Breast Enlargement with silicon (Breast Augmentation)
Breast Enlargement in general
The most common process to enlarge the breasts is the use of silicone implants.
The size of breasts are usually considered an important factor in regard to female beauty. Most of the men thinks that bigger is better, causing lots of problems for women with small breast. Plastic surgery offers a plausible and lasting solution for these problems and the operation can dramatically enhance the size and appearance of the results.
The most common process to enlarge the breasts is the use of silicone implants. This surgery was first performed since 50 years and today, the breast enlargement is the second most-performed cosmetic surgery worldwide. The use of silicone implants is not reduced only for the breasts, it is widely used for augment the other parts of the body, such as calf or butt augmentation.
Breast Enlargement with silicon
During the last 50 years, the technology is improved a lot and today’s implants made from semi-solid gel mostly eliminates filler leakage and silicone migration. The place of incisions made during the surgery depends on the shape of body, the type and size of the implants and the process used for placing them. The scars usually develop up to six weeks after the surgery and fade within months.
After the operation the patients usually can resume their normal daily activity in one week, however avoiding heavy lifting and exercises should be necessary. There is some possibility of side effects, such as capsule formation or silicone bleeding, but with following the orders of your surgeon and using the latest technology the chance for this can be greatly reduced.
The operation usually performed under general anaesthesia and lasts one to two hours. After the procedure, there could be some pain but it can be easily managed by over the counter pain killers.
The different implant types
A breast implant is usually an insert with a silicone wall filled with silicone gel or (less often) with a physiological saline solution. For aesthetic purposes, implants filled with silicone gel are the most suitable, because the density and consistency of silicone is the most similar to that of human tissue. Implants filled with physiological salt solution are used to expand tissues during reconstructive surgeries.
Many misconceptions about the use of breast implants have spread, such as their cancer-causing effect or their effect on causing immunological diseases. Based on numerous comprehensive international studies, according to our current knowledge, there is no connection between the development of breast cancer and the use of silicone prostheses. It also became apparent that silicone does not react with the body's cells.
The surface of the case can be smooth or dull. textured (rough) surface. According to statistics, in the case of implants with a textured surface, there are fewer so-called capsule, excessive capsule formation.
Different shapes of implants can be used for breast augmentation:
- the most common is the round implant, but within this, implants with different projections and diameters are available for optimal preoperative planning,
- drop-shaped or anatomical: as the name implies, it is the most suitable type for achieving a natural shape. During breast augmentation with this implant, the upper part of the breast, the u.n. in delkoltage, it lifts more softly and thus reaches the u.n. anatomical breast augmentation,
- asymmetrical implants: this implant is longer in the lateral direction and is suitable for breast augmentation that is asymmetrical along this axis.
How long can an implant stay in?
Different manufacturers give different lengths of warranty. We also use implants for which the company already gives a lifetime guarantee, so there is no need to replace them.
About breast augmentation surgery
The operation is usually performed under anesthesia and takes approx. 1 -1.5 hours.
As already mentioned, the implant can be placed under muscle or breast tissue. This is decided based on the shape of the patient, the size of the breast, and the circumference of the chest. In general, in case of a smaller breast size and less breast volume, it is recommended to place it under the muscle, because in this case there is less tissue available to safely cover the implant and over time the contour of the implant may appear in the upper curve of the breast.
When using the latest methods, we no longer place the implant under the entire pectoral muscle, but in the u.n. in the dual plane layer, only half or a third of the muscle is lifted, which is much less burdensome and painful for the patient and a better result can be achieved.
It is also considered a new method, when only under the muscles, the u.n. the implant is placed under the fascia.
The insertion is most often the approx. It is done through a 3.5-4.5 cm incision, in this region fine lines and narrow scars are formed, which are almost invisible after a certain time.
The installation can take place around the abimbo yard or also from the incision made in the armpit - In general, the scars in this region also heal well, but since they are much more visible in these parts, patients choose them less often.
The appropriate size is determined during a consultation with the patient, based on the patient's needs, taking into account structural factors.
If the size selection was correct, the enlarged breast will have a natural shape and feel and it cannot be determined either by sight or touch that it contains an implant.
Possible complications during the use of implants
Breast augmentation surgery is a routine, safe procedure in properly trained hands. However, in a small percentage, as with all interventions, complications may occur, such as:
- capsule formation: normally, a connective tissue case forms around the implant, which is also important for keeping the implant in place. However, this capsule can form, thicken and then shrink. If the degree of shrinkage reaches a certain degree, another operation may become necessary,
- bleeding and inflammation may develop, which can rarely also result in another operation,
- migration of the implant may also occur, especially if the physical load following the surgery was too early,
- the disorder of scar formation, u-n-keloid tendency, can also be a problem.
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