Breast surgery

The choice of breast implants is generally made in consultation with the patient according to her expectations. The implant shape is very important, as it will identify the final breast shape.

Before surgery, a clinical examination will be performed in order to identify different criteria: height, weight, pregnancies, breastfeeding, thoracic and breast morphology, skin quality, etc. A blood test and a radiological examination will be carried out while making sure that there are no contraindications to this procedure (history of phlebitis, pulmonary embolism, etc).

• Stop smoking at least one month before and after surgery.
• Taking aspirin is prohibited during the 10 days preceding the surgery.
• Disinfect the skin using an antiseptic solution or soap the night and morning before surgery.

After breast augmentation using implants, it is recommended to:

• Not drive for at least a week.
• Wear a supportive wireless bra 24 hours a day for 6 weeks.
• Avoid lifting heavy objects or doing physically challenging exercises for at least a month. Resume most activities after 6 weeks.
• Avoid the exposure of scars to sunlight for a few months.
• Not take a shower or wet the bandage during the 48 hours following the procedure.
• Avoid baths and swimming pools for at least 6 weeks after the surgery.

Breast lipofilling is intended for women having excess fat and wishing to increase their breast size by one cup without having to resort to breast implants. In other words, extremely thin patients cannot undergo this procedure, as the body does not have enough fatty tissues to be removed and reinjected.

A complete preoperative examination and a mammogram should be carried out. An analysis of personal or family history of breast cancer should also be carried out. A consultation with the anesthetist is necessary.

In general, lipofilling implies 3 stages:

• Fat removal through liposuction.
• Fat purification.
• Fat reinjection.

• It is strictly forbidden to take aspirin, anticoagulants, as well as certain food supplements during the 10 days preceding the surgery.
• It is strongly recommended to stop smoking at least one month before and after the surgery.
• It takes about two to three months to see the final result.

One or two preoperative consultations would allow the surgeon to define the patient’s motivations for resorting to this surgery. The plastic surgeon performs a thorough medical examination while taking into account several factors, such as morphological data, skin condition, breast size, etc. S/he should also make sure that there are no contraindications to this intervention. A preoperative examination, a mammogram and a breast ultrasound will be prescribed for patients with risk factors for breast cancer.

• Stop smoking at least one month before and after surgery.
• Stop taking aspirin during the 10 days preceding the surgery.
• Stop oral contraception.

• A special bra should be worn 24 hours a day for three weeks following the breast reduction procedure.
• Sports must be avoided during the first six weeks.
• The final result will be seen within 6 months after surgery.