INTERMEDLINE provides the best offers for dental, cosmetic surgery, balneary, wellness and travel in Romania, from which you can choose the one corresponding from all points of view to your
INTERMEDLINE provides the best offers for dental, cosmetic surgery, balneary, wellness and travel in Romania, from which you can choose the one corresponding from all points of view to your requirements.
1. TOP COSMETIC SURGERY
Breast augmentation using implants has become one of the most
common procedures in Aesthetic Surgery. There are two main
groups of women seeking breast augmentation for aesthetic reasons:
● women who are dissatisfied with the size of their breasts
● women who have had normal breast development but the breast
size has decreased following pregnancy/or increasing age
Breast implants could be used for correction of breast asymmetry.
3. ABOUT THE IMPLANTS
The material usually used for breast implants is silicon, which due to its biocompatibility is
most frequently used for medical implants. Besides it’s using for breast implants, silicon is
used for many others medical purposes: cover for surgical suture material, protection layer for
artificial heart valves, and silicon prostheses for patients with orthopedic diseases. For
approximately 12 years there has been the suspicion that there is a connection between silicon
implants and two specific diseases: breast cancer and autoimmune disease. Scientific data
from more than 2,000,000 women with mammary implants were collected throughout the
world. They attest that there is no evidence, which suggests that silicone would cause any type
of cancer or autoimmune disease. The results are communicated by the University of Southern
California "Official of Plastic and Reconstructive Surgery”, University of Calgary - Canada
'Official English Medicine, Mayo Clinic - U.S. and all attest that there is not an increased risk
for breast cancer for women with silicon implants. Autoimmune disease is a general term to
describe an immune system that responds to defensive substances that are part of the body.
These problems occur spontaneously to the regular population. The theory concerning the fact
that silicone could cause autoimmune disease is wrong, and this is demonstrated by numerous
tests performed on groups of women with breast implants. Clinical studies have demonstrated
that there is no connection between silicone implants and the tissue disorder. There are
studies that continue to check these results on a large group of women, on a long term. Breast
implants are either filled with silicone gel or filled intra-operative with saline solution. In
recent years, gel implants have returned in use in the entire Europe and since 2007 it is
decided that they can be used again in the United States as well according to FDA decision.
Breast implants do not affect pregnancy, fetal development, breast feeding or health of
breastfed children. The life expectancy of the implant is unpredictable
4. Type of implants
There are two main types of implants: saline filled and silicone-gel-
filled. The main disadvantage of saline-filled is deflation and rippling.
In case of rupture liquid silicone gel filled implants could provoke
local disorders that can lead to siliconoma formation and
impregnation of the surrounding tissue. The silicone implants used
today are filled with cohesive silicone, which even cut open can not
leak. Regarding the form of the implants there are two types:
There are important benefits of breast augmentation – enlargement and a balance in breast
size, symmetrical form and contour of the breast and improvement of the self-image and self-
esteem. The possible complications of breast augmentation are infection, bleeding, poor
wound healing, asymmetry, rippling, capsular contracture etc. You should weight these risks
against the benefits of the procedure. So you can make an informed decision about whether
to proceed with surgery.
Finally, after clearly understanding of the implications and outcomes of surgical procedure
you will sign the informed consent.
The augmented breast should look natural and proportional after surgery. Therefore,
communication about what you desire and what is possible to do is extremely important.
Breast shape is a common doctor and patient decision.
6. PREOPERATIVE RECOMMENDATIONS
● Before surgery, you should make an ecography or mammography;
● Do not eat and drink nothing after midnight before the surgery;
● It is forbidden to take an aspirin and any other medicines containing aspirin, with 2
weeks before the surgery;
● Usually, the surgery must be performed outside the menstrual period;
● You must prevent the surgeon and the anesthesiologist if you have medical problems
(vascular tension, vascular problems, stroke, diabetes, lung problems, bleeding problems,
epilepsy, neurological problems, allergies to various medications);
● The physician must be notified if you have a set of plates or eye lenses;
● If you smoke, plan to quit 2 weeks before the operation and do not start to smoke again
for at least 2 weeks after the surgery;
● Avoid sunbathing in excess before surgery
● Do not follow a strict diet before surgery because it might delay the healing process;
● If you catch a cold or have any infection the surgery must be rescheduled.
7. PREOPERATIVE PLANNING
Planning of desired form and implant selection
There are several essential steps in planning the desired form of the breast and implant
selection. First of all, we should not think about the volume, but about dimension
The desired breast width and the tissue thickness allow us to determine the implant width.
Round implants are selected in women who request them because they prefer greater
volume in the upper pole.
The anatomical implants are indicated when the patients desire more natural and
proportional aspect of the breasts. The differences between width, height and projection
allow choosing the most appropriate implants regarding anatomical particularities of the
The anatomic implants with greater height then width and more inferior pole projection are
most favorable for patients with taller, narrower torso.
Implants with greater width than height are a good choice for augmentation when the
patient has a shorter, wider torso. Full projection implants are indicated for patients with
loose skin envelope with atrophic parenchyma.
Pocket plane selection
8. The placement of implant may be:
● dual plane
The subglandular placement is below the breast tissue and above the muscular fascia. This
placement works best in patients who have adequate soft tissue coverage with the thickness
of more then 2 cm and degree of ptosis. It also may be favorable for patients which want to
continue active exercise program.
The subfascial placement is below pectoralis major fascia but the longer pole is relatively easy
to dissect. This plan does not add much more tissue over the implant, because the thickness
of the fascia is less than one millimeter. The advantage of this placement is that an upper pole
fascia conceals the upper edge of implant.
The total sub muscular placement is above the chest wall and below portions of pectoralis
major and minor, serratus anterior, rectus abdominis and external oblique muscles. The pros
are that the implants will not drop in time. On the other hand, pseudoptosis of the breast
could occur later.
9. The subpectoral placement is above the chest wall and below the pectoralis major
superiorly and in the subglandular or subfascial plane inferiorly.
The dual plane is actually a variation of the subpectoral plane augmentation.
This variation permits expansion and redraping the gland tissue over the implant, creating
a pleasing breast appearance.
Breast augmentation is usually performed under general anesthesia and it takes between 1
and 2 hours
Four incisions are used for breast augmentation:
10. We prefer as a first choice the inframammary and as a secondary choice the periareloar
The advantages of the inframammary approach are:
● Straightforward approach
● Better visualization of the breast pocket
● Easy incision and dissection f the pectoralis major insertion
● The scar is inconspicuous, placed right at the level of the new inframammary fold
The surgeon tries to make an incision as small as possible and less visible. The implants filled
with serum can be inserted through an incision of 2, 5-3 centimeters and the gel filled implants
can be inserted through an incision of 5-5, 5 centimeters. During the past few years, we
introduce the implants in the pocket above or beneath the pectoralis muscle depending on the
initial appearance of breasts (tegument quality, the degree of mammary ptosis, thickness of the
gland and adipose tissue). The advantages and disadvantages of such alternatives on the
incision area and the positioning of the implants must be discussed in detail within the
preoperative consultation. After the surgery drainage tubes are attached for 24 hours, in order
to avoid the formation of hematoma, which encourages the occurrence of the capsular
11. POSTOPERATIVE HOSPITALIZATION
A 1 to 3 days postoperative hospitalization is required and during this period antibiotics are
administrated. You will probably experience some pain and initial discomfort following the
operation for the first 24-48 hours, especially if the implants are placed under the pectoralis
major muscle but you will be prescribed pain-control and antiinflamatory drogs.
Stitches will be removed at 12 days after surgery, even by the family doctor. But usually the
wound is closed with absorbable stitches. Therefore there is no need to remove it. The
patient will wear for 2 or 3 months a suitable brassier well adapted to the new shape and
volume of the breasts. It is usually recommended to avoid intense physical efforts for the
first 2 or 3 weeks. As for the scars you must know that for the first 6 months they will
blemish and swell but in about 9 months maximum one year after the surgery they will
flatten and fade.
The most important aspect of this surgical procedure is you personal wish and decision.You
should take in consideration that today’s trend in breast augmentation is “natural look”. The
benefit of this procedure from the emotional and psychological point of view is the boost of
your self-confidence through achieving a new “look”. The main satisfaction for surgeon and
patient is to see the augmented breast like one good looking naturally and being proportional.
13. LIFT YOUR LOOK AND LIFT YOUR LIFE!
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