The design of breast augmentation procedures is almost entirely determined by three variables: the selection of incision location, the pocket plane for implant placement (either sub pectoral or completely sub glandular) and the appropriate implant.

Fortunately this surgery allows for the augmentation of the mammal volume conveniently leaving disguised scars located in the sulcus formed between the breast and the chest (inframammary) or in the areole area (periareolar) and recently the axillary incision, providing room for a generous low-neck just after the post-op.

Breasts can have their volume augmented besides having their consistency and profile improved. The volume can be chosen because of the silicone implants available in different sizes. There’s a harmony between the ideal breast volume and the size of the chest - such characteristic to be preserved when planning the surgery. In case of a second pregnancy the surgery offers no problems as it is made out of the mammal tissue. Monitored sedation anesthesia is typically used, though general anesthesia can be indicated, depending on the evaluation of the surgeon and the patient’s wishes. Some elastic, modeling bandages are used which are easily daily changed by the patient herself.

In summary, a standardized approach to breast augmentation may be suitable for most patients. However, optimal results will be consistently achieved if flexibility is retained in surgical design and if the combination of incision, pocket plane and implant volume is customized when one is presented with specific anatomic variants and secondary problems.

It’s one of the most regular amongst the esthetic surgeries besides being recommended to improve the esthetic feature of the breasts; it is recommended as a complementary resource to the prophylactic treatment of certain breast diseases and as a prevention to problems raising out of sized breasts. Depending on the chosen technique there are some variations concerning scars. In my mind, surgeons who reduce hypertrophic breasts or who correct ptodic breasts must achieve a beautiful shape with minimal scarring because the scar is the signature of the operation. There are normally certain types of scars, depending on the type of the breast to be operated on. Thus the surgeon can propose an “L”, “I”, “periareolae” scar or a classical T incision or a vertical reduction in the inferior part of the breast.

The scar located around the nipple - areola complex can be truly disguised by the proper colour condition of transition from the areole to the normal skin. Since the first post-op days a low neck can be enjoyed as the scars are in fact hidden. As time goes by such scars fade away becoming very thin and in some cases are almost invisible.

Anesthesia is high epidural or local with assisted sedation, the latter in very special cases and upon surgeon’s criteria. The patient stays in for less than 24 hours and a compressive bandage is used during 5 days to help the modeling of the breasts after which such bandages are replaced by lighter bandages around the scars to help healing.

The result is most gratifying bringing the wished profile and size; what's more, it is neither seen any problems arising out of a new pregnancy, allowing thus for the lactation to be preserved nor the sensibility is affected.