Breast augmentation cost type of prosthesis type of hospitalization? Dr Cesare Cappellina replies

Breast augmentation cost: implants have become one of the most widely practiced plastic surgeries, and the number of procedures performed continues to grow. At the same time, the volume of the prostheses that are inserted during this interesting and popular intervention also increases.

discover the history of this surgery

Twenty years ago, the average volume of breast implants was 150 ml; today we go from an average value of 250 ml in Germany to 380 ml in the United States.

Surely the media are responsible for this trend, since they promote the image of an attractive, self-confident and desired woman.

come to visit us at our clinic

To get precise information about the breast augmentation cost, type of prosthesis to be implanted, recovery times, we always recommend coming to visit our clinic: in this way we will be able to be precise about the type of mammoplasty most suitable for our patients, the type of hospitalization, which is usually from morning to afternoon / evening.

Over the phone or without visiting the patient, it becomes impossible to make a rough estimate of all these details.

what you will discover at the consultation moment

during the visit we provide all the information for breast augmentation cost type of prosthesis type of hospitalization

why breast augmentation changed so much?

What was previously considered a technically simple and standardized intervention, with the use of a prosthesis “always” of 150 ml of volume that was always positioned in position under the glandular or under the pectoral muscle, through an incision that was ” always ”followed at the sulcus level, today it has become a technically much more complex and personalized procedure, especially in the choice of the volume of the prosthesis and the incision sites.

why preop is so important?

For this reason, preoperative planning regarding the position and type of incision, as well as the positioning of the type of prosthesis, is essential to obtain a good aesthetic result. In this sense, the moment of the first visit takes on considerable importance. In our clinic we usually perform two visits before surgery, so as to arrive at the day of surgery to have precise ideas on the volume and type of prosthesis to be inserted.

discover the difference between implants

Historically, since the early development stages of silicone implants, anatomical ones have been proposed as an alternative to round ones. However, the shape of these implants was not truly stable, mainly due to the aqueous consistency of the silicone gel. Over the years, the development of a cohesive silicone gel has made it possible to create prostheses that permanently retain their shape.

Depending on the individual needs of each patient, the appropriate product can and should be chosen with the aim of achieving a better aesthetic result.

For this reason it is essential to carry out adequate preoperative planning.

 

which implant will be my choice?

On the day of surgery, an answer must be given to the important question: “what volume of the prosthesis was chosen?”

This decisive aspect should be discussed with the patient and decided before surgery. Even if the exact volume cannot be definitively determined before the intervention, an approximate volume should be indicated and decided together.

How to explain to patients how much is the increase in size with prostheses?

Given that most patients find it difficult to imagine the change in size of the breasts caused by the insertion of the prostheses, most of the preoperative interview must focus on choosing a prosthesis of the appropriate size.

A useful general rule is that the volume of 200,000 is roughly equivalent to an increase of one size.

how to project the exact result of the implant size at the consultation?

It might be useful to have a trial prosthesis that the patient can insert inside a thin bra under the T-shirt to give her a realistic idea of ​​the degree of volume increase she could achieve. Even a photographic simulation of the patient who has to undergo the surgery can help during the interview.

The size of the implant base of the prosthesis should not be wider than the base of the breast, otherwise the prosthesis could cause the formation of folds which would later become palpable and require a surgical revision.

The base of the breast is measured from the lateral edge of the sternum to the lateral edge of the axillary line.

Several parameters are used to determine the choice of the prosthesis shape: initial shape of the breast change of the shape of the breast desired volume desired height of the patient.

It should be borne in mind that the smaller the breast volume, the more the prosthesis and its shape will help to reshape the breast.

 

are differences between patients?

yes of course: For example, the prosthesis inserted after a subcutaneous mastectomy will largely define the shape of the reconstructed breast, while even a highly protective anatomical prosthesis in a patient with large breasts will not have a significant change in the shape of the breast.

In practice anatomical prostheses with a volume of 150 ml or less generally produce very modest used so in these cases it makes little sense to use this type of prosthesis.

The effects of inserting an anatomical prosthesis become visible with a volume of about 200 ml in patients with true breast hypoplasia, and anatomical prostheses have the advantages of neutralizing an excessive filling of the upper pole, while round implants and greater compression are preferable to ptotic breasts. because they restore volume to the generally hypoplastic upper quadrants.

some patients desire a strongly prominent décolleté, but in these patients the round prostheses are more suitable than the anatomical ones. To achieve a more natural appearance, anatomical prostheses with moderate projection are considered the most appropriate.

In taller women, the implants should also be taller in order to better emphasize the breasts.

Beyond a certain degree, higher volumes are only achievable with greater protection as the diameter of the base of the prosthesis should not be greater than that of the base of the breast.

Individual parameters should also be considered. Even in large breasts, for example, the shape of the implants could significantly contribute to the shape of the breast if the tissues themselves are soft.

Although the development of different types and forms of prostheses complicates the plastic surgeon’s work, there is a greater advantage in being able to adapt the prostheses to the patient’s needs in order to achieve an optimal result.

The placement of the prosthesis below the mammary gland is undoubtedly the most natural. However, given the ever-present risks of capsule formation, subglandular placement has numerous disadvantages, especially in those patients with thin and delicate tissues. In theory, therefore, the submuscular implant promises better long-term results, because the tolerance and maintenance of the implant depend on good covering tissues.

Submuscular placement must therefore be the first choice. The implantation of a sub-muscular prosthesis, the preferred surgical technique, does not provide for complete coverage of the prosthesis with the muscle, but only the upper two thirds, in correspondence with the distribution of the muscle.

Especially in patients with thin subcutaneous tissues, the submuscular position makes it possible to create a natural décolleté without affecting any visible prosthesis margins. The formation of a moderate capsule can also be better hidden by better covering fabrics.

It is therefore essential to rely on established and experienced professionals in order to understand all the information on breast augmentation cost recovery time type of hospitalization; in this way the patients will be accompanied not only on the day of the surgery but also before and after, as we usually do in our clinic.