The breast implants are the most commonly used as improved aesthetics of a person who lacks natural breast tissue due to genetic predisposition or factors induced by environmental factors. Because breast tissue is the main compound of adipose cells, in the past, doctors attempted to inject fat (obtained through liposuction) in the breast. However, today, this is totally unacceptable because of the calcification (hardening of the breast full). Hormone therapy can increase breast size, slightly, but not enough for most women.
Currently, the most common way to increase the size of the breast is through breast implants. A breast implant is a sack of silicone elastomer that can be filled with saline or silicone, and is surgically implanted under the breast tissue. The proportion of the breast to the physical integrity of height and weight are taken into account, such as chest width, the location of nipple and areola complex, and division. Because the concepts of aesthetics are constantly changing, there are many factors as the type of implant, the size and the site should be tailored to individuals’ specificity.
Implant type:
Silicone vs. Salina? This debate will remain for many years. Until 12 years ago silicone implants are dominant in the U.S. However, due to autoimmune mediated potential health problems associated with leakage, salt is now used in 90% of surgeries. Legal, psychological and technical factors will eventually determine which is preferable. Silicone implants are now gaining momentum and the FDA will rule on weather or not to legalize (which will probably happen). Although the silicone may have some side effects, does not seem as terrible as cree que a decade ago. The advantage of silicone implants is that it is soft and seems more natural. However, leaks can be found in tissues side. In general, saline is a little stronger, but without the alleged health risks due to a leak is simply absorbed by the body. The decision must be made after consultation with an experienced surgeon.
Implant locations:
The breast implant can be placed either under the pectoralis major muscle (sub muscular) or at the top of muscle and glands of the breast (sub glandular). Sub muscle implants are more popular because they are less tangible, have a lower risk of capsular contracture, and not inhibit mammography. However, there is a need for more invasive surgery and longer recovery time. Bodybuilders prefer sub-glandular insertion largely because the pectoralis muscle developed the implant could flatten and there will be less projection of the breast. Women with sagging breasts or dropping may opt for the placement of sub glandular for better projection as well. Disadvantages of implants sub glandular include alterations in the proper mammography and an increased risk of capsular contraction.
Location of the incisions:
There are four areas of incision:
1. Periareolar (bottom of the areola 1 – 1 / 2 inches)
2. Sub-mammary (breast below the fold)
3. Axillary (arm pits)
4. Trans umbilical (navel)
Each has its advantages and disadvantages, but prefers the periareolar incision is because it is less noticeable. Periareolar arguments against are that it is more difficult to realize, that there is interference with the sensation of the areola and the violation of the breast tissue. Doctors who have experience in this method is easy to do. Personally, I did not see a difference in the nipple, the feeling in comparison with other methods. Rather than insert the implant through breast tissue can be converted under the skin to preserve even more tissue.
Form Implants:
Most surgeons have experience with tear (natural implants) and the round of implants. Preference is to the round of implants, since it seems more natural. Previously, he had high profile implants (more than projections) and implants low profile (less projection). Recently, the average profile of implants were introduced.
How long breast implants Last:
There is no expiration date of the implants. One must be checked by a doctor if there are symptoms or changes are not expected including deflation, infection, change of location, etc. mammography, ultrasound, magnetic resonance or should follow occurrence of any of these symptoms. The older patients must be monitored more frequently for themselves, a doctor or radiologist. Once someone has implants over ten years ago they should consider replacing them.
Risks: (common but it is not possible)
1. Contraction capsular: Scar tissue forms around the implant to form a hard
Shell. There are several steps to avoid it, such as size and location of the implant, as well as medicines and singular Acculent.
2. The infection or rejection of non-sterile techniques.
3. The change (movement) of the implant. The pocket for the implant should be adjusted for the patient (that is generally prevent changing).
4. Scars: Less conspicuous in the periareolar compared with the sub-breast incision.
5. Feeling: It may be initially declined. Usually, 90% of feeling will return within 1-2 years after surgery.
6. Violation of breast tissue.
7. Breastfeeding: About 50% of women will not be able to breastfeed successfully, especially those with periareolar incision.
8. Synequia: Adds (also known as “breast kiss”), sometimes related techniques.
In general, complications occur when using less experienced and certified surgeons.
Results:
Plastic Surgery is an art form in combination with science. Each patient and the physician has a different sense of what is aesthetically pleasing (though the fundamentals are common). During a consultation with a doctor, the objectives of patient and the physician must match and be realistic. The results are not entirely depending on the doctor. It is important to understand that everybody starts with different anatomical breasts (some patients are better candidates than others) and there are always unforeseen factors (also very rare).
When you interview a doctor:
1. Make sure you feel comfortable and confident.
2. See more of a doctor.
3. Please credentials.
4. Make sure the facility is accredited by a respectable organization and belonging to a renowned hospital in the area.
5. Use the Internet to see before and after pictures.
6. It is a great advantage if a person of trust concerns him.
7. Ask for references and phone numbers of pervious patients and, indeed, talk to them.
8. Do you like the atmosphere of the office of plastic surgeons?
9. It is the host of personal and courteous.
10. Is the plastic surgeon also an artist in other fields as painting, drawing, sculpture?
