BREAST ENHANCEMENT SURGERY
Do breast implants produce cancer?
How many types of breast implants are there ?
There various types of breast implants, they all have a cover made out of silicone, the difference is what is inside. We have saline solution implants, which are first placed in the patient and later filled with saline solution. This type of implant is the most used in the United States due to the restrictions that the FDA has on the use of silicone gel implants. And silicone gel implants and hydrogel implants. All implants come in different sizes which are measured in cubic centimeters (cc).
As to the surface, it can be smooth or texturized.. The smooth surface implants should never be placed in front of the major pectoral muscle, because if it is done, there is an incidence of 80% or higher of capsular contraction. The smooth implants should only be placed behind de pectoral muscles. The texturized implants, on the contrary, have a lesser incidence of formation of capsular contraction, no matter where they are placed, whether it be in front or behind the muscle.
Another characteristic of the implants is the contour: there are three types of contours, low, high and extra high. The higher the contour, the higher the projection of the breast. The higher the ccīs, the more the volume. In this manner we may find implants, of lets say, 325cc of low contour, high or extra high. And last, the shape. There are round implants, which are the most used worldwide and the anatomic implants, or tear shaped, that most resemble the form of the natural breast. The difference of these anatomic implants versus the round ones, is that the upper part of these, have less volume, therefore, this is reflected on the patients breast, showing less volume in thesuperior pole of the breasts.
How are the implants placed?
There are 4 different ways of placing the breast implants in a patient. The most frequent way, is placing them through the aureolas, where an incission is made in the lower half of each one, to have access to the front or back of the pectoral muscle. (depending on the given case). In this manner they can make the pocket which will hold the implants. Another way of placement, is through the axilas (arm pits). In this manner, the surgeon makes an incission of approximately 3 or 4 centimeters.
In one of the folds that are under the axilas, and with the use of an instrument designed specifically for this type of surgery, the surgeon makes way for the pockets where the implants will later be placed. Anoter method of placement, is under the breast, at the lower level of the fold that the breast makes . This type of incission is less used by surgeons, because it leaves a visible and unesthetic scaring. Particularly we do not use this type of incission.. Another way of placing the implants is through the belly button, nevertheless it is a tedious surgery and can only be used with saline solution implants.
In front or behind the muscle?
This is a must question by the patients to their surgeon. There exists a false premise that all breast implant surgeries must be made placing the implants behind the muscle. The fact is, that all patients are different from each other, and there exist precise indications of the placemente of the implant, whether it be in front or behind the pectoral muscle.
Those patients with little breast tissue, those who have barely any breasts or those who havae a moderate breast volume, but are not sagging, are the ideal candidates for the behind the pectoral muscle placement. On the contrary, patients that have sagging breasts, especially if they have a moderate or larger volume, these are candidates for placing the implants in fron of the pectoral muscle. Why? The answer is that these patients who have a certain breast volume, even without placement of implants, will continue to suffer throughout the years or from future pregnancies, the sagging of their breasts.
If these patients have their implants placed behind the muscle, at a determined moment, when the patients breasts continue to sagg, the look will be that of what is known as double breast, and that is not more than the patientīs natural sagging breast and the implant on the top behind the pectoral muscle, since this muscle will never allow the implant to fall. Placing the implants in front of the muscle, these patients as the natural breasts begin to sag, the implants will do it also in a very subtle manner and will allways maintain the volume of the upper breast without the look of the double breast.
How long does the surgery take?
Depending on what type of access is used, the surgery will take approximately 20 minutes (to an hour or an hour and a half, using the aureola introduction). After the surgery, the patients will have a recovery time of approximately 3 to 4 hours and then they may go home.
May I become preagnant? If I become pregnant, do I loose the surgery?
Absolutely not. The breast augmentation surgery does not hinder your becoming pregnant, and if you do, you do not loose your breast surgery becasue of this and have to have another operation. Those patients whose implants have been placed in front of the pectoral muscle, have a major tendency of the breasts falling a bit after the pregnancy and lactation period. But not to a degree that they loose the surgery.
May I breast feed my baby?
Of course you may. Any patient with mamary implants may breast feed their infant, without this implying any risk for the baby or of loosing the surgery. Many scientific studies have demonstrated that women with breasts implants may feed their babies without any harmful effects to their baby.
Must I stay hospitalized?
The breast augmentation surgery, as with allmost all plastic surgeries, are ambulatory. This means that the patient is operated and may go home on the same day.
Could I loose sensibility in my nipples?
It is not very common for this to happen. On the contrary, usually it increases sensibility in this area ( called hipersensibility) in the aureolas in the weeks following the surgery. The patients describe it as a burning sensation. This sensation will slowly dissapear until it goes away completely.
What does it mean that an implant becomes encapsuled?
The capsule is a term commonly used to describe the hardening of the breasts. But the correct term is contractive capsuling, since the capsule allways forms when a patient is operated and has implants placed.
The capsule is a normal reaction of your organizm, reacting to a foreign body that was not there before. The orgarnism protects itself from this foreing body, by forming tissue that surrounds the implants covering them. This capsule, in determined cases, may adopt a strong and hard consistency. And this is what gives the hard consistency to the breasts, and what is known as contractive capsuling.
What happens if contractive capasuling occurs?
When contractive capsuling occurs even with the post surgery massages, and ultrasound sessions, the proper conduct is to operate the patient to eliminate or treat the capsule so it does not contract again.
How large can my breasts be?
The volume of the implants placed in a patient, depends basically on the anatomical characterists of the individual patient Stature, weight, toraxic dimensions, previous volume of the breasts amongsy others, are taken into consideration. Nevertheless, there does not exist a reasonable limint to the volume of the breast implant that may be placed. But, the esthetic and natural harmony of the body must be taken into consideration.