Silicone prostheses: know sizes, types and everything about the implant
Types of silicone prostheses
The available formats of silicone prostheses are chosen depending on the result desired by the patient: discreet, natural or more attractive. It is possible to increase, reduce, raise and reshape the breasts, with options available to gain a more seductive contour in the right measure.
Semi-spherical silicone prostheses are the best. They are round prostheses. They allow a better contour of the breast. It is usually better to implant the subglandular silicone prosthesis and the mammary sulcus. And if the patient wishes to reduce the breast, it needs a mammoplasty or mastoplasty and without a prosthesis.
Anatomical prostheses (in gout) It has a gout shape and is indicated for those patients who want an increase of shape and proportional contour .
The surgeon should evaluate which size would be ideal for each case. Three or four sizes next to the desired one are requested from the manufacturer. The prostheses may range from 150 to 600 ml. At the time of surgery, the doctor will try each size with the identical denture molds to evaluate the ideal size. Materials of silicone prostheses
Gel or silicone
Gel / silicone implants are smoother and softer , compared to saline prostheses. Silicone resins resemble a semi-solid gel. One problem with this type of prosthesis is that if they leak, in some cases there are no obvious symptoms and for this reason doctors recommend that women undergo follow-up three years after surgery to monitor any rupture.
In most of the cases, the silicone implants at the ends and anterior surface of the implant are not palpable and it is therefore very difficult to feel through the touch that an implant is present. In many cases it is difficult to even detect its presence. This makes gel implants a more attractive option for women, since saline prostheses are easily detected by touch or body sensation. Saline prostheses
These prostheses are closer to water balloons, and are filled after the placement requiring a smaller incision than pre-filled silicone prostheses. Another benefit is that many prosthesis implants can be adjusted after surgery. If a saline prosthesis ruptures, the effect will be noticeable with the noticeably smaller breast.
How to choose the size of the silicone prosthesis? Silicone prostheses can range from 150 ml to 600 ml volume. At the time of the choice, the surgeon takes into consideration the body structure, biotype, height, distance between trunk and hip, proportion of the thorax, bone structure and original formation of the breast. In this way, the appropriate volume will be chosen.
How the silicone prosthesis is placed
The inclusion of a breast implant is made by an incision that can be placed beneath the breast, aura or armpit, inserted below the gland or muscle.
The indication of placement of the prosthesis in the front or back of the pectoral muscle varies according to the type of breast of the patient. If the woman has a small gland, it is usually placed behind the muscle so the implant does not become very apparent. When the patient has an amount of gland to cover the implant satisfactorily, it is placed in front of the muscle. It is important to carry out an anamnesis in the consultation, which is the investigation of the patient's health, the family history of diseases, etc.
Is the silicone prosthesis needed?
The silicone implant has no shelf life, but currently there is a shelf life, ie each company through clinical studies determines the duration of the implant, is usually around 12 years. Through periodic evaluations, the surgeon should determine whether or not the implant should be replaced.
Frequently Asked Questions
Is the silicone implant natural?
The goal is to be as natural as possible. When the correct technique is used, the result is satisfactory for an indefinite period of time.
How is breast tenderness after silicone placement?
There may be a decrease or even increase in the sensitivity of the areola, but only in the first six months. But then back to normal.
Is it possible for the body to reject the prosthesis?
Capsular contracture is a kind of rejection of the implant. That is, the body reacts by forming a capsule around the implant, the body's normal defense mechanism. This process of capsular contracture causes pain, hardening and deformation of the breast. However, the implants are increasingly resistant and with less chance of complication. Postoperative procedures have also become more simplified.
There are also risks of bruising, infection, suture dehiscence, loss of sensitivity, prolonged edema and other complications from any surgery. It is necessary to follow all the medical guidelines to avoid complications, in addition to any problem or anomaly, it is necessary to seek the doctor immediately.
Silicone is the best solution for breast flaccidity after breastfeeding? breasts are the same as they were before becoming pregnant or even larger, is common in most mothers. The doctor should analyze the skin type, the tendency to gain weight and accumulate fat, the physical type and so you can choose between waiting for a next pregnancy or putting the prosthesis after breastfeeding. As the chances of breasts falling exist even with silicone, better expect to have the second child, if that is the case. And in order for breastfeeding not to be impaired, the specialist must place the prosthesis between the skin and the musculature. If you have a lot of flaccidity, the implant should be made behind the muscles and, in this process, some breast ducts may be cut.
And for those who already have the prostheses, during pregnancy and breastfeeding, because in all implantation techniques and plans, the prosthesis is located below the mammary gland, thus not interfering with breast development during pregnancy and breastfeeding. Silicone does not interfere with the quantity and quality of breast milk, since the volume of milk produced depends on the frequency of suckling performed by the child, as well as on the hormonal changes that occurred during pregnancy.
Prostheses can break?
Yes, but the risks are small: for cohesive silicone gel implants, in the event of a possible rupture of the membrane, no leakage occurs because the gel has a high cohesiveness preventing the silicone from spreading throughout the body. In the case of implants filled with saline solution, this solution has physiological pH compatible and therefore is reabsorbed and eliminated by the body.
Currently the World Health Organization classifies obesity as a chronic disease, characterized by excess body fat. Obesity is subdivided into degrees: 1, 2 and 3, being respectively tall, very tall and severe. Therefore, those with a BMI (Body Mass Index) above 35, 40, characteristic of grade 3, are already considered ill people, since they present morbid obesity.
Skin cancer can be of various types, sizes and depth. In small cases and low aggressiveness, a specific cream (as in cases of superficial basal cell carcinoma) may be applied or the lesion resected. In cases of larger skin tumors, the surgeon must remove it and rebuild the affected area. Many plastic surgeons perform all stages of removal and reconstruction of the area affected by skin cancer.