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The objective of this intervention is to increase the volume of the breast and you want to give harmony to those women who have one of the following problems:

◦ poor development of the mammary gland
◦ decrease in breast size after pregnancy and lactation or after too drastic diets
◦ ◦
marked asymmetry of the two breasts
The increase in volume of the breast is achieved by the insertion of breast implants retroghiandolare within or behind the pectoral muscle.

In both cases, the conserved function of breastfeeding.

The possible locations for access are:
◦
the areola, if its size is at least 3.5 cm (periareolar scar);
◦ inframammary sulcus;
◦ armpit.


Breast implants are most often used as pre-filled with silicone gel, used since the 60s in reconstructive plastic surgery post-radical mastectomy in cancer, and therefore widely studied: it was shown that no cause or of cancer or autoimmune diseases.

However, there are other types of implants:

◦ filled with saline solution (water);
◦ containing hydrogel;
◦ containing polyvinylpyrrolidone;

implants can be round or anatomical, and the choice of one of the other type is related to the needs of the patient.

The operation is performed in clinic, day hospital, under local anesthesia with sedation or general anesthesia.

preoperative examinations are routine as a mammogram or breast ultrasound.

The return to work, if not particularly challenging nature of the physical point of view, it is recommended after 4-5 days.

The stitches are removed after 7-10 days.

Postoperatively there is the compression bandage for 24-48 hours, then replaced by a very restraining bra to be worn for 15 days, night and day.

The most frequent complication of this intervention is capsular contracture, whose etiology is still controversial but, in more severe cases, requires the removal of the prosthesis.

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