About the surgery

Know more details

Loved among women who wish to increase the volume and shape of the breasts, the breast prosthesis is a highly sought after surgery in all plastic surgery offices.

With epidural or general anesthesia, breast prosthesis surgery takes an average of two hours. During the procedure, the surgeon makes an incision in the mammary furrow or the armpit region.

Generally, the breast groove is the most commonly used option, considering access to the region where the prosthesis will be placed and hidden by the bra.

It is worth remembering that the position of the implant depends very much on the patient’s anatomy, but in a context it generates two forms: below the mammary gland (procedure known as subglandular/subfascial) or below the pectoral (submuscular) muscle.

In addition to routine preoperative examinations, it is common for the surgeon to ask the patient for imaging tests that are complementary such as breast ultrasound or mammography.

Before and after

Talking with the doctor and evaluating the best shape, material and size of the silicone prosthesis is a very important thing to do before the surgery.

It is good to avoid medications and be in good physical and emotional health to do the surgery and even after the implanted prosthesis the care continues.

In the first month, for example, it is vital to avoid physical exertion in the arms. That is: no gym or other heavy exercise.

It is also important to wear a bra for 24 hours in the first month and it is not recommended to sleep on your stomach on top of the operated area. If you are a smoker, forget the cigarette after the first month of surgery. To counteract this indication affects the healing of the surgery and consequently the results.

You should also not take sunbathing in a period of 2 to 3 months after the procedure. Even after this time, the exposure can be performed as long as the scars are covered with white tape.


Excellent hospitals for plastic surgery

Choosing an excellent hospital with all the necessary infrastructure guarantees quality surgery and an excellent patient experience. Nowadays for the plastic surgery process, a quality hospital is as important as a skilled and experienced staff.

Israeli Hospital Albert Einstein

Hospital Israelita Albert Einstein is considered one of the best hospitals in Latin America and regarding plastic surgery, it has a good structure offering all the security that the patient and the plastic surgeon need.

Moriah Hospital

The Moriah Hospital that started work in 2016 came to compete with the best hospitals in the city. The hospital has excellent infrastructure, including ICU, Diagnostic Center and more attractive prices.

Common questions

Know the most common questions

With so many options for plastic surgery, some doubts are common and frequent about this type of procedure. To facilitate, we have gathered the main doubts. If you have any other questions, do not hesitate to schedule your review!

It is inevitable, once a cut or incision is made on the skin, there will be a scar. However, there are steps to take – during and after surgery – to make them less apparent.

The scar for placement of silicone prosthesis depends on the type of indication and its purpose, which can be around the areola, or in inverted T format, that extends from the areola to the inframammary groove.

Since the marking of incisions, sutures, dressings and postoperative, there are several measures used to minimize scars, applying specific dressings for the reduction of scars until they are practically imperceptible.

The prostheses placed before showed spontaneous ruptures with 15 years of use in half of the cases, in this way, the exchange was really indicated every 10 years for this not to occur.

The prostheses used today have a different technology, better quality and promise that there is no longer the need for this scheduled exchange, however, as the average duration of the old prostheses has not yet passed, it is still only a hypothesis. However, there may be occasional situations that may lead to replacement of the prosthesis, such as capsular contracture.

Capsular contracture is a reaction of the human body, where every time the body detects some foreign body, its natural reaction is to try to expel it or absorb it. In this case, the body creates a film around the implant, which is called a capsule.

In a small number of patients, this capsule begins to contract and tighten the prosthesis, leading to the change of shape and causing pain. As a treatment, replacement of the silicone prosthesis is recommended.

With advances in medication and equipment technology for patient monitoring and monitoring, general anesthesia became the safest when well indicated.

Today in all major procedures, general anesthesia is the best choice of anesthesia. It is superior to many other alternatives offered. General anesthesia performed in a modern surgical center, with the latest equipment and medications.

In this way we can offer more safety, better monitoring, better control of the anesthesia itself, as well as better comfort for the patient.

There are several types of silicone prostheses but there is not one that is better in general. In this case, for each objective it is worthwhile to choose one that is the most appropriate for the type of result desired, but it can also be chosen due to the surgeon’s preference.

It is advisable to avoid exposing the scars to the sun in the first months, even with sunscreen.

This happens because the scars do not have the same amount of pigments to protect the skin from the action of the sun rays and under exposure they are prone to darken, so it is very important the daily use of sunscreen over the operated area.

Just like any other medical procedure, plastic surgery has certain risks. However, there are always several ways to reduce these risks so that surgery is safe.

In addition to an extremely skilled team, the use of high technology equipment makes it easier to control any situation. Some of the equipment used in all surgeries to maintain the safety of our patients are:

Thermal blankets
We use thermal blankets so that the patient is always warm and body temperature stabilized. This ensures greater peace of mind and more safety in the surgical procedure.

Elastic stockings and massager
In all surgeries, our patients use elastic stockings in conjunction with the Pneumatic Compression Massager (SCD) in the legs, which prevents complications in the circulatory system.

Bi-Spectral Index Monitoring
Bi-Spectral Index (BIS) monitoring is a system that continuously analyzes electroencephalograms to determine patients’ level of consciousness, stabilizing it whenever necessary.

There are no postoperative pains and this happens due to the prescription of pain-specific medications. The post-operative placement of silicone prostheses is very smooth. There is only the recommendation of limitation of arm movements for 10 to 14 days and it is also indicated to sleep with the back down for the same period.

As much as a good surgical technique, as following your surgeon’s guidelines are decisive for obtaining the best possible results after discharge.

If you have any surgical procedure in mind, consult our team to clarify all the particularities involved in the recovery process.

Currently the best practice for the placement of silicone prostheses in a patient with a good anatomy is positioned above the fibers of the muscle, but below the skin of the muscle, but not below the gland.

There are cases where there is not enough breast tissue, so the best indication would be to position the prosthesis underneath the muscle so there is good coverage of the prosthesis.