34 March 2016 March 2016 35 Expert guide: Aesthetics & Cosmetology 2016 Mammoplasty or breast augmentation is the surgical procedure performed to improve the size and shape of the breast. This surgical pro-cedure is often completed for one of two rea-sons. Firstly, aesthetical or cosmetic surgery is often performed on those patients who want to improve their body or who do not like the size of their breasts. Secondly, reconstructive sur-gery is undertaken secondary to a mammary cancer surgery or to balance mammary asym-metry situations. The Plastic Surgeon inserts an implant behind the mammary gland thus increasing the size and projection of the breast to reach one or two sizes more in their bra. If you are considering an augmentation mammo-plasty, this information provides you with ba-sic concepts that you must know, nevertheless, many details, questions and expectations that mary surgery can do for them.Many women want to undergo an augmenta-tion mammoplasty after pregnancy due to the reduction of the volume and size of the mam-mary glands, nevertheless, if the patient is planning or wants to have more children in the short term it is advisable for her to postpone the notion of having this surgery. The reason is that pregnancy may again repeat the cycle of enlarging and reducing the volume and size of the breasts voiding the results obtained by an augmentation mammoplasty. Likewise, it is important to emphasize that there are no risks that may affect future pregnancies because aug-mentation mammoplasty does not interfere with breast-feeding.Usually augmentation mammoplasty is per-would remain unanswered will depend on the individual evaluation of the patient and the cri-teria of each Plastic Surgeon. Thus it is impor-tant that the patient personally consults with the Plastic Surgeon on any question or concern they may have. The Best Candidate for augmentation mam-moplasty To be a good candidate for augmentation mam-moplasty the patient must have realistic expec-tations regarding the surgical procedure that can be achieved. Augmentation mammoplasty may improve the physical appearance and self-esteem, but remember that a change of “look” does not guarantee the ideal result or even change the way other people respond to the patient. Therefore, before having an augmen-tation mammoplasty surgery, think carefully about your expectations and discuss it with your Plastic Surgeon. The best candidates for an augmentation mam-moplasty are women who wish for an improve-ment but do not necessarily expect perfection from a mammary aspect. They must be physi-cally healthy, psychologically stable, and certain of their expectations regarding what the mam-formed to balance the size of the breasts, to aesthetically improve the body contour and to reconstruct the breast in cases after oncological mammary gland procedures.Types of implants Currently there is a wide variety of implants with different volume, shape and character-istics that vary according to the needs of each patient, the preference and surgical technique of each Plastic Surgeon. Mammary implants can be prosthesis filled with silicone gel, cohe-sive gel or hydrogel. There are also the inflat-able prostheses that are filled with saline solu-tion during the surgery. There are implants or smooth and textured prostheses. The first type is placed behind the pectoral muscle due to its easiness for insertion. The second, the textured Manuel Lazzaro, M.D., Plastic Surgeon www.manuellazzaro.com manulazzaro@hotmail.com +58 414 277 0252 Breast Augmentation: Surgical Secrets By Manuel Lazzaro, M.D., Plastic Surgeon Venezuela