The shape and size of the breasts prior to surgery determines the type of surgery and the size of the prosthesis to be placed to achieve a satisfactory end result for the physician and patient. You will be able to speak personally with your doctor to reach an agreement regarding your expectations with this procedure and your doctor will give you a realistic projection of what can be achieved.
It is important to assess if there is skin flaccidity, amount of subcutaneous cellular tissue or fat and mammary gland under the skin the size of the areola-nipple complex, the exact measurements of the chest wall and its skeletal arrangement. Once all these parameters have been evaluated, Dr. Piletti decides which prosthesis to place and which are the most suitable according to the patient's requirements.
Breast prostheses are basically classified according to the area of approach.
Basically the position of the prosthesis can be in front of or behind the pectoralis major muscle. Dr Piletti will always place the prosthesis behind the muscle. Occasionally full coverage will be achieved and in others it will be on a dual plane, this depends on the anatomy of the muscle itself.
The retromuscular position offers greater support and adherence to the pocket of the prosthesis, besides being the muscle an organ that protects the implant, due to its great contribution of blood flow that carries cells of the defense and contribution of antibiotics.
Of all the variety of prostheses that you can search on the internet, Dr. Piletti prefers the highly cohesive silicone gel (Gummy Beard) with a fine microtexturized surface. These prostheses provide the greatest safety and time of use of the same in the body.
The shape of the prosthesis will depend on the morphology of your thorax, your muscles and the aesthetic expectations you desire. According to this, round or anatomical breasts can be used, and finally, the profile that goes from moderate to extra high and defines projected or full breasts will be chosen. All this will be decided in your pre-surgical consultation. In terms of brands there are a number of reliable brands Mentor, Allergan, Politech and Nagor.