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Additive Mastoplasty: employing hybrid techniques for more satisfactory results

Breast augmentation surgery aims to increase breast volume through the use of breast implants. Over the years, the techniques for this procedure have evolved significantly, and today it can be performed using different techniques depending on the specific situation of the patient, ensuring a more harmonious and natural result.

How breast augmentation surgery is performed

The evolution of techniques has brought numerous innovations in the field of breast augmentation. In addition to traditional breast implantation, this surgery can now include breast lifting (mastopexy) and autologous fat transfer (known as lipofilling), ensuring a better and more natural aesthetic effect. The new frontiers of breast augmentation are represented by the use of mixed techniques, which include regenerative surgery and aesthetic surgery. In hybrid breast augmentation, for example, breast implants and adipose tissue are used, taken from an accumulation considered aesthetically displeasing and used to “shape” the breast to achieve a more satisfying result. Hybrid breast augmentation is also a less invasive technique than traditional breast augmentation and allows for a substantially immediate return to normal daily activities. In any case, breast augmentation involves the placement of breast implants, positioned in a “pocket” created by the surgeon during the first phase of the procedure. Usually, this space is created in an intermediate position between the breast gland and the major pectoral muscle. To minimize the aesthetic impact, small incisions through which the implants are inserted are made around the areola or in the inframammary fold. This way, the scars, thin and barely visible after healing, remain hidden under the natural fold of the breast. The breast augmentation procedure lasts about an hour in total and can be performed under local or general anesthesia. Once completed, the patient is fitted with a compressive dressing, later replaced by a supportive bra to be worn for several weeks to promote fluid drainage and faster tissue healing. In the immediate post-operative phase, there may be swelling, and the breasts may appear slightly larger and firmer. However, the aesthetic result of breast augmentation is immediately visible, and the breasts continue to refine in the months following the procedure, assuming a natural consistency and shape.

The latest generation breast implants

Breast implants used for breast augmentation have evolved significantly in recent years. They consist of an outer shell containing medical-grade silicone gel. The characteristics of the gel allow the implants to take on a wide range of combinations of volume, shape, and projection, thus ensuring satisfaction with any aesthetic requirement. This feature also allows for a shallower implantation and a consequent faster return to normal daily activities. The evolution of materials has made breast implants much safer than those used in the past. Today, for example, the risk of capsular contracture, one of the most common complications following breast augmentation surgery, is extremely reduced thanks to the characteristics of the implant surface, which is no longer textured but has very small micrometric undulations that make it practically smooth.

Who is breast augmentation surgery for?

Breast augmentation is a procedure requested by both young women who are not satisfied with their breasts, perhaps perceived as inadequate for their physical constitution, and by older women eager to restore harmony with their bodies compromised by aging, pregnancies, or significant weight loss. As it is natural, breast augmentation is a procedure that requires strong customization. For its success, it is essential that the surgeon adequately understands the specific needs of the patient. Therefore, the pre-operative consultation is important, during which the expectations of the surgery must be well understood. At the end of this initial visit, the surgeon agrees with the patient on the details of the procedure and the choice of suitable implants, ensuring the achievement of the best possible aesthetic result.

A regulated environment to ensure patient safety

The area of MiniHospital “Sandro Pertini” dedicated to surgery includes two operating rooms compliant with the highest level of safety and equipped with state-of-the-art instruments and technologies: one of them follows the ISO 7 standard and the other the ISO 5 standard. This allows plastic surgeons operating there to have an ideal environment from a safety standpoint. The specialists performing breast augmentation surgery at MiniHospital are Dr. Giovanni Licata e il Dr. Gianfranco Romeo.

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