Breast Surgery

Breast Surgery

Breast augmentation is one of the most requested procedures in aesthetic surgery, allowing for an increase in breast volume and a redefinition of shape in a proportional and natural way. At Image Regenerative Clinic in Milan, the procedure is fully personalized, with a careful selection of anatomical or round implants based on the patient’s morphology, skin quality, and aesthetic goals. In some cases, implants can be combined with autologous fat grafting using Lipogems® technology, which enhances tissue quality and creates a softer, more harmonious, and longer-lasting enhancement of the décolleté. The goal is not merely volume enhancement, but the creation of a result that truly respects and enhances the patient’s individual identity.

Treatment Overview

Appropriate for

Increase breast volume, improving shape and harmony even after mastectomy or in the presence of significant asymmetries.

Age

18 years and up

Procedure Details

60-90 minutes

Sessions and frequency

Single session

Precautions

Possible suspension of certain medications in agreement with the surgeon, avoid smoking for 2 weeks.

Plan Your Treatment

Schedule a video consultation or a call from the clinic

Prof. Carlo
"Placing the implant beneath the pectoral muscle is very important for a natural long-term result. The use of stem cell lipofilling is, in my opinion, currently advisable only for touch-ups or to improve capsular contracture. Sagging breasts cannot be resolved with an implant but require a mastopexy procedure first."
Prof.  Carlo  Tremolada

About the Treatment

Forms, Materials, and Surgical Techniques

The choice of implants represents a crucial moment in any aesthetic surgery procedure. Ensuring safety, reliability, and lasting results is not just a matter of aesthetic quality but also protecting patient health and well-being. High-quality implants are distinguished by their ability to integrate perfectly with tissues, offering a natural appearance and excellent durability while minimizing the risk of complications such as capsular contractures, ruptures, or deformations.

For this reason, Professor Tremolada, always attentive to offering maximum quality, relies on premium implants like Motiva, recognized as the industry benchmark for safety and aesthetics.

Breast implants can be of different shapes, such as anatomical (teardrop) or round, and are made with highly cohesive silicone, ensuring safety, durability, and a natural feel. Implant placement can be under the mammary gland, under the muscle fascia, or under the pectoral muscle, based on anatomical characteristics and desired results.

Surgical access varies between periareolar, transareolar, inframammary, or axillary, chosen based on patient conformation and the need to minimize scarring. Modern suturing techniques and implant quality minimize the risk of complications and ensure quick and safe post-operative recovery.

An Innovative and Minimally Invasive Approach: Professor Tremolada's Drain-Free Additive Procedures

Professor Tremolada generally doesn't use drains in additive procedures. This choice is based on a minimally invasive approach attentive to post-operative management. His innovative techniques, such as those employed in the Lipogems protocol, minimize surgical trauma and promote more natural and efficient healing.

The absence of drains offers several advantages:

  • Greater patient comfort: The absence of external devices reduces discomfort and increases well-being during convalescence.
  • Lower infection risk: Eliminating drains reduces entry points for bacteria.
  • Advanced swelling control techniques: Adopted methodologies, such as specific infiltrative solutions, minimize fluid accumulation.

This philosophy reflects his vision: maximizing patient benefits through safe, precise, and natural techniques.

Size and Shape Selection: Choosing Your Ideal Implant

Breast implant selection requires a personalized approach considering anatomy, lifestyle, and aesthetic expectations. Anatomical implants (teardrop) offer a natural profile, ideal for patients with limited breast tissue. Round implants create greater upper pole fullness, perfect for those desiring more pronounced cleavage. Volume choice depends on chest width, height, body constitution, and personal preferences. Our approach includes 3D simulations and sizing with external implants to visualize the final result before surgery.

Lipogems Integration: Revolutionary Breast Augmentation

Combining breast augmentation with Lipogems represents a significant innovation. Autologous adipose tissue, processed with Lipogems technology, is used to perfect aesthetic results: improves implant integration with natural tissues, corrects minor asymmetries, softens implant edges, and stimulates skin regeneration. This dual-phase approach ensures more natural and lasting results, reducing capsular contracture risk and improving surrounding tissue quality.

Recovery Timeline and Post-Operative Care

Breast augmentation recovery follows precise, predictable phases. First 2-3 days: rest, moderate pain controllable with analgesics, elastic bandaging. First week: shower permitted, limited arm movements. Weeks 2-4: gradual return to daily activities, specific massage to prevent capsular contracture. Months 2-3: light sports activity resumption, definitive shape emerging. 6 months: stable, mature result. Post-operative bra is essential for first 2 months, supporting correct implant position during healing.

Surgical Combinations: Augmentation Plus Procedures

Many patients benefit from combining breast augmentation with other procedures. Augmentation + Mastopexy: for patients wanting both volume and lift. Augmentation + Liposuction: complete body contouring using aspirated fat for Lipogems. Augmentation + Abdominoplasty: "mommy makeover" approach for post-pregnancy recovery. Feasibility assessment of multiple combinations considers safety, operative time, and result expectations, always privileging conservative, personalized approach.

Ideal Candidacy: Who Can Undergo Surgery

Ideal breast augmentation candidacy includes specific criteria for optimal results. Minimum age 18 with completed breast development, good general health, realistic result expectations, emotional stability, and personal motivation. Stable weight for at least 6 months, BMI preferably under 30, non-smokers or willing to quit 4 weeks before/after surgery. Important also understanding that breast implants aren't permanent and might require replacement during lifetime.

Long-Term Results: Expectations and Maintenance

Modern breast implants have average duration of 15-20 years, but many patients maintain them lifelong without problems. Annual check-ups are recommended to monitor implant integrity and position. Signs that might indicate revision necessity: changes in shape or consistency, persistent pain, progressive asymmetries. Post-augmentation pregnancy is safe but may modify breast appearance. Natural aging continues, but from an "enhanced" baseline. Most patients maintain high satisfaction for decades.

Understanding Implant Types: Technology and Innovation

Modern breast implants represent decades of technological advancement. Silicone gel implants offer natural feel and proven safety, with cohesive gel that maintains shape even if shell ruptures. Saline implants allow smaller incisions and easier monitoring but may feel less natural. Motiva implants, our preferred choice, feature advanced shell technology, ergonomic shape adaptation, and integrated safety chip for easy identification. Surface texturing reduces rotation but smooth implants lower capsular contracture risk - choice depends on individual factors.

Why Choose Image for Breast Augmentation

Regenerative Approach: Lipogems integration for more natural, lasting results.

Drain-Free Technique: Innovative methodology without drains for greater comfort.

Premium Implants: Exclusive use of Motiva, global benchmark for safety.

Advanced Personalization: 3D simulations and tailored approach for each patient.

Consolidated Experience: Decades of specialization in regenerative aesthetic surgery.

Plan Your Treatment

Schedule a video consultation or a call from the clinic

Frequently Asked Questions

Which women choose regenerative mastopexy?

Regenerative mastopexy is chosen by women who see aesthetic surgery as an opportunity to improve their appearance in a natural and innovative way. Thanks to Lipogems technology, this treatment doesn't just correct, but regenerates tissues and enhances breast beauty with a modern and advanced approach.

What are the differences between a mastopexy and a regenerative mastopexy?

Traditional mastopexy gives breasts a firmer and lifted shape, correcting skin sagging. Regenerative mastopexy, on the other hand, not only lifts the breasts but visibly improves skin quality, making it more elastic and toned, and gives an overall younger and more natural appearance, with longer-lasting results over time.

Can mastopexy and breast augmentation be performed together?

Yes, mastopexy and breast augmentation can be performed in the same procedure. This combination is ideal for women who wish to lift sagging breasts while simultaneously increasing their volume. The combined procedure allows for correction of skin sagging, improvement of breast position, and achievement of fuller, more proportionate décolletage in a single procedure, reducing recovery time compared to separate interventions.

What are the recovery times and scars after regenerative mastopexy?

Recovery after regenerative mastopexy is faster compared to traditional techniques, thanks to the anti-inflammatory properties of Lipogems tissue. Light activities can be resumed after a few days, while scars, already minimal, tend to become almost invisible over time thanks to the improvement in skin quality offered by tissue regeneration.

Can breast Lipogems be used to prevent aging?

Yes, Lipogems can be used preventively to counter breast aging. Thanks to its regenerative properties, it improves skin elasticity and tone, stimulating cell regeneration and helping maintain a young and natural appearance over time, delaying signs of aging.

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