Mammary and prostheses

This intervention makes it possible to amend the volume of the breasts insufficiently developed compared to the morphology of the patient.

The hypoplasia can exist from the start (small breasts since puberty), or occur after an important reducing, or a pregnancy.

Surgical operation increases the volume of the bosom, by the installation of a mammary prosthesis.

The hypoplasia can be isolated or associated with a ptosis, which will be corrected in same time.

The best indications of the processing of a mammary hypoplasia are:

• when the volume of the breasts is insufficient since puberty.
  
  
• when the volume of the breasts decreased much, after a reducing, a pregnancy or a breast feeding.
  
  
• when there exists an asymmetry between the two breasts, one being of normal volume and the other small one.
  

The first consultation is fundamental because it makes it possible to determine your motivations well and to lay down precise objectives.

The medical history and surgical is referred to (allergies and capture…). The gynaecological and obstetrical past is specified thus that a possible capture of birth control pill.

The clinical exam makes it possible to quantify mammary volume and to determine whether there exists a mammary ptosis associated. Measurements are taken and bra cuts it is noted.

The quality of the skin is noted (existence of stretch marks, pigmentation, tonicity), the type of gland is estimated (glandular, greasy or mixed bosom).

Photographic documents are useful for the operational evaluation.

A consultation with the doctor-anesthetist is programmed before the intervention to practice a complete physical exam and to prescribe the complementary examinations necessary.

This consultation makes it possible to refer to the various types of anesthesia, to take all the necessary safety measures.

A mammography or an echography is carried out according to the antecedents, of the quality of gland and to detect a possible associated cyst which will be withdrawn in same time.

Which type of anesthesia will be practiced?
The general anesthesia is indicated for this type of operation.
Usually practiced with the Private clinic Elysium , she answers criteria of maximum security.

Which is the duration of the intervention?
The intervention lasts on average 1 hour.
However, if a mammary ptosis is associated there, its correction being necessary, the entire duration is 2 a.m.

Will there be visible cicatrices?
According to the procedure used, the cicatrice, always small, can be located under the areola at the junction of the pigmented area or under the nipple. It can be located in the hollow (under the arm).
In all the cases, the cicatrices are evolutionary and remain discrete remote in general of the intervention. Very precise consultings are given to minimize the aspect of the cicatrice.
The choice of the cicatrices is function of each typical example and is explained during the consultation.

Which type of prostheses is used?
A mammary prosthesis consists of an envelope (the container) and of a product (contents).
The envelope is in general the same one some that is the type of prosthesis, which is different in fact by nature from their contents.
One thus defines the prostheses in the saline, which are inflated during the operation or already pre-filled.
There exist also the prostheses pre-filled of hydrogel or silicone freezing.

These various prostheses known and are used since many years.

They are usually used, according to selection criteria established between the patient and her surgeon.

In France, in accordance with the legal tendencies, the mammary prostheses used are mammary prostheses filled with saline.

How is held the intervention?
The installation of the mammary prosthesis is carried out starting from described small incision.
The implant can be located in front of the pectoral muscle, or behind this same muscle. This choice depends on the morphology of the patient, of volume of initial gland, and wished final volume, as well as the nature of the prosthesis. Cutaneous closing is made with wire .

A bandage in the form of support gorges, slightly compressive and grinding is implemented.

Which type of bandage will be used?
A slightly compressive bandage, in the form of bra is maintained for a few days. The later mode of application (, bra) is advised according to each typical example, and according to the quality of the skin.

Which is the duration of the hospitalization?
From short duration, it does not exceed in general two days.

The continuations are not very painful in general, and of analgesics are prescribed in a systematic way.
The wire used, are in general and there exists an edema which regresses into 2 or 3 weeks.
Some care like avoiding significant efforts, or a too physical sport during a fifteen or so days are of rigor.

Like any surgical operation, the correction of the mammary hypoplasia can have general complications such as: hematoma, infection, or anesthetic complication. These complications are rare.

In fact, the main disadvantage the occurred possible one of an induration around the prosthesis (hull) which is a form of excessive reaction of the organism compared to the implant. Occurred of a hull is relatively rare. It is not to in no case serious, but it is sometimes painful. It can “disappear or attenuate” under the negotiable instrument of “supported massages” or sometimes require a surgical recovery.

The hulls which can appear remote intervention are a reaction of your organism. They seem less frequent since the manufacture of the new prostheses.

It can also happen that the prosthesis loses volume (deflation) what requires a surgical recovery. This complication which occurs with prostheses filled with saline contains, of the fact even of the nature of the fluid (water), no specific seriousness.

The cicatrices are particularly supervised and are the subject of careful and personalized care. They become of this fact more discrete.

Regular controls make it possible to detect possible “an intolerance”, reaction of the organism, where prosthesis, which it is advisable to supervise and which can result in or a consistency formal amendment of bosom.

Subsequent pregnancies are of course possible, and the medical supervision is continuous.

The operated breasts, evolve/move normally in time and in particular according to the hormonal cycle and of possible variations of weight. The processing of the mammary hypoplasia is thus effective and hard several years.

Only are to be feared and detect an amendment of consistency where of form due to a reaction of the organism compared to the implant.

This simple intervention is carried out starting from a small and discrete incision. If the bosom preserves its flexibility and if there is not a “hull” which occurs, the result is particularly satisfactory on the esthetic level.

The presence of the prosthesis does not amend of anything nature the bosom which remains natural, i.e. there remains sensitive to the hormonal fluctuations and that he allows, if necessary, a possible breast feeding.