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| Dentists | Plastic Surgery | Private Hospitals |
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| Plastic Surgery |
Breast Enlargement (Breast Augmentation) There are no gymnastics, ointments or commercially available hormones or even massage that can enlarge breasts. About
implants: Silicone- or salinefilled implants and semiliquid (cohesive) anatomic
shaped silicone implants are available on the market. Polyvinylpyrrolidinefilled
(PVP) implants of earlier generations did resorb water and grew in the body so
this type will not further be discussed. A couple of years ago a new implant emerged
on the market filled with methylcellulose, a biologic filler that degrades to
sugar by the enzymes of the body. The filler is also partly radiographically translucent
and the implants do not totally obscure the gland at mammography. Scientifically
there are no scientific evident correlation between silicone implants and cancer
disease, rheumatic or other systemic diseases. Some women with silicone implants
do have an activation of the immune system, which in some individuals might cause
diseases. The explanation for this is scientifically not known. Saline
and methylcellulose are totally harmless substances and in case of leakage they
are totally absorbed. All implants have a limited lifetime due to chemical and
physical degradation of the silicone shell. In some scientific articles the rupture
rate of implants at 8 years is about 50%. Therefore, it is commonly recommended
to evaluate silicone implants for breakdown after 10 years. Leaking silicone will
first stay within the capsular formation around the implant before it gradually
and slowly penetrates into the body. As saline and methylecellulose are totally
and immediately absorbed a puncture will be noticed at once as a deflation of
the implant. How long the longevity of an implant is in individual cases can never
be estimated. All implants are leaking except for the cohesive teardrop shaped
silicone implants that does not leak or rupture. However, they will degrade from
the surface. The choice of prostheses and their placement will be discussed at consultation. Cohesive silicon implants (Mentor®)) are the preferred implants at the clinic but as patient You can have a choice regarding implants and the placement of the incision. Every foreign
body causes an encapsulation by fibrous tissue when placed in the human body.
This fibrous tissue can shrink, making the implant feel hard. We are talking about
capsular contracture of different degrees. Aesthetically
there are no differences between implants with fluid fillers. The teardrop shaped
cohesive silicone implants can be placed above or below the muscle. With smooth
implant shells the capsular contracture rate is high, even with submuscular placement
of the implant. A textured shell however, disorients the formation of fibrous
tissues and makes it less prone to shrink. This reduces the risk for capsular
formation and the implants need not to be massaged or placed below the muscle.
The submuscular placement was chosen for implants with smooth shells to prevent
for contracture but it has the disadvantage of displacing or flattens the implant
when moving the arms, which can be very embarrassing. The muscle also tends to
lift the implant into a higher position than wanted. There
is one major disadvantage with textured implants though and that is the palpability
of edges and folds at light fingerpalpation on the skin. In approximately 10%
these folds are visible and can only be prevented by submuscular placement. Saline
filled implants have more of these drawbacks than siliconeimplants have. This
problem is not seen with semiliquid siliconeimplants. The placement of implants under the muscle is more painful than the placement above the muscle and subglandular placement gives a more natural look.
Anaesthetic: The combination of conscious sedation and local tumescent anaesthetic works like a general anaesthesia. General anaesthesia can of course be provided. Technique:
The incisions are placed either at the lower boarder of the nipple, in the axilla
or in the breast fold according to patient selection. For semiliquid siliconeimplants
the incisions have to be a little longer and they must be placed in the breastfold.
Operating time: 1-2 hours. What
happens afterwards?
This text is edited and controlled by Dr. Per Gunnar Opitz, Opitz plastikkirurgiska klinik i Malmö Sweden | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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