The breast enlargement is the second intervention of plastic surgery asked after the liposuction, it is possible thanks to the putting in the breast of mammary implants.
Even if the artificial breast is finally a foreign body, it remains even today the technique the most suited for a very esthetic and very natural result.
The suspicion in the clinical examination or in the echo mammography of the presence of a breast cancer, against indicates formally a plastic surgery of the breast whatever it is.
The mammary putting of implants does not increase the risks of the appearance of breast cancer.
The breast enlargement is the implementation in the breast of mammary implants to increase the volume.
When it is well indicated and well realized, this intervention gives perfect results and the patients are very satisfied with it.
One echo-mammography is systematically asked before the practice of this intervention, so making sure of the integrity of the breast.
The breast enlargement in Tunisia is possible thanks to prostheses which are either inflatable in the physiological salt solution, that is meadow filled in gel of silicone, the latter being the most used, France authorized their use since 2002.
The gel of silicone has a greasy and moldable consistency allowing an almost normal and natural palpation of the breast after the intervention.
The manufacturing of these prostheses obeys strict rules to assure an infallible water proofness and a biomedical gel.
The wall or the envelope of these prostheses is smooth or textured. Since a few years appeared on the market, the shape of prostheses which marries that of the breast, they are said natural or anatomical so offering a more natural result.
A breast enlargement in Tunisia requires a way at first to introduce the implant: 4 possibilities of scar to place the prosthesis :
The prosthesis is placed behind or in front of the pectoral muscle, according to the aspect and to the volume of the breast to be operated.
The most important are that the prosthesis is not directly placed under the skin, it will then be guessed by the look and in the touch.
The examination of the breast in operating meadow, its palpation, the measure of its basis, its level of setting-up, the listening of the patient, allow to choose the good prosthesis as the breast in question.
To use also external "sizers", allows to guide better the patient in her choice.
Software are at present on sale allowing the exact calculation of the volume of the prosthesis according to the expected result.
At these patients an anatomical prosthesis is an excellent choice, a form of the breast obtained after surgery, will almost be the one of the prosthesis because the mammary gland is almost non-existent.
Its average duration is realized under general anesthesia, is of 45 minutes.
A rigorous asepsis is required to avoid the infections, a perfect haemostasis is realized to avoid the bleedings comment operating and bruises.
The implementation of drains of redons aspiratifs at the end of intervention is not the rule, many surgeons do not put it.
Pains and muscle spasms in the space of arms are usually observed during the first 2 days when prostheses were placed under the pectoral muscle.
The resumption of the walking is made that very day, the pains are handled by analgesic during 3 in 4 days.
A bra of preservation is placed during a duration of 1 month, bandages are redone every 3 days during 10 days, there will be no thread to make remove, all the sutures are made in absorbable thread.
The first shower is allowed in the 12th day, the resumption of the sport is possible at the end of 6 weeks. An ultrasound is to plan every 2 years to check the integrity of prostheses.
10 - 15 years on average.
It is a fibrous anomaly of the base of setting-up of the breast, this fibrosis characterizes the tuberous breast, it is at the origin of the distension of the areola and the high position of the furrow under mammary.