Dr. Carlos Anovazzi Filho

Augmentation mammoplasty (inclusion of a breast implant) aims to increase the volume of the breasts. It is indicated in patients with hypomastia (small breasts) due to poor development in adolescence or decline after pregnancy.

The access route (incision) for placement of the prosthesis can be located in three areas: inframammary fold, periareolar, and axillary. The incision will be chosen based on the physical characteristics of the breast and the patient's desire.

The prosthesis can be placed in three regions: subglandular, submuscular, or subfascial.

In the prosthesis placed subglandular, the breast looks more natural, it is performed with local anesthesia, the pain in the postoperative period is less. This location has a higher rate of capsular contracture (hardening of the prosthesis).

In the submuscularly placed prosthesis, the prosthesis is more protected and has a lower rate of capsular contracture, but due to muscle manipulation, postoperative pain is greater.

In the subfascial placed prosthesis, the prosthesis has greater protection, lower rate of contracture, more natural appearance.

The inclusion of a prosthesis does not change breastfeeding, as the location of the prosthesis and the access route do not harm the breast.

The most common drawback is the formation of a capsule (hardening) around the prosthesis, which is resolved by changing the prosthesis and its insertion site.

Intimacy surgery (nymphoplasty) aims to reduce excess mucous membrane in the labia minora. It is indicated in patients with enlarged labia minora that "catch" and bother in underwear.

The surgery is performed with local or epidural anesthesia, the latter being more comfortable, an incision is made in the mucosa of the labia minora (internal face), and the amount of excess tissue is removed; the resulting scar is discreet and hidden.

In the postoperative period, the patient will present edema in the region, which resolves in an average of 10 days.

After the surgery, the patient should not have sexual intercourse for a period of one month. Physical exercises can be resumed after twenty days.

Minilifting is a type of surgery performed on the face with the aim of reducing sagging. It is indicated in patients with mild to medium intensity facial flaccidity.

This surgery is similar to rhytidectomy, but is used in patients with less sagging skin (generally younger).

Usually performed under local anesthesia, it lasts an average of 1:30 hours, the incision is performed in the pre- and retro-auricular region, leaving the scar hidden and discreet.

Postoperative care is similar to total face surgery (rhytidoplasty) but edema is less and recovery is faster because it is a surgery with a smaller extension.

It is often performed in conjunction with blepharoplasty and rhinoplasty.