Breast augmentation surger with prosthesis | Augmentation mammoplasty

English subtitled video

Breast augmentation with prosthesis is an operation known technically as augmentation mammoplasty. It involves inserting round or anatomical implants, adapted to the patient’s physiognomy. Our plastic surgeons at Clínica Sanza, with more than 30 years dedicated exclusively to plastic surgery, advise the patient on what would be best in their case, bearing in mind that the patient has the last word.

This operation can be carried out in different ways depending on the type of prosthesis we place, where it is placed exactly and the size chosen by the patient. This operation involves changing the volume and shape of the mammae.

Clínica Sanza in Barcelona is a centre of reference in breast augmentation surgery with prosthesis.

WHERE DO WE OPERATE?

At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.
Its prestige, facilities, medical and healthcare staff, as well as its technology are a guarantee.

BARCELONA: A HEALTH HUB

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PATIENT’S PROFILE

Generally, women who consider that their breasts are too small, and people who want a gender change.

This intervention is also indicated for the breast asymmetrie corrections, and the restoration of the natural volume after pregnancy and lactation, loss of weight or the age.

Breasts reconstruction after the extirpation of the breast by medical causes, such as tumors and cancer, deserve a special treatment. If this is your case, consult our section: Breast reconstruction, where you will find all the information you need.

PROCEDURE

The doctor will make a previous evaluation of each case to ensure that the final result is appropriate to the wishes and needs of the patient. In this phase, the specialist will value the volume, the projection of the breast, the skin quality and the physical constitution, among other factors. Depending on the type of breast you want, we will advise round or drop prosthesis with more or less base and projection.

The doctor will then advise on the access area and the position of the prosthesis. The implants can be placed via the submammary, abdominal, transareolar, axillary or periareolar, which is usually the most common.

The prostheses are placed in three zones: under the gland, under the muscular fascia or under the pectoral muscle. The volume of the existing breast prior to the intervention will determine the location. Generally, they are usually placed under the muscle since the aesthetic and functional results are more satisfactory.

Finally, the incision is sutured and the drains are placed, which must be worn for 24 hours.

We advise you to show us a picture of the type of breast you desire to specify more accurately the type of implant and determine which anatomical structure is best.

DURATION OF THE INTERVENTION

From 1 to 2 hours.

PROTOCOL

Pre-surgery

Evaluation of the area to determine if the treatment is suitable.
Following the correct guidelines that are set by the doctor.
Blood tests and general testing (cardiac and respiratory diagnostics).
Ultrasound scan and/or a mammography.

Anesthesia

Local and sedation.

Hospitalization

Ambulatory or 24h hospitalization.

Post-surgery

Medication if required.
Drainage and compression bandage from 24 to 48 h.
Once drainage and bandages are removed, use of a special bra.
Mandatory revisions after a few days, a few weeks and a few months, according to prescription.

Convalescence

From 3 to 4 days.
Avoid picking up weights and making abrupt movements from 10 to 20 days.
Use of sports bra, and comfortable and loose clothing the first few days.
Do not play sports or activities that require effort for at least a month.

RESULTS / OUTCOME

Desired breast augmentation.
Breasts replacement.
Breasts balance and symmetry.
Natural and perfect appearance and consistency of the treated breasts.
Improvement of the patient’s psychological profile and self-esteem.

DIFFICULTY DEGREE

Simple intervention.

LEVEL OF RISK

Low.
Common risks the intervention could have: Capsular contracture, implant rupture, implant rotation, rejection.
Risks of all interventions: hemorrhage, infection, scarring alteration.

BEFORE/AFTER PHOTOS

Do you want to know what breast scars look like?

We have a very informative article that talks in detail and shows graphics of what breast operation scars look like, where the scar is made, and much more.

Find out more about what breast surgery scars look like

Video of breast augmentation operation with prostheses

If you want to see how a real breast augmentation operation with prostheses is performed, this is the video for you. It has been filmed in fast motion because the real operation lasts more than 1 hour. It is a complete filming, it shows from when the anaesthesia is administered, through the cuts with the scalpel, placement of the breast prostheses, until the patient is sutured and bandaged.

There is no audio.

WARNING: This is a video of a real operation, we warn that it may cause an impression and hurt the sensitivity of some people.

Play Video

Whatever your case may be, do not hesitate in contacting us.

Clínica Sanza in Barcelona, Spain, quality service

Frequently asked questions about breast prosthesis surgery

What are the most common reasons for having breast augmentation surgery with a prosthesis?

Having larger breasts is a natural desire among women with small breasts, significantly different breasts in shape and volume, and even in women who have small breasts and sagging due to breastfeeding or age. The increase of mammary volume replaces the proportions of the trunk with the waist and improving self-perception and self-esteem.

What are the best prostheses?

It’s a difficult question to answer. Is there the best car, the best bag, the best watch?

In Europe there are only the prostheses with EEC (European Economic Community) markings, and all of them have very rigorous quality controls. that is to say, they are all equally good.

Only the guarantees differentiate them:

10 years
20 years
For life

At Clinica Sanza we only use or recommend the lifetime warranty.

¿Are smooth or rough prostheses better?

Until 1 or 2 years ago, rough prostheses were used, but now there has been a change since it was discovered that they can cause a type of Lymphoma (LACG). For this reason, at Clínica Sanza we place smooth prostheses again but with the same guarantees of contracture and/or breakage for life. We consider that we do not want risks for our patients even though they are unlikely. We seek maximum safety.

Who is a candidate for breast augmentation surgery?

All those women who have reached the fullness of breast development and are not satisfied with the size of their breasts because they consider them small, women who feel displeasure for the way in which the bras fit because of the shape of the breast, women whose breasts after periods of breastfeeding become flaccid and saggy, women with sagging breasts due to an accentuated weight loss, women with breast asymmetries (one breast different from the other) and women who require breast reconstruction due to tumors.

At what age can breast implants be placed?

Augmentation mammoplasty can be performed as soon as a person has completed breast development. Some women have already completed this development by the age of 17.

What is a breast implant?

It is an element used to increase breast volume, the most popular and most used implants worldwide are silicone, a derivative of silica, and that can be placed retropectorally (behind the pectoral muscle) or prepectorally (in front of the pectoral muscle).

What is the difference between a round or anatomical prosthesis?

As their names indicate, they are prostheses with different shapes, the round one is of circular shape where the point of greater projection is the center of the same one whereas the anatomical one is a prosthesis of piriform form where the point of greater projection is towards the lower quadrants. The projections, measures and forms are points to be precise in the medical visit where a team of specialists awaits you in Clinica Sanza.

How is the procedure done?

In Clinica Sanza we perform the procedure in the operating room under local anesthesia and sedation, is a completely painless procedure where the patient is asleep and does not notice any painful stimulus.

Do you require hospitalization?

The procedure usually does not require hospitalization, it is on an outpatient basis, unless the patient requires it.

How’s the post-op?

The postoperative period is slightly painful and tolerable, where for the first 24 hours the patient will wear a compressive bandage and drains, which will later be removed. Then we will place a special post-operative bra and in many cases an elastic band around the chest. The recovery is gradually progressive with noticeable improvement after 72 hours where the patient can be incorporated into regular activities of little physical effort.

How long do I need to be on leave?

The recovery for work activities is on average between 10 and 14 days….. However, each case is individualized by virtue of the physical effort you make in your work, for some cases fewer days of rest are required and for others more.

Are there any visible scars?

Surgical approaches leave scars, which at Clínica Sanza we do our best to make them imperceptible. The surgery can be done depending on each case by means of approaches in the armpit, in the areola or in the submammary fold. Generally complying with the indications and post-operative recommendations whatever the approach used, the scars are not very visible and practically imperceptible after a certain period of time after surgery.

Will I be able to breastfeed after breast augmentation?

There is no problem with breastfeeding, after recovery and that the tissues are scarred the restitution of the tissue is complete with what you can breastfeed normally.

Will I lose the sensitivity of the areola and nipples?

Sensitivity is not affected in most cases, however in some cases in the first months after surgery is quite the opposite, there may be hypersensitivity, in other less frequent cases there may be decreased sensitivity, but in both cases after a short time is fully recovered.