Implante mamário

O que é um Implante Mamário?

 

A cirurgia de Implante Mamário, também designada por Mamoplastia de Aumento e Cirurgia de Aumento de Mama, é uma cirurgia de Estética Mamária que tem como objetivo aumentar o tamanho, e melhorar a forma e contorno das mamas através da inserção da prótese de Implante Mamário.

 

Porque é que o Implante Mamário é realizado?

 

O Implante Mamário é utilizado maioritariamente a nível estético para aumentar os seios, mas o Implante Mamário também pode ser realizado para reconstruir os seios. Após uma lesão nos seios ou uma mastectomia, o tecido mamário fica visivelmente menor. A cirurgia de implante mamário permite criar seios com um aspeto natural. Dependendo da preferência do cirurgião, o implante pode ser preenchido com soro fisiológico ou gel de silicone.

 

Quais são as condições para a cirurgia de Implante Mamário?

 

A cirurgia de Implante Mamário é acessível a muitas pessoas, sendo que o único requisito é que a paciente seja saudável o suficiente para ser submetida a anestesia geral.

 

O Cirurgião Plástico fará uma recomendação quanto ao tamanho do implante. O tamanho dos implantes é da responsabilidade da paciente, mas é altamente recomendável seguir os conselhos do cirurgião.

 

Quais são os factores a ter em conta antes do implante mamário?

 

Antes da cirurgia, recomenda-se às pacientes o seguinte:

 

  • O doente deve estar no hospital um dia antes da cirurgia para efetuar os testes pré-operatórios.
  • O doente deve deixar de fumar e de consumir álcool pelo menos 2 semanas antes da cirurgia para reduzir o risco de coágulo sanguíneo.
  • O doente deve evitar medicamentos que contenham aspirina ou ibuprofeno (Advil, Motrin IB, outros) durante duas semanas antes e depois da cirurgia. Estes medicamentos podem aumentar o risco de hemorragia interna. Os pacientes devem confirmar cada medicamento e suplemento que desejam tomar com o coordenador do paciente.
  • O paciente deve parar de tomar suplementos multivitamínicos 7 dias antes da cirurgia e, se contiverem vitamina K, não devem ser utilizados durante 30 dias após a cirurgia.
  • A paciente deve parar de tomar contraceptivos orais 30 dias antes da cirurgia.

 

Além disso, o corpo da paciente será examinado e medido, e o cirurgião desenhará linhas no corpo para planear onde serão feitas as incisões.

 

Como é efectuada a cirurgia de implante mamário?

 

A anestesia geral é administrada no início da cirurgia. E é efectuada uma incisão num dos três locais, dependendo da técnica do cirurgião:

 

  • Inframamário: A dobra sob o peito
  • Axilar: Debaixo do braço
  • Periareolar: À volta do mamilo

 

O cirurgião separa então o tecido mamário dos músculos peitorais e do tecido conjuntivo do peito, criando uma bolsa atrás ou à frente do músculo peitoral.

 

O implante é então inserido na bolsa recém-criada e centrado atrás do mamilo.

Por fim, o cirurgião fecha a incisão com suturas e ligaduras com adesivo cutâneo e fita adesiva cirúrgica.

 

A cirurgia demora 60 a 90 minutos e espera-se que os implantes sejam mudados 10 a 15 anos mais tarde, uma vez que não são considerados permanentes.

 

Quais são os cuidados a ter após o implante mamário?

 

Após a cirurgia, a paciente deve ter os seguintes cuidados

 

  • Evitar actividades físicas extenuantes.
  • Evitar actividades extenuantes ou pressão na área do peito.
  • Ter uma dieta saudável, pois tornará o processo de cura mais rápido.
  • Tomar a medicação prescrita de acordo com as instruções do médico.
  • Usar roupas confortáveis e largas.
  • Evitar deitar-se de barriga para baixo, uma vez que isso irá exercer pressão sobre os seios.

 

A paciente pode voltar à sua vida quotidiana 2 semanas após a cirurgia, mas uma recuperação completa demora 6 a 8 semanas.

 

Quais são os riscos do implante mamário?

 

A cirurgia de implante mamário tem alguns riscos associados. Estes incluem, mas não estão limitados aos seguintes:

  • Acumulação de fluidos junto à pele, seroma
  • Coágulos sanguíneos
  • Infeção
  • Inchaço
  • Má cicatrização da ferida
  • Cicatrização
  • Alterações na sensação da pele
  • Reação adversa à anestesia
  • Resultado estético abaixo do ideal

 

Além disso, uma vez que os implantes não são considerados dispositivos médicos permanentes, existe a possibilidade de se inflarem ou romperem com o tempo. Em caso de rutura, o cirurgião plástico tem de substituir o implante rompido por um novo.

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