Breast augmentation is one of the most popular plastic surgery procedures in Greece and abroad, while in women from 19 to 34 years old it is probably the most popular plastic procedure.
Augmentation mammoplasty involves placing implants, which are surrounded by a silicone casing and contain either silicone gel or saline. Less often it is done by injecting fat taken from the abdomen and buttocks.
The first breast augmentation procedures began in the US in the 60s and have since spread worldwide. In the decades of the 80s and 90s, they flourished. But what has changed since then?
The implants used today are more durable, with a rough surface and with a variety of shapes. Previous types of implants were smooth surfaced and had a greater risk of fibrous capsule formation (palpable hardness in the breast) and required faster replacement than today.
Today, placement is done more often under the muscle (pectoralis major) or fascia of the muscle, rather than under the mass gland (breast) as in the past. This leads to a more natural effect on the breast without pointing out the silicone and, at the same time, it reduces the possibility of fibrous capsule formation. Women retain their sense of touch and can breastfeed.
Best technique: Dual Plane
The incisions are now smaller than in the past and become less noticeable over time. They are around 4cm long and can be done in the nipple, armpit and most often under the breast.
The operative time has already been reduced. The procedure lasts about 1 hour and the patient can be discharged the same day. The patient can return to work in 1 week.
All the above progress makes this procedure even more accessible to the average Greek woman, while at the same time the chances of post-operative complications are significantly reduced.
A woman's breast usually atrophies and sags after pregnancy and breastfeeding, or after significant weight loss. Breast ptosis is classified into 4 stages (degrees), depending on the height of the nipple in relation to the inframammary fold:
Pseudoptosis: When the mammary gland protrudes below the level of the inframammary fold and the nipple is above the inframammary fold.
1st Degree of Ptosis: The nipple protrudes 1 cm below the inframammary fold.
2nd Degree of Ptosis: The nipple protrudes 1-3 cm below the inframammary fold.
3rd Degree of Ptosis: The nipple protrudes more than 3 cm below the inframammary or is located at the lower pole of the breast.
Preoperative screening and mammography are required in women over 35 years old, as well as clinical assessment in the doctor's practice to assess breast ptosis.
Depending on the degree of the fall, we choose the appropriate surgical technique of breast lift. In the early stages, we prefer the periammillary lift or the Lejour technique (incision around the nipple and vertical without the inframammary line). In a higher degree of sagging, we prefer the combination of lifting with skin removal and placing a silicone insert.
For women who underwent a mastectomy due to a tumor, breast reconstruction is recommended. Breast reconstruction procedures can be done either during the mastectomy, in collaboration with the breast surgeon, or in a second year after some time.