As the name suggests, breast augmentation is a procedure performed to increase the volume of underdeveloped breasts or atrophied breasts after maternity. This technique can also be performed to correct mammary asymmetry and correction in the treatment of mastectomy patients.
Before the operation, Dr. Antonio Garcia estimates the volume, projection and shape of the breasts in order to indicate the right breast implant for each patient, according to taste or defect to be corrected. At CENTRO SALUD ESTÉTICA we provide over 240 different sizes and shapes as well as external shapes from which the patient can choose.
Several surgical procedures are taken to perform this surgery, the most indicated is a small incision in the breast fold, as it does not alter or cut the mammary gland, and this favours subsequent mammograms.
This surgery is performed under general or local anaesthesia (epidural) with sedation, in order to relax the patient, who will fall into a deep sleep for the duration of the intervention, but very light, superficial and absolutely painless. The prostheses used are made of highly cohesive silicone gel, which means that in case the prosthesis breaks, the filler will not leak out, as it is very dense and compact. They can be round or have an anatomical teardrop shape (which are the most frequently used) and Dr. Antonio Garcia usually places them, under the pectoral muscle, which gives a totally natural result.
The risk of capsular contracture
Aside from (very rare) complications, there is a case upon which we ought to focus. It is the capsular contracture (encapsulation), consisting of an insulation reaction caused by any foreign body introduced into the body. It creates a fibrous capsule around the implant, which is naturally very thin but sometimes it thickens – usually caused by not following the recommended resting time – and this compresses the prosthesis within a few months of surgery. The capsule is sometimes so hard and firm that it alters the appearance of the breast, producing a sensation of stiffness that needs intervention in order to break the internal scar.
Encapsulation is clearly associated with subclinical breast infections, which are increased in cases of surgical approaches from the areola and the stent placement above the muscle (increasing the risk of long-term capsular contracture at 60% -70%). There is also a clear relationship between encapsulation and the appearance of postsurgical bleeding, so Dr. Antonio Garcia recommends limiting the movement of the arms during the first month.