hours.
After the operation it should be avoided to make wide
movements with the arms for approximately 2 weeks. The
stichs will be removed after about 8/10 days. |
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Breast Reduction and Mastopexy |
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A voluminous breast can be the cause of many
psychological and functional problems. A woman with
a big breast looks larger than she really is and can
meet difficulty in dressing herself. Often young
women with big breast do not have a normal bearing
and regular attitudes for the conscious and
unconscious attempts to reduce the obvious abundance
of their breast; all this, time after time can lead
to a cervical arthritis or to a curve of the thorax.
A voluminous breast can effectively limit the
abilities to carry out some occupations of daily
life and also some sports, such as tennis, footing
and golf. |
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Operation |
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The gigantomastya can provoke problems of
maceration, intertrigo and other dermatosis of the
submammary furrow caused by the constant contact of
cutis with cutis. Breasts with excessive volume and
weight and also with ptosis, can be reduced and
reshaped with an operation of breast reduction. With
this technique, not only is removed a part of the
gland in order to obtain a volume reduction, but
also the nipples are repositioned and the skin in
excess is eliminated in order to obtain a nice
shape. When the volume of the breast is adequate,
but dislocated differently regarding its natural
position, the operation is limited to the single
reshaping of the breast, without removing glandular
tissue (mastopexy). The incisions that are carried
out during the operation leave scars that will
progressively become almost invisible. The scar
usually has the shape of an anchor, from the areola
vertically towards the bottom and horizontally in
the submammary furrow. But the remarkable
improvement of the shape and of the dimensions of
the breast, however, minimize the disadvantage of
the presence of the scars, disadvantage that the
patients accept without problems, in case they have
correctly been informed before the operation. |
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Postoperative course |
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The operation of breast reduction and mastopexy are
always carried out in general anaesthesia, the
post-operative course is not painful, with an
hospitalization of about 1/2 days. Sutures will be
removed within 10/15 days from the operation.
Patients who received this treatment must avoid for
a period of about 20 days intense physical
activities. For a period at least of 3 months the
breast should always be supported by a bra. |
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