Breast Augmentation

Breast augmentation

Breast augmentation is one of the most requested cosmetic surgeries among women. Breasts that are too small, sagging, or empty (for example, after breastfeeding) sometimes pose not only an aesthetic but also an emotional problem for women. The size and shape of the breasts affect their self-confidence, their sense of comfort, and their sense of femininity. Breast augmentation is the cosmetic surgery procedure used to augment and restore the breasts to their desired shape.

The desire of those who undergo breast augmentation is to have perfect, completely natural-looking breasts. The evolution of prosthetics and the materials with which they are made today guarantee a much more natural shape and consistency than in the past, but the sensitivity and skill of the surgeon are fundamental, as he must study the situation on a case-by-case basis to offer a personalized solution. This is precisely why Dr. Manola meets with his patients several times before proceeding with breast augmentation surgery.

Preoperative visit

During the preoperative visit, Dr. Manola will first conduct a thorough general medical history, then study the anatomical characteristics of the breast, body type, and skin type. Above all, he will assess the patient’s motivations and expectations. Dr. Manola will then determine the most appropriate procedure to achieve a natural effect. There are various incision and implant placement techniques. For breast augmentation procedures, Dr. Manola uses only the best implants on the market, with a lifetime guarantee and CE (European Community) and FDA (US regulatory body) certification. The type of implant will be chosen based on the desired augmentation, skin quality (firmness, presence of stretch marks, or otherwise, as expected), subcutaneous tissue thickness, breast characteristics, and the patient’s aesthetic desires.

Before the procedure, the implants will be chosen:

  • The Round Implant has a symmetrical shape with a round base that rests on the chest and a dome-like appearance. Round implants vary in volume, diameter, and projection (low, medium, or high profile). Their shape, once implanted, depends on the force of gravity and the surrounding tissues.
  • The Anatomical Implant is asymmetrical with an oval base of varying widths and heights and a predefined, teardrop shape, and is less affected by gravity and tissue pressure.

Breast augmentation surgery

Breast augmentation is performed under local anesthesia with deep sedation as a day surgery procedure, thus not requiring an overnight hospital stay.

The surgical phase lasts approximately 60 minutes.

Breast augmentation involves several techniques:

  • Subglandular breast augmentation
  • Submuscular breast augmentation
  • Dual-plane breast augmentation (mixed technique)
  • Regenerative breast augmentation


The access route for implant placement can be:

  • Submuscular
  • Periareolar
  • Axillary (rarely used) and will be decided by Dr. Manola based on the patient’s needs and anatomical characteristics.

Postoperative course

Postoperative care for breast augmentation: the breast area may be slightly swollen, and the patient may experience numbness.
Painkillers and antibiotics are specifically prescribed. Precautions: the area should not be wet for a week to avoid compromising the stitches. Lifting weights and straining with the arms are prohibited for at least the first two weeks.
Tips: Massage the breasts to achieve a natural look more quickly.

Dual-plane breast augmentation is the most innovative technique for breast augmentation. The round or anatomical implant is chosen during the preliminary consultation with Dr. Manola. The implants used are made of polyurethane, the only ones with a lifetime guarantee against encapsulation, rupture, and rotation. The implant is positioned half under the pectoral muscle and half under the mammary gland, ensuring a natural result for the patient and preventing the implant from being felt.

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