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Implante de mamas o mamoplastia aumentativa
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Implante de mamas o mamoplastia aumentativa

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Las mamas o senos constituyen para la mujer parte importantísima de su feminidad, son áreas del cuerpo que provocan atracción por su belleza y su forma. De ahí parte la importancia de el resultado estético que espera cada mujer de su cirujano.

Debemos tener en cuenta que las mamas estan constituidas de tejido graso o grasa y glándula mamaria, su turgencia o dureza, volumen o tamaño y forma va a depender  la edad, raza, números de embarazos.  

Los pechos pequeños son muy comunes y cada vez mas mujeres sienten la necesidad de reafirmar su feminidad aumentando las medidas de sus mamas o simplemente quieren verse mejor. El tamaño ideal no existe, va a depender de la cultura, de la moda y lo mas importante de lo que realmente quiera la paciente, ella tiene la ultima palabra, aunque hay algunos parámetros que tener en cuenta como la altura o talla, la contextura de la persona, ello es parte del asesoramiento que brinda el  cirujano plástico.

El método mas seguro para aumentar el tamaño de las mamas es con la colocación de implantes de silicona, estos implantes son de muchos tipos, pero los que imperan en el mercados y los de mejor calidad son los de gel de silicón, cohesivo y texturizados, se sienten muy naturales y son los que mejor se integran en el  cuerpo.

Los implantes de mamas se pueden colocar subglandular o por debajo de la glándula  y submusculares o por debajo del pectoral mayor. Esto lo decide el cirujano y esta relacionado con la cantidad de tejido graso y mamario que posee la paciente.  Si hay poco tejido mamario y graso lo optimo es colocar los implantes submuscular, con esto logramos que sean menos notorio los bordes del implante y por ende se ven mucho mas naturales. Si hay una cantidad aceptable de tejido mamario y graso con ponerlos subglandulares tendrán un resultado natural y excelente.  En cualquiera de los casos la lactancia y la sensibilidad no deben alterarse. 

Los implantes se pueden colocar por diferentes vías: Una de las mas comunes es la periareolar inferior, es decir justo entre el cambio de color de la areola y la piel, suele ser imperceptible, también tenemos la submamaria en especial cuando las areolas son muy pequeñas y vamos a colocar implantes grandes, la incisión queda escondida en el surco submamario. También estan la vía axilar o umbilical, pero las primeras dos mencionadas son las que mejor resultados dan, en cualquiera de ellas las suturas la hacemos por dentro es decir no se van a ver puntos en la herida.

Para esta cirugía como para todas se deben realizar exámenes de laboratorio, valoración cardiaca y los pacientes por supuestos deben estar sanos. 

Este procedimiento es ambulatorio, es decir que no necesita días de hospitalización, pero se lo debe realizar en clínica u hospital, con esto se mantiene el nivel se seguridad adecuado y disminuyen los riesgos quirúrgicos, la anestesia es regional  o  peridural  y la duración de la cirugía  es de aproximadamente 1 hora.
El paciente luego de dos horas de postoperatorio puede ir a casa y seguir la indicaciones de descanso relativo y toma de medicación para evitar el dolor y la inflamación

La mamoplastia aumentativa o colocación de implantes de mamas es una cirugía de rutina y generalmente a los 3 días la paciente puede retornar a su trabajo, con pechos que deseaba. medicosecuador
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