Breast Augmentation Increase in volume with implants or autologous fat safely
Breast augmentation is one of the most requested procedures in aesthetic surgery, designed to increase volume and improve the shape of the breast in proportion to the chest and overall silhouette. It is not simply about increasing size, but rather a true path to body harmonization, aimed at restoring femininity and confidence, while respecting the natural morphology of each patient.
The procedure is indicated for those who desire a fuller and more defined breast after pregnancies, weight loss, or for a congenitally underdeveloped shape. During the pre-operative evaluation, key factors such as tissue thickness, position and shape of the areolas, symmetry between the breasts, skin quality, and skin elasticity are analyzed.
Each case is unique, and the choice of technique is made after in-depth consultation with the patient to create a result that is harmonious, natural, and personalized.
Selection of the implant and placement plan
Choosing the right breast implant is a central moment in the planning process. Modern implants are made with highly cohesive silicone gel, which maintains shape and softness over time. They can have a round shape, ideal for enhancing the cleavage, or an anatomical (teardrop) shape, more suited for a natural and delicate effect.
The surface also varies depending on the case: smooth or microtextured, with differences that affect tissue response and the degree of adherence.
The implant placement plan depends on the anatomical structure and aesthetic goals:
Subglandular
when the tissues offer good natural coverage;
Submuscular
useful for patients with little tissue and for a more gradual effect;
Dual plane
an intermediate technique combining the benefits of both approaches, ensuring support, naturalness, and less visibility of the implant edges.
Alternatively, or in conjunction with implants, lipofilling can be chosen, which uses the patient’s own autologous fat, carefully harvested and purified, to refine contours or achieve a moderate increase in a completely natural way.
Incision and surgical technique
The procedure is performed under general anesthesia and lasts approximately 60-90 minutes. The most common incision is in the inframammary fold, discreet and easily concealable. In some cases, a periareolar approach is used, helpful when slight asymmetries need to be corrected or when the position of the areola needs to be modified.
Through the incision, the surgeon precisely creates a pocket in which the implant is inserted, respecting the natural anatomy of the breast and ensuring the correct projection of the lower pole, a key element for a harmonious result.
In some cases, the removed fat is not simply eliminated but redistributed to fill the tear trough and reduce the shadow, giving a more relaxed and even appearance.
The procedure typically lasts between 45 minutes to 1.5 hours, depending on the complexity and combination of upper and lower eyelid surgery.
Anesthesia, recovery, and risks
Breast augmentation is generally performed under general anesthesia in an outpatient setting or with an overnight stay. At the end of the procedure, small light dressings are applied, without bandages, and the patient can return home the same day.
In the following days, swelling and bruising may appear, which reduce progressively. Sutures are removed between the 5th and 7th day, while social recovery typically occurs after about a week.
To facilitate recovery, lubricating eye drops, cold compresses, and strict sun protection are prescribed to avoid residual pigmentation in the treated area. It is important to avoid strenuous efforts, exposure to heat, and intense physical activity for the first few days.
Risks and frequently asked questions from patients
Will they look “attacked”?
No. The goal of otoplasty is to restore the scalp-ear angle to normal values (typically between 20° and 30°), preserving a natural look and not artificially “flat.”
Can I wear makeup after the procedure?
Yes, but only after the sutures are removed and with the surgeon’s recommendation. It is important to use gentle and hypoallergenic products to avoid irritating the skin during the healing process.
Will the result last?
Yes. The effects of blepharoplasty last for many years. The aging process continues naturally, but the eyes will maintain a more open and youthful appearance compared to the natural course of time.
Will the scars be visible?
The incisions are placed with great care along the natural eyelid folds and around the ear, where the natural lines of the face make them almost imperceptible. Over time, they become thin and barely visible.
Breast augmentation is not just an aesthetic gesture, but a true act of functional harmony: it allows you to free the gaze, improve vision, and restore the face’s authentic vitality. With modern techniques and minimal incisions, the result is fresh, natural, and stable over time, fully respecting personal expressiveness.
