“A gesture that enhances femininity, restoring fullness and harmony to the breast.”

Breast augmentation is much more than an aesthetic procedure; it represents a path to rebirth for many women living with intimate suffering related to the perception of their bodies. This procedure does more than simply alter a physical appearance; it is a therapeutic tool for restoring the balance between form, function, and psychological well-being. In cases of failure to develop during puberty, marked asymmetries, or malformations such as tuberous breasts, the procedure takes on a profound significance: it is not simply an aesthetic improvement, but a concrete response to a need for physical integrity and personal harmony. Such conditions can generate a sense of inadequacy and fragility, negatively affecting self-confidence, relationships and quality of life. Surgery then becomes a means to overcome deep-rooted suffering, to regain a new sense of self-awareness. But there is more. Breast augmentation celebrates women’s commitment to their bodies, a body that has often already experienced sacrifices and profound changes. Intense workouts, pregnancies, weight-loss journeys or struggles with personal insecurities represent stages in a complex journey toward self-acceptance and self-care. When harmony is compromised, intervention offers a chance to reconcile with one’s body image, bringing back balance not only on the outside but also on the inside. It is not about chasing an imposed ideal, but about recovering beauty as an authentic expression of being. Surgery stands as a discreet ally, capable of enhancing what is unique in each woman, integrating form and function for a personalized solution that respects her identity. In this context, additive mastoplasty is an act of care, a response that combines scientific rigor and human sensitivity, to restore to each woman not only the harmony of the body, but also the serenity of the soul. Today, additive mastoplasty uses state-of-the-art surgical techniques and a personalized approach that combines anatomical precision, aesthetics and, above all, safety for the patient. The primary goal is to achieve a natural, harmonious and lasting result while minimizing risks and ensuring optimal recovery.

Surgical techniques and anatomical plans

Modern techniques make it possible to accurately choose the most suitable anatomical plan based on the conformation of the chest, tissue quality, and the patient’s aesthetic goals. The main prosthesis placement planes are:

Submammary (sub glandular): The prosthesis is placed directly under the mammary gland. Indicated in patients with adequate tissue thickness, it offers natural results in terms of shape and projection. Generally faster recovery time, but may pose a greater risk of implant visibility or palpability in individuals with thin tissue.

Total sub muscular (sub pectoral): The prosthesis is inserted under the pectoralis major muscle. Indicated in patients with thinner breast tissue. It provides better prosthesis coverage and reduces the risk of visibility, while requiring longer postoperative recovery.

Dual plane: A combination of the two techniques, in which the upper part of the implant is under the pectoralis muscle, while the lower part is under the mammary gland.

Versatile technique that allows a very natural result, especially in patients with mild ptosis (sagging) or asymmetry. The subfascial plane: Indications: it is ideal for patients with adequate tissue thickness and good skin elasticity. It is also often indicated for patients who desire a harmonious shape without the intensity of recovery associated with the subfascial plane. The subfascial plane involves placing the prosthesis under the fascia of the pectoralis major muscle, keeping the muscle intact. This approach combines the advantages of the sub muscular plane and the sub glandular plane, providing an intermediate option that is particularly suitable in specific cases.

Advantages of the sub fascial plane:

Natural coverage: The muscle band provides additional protection to the prosthesis, ensuring a more natural result than the sub glandular plane, especially in patients with thin tissues

Less muscle trauma: Since it does not directly involve the pectoralis muscle, postoperative recovery is generally faster and less painful than the sub-muscle plane.

Reduction of the risk of muscle animation: Because the prosthesis does not interact with the muscle during movement, the effect of “abnormal movement” of the breast during physical activity is avoided.

Suitable for athletic patients: This approach is often preferred for women who engage in intense physical activity, as it fully preserves pectoral muscle function.

With the addition of the subfascial plane, the surgical approach becomes even more personalized, allowing the most appropriate technique to be chosen based on the patient’s aesthetic, anatomical, and functional needs. In all cases, patient safety remains the top priority, with careful preoperative evaluation and thorough postoperative monitoring

Preoperative safety

Safety begins long before surgery. Careful clinical and diagnostic evaluation helps minimize risk and ensure that the patient is in the best physical condition. Preoperative steps include: Detailed clinical examinations, such as blood tests, ECG and any instrumental examinations (ultrasound or mammography). Evaluation of tissue conditions to select the most appropriate surgical technique. In-depth discussion of the characteristics of the prostheses, all of which are rigorously certified and meet international safety standards. In case of predisposing conditions, such as preoperative edema or skin changes, customized protocols are adopted to ensure that tissues are in optimal condition before proceeding with surgery.

Intraoperative management and safety

During surgery, safety is ensured by: sterile, state-of-the-art instrumentation. Use of atraumatic techniques to minimize tissue trauma. Administration of antibiotic prophylaxis to prevent infection. Careful control of hemostasis to reduce the risk of bleeding and hematoma formation.

Postoperative recovery and management

Postoperative recovery is a crucial time for successful surgery and patient satisfaction. Recommendations include:

Pain and edema management: Analgesic and anti-inflammatory drugs help control pain.

It is normal to observe postoperative edema in the first few days, which gradually resolves within 2-4 weeks.

The use of specific compression bras promotes stabilization of the prostheses and reduction of edema.

Activity and recovery: Rest during the first 48-72 hours is recommended, avoiding movements that excessively involve the pectoral muscles.

Resumption of light daily activities is possible within 7 days, while intense physical exercises are generally allowed after 4-6 weeks.

Postoperative monitoring:

Regular checkups to verify proper prosthesis placement, tissue healing, and absence of complications.

Prevention of infection and capsular contracture is ensured through continuous observation and the adoption of safe surgical protocols.

Conclusions

Breast augmentation is a procedure that requires expertise, experience, and special attention to patient safety. Thanks to modern techniques and advances in preoperative and postoperative management, it is possible to guarantee excellent results and a serene course, with full respect for the health and physical and psychological well-being of each woman.