Hybrida mammoplasty

It is a procedure suitable for all patients who want to increase the volume of their breasts but:
- They want a small prosthesis that is less sensitive to touch.
- Correct breast irregularities after surgery.
- Asymmetries that cannot be corrected with the sole aid of a prosthesis.
- In the case of tuberous and tubular breasts.
- In the case of little tissue covering the prostheses.

In hybrid breast augmentation the fat does not have a filling function but rather that of improving the final result.

Hybrid breast augmentation is not suitable for everyone: it is reserved for women who have the correct indication and a certain accumulation of fat necessary to perform the surgery, even if most of the time it is not necessary to remove large quantities of fat.

The first phase of the operation involves the removal of fat from specific areas of the body and its preparation to then be injected.
We proceed with the mammoplasty and the positioning of the chosen prostheses, the surgical accesses are closed with fat and with the lipofilling technique the volume of the breast is increased and/or the irregularities of the breast are reshaped.
The operation takes place under general anesthesia and lasts approximately two to two and a half hours. The surgical access remains only that necessary for breast augmentation; small cannulas are used to remove and infiltrate the fat which will not leave any marks over time.
Finally, a compressive bandage is applied, which, once removed, is replaced by a sports bra.

Approximately 3 days after the operation, the compression dressing is removed and replaced with an elastic sports bra, which must be worn for approximately 60 days. Additionally, a compression girdle should be worn in the fat collection areas. In the first days following the operation, absolute rest and limitation of movements, particularly of the upper limbs, are recommended. In the first post-operative phase, a sensation of swelling, stiffness and slight pain in the breasts will be normal. Work activity can be resumed after 7-10 days and sports activity after approximately 30 days.

In the first post-operative days, the presence of slight pain, swelling, redness and bruising in the treated area will be normal. Post-operative discomfort can be controlled with normal painkillers and anti-inflammatories.

Some medications such as aspirin should not be used before and after the operation.
The residual scars are approximately 4-7 cm long and are barely visible, both in the breast fold and at the peri-areolar level. Liposuction scars are a few millimeters in size and are therefore imperceptible or in any case not very relevant from an aesthetic point of view.

The result of the surgery depends on several factors, such as the patient's initial clinical condition, the healing capacity and compliance with the post-operative instructions given by the surgeon: avoid inappropriate movements, abstain from sun exposure until complete stabilization of scars. The definitive profile will be visible after about a year but the results and benefits will be noticeable immediately.
It must be said that in any case a part of the infiltrated fat will be lost over time (around 30%) and in the case of very sporty people this percentage could increase.

Complications of the operation are rare, but possible: hematomas and bleeding, infection, delayed healing of the surgical wound, hypertrophic scarring, modification of skin sensitivity.
Complications related to the prosthetic implant can be: capsular contracture and rupture of the prosthesis. The causes of these complications are not yet completely clear and there are numerous studies in this regard. Capsular contracture is a predictable and very frequent complication, which consists in the formation of an excessively rigid periprosthetic capsule which dislocates the prosthesis and causes breast asymmetry. There are various degrees of contracture and, based on the severity, the most appropriate treatment is set. In the most serious cases, surgical revision with possible capsulotomy and replacement of prosthesis is necessary. The use of adequate measures and new generation, excellent quality prostheses significantly reduces the incidence of this complication. Prosthetic rupture, a rarer complication, involves pain and breast asymmetry and requires surgical revision with cleaning of the implant site and prosthetic replacement.