Today breast augmentation surgery in all its variants (simple augmentation mammoplasty, mastopexy with implants and correction of breast malformations) is the most demanded Aesthetic Surgery intervention.
Great technological advances in Aesthetic Surgery
Advances in surgical and anesthetic techniques, together with the improvement in the technological development of breast implants, make it a very safe procedure, with predictable results and a high rate of satisfaction.
Silicone gel implants: the favorite choice of surgeons
In search of greater safety and durability in the result, the silicone gel implants of high cohesiveness with multilayer rough and anatomically shaped cover, have positioned themselves as the preferred option by plastic surgeons and patients. However, events such as capsular contracture; implant rotation; periprosthetic seroma; or tissue thinning due to the gravitational effect of the implant, with the appearance of the phenomenon of “rippling” (superficial undulations), are problems associated with this type of implants and are accentuated with the passage of time.
Implants with polyurethane cover: the prosthesis of the future
In order to avoid or minimize their appearance, a new type of implant is increasingly becoming the first choice in cosmetic breast surgery. We are talking about implants with polyurethane cover (ICP). These implants are manufactured with the same technology as conventional implants, adding at the end of the manufacturing process a final outer layer of polyurethane foam, giving it what we call a supertextured cover.
While any implant induces the appearance of a “scar” that surrounds and isolates it within the body, called “periprosthetic capsule”; ICPs allow greater adherence of the surrounding tissues, and induce the appearance of a three-dimensional microscopic mesh with a different configuration to that of conventional textured implants, which favors greater integration with the patient’s breast.
This characteristic means that ICPs have lower rates of capsular contracture. On the other hand, the greater initial adherence also contributes to the virtual disappearance of the risk of rotation, malposition or late seroma.
The current request: a larger volume
Taking into account that nowadays patients demand a larger volume, the perfect adhesion of these implants to the thorax decreases the gravitational force exerted on the breast, reducing its distension and thinning; achieving an effect of delay in the aging of the breast, avoiding the appearance of stretch marks or the phenomenon of “rippling”.
Although the first generation of these implants appeared two decades ago, the technical demands in its handling for the surgeon and its high cost of manufacture, have led to its use to date has been limited. However, with the appearance of this new second generation and the acceptance of its benefits by the international scientific community, its use is becoming widespread, constituting a basic option in daily practice.