The intervention of Breast Augmentation allows, through the insertion of prosthetic implants, to increase the size of the breast correcting, where necessary, also the shape and symmetry. The prosthetic implants, that can be round or anatomical, can be inserted by using different accesses: a periareolar access route through an incision along the periphery of the areola (usually half of its extension), inframammary through an incision at the level of the lateral third of the inframammary sulcus (usually 4-5 cm) or through an axillary incision sited on the anterior axillary pillar. The implants can be positioned on a sub-glandular or submuscular level, depending on the individual clinical case. Currently, the most used technique is the “dual-plane” one, in which the superior portion of the prosthesis is inserted below the pectoralis muscle and the lower half is inserted below the mammary glandular tissue.
Breast Augmentation with Pexy
In some cases the increase in breast volume alone is not the right choice to obtain the best result. In fact, when the lack of breast volume is associated with a ptosis (descent) of the breast parenchyma, the prosthesis alone is not enough to correct this relaxation, but rather can itself cause a further worsening of the situation. In these cases, Mastopexy (breast lift) is the ideal procedure that must necessarily be associated with the insertion of prostheses. Several techniques have been described based on the severity of the mammary ptosis. In mild cases, it is sufficient to remove the cutaneous ring around the areola in order to bring back the breast in a correct position; this way the scar will be completely hidden nearby the areola. In more severe cases, it is necessary to remove other cutaneous portions with the necessity to perform additional scars as the vertical one that reaches the inframammary sulcus and the horizontal one( inverted T”” scar) along the inframammary sulcus.
The intervention of Reductive Mastoplasty allows to decrease the size of a too voluminous breast or to correct a serious asymmetry. Such a procedure allows you to “sculpt” a new breast with the desired shape and volume. The cicatricial residues will be positioned around the areola, along the vertical axis of the breast at the level of its lower pole and horizontally along the inframammary groove (inverted “T” scar). Often this intervention is necessary not only for purely aesthetic needs but also for postural problems due to the presence of a too heavy breast.
Intervention for Gynecomastia
“Gynecomastia” means the presence of an unusually developed mammary gland in humans. It is, although little is said about it, an aesthetic defect frequently found in the male population, which can be a source of embarrassment in interpersonal relationships and cause of deep insecurities.
The increase in volume of the male breast may depend on: excessive development of glandular tissue (Gynecomastia Vera), excessive development of glandular tissue and adipose tissue (Mixed Gynecomastia), excessive development of adipose tissue (false gynecomastia or pseudogynecomastia). Surgical intervention is carried out through the removal of breast tissue, adipose tissue, and sometimes, excess skin. The incision is periareolar and the scar will be almost invisible. With this type of surgical therapy it is possible to give the chest a more toned and natural appearance.
Lifting Arms (Brachioplasty)
Brachioplasty allows you to correct the sagging and excess skin that accumulates at the level of the medial region of the arms and that often represents the consequence of excessive weight loss and / or loss of elasticity of the skin. It is usually useful to associate this procedure with a lipoaspiration, which allows you to remove even part of the excess adipose tissue, decreasing the volume of the arms and “sculpting” a new shape. The scar must necessarily be positioned at the level of the bicipital fold and inside the axillary cable to be as hidden as possible and therefore not very visible.
Abdominoplasty surgery allows to eliminate from the abdominal region the skin and adipose excess that often accumulates, giving it the typical “apron” appearance. In fact, when a cutaneous excess is present, liposuction alone cannot solve the problem. A correct planning of the cutaneous incision, which is generally performed at the level of the inguinal region in order to be hidden by the underwear, allows to remove simultaneously skin and fat components so remodelling the entire abdominal region right after umbilicus repositioning (onphaloplasty). Moreover, this procedure is often associated with a hip liposuction in order to remodel the silhouette
Liposuction (or rather Liposculpture) is a technique that allows you to suck up excess adipose tissue, which often accumulates at the level of typical body districts, and reshape the silhouette. The main advantage, which justifies the great diffusion of this method, lies in the fact that, through small skin incisions (3-4 millimetres), a cannula is through which excess adipose tissue is permanently aspirated and removed. The evolution of the technique has allowed the use of smaller and less traumatic cannulas that allow the patient a faster recovery with less traumatism at the level of the tissues.
The Thigh Lifting surgery usually involves patients who have lost a lot of weight or who, being more advanced with age, observe a skin sagging in the region of the inner thigh. In most cases, to obtain a harmonious result and extended to the entire thigh, it is associated with the Facelift Surgery Thighs, the Superficial Three-Dimensional Liposculpture, usually performed before the removal of excess skin. This intervention allows you to eliminate the excess of skin from the area of the inner thigh restoring tone to the skin, firming it and rejuvenating the appearance of the legs. A crucial point of this surgery is the planning of the incisions that must guarantee scars completely hidden right above the inguinal fold and the infra gluteal fold.