The decision to place breast implants in front of or behind the pectoral muscle depends on several factors, including the patient's anatomy, her personal preferences, and the surgeon's recommendations. Here is an explanation of the two options:

In front of the (Subglandular) Muscle

Advantage:

• Recovery plus rapide Recovery is generally faster and less painful.
• No deformation during muscle contraction : The implants are not affected by the movements of the pectoral muscle, which can prevent visible deformation during physical exercise.
• Simpler intervention The surgical technique can be simpler and less invasive.

Disadvantages:

• Less natural appearance in thin patients : In patients with little breast tissue, implants may be more visible and give a less natural appearance.
• Increased risk of complications : There is a slightly increased risk of complications such as folds or ripples of the implant.

Behind the Muscle (Submuscular)

Advantage:

• More natural appearance Implants can have a more natural appearance, especially in thin patients, because the pectoral muscle provides additional coverage.
• Less risk of capsular contracture : The risk of capsular contracture (hardening of scar tissue around the implant) can be reduced.
• Best breast imaging Mammograms may be easier to interpret when the implants are placed behind the muscle.

Disadvantages:

• Longer and more painful recovery Recovery may be more painful and take longer.
• Deformation during muscle contraction : Implants can shift or deform when the pectoral muscle is contracted.
• More complex intervention Surgery can be more complex and invasive.

Choosing breast implants is a personal decision that should be made in close collaboration with your plastic surgeon. Here are some key factors to consider when choosing breast implants:

1. Implant Type

• Silicone implants Silicone implants are filled with silicone gel, which mimics the natural consistency of breast tissue. They are generally preferred for their natural look and feel.
• Saline implants Saline implants are filled with sterile salt water. They are often less expensive and can be adjusted in size during surgery.

2. Implant Shape

• Round Round implants can give a fuller appearance to the upper part of the breast and are often chosen for their ability to create a more pronounced cleavage.
• Anatomical (teardrop-shaped) These implants are designed to mimic the natural shape of the breast, with more volume at the bottom than at the top. They can offer a more natural appearance.

3. Implant Texture

• Smooth Smooth implants can move more freely within the implant pocket, which can result in a more natural appearance with less risk of visible creases.
• Textured Textured implants adhere better to surrounding tissues, which can reduce the risk of displacement and rotation. They can also reduce the risk of capsular contracture.

4. Implant Size and Profile

• Size Implant size is measured in cc (cubic centimeters). The choice of size depends on your personal preferences, your body shape, and your aesthetic goals.
• Profile The implant profile (low, moderate, high) determines the breast projection. Higher profiles offer more projection and can be used to achieve a more pronounced look.

5. Implant Placement

• Subglandular (in front of the muscle) The implants are placed in front of the pectoral muscle. Recovery is generally faster, but the implants may be more noticeable in thinner women.
• Submuscular (behind the muscle) The implants are placed behind the pectoral muscle. This can give a more natural appearance and reduce some risks of complications.

6. Personal and Medical Considerations

• Morphologie Your height, weight, rib cage width, and the amount of existing breast tissue influence the choice of implant.
• Style de vie Physical activities, particularly sports involving the upper body, can influence the decision regarding implant placement and type.
• Aesthetic preferences Your expectations regarding shape, size, and feel should be discussed in detail with your surgeon.

7. Consultation with your surgeon

During your consultation with Dr. Stéphane SMarritoYou will be able to try out different simulators and discuss your aesthetic goals in detail. Your surgeon will take precise measurements of your breasts and torso to recommend the implants that best suit your anatomy and expectations.

Recovery varies from patient to patient, but it is generally recommended to take at least one week of rest after the procedure. Strenuous physical activity should be avoided for approximately 4 to 6 weeks. Your surgeon will provide you with specific instructions to ensure optimal healing.

Like any surgical procedure, breast augmentation carries risks, such as infection, hematomas, scarring, pain, implant rupture or displacement, and complications related to anesthesia. I will explain these risks in detail and the measures taken to minimize them.

There are several types of breast implants available, each with its own characteristics and advantages. Here is an overview of the main options:

1. Filling Type

Silicone implants:

• Description Filled with silicone gel, these implants have a texture that closely mimics that of natural breast tissue.
• Benefits : Natural feel, less risk of visible creases or ripples.
• Drawbacks : Require regular monitoring to verify their integrity, which is generally more expensive.

Saline Implants:

• Description : Filled with a saline solution (sterile salt water), these implants are inserted empty and filled once in place.
• Benefits : In case of rupture, the body safely absorbs the saline solution, adjustable size during surgery.
• Drawbacks : May be more prone to visible rippling or creases, and feel less natural than silicone implants.

2. Implant Shape

Round Implants:

• Description : These implants have a spherical shape and offer a uniform volume.
• Benefits : Create a more pronounced cleavage, rotation of the implant does not affect the appearance.
• Drawbacks They may appear less natural in some patients.

Anatomical implants (teardrop-shaped):

• Description Designed to mimic the natural shape of the breast, with more volume at the bottom than at the top.
• Benefits : A more natural appearance, particularly for patients with little breast tissue.
• Drawbacks : Risk of rotation which can lead to an asymmetrical shape, generally more expensive.

3. Surface Texture

Smooth Implants:

• Description : Smooth and soft surface.
• Benefits Less friction with surrounding tissues, allowing for more natural movement.
• Drawbacks : Slightly higher risk of capsular contracture (hardening of the scar capsule around the implant).

Textured Implants:

• Description : Rough surface designed to adhere to surrounding fabrics.
• Benefits Reduces the risk of rotation, less risk of capsular contracture.
• Drawbacks : Risk of rippling, some studies have suggested a link with rare forms of lymphoma.

4. Implant Profile

Low Profile:

• Description : Implant with a lesser projection relative to the base.
• Benefits : A more discreet appearance, suitable for women with a large bust.
• Drawbacks Less projection, therefore a less pronounced cleavage.

Moderate Profile:

• Description : Offers a balance between projection and base width.
• Benefits Suitable for the majority of patients, natural and proportionate appearance.
• Drawbacks May not provide enough projection for those seeking a very pronounced cleavage.

High Profile:

• Description : Implant with a greater projection relative to the base.
• Benefits Creates a more pronounced cleavage, often preferred by patients wanting a more dramatic look.
• Drawbacks : Less suitable for women with a very large bust, may appear less natural on some.

Breast augmentation with prostheses

1. Volume and shape:

• Advantage: This technique allows for great precision in terms of breast volume and shape. Thanks to a wide range of implant sizes and shapes, we can personalize the results according to your desires.
• Disadvantages: Prostheses can sometimes feel less natural, especially when they are very large. However, recent advances have significantly improved their appearance and feel.

2. Sustainability:

• Advantage: Implants are designed to last for many years, often more than ten. They offer a long-lasting solution for those seeking significant enhancement.
• Disadvantages: There are risks of complications, such as implant rupture or capsular contracture, sometimes requiring subsequent surgical intervention.

3. Surgery and recovery:

• Advantage: The procedure is well established and controlled, guaranteeing maximum safety and efficiency.
• Disadvantages: Recovery time may be longer compared to fat transplantation, with an increased risk of infection and visible scarring.

Autologous fat transplantation (lipofilling)

1. Natural and tactile:

• Advantage: This method offers extremely natural results, both visually and to the touch. There are no foreign bodies involved, which can be a significant advantage for some patients.
• Disadvantages: The transferred fat volume may be partially reabsorbed, sometimes requiring several sessions to achieve the desired result.

2. Use of own grease:

• Advantage: Using your own fat, we can sculpt other parts of your body via liposuction, while also increasing breast volume.
• Disadvantages: This method requires that you have sufficient fat available for transfer.

3. Surgery and recovery:

• Advantage: The procedure is less invasive than implants, with minimal scarring and often a shorter recovery time.
• Disadvantages: The results may be less predictable than those of implants, and several treatments may be necessary to achieve the desired volume.

Factors to consider

• Aesthetic objectives: What look do you want? A natural volume and shape, or a more pronounced augmentation?
• Health and medical history: An assessment of your overall health is essential to determine the best option for you.
• Cost : Compare the initial costs and potential long-term costs for each method.
• Personal preferences: Take into account your preferences regarding touch, feel, and psychological comfort with respect to implants.

Personalized consultation with Dr. Stéphane Smarrito

It is crucial to discuss your goals, expectations, and available options during a personalized consultation. As an experienced specialist, I am here to provide recommendations tailored to your specific needs and personal circumstances.

Each method has its advantages and disadvantages, and the best option depends on your individual preferences. Feel free to schedule a consultation to discuss your breast augmentation plans in detail.

Contact us today to schedule your personalized consultation.

During breast augmentation, anesthesia plays a crucial role in ensuring the patient's comfort and safety throughout the procedure. I will explain in detail how anesthesia is administered during this procedure.

Types of anesthesia

For breast augmentation, two main types of anesthesia can be used:

1. General anesthesia:

   • Description: The patient is completely asleep and unconscious for the entire duration of the operation.
   • Advantage: Ensures total comfort, no sensation of pain or movement.
   • Disadvantages: Requires close monitoring and carries risks associated with any general anesthesia, such as allergic reactions or respiratory complications.

2. Local anesthesia with sedation (conscious anesthesia):

   • Description: The operated area is numbed with a local anesthetic, and the patient receives sedatives to relax and remain in a semi-conscious state.
   • Advantage: Less invasive than general anesthesia, faster recovery.
   • Disadvantages: Less comfortable than general anesthesia, as the patient may experience sensations of pressure or traction.

Anesthesia process

1. Pre-operative consultation: Before the procedure, a consultation with the anesthesiologist is necessary to assess your general health, medical history, allergies, and any reactions to previous anesthesia. This step is crucial to determine the most appropriate type of anesthesia for you.

2. Preparation before the procedure:

• Young : You will need to fast (no food or drink) for at least 6 to 8 hours before the operation.
• Medicines: Follow the instructions regarding medications to take or avoid before the procedure.

3. Administration of anesthesia:

• General anesthesia:
  • Induction: An anesthetic drug is administered intravenously to make you sleepy.
  • Maintenance: The anesthesiologist constantly monitors your vital signs (heart rate, breathing, blood pressure) and adjusts the doses of anesthetic to maintain unconsciousness throughout the procedure.
• Local anesthesia with sedation:
  • Sedation: Sedatives are administered to relax you and make you drowsy.
  • Local anesthesia : The anesthesiologist injects a local anesthetic into the operated area to block the sensation of pain.

4. Monitoring during the procedure: The anesthesiologist and their team continuously monitor your vital signs to ensure your safety and adjust anesthesia levels if necessary.

5. Wake up and recover:

• General anesthesia:
  • Awakening : After the procedure, the anesthetic drugs are stopped, and you gradually wake up in the recovery room under close observation.
  • Recovery: You may experience nausea, headaches, or fatigue. These effects are usually temporary.
• Local anesthesia with sedation:
  • Awakening : You recover more quickly and are usually awake shortly after the procedure.
  • Recovery: Less groggy feeling compared to general anesthesia.

Postoperative follow-up

After the procedure, follow-up is essential to monitor your recovery and address any discomfort or side effects. You will be provided with specific instructions on home care, medications to take, and signs to watch for.

Breast augmentation, performed by Dr. Stéphane SmarritoThis is not just a physical transformation; it also has profound repercussions on the psychological well-being of patients. Here are some of the most frequent positive psychological impacts:

1. Improved self-confidence After breast augmentation, many women feel more confident in their appearance. This boost in self-esteem is often reflected in various aspects of their personal and professional lives.
2. Reduction of complexes For some patients, insecurities related to the size or shape of their breasts can be a real emotional burden. Surgery can correct these discomforts, bringing a sense of relief and greater self-acceptance.
3. Body image harmonization Breast augmentation allows patients to experience a better symbiosis between their body image and how they perceive themselves internally. This creates a feeling of well-being and balance.
4. Improvement of social relations : A body in which one feels good can facilitate social interactions, improve intimate relationships and reduce feelings of self-criticism or inhibition.

Ultimately, breast augmentation, when performed by a specialist like Dr. Stéphane SmarritoIt offers much more than just aesthetic improvement. It allows women to reconnect with themselves, feel more in tune with their bodies, and enhance their psychological well-being.

It is important to understand that the time it takes to see the final result of breast augmentation varies from patient to patient. Several factors come into play, such as each individual's healing capacity, the type of implants used, and the surgical technique employed.

1. Immediately after the procedure:
Immediately after surgery, it's normal for the breasts to appear swollen and for the implants to seem higher than expected. This swelling is a normal bodily reaction to the surgery and gradually decreases over the first few weeks. You should also expect bruising and tenderness, which will subside over time.

2. First recovery phase (6-8 weeks):
During the first six to eight weeks, the implants begin to adapt to the breast and settle slightly, a process known as "drop and fluff." At this stage, the breast is still healing and has not yet reached its final appearance, although visible improvements gradually appear.

3. Stabilization of the result (3 to 6 months):
Most patients find that their breast shape stabilizes between three and six months after the procedure. The implants settle into their final position, the surrounding tissues soften, and the scars begin to fade. It is at this point that the aesthetic result approaches what will be considered final.

4. Final result (up to 12 months):
In some cases, it can take up to a year for the final result to be visible. This depends on several factors, including skin quality, implant size, and how each individual's body reacts to the surgery. During this time, scars continue to fade, and the breasts settle into their final shape, resulting in a natural and harmonious appearance.

Doctor Smarrito will ensure that you are supported at every stage of your recovery in order to guarantee personalized follow-up adapted to your needs.

It is important to understand that the time it takes to see the final result of breast augmentation varies from patient to patient. Several factors come into play, such as each individual's healing capacity, the type of implants used, and the surgical technique employed.

1. Immediately after the procedure:
Immediately after surgery, it's normal for the breasts to appear swollen and for the implants to seem higher than expected. This swelling is a normal bodily reaction to the surgery and gradually decreases over the first few weeks. You should also expect bruising and tenderness, which will subside over time.

2. First recovery phase (6-8 weeks):
During the first six to eight weeks, the implants begin to adapt to the breast and settle slightly, a process known as "drop and fluff." At this stage, the breast is still healing and has not yet reached its final appearance, although visible improvements gradually appear.

3. Stabilization of the result (3 to 6 months):
Most patients find that their breast shape stabilizes between three and six months after the procedure. The implants settle into their final position, the surrounding tissues soften, and the scars begin to fade. It is at this point that the aesthetic result approaches what will be considered final.

4. Final result (up to 12 months):
In some cases, it can take up to a year for the final result to be visible. This depends on several factors, including skin quality, implant size, and how each individual's body reacts to the surgery. During this time, scars continue to fade, and the breasts settle into their final shape, resulting in a natural and harmonious appearance.

Doctor Smarrito will ensure that you are supported at every stage of your recovery in order to guarantee personalized follow-up adapted to your needs.

1. Importance of compression bras: The compression bra is specifically designed to provide optimal breast support after breast surgery. It holds implants in place, reduces swelling, and promotes rapid healing by limiting excessive breast movement. The bra also helps minimize post-operative pain and prevents the formation of folds around the implants, which could affect the final appearance.
2. Duration of wearing the compression bra: Doctor Stéphane Smarrito It is generally recommended to wear this type of bra continuously, day and night, for approximately 4 to 6 weeks After the operation, depending on each patient's case, it is essential to follow these guidelines rigorously during this period to ensure the correct placement of the implants and an optimal result.
3. Features of the compression bra:
   

• Without frame Post-operative bras are designed without underwires to avoid any friction or pressure on scars and implants.
• Breathable and soft fabric The fabric is generally lightweight, soft and hypoallergenic, designed to minimize skin irritation and scarring.
• Front closure : To facilitate its use, especially in the days following the operation, the bra is often equipped with a front closure to avoid excessive arm movements.
• Additional compression bandage : In some cases, an additional compression band may be placed over the breasts to stabilize the implants and keep them in the correct position during the healing phase.

The steps for wearing a bra:

• Immediate post-operative phase From the moment of leaving the clinic, the compression bra is worn 24 hours a day. It must be kept on even during sleep in order to stabilize the breasts during nighttime movements.
• Withdrawal and adjustment For the first few weeks, it is recommended to remove your bra only for showering and put it back on immediately afterward. It is essential to ensure that the bra fits properly, neither too tight nor too loose, so as not to restrict blood flow or hinder healing.
• Medical monitoring During post-operative consultations, the surgeon will check the healing and adjustment of the implants and may adjust instructions regarding the wearing of the compression bra. The doctor will determine when you can switch to regular bras based on the progress of the healing process.

Back to classic bras: After 4 to 6 weeks of wearing the compression bra, Dr. Smarrito You will be allowed to wear regular bras, but it is advisable to choose wire-free models for a few more weeks. Underwire bras could put pressure on the scars, which are still healing. It is also recommended to avoid push-up or very tight bras until your breasts have fully recovered.

Hygiene and care: It is essential to keep the compression bra clean to prevent infection of the incisions. A second bra can be purchased so that you can change it regularly while the other is being washed. Washing should be done by hand with a mild detergent to preserve the bra's elasticity and structure.

Wearing a compression bra after breast augmentation with implants is a crucial step for achieving a satisfactory aesthetic result and ensuring a smooth recovery. By strictly following Dr.'s recommendations Stéphane Smarrito, you are putting all the odds in your favor for optimal healing and well-positioned implants.