Breast augmentation is indicated when patients have breast hypoplasia or underdeveloped breasts, when there is minimal sagging, to provide symmetry in patients who have chest abnormalities, or when symmetry is desired after breast reconstruction for cancer.
Techniques and breast prostheses
The most frequent ways of placing the prosthesis are three: axillary, periareolar or submammary. On the other hand, nowadays the prosthesis is placed subfascially, that is, under the fascia covering the pectoral muscle. Each procedure has its peculiarities and each plastic surgeon has his preferences when performing one technique or another.
As for the types of breast prostheses there is variety: textured or smooth, round or anatomically shaped. There is also a difference in the profiles that can be high, medium or low.
There is also the possibility of placing the implants submuscular, below the pectoralis major muscle, or subglandular, below the mammary gland and above the muscle.
Benefits and differences of breast implants
Each route of insertion of the prosthesis has its peculiarities. The periareolar route has a greater risk of interfering with lactation or producing changes in nipple sensation. The axillary route leaves a more visible scar. The inframammary route has greater advantages in that it minimizes complications and the scar is hidden in the inframammary sulcus, being barely perceptible; it also allows greater accessibility for inserting the implant and so it is not damaged during insertion, something that can occur with other routes.
In terms of location, the submuscular approach has a somewhat more uncomfortable subsequent recovery, it is a little more technically difficult, but the implants are less palpable. In addition, there is less risk of contracture and the breast tissue is better visualized in a mammogram than in the subglandular implant.
The type of prosthesis is conditioned by the patient’s complexion, the degree of laxity of her skin or if more or less filling of the upper pole is desired. The profile is determined by the desired projection and the size according to the thoracic circumference and symmetry. In short, they must be in accordance with the body proportions of each patient so that the result is ideal, natural and harmonious.
Is it possible for the body to reject the prosthesis?
The term rejection refers to an immune response of the body to a foreign substance. In this aspect the body does not reject an implant. What can occur is capsular contracture which is the formation of fibrous scar tissue that hardens around the prosthesis. It gives a harder, more rounded appearance than is intended and can cause pain. In cases where more symptoms are present, it may be necessary to release the capsule partially or completely with implant replacement. In any case this complication does not involve danger to health. On the other hand, it has been ruled out that women with breast prostheses have an increased risk of breast cancer.
Breast augmentation procedure
Initially the surgeon indicates or contraindicates the intervention, it should be emphasized that only a specialist in Plastic, Reconstructive and Aesthetic Surgery is qualified for this work and therefore all preoperative consultations should be arranged with the surgeon.
During the assessment visit, the expert will advise the patient on the type of implant according to: the dimensions of her chest wall, her physical complexion, the degree of laxity of the breast tissue and the projection of the breast. There is also a decision of the patient about the size she wants, as long as it falls within the parameters advised by her surgeon.
There are test prostheses for patients to get a very rough idea of how it will be the new size of your breast and adapt quickly to the new body appearance after surgery.
Care and efficacy of breast prostheses
Once the postoperative period has been reasonably completed, annual check-ups with the surgeon are recommended. On the other hand, the mammographic controls that correspond to the programs of early detection of breast cancer that exist in each autonomous community should be carried out. Of course, this does not mean that the woman can go at any time whenever she feels any discomfort or has doubts.
As for durability, it depends on the type of implant and also on the patient. For this reason it is essential to resort to implants endorsed by prestigious commercial companies that guarantee quality and durability. The old idea that implants last 10 years is obsolete, the current technological development ensures a much longer durability of the implant with full guarantees.