Dr Constantino Davide, a renowned expert in the field of plastic, reconstructive and aesthetic surgery took his time to provide simple, but detailed answers regarding the theme of breast augmentation, reshaping and other common breast surgery procedures.
Dubai London Clinic resident, Dr Davide, specialized in plastic, reconstructive and aesthetic surgery at University of Padova in 1995. He continued to build his expertise in Rio de Janeiro for a few years and spent last 25 years clinically practicing his vast academic knowledge. Over time he became one the most successful and professional experts in the field.
1. Dr Davide, could you please tell us what are the most common surgical breast correction procedures that you encounter in your daily practice?
One of the most common complaints I encounter often is hypomastia. Although small breasts are not a serious physiological problem, they are a great psychological burden. And mental health is a very important aspect of overall health.
On the other hand, ptotic (drooping) breast are a common problem in patients. The loss of mammal tissue and drooping sometimes occurs after the pregnancy, or due to the aging process. It requires aesthetic correction, and this is something I encounter very often in my practice. Another condition that leads to plastic surgery procedures is the breast asymmetry. Breast asymmetry, especially in the case of large breast can cause different, more or less serious, problems.
Also, breasts that are too big and heavy that can cause back pain, shoulder pain (due to the bra straps) or dermatological problems in the submammary fold. Some patients prefer smaller breasts only for aesthetic reasons. The most usual procedures include breast augmentation and breast lift.
2. When are breast augmentation and breast reduction procedures medically justified? Is this solely a female-patients issue?
Regarding breast augmentation, usually there are problems of feeling uncomfortable with themselves. For some patients it is very hard to accept their own image. This is often justified, especially in the case of an evident dysmorphism or disharmony, which influences the femininity on many levels.
Breast reduction can be medically justified as said before. It is not rare to witness a certain amount of insecurity in men, caused by a very common problem of gynecomastia. This condition is best described as breast tissue augmentation, which is caused by an unusual gland hypertrophy or excess of fat tissue.
3. Could you explain us the usual process of the breast augmentation procedure? What happens before, during, and after the operation?
The most important thing before a surgical procedure of this kind is the consultation. The surgeon has to understand the person in front of him: the reasons, the wishes and the expectations. Next, it is important to explain everything, to inform the patient about the surgical procedure and the kind of implants which are going to be used. Every procedure has a potential risk, and not every patient is an adequate candidate for all sorts of procedures.
Technically, we operate while the patient is under the general anaesthesia or in local anaesthesia plus sedation. The procedure usually happens during the one-day stay or with the one-night stay in hospital, for the recovery.
In the case of breast augmentation, there are different kinds of incisions. Firstly, we can make an incision in the periareolar, in the submammary fold. Another option is to make an incision in the axilla and the implant can be located over or under the muscle, or both with a technique called dual plane. During the first month of post-op recovery it is necessary to wear a specific bra and avoid physical activity.
4. Do you always provide consultations to your patients?
Yes, a pre-procedure thorough consultation is a must. There must be a mutual feeling of respect and trust between the patient and the surgeon. The doctor needs to understand patient’s wishes, and the patient needs to trust in doctor’s expertise and skills. In a way, the plastic surgeon is an artist, who combines patient’s expectations, his own skill and available tools and materials with an intention to provide almost perfect results. If done properly, plastic surgery procedure makes both, the doctor and the patient, proud and content with the result.
5. What kind of implants do you commonly use in breast augmentation procedures, and how safe are they?
Most of the implants are made of special silicone gel, which has been used for a long time, and it is tested and safe.
These implants usually have round or anatomic shape. In my opinion, the surgeon has to decide which one to use according to the anatomy and the desires of every single patient. Every surgery is different from another. The implants can last for many years especially those of new generation.
6. What would you advise someone who is considering the breast augmentation procedure?
Like I previously emphasized, one of the most important steps prior to any plastic surgery procedure is the consultation. We at Dubai London Clinic simplified the appointment making process maximally. You can easily fill out the online form or call 800-352. Our administrative staff will inform you about next available date, in the shortest notice. If you are in the area, you can pop in as well, and personally ask about the next available time slot.
I, personally, love to have a thorough and in-depth conversation with my patients. This is necessary, in order to make sure that we understand each other completely and trust one another fully. I gladly provide answers to all potential questions and do my best to explain everything in simple language, but meticulously.