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Patients Articles
The Bust... a
simbol of feminity
There is a beautiful interpretation of the evolution of the
human species that seeks to explain why the feminine breast
worries women so much. According to that theory, the human
species came from a primate group that, at some certain point
in time, rose above their fixation on the lower extremities,
looking first to the sky and later to each other, to relate in
a special & different way: face to face... This attitude would
shift the center of attention from the gluteus regions (very
showy in the simians) to the thorax, to the chest.
The feminine breast it is a very important point of identity.
There are a number of techniques that attempt to improve its
appearance. In fact, all these attempts seek two results: to
tighten the skin and to project the gland. It is very
difficult, practically impossible, to get the skin to shrink
in a harmonic & aesthetic way, either by physical or chemical
external means. Cold showers, the use of bras & skin tonic
creams attempt to do just that.
Increasing the contents of the mammary gland can be
accomplished in certain cases through the use of hormonal
treatments. It is well known that in certain moments of the
feminine cycle - during pregnancy, with the anovulatories -
the mammary glands volume can increase, but, in fact, for
aesthetics treatment, to maintain a hormonal regimen becomes
unadvisable.
There are some products that promote a hyper hydration under
the skin. Their effectiveness is relative & fickle. Perhaps
physical exercise could be more practical. This really doesn’t
cause an increase of the gland, but of the muscle –
specifically the pectoral muscle. When growing, it can cause
the optical effect that the mamma has increased and even
raised slightly. It is something to test, also having their
limitations - because when chest is very small, very big, or
sagging, none of the previous treatments work. Then it is
necessary to think about surgery and about a good plastic
surgeon.
Millions of women have undergone an augmentative mammaplasty
lately, now that the polemic on silicone prosthetics is over.
Talking about increases, the augmentative mammaplasty is the
technique to increase the breasts and implants are the best
choice to correct the defect.
Not too long ago, a technique called filling was proclaimed in
certain places – based more on fantasy than reality. Filling
consisted of injecting the patient’s own fat, extracted from
another part of the body, into the breast. The results become
very discouraging.
Today, this surgery is practiced in Ecuador along with two
types of prosthetic implants. Both have a silicone cover and
their center can also contain physiological serum or silicone
gel. The change of texture of their surfaces gives a marked
difference. Before, all of them were smooth or flat but it was
proven that with certain roughness, their tolerance increased
considerably. By tolerance, we mean the slightest capacity to
cause the formation of a rigid capsule around the same one, by
the patient. This, up to now, although not serious, does
represent a dissatisfaction in the aesthetics of mammary
augmentation.
Choosing prosthetics should always be done with the advice of
an experienced plastic surgeon. There are arguments both for
and against prosthetics both of serum as well as those of gel.
The way to insert them can be aerolar, submammary or axilar.
The operation is usually carried out under full anesthesia,
with continuous monitoring in real time. The implant is placed
above or under the muscle and the outcome is spectacular and
practically immediate.
This type of operation doesn’t modify the normality of the
mamma. This means that, generally there is no reason to have
more or less mammary illnesses as a consequence of the
implants. The habitual explorations can be carried out, the
patient should just inform the gynecologist that she has an
implant, giving the surgeon’s information if some type of
consultation were necessary.
Daniel Peñafiel S., M.D
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