An additive mastoplasty allows a surgeon to correct breast asymmetry, underdevelopment, drooping or removal with the use of breast implants.
How an additive mastoplasty is performed
Through a detailed examination by cosmetic surgeon, Professor Giulio Basoccu, it is possible to personalise your additive mastoplasty by choosing the dimensions and shape of your implant and the surgical technique used. There is no such thing as a ‘best technique’; it is more a case of choosing that which is the most appropriate for the specific patient, taking into account their individuality: muscle tone, adipose thickness and age.
An additive mastoplasty involves inserting an implant into a pocket either:
- Behind the mammary gland;
- Behind the pectoral muscle;
- Back pectoral. This is called a Dual Plane technique and involves positioning the implant in the upper pole and retroglying it in the lower pole of the breast to ensure adequate coverage;
Other techniques exist, including different routes of access and disguising scarring:
- Beneath the areola: the incision is made where the edge of the areola meets the breast. This technique, the most common today, leaves a small scar that is easily reduced.
- Beneath the breast: involves making a small incision of between 3 and 5 centimetres in the crease beneath the breast. This leaves a scar in an area that is hard to see and very subtle. This method is advised for inserting large implants or when the patient has small areolas.
- Axillary: the incision is made in the axillary cavity and is used to insert the implant by endoscope. Additive mastoplasty can be performed under local anaesthetic and the patient can be discharged that day.
Cohesive gel implants
Today, breast implants are only made out of cohesive silicone gel that do not need to be replaced in time and that guarantee a very low risk of muscle contracture. Patients who have undergone a mastoplasty can lead a normal life, bear children and breastfeed without problems. This is because the mammary gland itself is not affected.
Post-operative recovery is quite fast. In the days following the procedure, the patient will be able to lead a normal social life. The compression bandage can be removed after around one week, the Basoccu Medical Clinic advises patients to wear a containment bra both day and night for a month afterwards.