The first visit:
The intervention is performed under general anesthesia. Normally you stay one day admitted.
The approach routes can be through a small cut in the areola, the submammary fold or the armpit, the submammary fold is recommended, as it has been shown to reduce the incidence of some complications.
Placement in relation to the gland can be: below the gland, below the muscle fascia (the fascia is a very strong connective tissue structure that extends throughout the body) or below the pectoral muscle.
Currently the subfascial placement is reserved for patients in whom we would usually perform a subglandular implantation. That is, when the soft tissues that will cover the prosthesis you think will be enough for the result to be natural. (pinch test thickness greater than 2 cm). Subpectoral placement is what we use when the coverage of the upper pole of the gland is insufficient (that is, when the woman is thin) or for women who prefer or require round prostheses.
The prostheses we currently use are Politech or Motiva, they give a lifetime guarantee and have important safety controls.
The Politech brand has the widest variety of prostheses on the market: macrotextured, microtextured and smooth polyurethane or silicone prostheses. They can be round or anatomical, double gel (for cases of breast reconstruction by tuberous breasts), low weight for women athletes or who want a lot of volume.
Motiva prostheses are made of silicone and have a nanotextured surface. They can be round, ergonomic or anatomical (in the latter case they require extra fixation so that they do not rotate).
The postoperative period:
From the operating room you will leave with a bra and a band, only in some cases with bandages and drains, since the latter have shown increased contamination of the prosthesis and, as a consequence, increased possibility of capsular contracture.
We recommend a progressive return into normal life. We must avoid lifting weights and making efforts during the first three weeks.