Breast Implants – Prothesis
In the past there have been numerous attempts to increase breast size, using different materials injected or implanted, or even elements of the same body. However, most complicated terms, leaving breast hard, painful and without the desired shape.
In 1963 he introduced the silicone implant and from that moment it was possible to obtain good results. For 30 years they have silicone implants placed, making the surgery and achieving predictable results.
For practical purposes, silicone implants are of two types: silicone gel-filled and saline-filled. The reality is that there is no valid scientific study that says breast cancer or collagen diseases are caused by silicone implants.
However, if no results show that the incidence of breast cancer and other diseases is the same in people who have silicone implants and those without implants. At this point in the U.S. silicone-filled implants can be placed only for breast reconstruction and filling and filling of saline cosmetic breast augmentation.
In the rest of the world the type of implant that is to be used is decided jointly between the surgeon and the patient, after a careful analysis of each case, the implant was placed over the filling. In severe breast atrophy there is no better alternative to breast implants are the only ones who can provide a good cosmetic result.
Women with implants can get pregnant and breastfeeding her child. Has not been shown to pass silicone to milk.
Silicone implants have passed all necessary tests to be regarded as safe. However, it is advisable to change between 8 and 10 years after putting them to prevent their destruction by erosion and prevent your content into contact with the capsule.
The serum or saline solution does not need this caution, since in case you wear the bag, the content found within, is reabsorbed. However, they have other drawbacks: they can partially or completely deflated one or both implants, are harder to touch and sometimes cause thermal sensations (cold local) or sound (sound of water movement if there are air bubbles).
Regarding the smooth or textured surface, usually prefer to place implants in the submuscular smooth, since in this position, the gland has its own mobility, which is accentuated by the movement see the ribs of smooth implants. If the implant is placed above the muscle, directly under the gland, generally used textured implants, as it decreases the rate of capsular contracture. In these cases it is preferred polyurethane coated implant prosthesis to the formation of a much more soft capsule.
Regardless of the content and the surface of the implants, the choice of the projection and the diameter of which is essentially to obtain result n appropriate to the characteristics of each patient. To this should pay particular attention to measures of the breast base and its height, so that the implant chosen suits the dimensions of the first and second offsets.
It is not believed necessary to widespread use of anatomical implants submuscucular level since in this position, the pectoral muscle is much thicker and capable, by itself, projecting the upper pole of the breast. In addition, this type of prosthesis increase the chances of bad position by rotation. However, it usually indicates its use in breast reconstruction.
Gel filled implant rupture
If the shell breaks but it does the scar capsule around the implant, the person can not detect any change. If the scar also breaks the silicone gel may move into surrounding tissue. The gel may collect in the chest and cause a new scar or may migrate to another area of the body. There may be a change in the shape or firmness of the breast.
Both types of breaks may require a second operation and replacement of the leaking implant. In some cases, may not be possible to remove all silicone gel breast tissue if a rupture occurs.
RISKS
Breast augmentation surgery is a safe, provided it is done by a qualified plastic surgeon. However, as any operation can always be complications and risks. In breast augmentation, the most frequent complication is capsular contracture, which occurs when the internal scar that forms around the implant shrinks excessively, causing the breast to become harder. It can be treated in various ways, sometimes requiring the removal of internal scar, and even replace the implant.
Other complications, typical of any surgery is the hematoma, which only in specific cases requires a new operation to remove the accumulated blood.
A percentage of women may have an infection around the implant, usually within the first weeks after surgery. This can happen at any time, but what you see most often, it happens within a week after surgery. In some cases the implant needs to be removed for several months until the infection clears.
Some women notice the nipples more or less sensitive, and even insensitive. These changes are usually temporary, although in a few cases will be permanent. There is no evidence that breast implants affect fertility, pregnancy or breastfeeding.
It is extremely rare that implants can break, causing the content to go outside his capsule. A new implant can be placed.
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