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Reporting: Débora Lublinski – Editing: MdeMulher (/)
If your consumer dream is to have bigger breasts, get ready: here’s a super dossier on silicone prostheses – the latest techniques, the most frequent questions and the details that not all doctors reveal. tells you everything, bit by bit!
What do you need to know before making a decision?
When you see your image reflected in the mirror, you like the set. But of course, like every woman, she’s always looking for a touch up here, another one there. That’s why undergoing surgery to increase breast size is among your projects. If you’re really determined, know that you’ll need to play the investigative reporter: talk to friends who have already boosted their look and, of course, choose a good plastic surgeon.
It is worth making an appointment with two or three professionals. “Each surgeon has their preference for a certain technique”, says Gisela Pontes, a plastic surgeon from Rio de Janeiro. This does not mean that one is right and the other wrong. “But it is very important that there is harmony and complicity between the two sides to reduce any frustration with the result”, says José Carlos de Carvalho, a plastic surgeon from São Paulo. With the help of the three specialists mentioned above, you stay on top of the subject, clear your main doubts and feel even more confident about what you want.
The preoperative
In the second appointment with your surgeon, you should take blood and image tests that attest that your health is on top and that you can have the surgery. After that, it is recommended not to drink or smoke for at least two weeks before the operation. See the most common exams:
· Blood count
· Coagulation test
· Kidney function
· HIV
· Electrocardiogram
· Breast ultrasound (women under 35)
· Mammography (women over 35)
Where does the silicone go?
Underneath the gland: the prosthesis is placed between the breast tissue and the pectoral muscle. This facilitates the surgery and causes less pain for the patient after the operation. But the implant may be visible if the patient is very thin, because, as it is a more superficial region, there is not enough skin to cover the edges of the prosthesis.
Underneath the muscle: this is a more sophisticated technique, as the plastic surgeon will need to reach the muscle to accommodate the prosthesis. As it is installed deeper, the result is more natural, especially for thin women. This location also reduces the danger of capsular contracture, one of the risks of this surgery, and facilitates the performance of mammograms. On the other hand, in the first few days after the surgery, the pain is intense. Another disadvantage: there is a greater risk of dislocation if the woman’s muscle is very strong.
And the scar, where is it?
On the breast: the cut is made in the grooves below the breasts, which facilitates access to the place where the prosthesis will be placed. On the other hand, the scar is more evident when wearing a bikini and, worse, the region favors poor healing for those with a tendency to keloids.
On the areola: the scar is almost imperceptible, positioned in a half circle between the areola and the skin of the breast. Some physicians believe, however, that this access route is contraindicated for women who have not yet had children for two reasons: the first because there is no excess skin in the nipple area and the second because it harms the mammary glands in future breastfeeding. There is also the issue of loss of erotic sensitivity. Those who defend the technique, however, claim that none of this happens when correctly performed.
In the armpit: no breast scarring is the main advantage here. The cut is made in the armpits, a place with little incidence of keloids. On the other hand, there is a line of research that believes that the formation of a scar in this area could mask the identification of breast cancer, as the sentinel nodes are located there, the first structures to give a sign of the disease’s worsening. There is, however, a lot of discussion on the subject since many professionals do not believe in this danger when the technique is well done.
the right size
A big breast for you may be small for your friend… As this is a very subjective question, you can spend your Portuguese (why not show pictures?) on this subject with your doctor. This is the only way for the two to arrive at the date of the surgery speaking the same language.
But be aware that the choice of size takes into account three variables: shape (round or drop), volume (amount in milliliters) and projection (i.e., the height of the prosthesis on the body, which can be high, low, moderate or extra-projected). . Because of all this math, it is the surgeon who will know the best combination to make your silhouette proportionate.
The doctor also needs to predict whether the patient has a tendency to gain weight or is planning a pregnancy, which would make an overly large prosthesis unfeasible.
Anyway, there are some resources not to miss. The first is to “try on” different prostheses under a top in the office. The second, during surgery, the doctor simulates the final result with disposable molds of different sizes. All these tools guarantee greater satisfaction with the final result.
What is capsular contracture?
Despite the weird name, you need to know what it is: it is natural for the body to react to the placement of the prosthesis by forming a fibrous membrane around it. But there are cases in which this tissue becomes thick, hardening or even deforming the implant.
This leaves you with an artificial appearance and, in the most severe cases, causes pain. Nowadays, the incidence of this phenomenon is small – from 2 to 4% of patients suffer from the problem – thanks to the quality of the material of the prostheses.
It is known that, with textured ones (with wrinkles on the surface) and polyurethane ones (a foam), the risk of contracture is lower than when using a smooth prosthesis. To treat capsular contracture, one must remove the implant and then place another one.
The importance of the drain
Although it is not the norm, some patients leave the operating room with a drain. It is a kind of tube placed in the cut that has the function of excreting secretions. In addition to reducing the occurrence of capsular contracture, the drain keeps the operated area dry and clean, accelerating recovery. It is removed two days after surgery. Before that, know that you can’t shower.
post surgery care
When it comes to placing silicone, we get so excited that we can forget about some setbacks after the operation. To guarantee the result, you will need calm to return to the routine. But the recovery time depends as much on the doctor’s technique as on your body. See how the evolution is, on average.
· Rest at home for the first two or three days.
· Do not change, move or wet the dressing until the first visit to the doctor. That means cat bath for the first few days.
· The drain is removed two or three days after surgery.
· You can return to work after seven days.
· Avoid washing your hair alone in the first week.
· The stitches are removed from seven to 14 days after the surgery.
· You should sleep on your back for seven to 14 days after surgery.
· Avoid raising your arms above shoulder height for two weeks.
· Do not drive for 20 days to prevent displacement of the prosthesis in case of an accident.
· You can go back to cycling or walking on the treadmill after three weeks, as long as you move your arms and chest as little as possible.
· Swimming, yoga, tennis or bodybuilding for upper limbs are only allowed after two months.
· Only sunbathe three months after the surgery with white tape over the scars and lots of sunscreen. Exposure without protection is allowed only after one year. This prevents thick, dark scars.
· The final result appears between three and six months. Before that, do not consider the size and consistency of the breasts definitive, as they may be swollen.
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