Pectoral augmentation – Micirugiaplastica

The most requested surgeries

Intended to reshape the pectoral area is pectoral augmentation.

Pectoral augmentation is the surgery performed to visually increase the area thanks to a prosthesis or a fat autograft.

Am I a candidate for a pectoral augmentation?

The pectoral augmentation is the surgery that aims to increase the size of the pectoral area.

Therefore, if you present:

an absence of pectoral muscle development, despite physical exercise or
asymmetries or malformations such as Poland syndrome

YOU ARE A GOOD CANDIDATE !!

pectoral augmentation, pectoral prosthesis, pectoral fat autograft

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Free first medical visit

In the first consultation of a pectoral augmentation, we take a complete medical history with anamnesis and after exposing your expectations, the plastic surgeon evaluates your type of breast, size, location and characteristics of the areolas, quality of your skin, structure of the thorax, quantity of adipose gland or panniculus, or the possible existence of malformations (Poland syndrome or thorax excavatum) or asymmetries.

After this preliminary analysis, we share with you your expectations regarding size and shape. With this study we will already be able to decide both the type of procedure to be performed (prosthesis or fat autograft) and the access routes (scar) that we will use for the placement of your implant and its final location.

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What is the price of a pectoral augmentation?

We offer you the highest medical quality at the best price. We take care of everything so that you don’t have to worry about a thing. All these services are included in the price of the pectoral augmentation intervention:

Preoperative study (surgery, nursing, anesthesia consultation and all complementary tests included).
Operating room, hospitalization and prosthesis expenses.
Bra
Postoperative follow-up at 24 hours.
Postoperative medical check-ups until discharge including pain management for greater comfort.

Preoperative

In order for you to be able to do a pectoral augmentation with total safety, we must assess your general condition based on your possible drug and environmental allergies, personal and family pathological history, habitual and past medication, possible previous surgical interventions, toxic habits (tobacco), etc.

It is also necessary to have a general analysis, chest x-ray, electrocardiogram and sometimes a mammogram. With this study you will be visited by an anesthesiologist who will verify the results, as well as solve your doubts.

At the Guadalupe González Clinic we will also take preoperative photographs, which will help us before, during and after pectoral augmentation.

Surgical technique

We perform the surgery in the operating room, under general anesthesia. The pectoral augmentation intervention usually lasts between 1 and 2 hours. There are basically two techniques: the autograft of fat or the implant of prosthesis.

If a fat autograft is performed, usually under general anesthesia. A liposuction is performed using the area with the most fat accumulation as the fat donor area. This fat is further processed to separate by density the pure fat cells from the blood components and the triglycerides in suspension. These fatty grafts obtained, depending on their size, are ready to be implanted in the pectoral in deeper or more superficial planes. This procedure can also be combined with regenerative medicine treatments in which stem cells or stem cells are used, which are obtained in the same process of treating fat. Afterwards, a dressing is placed.

If you have chosen to implant a prosthesis, the surgical incision is made in the previously determined area:

Axillary
Periareolar (lower half of the areolar border)
Inframammary (fold under the breast), depending on your characteristics.

The axillary and periareolar incisions are the most common.

Depending on the location determined for the prosthesis (subglandular or submuscular) the procedure differs.

For the implantation of the subglandular prosthesis, after the skin incision, we dissect the mammary gland to create a “pocket” in which the prosthesis is placed.

Unlike the submuscular implant, where after the skin incision, we dissect the pectoralis major muscle creating the “pocket” where we place the prosthesis.

At the end of the pectoral augmentation, a drain and a bandage are placed.

POSTOPERATIVE

The first 24 hours, hospital admission to the clinic with the relevant bandage is recommended, receiving treatment with intravenous analgesic.

From the second day, you can be discharged from the hospital with oral medication and following the surgeon’s instructions.

It is normal for inflammation, a sensation of pain, occasional stinging and tingling or burning in the nipples to appear, which you can calm with medication and postoperative treatment as well as cryotherapy.

Between the fourth or sixth day, we do the control in the consultation where we will remove the bandage and begin neural therapy for your greater comfort. We recommend the use of a special seamless sports bra, which you must wear continuously day and night for four weeks.

You will be able to incorporate relatively quickly into daily and work life, always following the specialist’s instructions, limiting strong physical activities for a few weeks, until you recover from the intervention.

The sutures are removed between 7 – 10 days after the operation and the aesthetic treatment of the scars begins so that in the future they are as imperceptible as possible. Scars appear pink at first. From the 2nd or 3rd month they improve aesthetically. The final appearance of these scars is variable, depending on the characteristics of the skin of each person.

It is possible that, at first, the chest area is inflamed. As the inflammation decreases and the tissues give way, they will be placed in their natural position.

FAQ’s

About pectoral augmentation

What complications can appear if I undergo a pectoral augmentation?

Pectoral augmentation surgery is a safe technique, as long as it is performed by a qualified plastic surgeon. However, as in any operation, there can always be complications and associated risks.

The most common complication that could appear is capsular contracture, which occurs when the scar tissue that forms around the prosthesis after its placement, contracts and thickens, making the chest area have a harder consistency. To prevent this complication, we start prophylactic medical treatments already during the surgery to prevent it from happening.

This complication, if it appears, usually does so progressively, being able to act medically during this process. If, despite this, we cannot stop the appearance of the capsule, on rare occasions a new surgery is required to treat the capsule.

Another possible complication, typical of any surgery, would be the hematoma that only in specific cases requires a new intervention to remove the accumulated blood. For this reason, our patients are discharged with drains, to control the state of the prosthetic cavity as much as possible and to be able to treat immediately if this complication appears.

It could also appear alterations of the sensitivity in the nipples, and even, without sensitivity. These changes are usually temporary, although in a few cases they can become permanent. It is extremely rare for prostheses to break spontaneously. Infection would also be another extremely unusual complication.

Can I lose feeling?

The sensitivity of the pectoral area, and more specifically the area of the areola and the nipple, depends on sensitive nerves called intercostals that, as their name indicates, cross the intercostal muscles, reaching the surface of the skin, sensibly innervating the areola. During the intervention, these nerves can be damaged, especially when too large pectoral prostheses are placed.

What types of prostheses are there to perform a pectoral augmentation?

There are many types of valid prostheses for a breast augmentation. The main differences have to do with the desired pectoral shape, the one that is most flattering for your case, and others have to do with the quality of the materials with which they are made.

Depending on their shape, the prostheses can be round or anatomical. With regard to texture, there are smooth and rough prostheses. The quality of the materials is very important. The prostheses are distinguished by being covered in silicone or polyurethane. The internal material is also a factor to consider. Current prostheses are made with cohesive silicone gel, which prevents the content from spreading in the event of a breakage.

How long does a pectoral prosthesis last?

Currently, cohesive gel prostheses, in case of breakage, their content would not spread outside the prosthesis shell.

This, together with the fact that the covers that surround a prosthesis are of a much higher quality and also the manufacturing process of these prostheses, make them a material that lasts much longer than the prostheses that were manufactured previously. The manufacturers assure that they never need to be replaced, which means that a high-quality prosthesis, like the ones we use in our clinic, can last the rest of the patient’s life. However, there are no scientific studies that have yet been able to verify that such prostheses can last “forever”, since their manufacture is relatively recent.

How to choose the size of a pectoral prosthesis?

When choosing prostheses, a number of important factors must be taken into account so that the result is completely natural.

This is the key to any breast augmentation. To decide which prosthesis to choose for each patient, we take into account your expectations, your pectoral structure, constitution and skin quality.

What is the rippling effect in a breast augmentation procedure?

The Rippling effect is a type of deformity that occurs when the patient is very thin and does not offer sufficient coverage to the prosthesis. If the prosthesis we place is too large, the ripples on the surface of the prosthesis will be visible on the surface of the patient’s skin.