You are brilliant!"
Emily, London
Dr. Joffily is unique in that he has practices in both London and Brazil, this enables him to offer those UK clients on a budget a cheaper option if they travel to Brazil for their surgery.
Unlike many other providers of surgery abroad this is not a conveyor belt medical tourism but a personal service where you can meet and discuss your procedure with Dr. Joffily in the UK and feel safe with your surgeon before you arrive in Brazil.
| Breast enhancement |
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The breast-increase plastic surgery is the surgery where you are able to increase the volume of the breasts through the insertion of a synthetic material below the glands. This material can be of two types: silicone or polyurethane. At our service, we have only used textured silicone implants. After years of investigations on its use and its association with the appearance of cancer and other diseases, silicone was finally released as a safe and efficient product for use in human beings in the form of implants, without any risk of or relation with an increase in the possibility of the appearance of cancer and/or autoimmune diseases. Besides the volume increase, it is also possible to obtain an increase in the consistency and shape, since the implants have different contours. In the calculation of the size of the implants, one must consider the patient’s height and the width of her thorax, since there is a harmony between these three elements in the human body and thus an ideal proportion between height, the size of the thorax and the volume of the breasts must be preserved.
The procedure takes around 1 and a half hour, and is normally performed under twilight sedation, which is a superficial anesthetic that gives the patient a superficial sleep state. This allows the patient to leave the clinic just a few hours after the surgery.
As to the access approach for the insertion of the prostheses, we have most frequently used the inframammary approach, in which the scar stays in the sulcus below the breast. The insertion approach through the nipples is still used by some surgeons. Particularly, I do not use it due to the possibility of causing an alteration in sensitivity and because many times, it becomes a more visible scar than the inframammary. I try not to manipulate such a noble region such as the nipples. Another important point to be considered is the location of the implants: below the mammary gland or below the pectoral muscle. Particularly, we routinely place the implants above the muscle, that is, retro-glandular, since in our experience we have observed that the implants are better positioned and do not migrate over time, besides the better shape and contour. We leave the inframuscular location for the thin patients with little breast tissue, in the attempt to better camouflage the implants. One frequent doubt regards the so-called capsule. The capsule is nothing but the formation of a tissue, a thin membrane around the implants, a natural reaction that occurs around all prostheses. In a very low percentage of cases, around 2%, this capsule undergoes a hardening process, the capsular retraction, which in some cases can be so intense to the point of making the prostheses palpable and hard, and in these cases, they must be removed and replaced. The new procedure uses the same existing scar and takes about 40 minutes. Fortunately, the number of capsular contractions has been greatly reduced with the use of the textured silicone implants. I am at your disposal for further information.
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