The truth about silicone breast.
Is it safe to breast augmentation surgery? How soon will disappear scar? Do I have to change with time Implants? These and many other issues facing every woman who wants to do a breast enlargement operation.
The history.
1962 - the first silicone implant - a capsule with a thick, it looked very unnatural and flowed easily.
1968 - first submitted to implant physical solution: because of the subtleties of the walls of the risk of rupture was too high, in addition, when moving the patient clearly gurgled saline.
1970 - there is a second generation of silicone implants with thinner walls of capsules, unfortunately, this is why almost 95% of them cracked within the first 12 years.
1980 - there is a third generation of silicone implants, in which the walls and capsules are stronger and thicker the filler, and most importantly: the statistics of complications is much better than the previous two models.
1990 - developed but not yet approved by the implants with a viscous jelly-like silicone, rupture the capsule does not imply that this model makes it more secure.
1992 - U.S. banned silicone implants, their place is occupied by 90-95% with saline implants.
2006 - in the U.S. after many years of discussion allowed the use of silicone implants.
Breast Enlargement - today one of the world's most popular plastic surgery. In the U.S. over the past five years, the number who made it up 40% last year alone in this venture about 364 thousand women. In other words, the day was carried nearly a thousand operations. These are the findings of the American Society for Aesthetic Plastic Surgery. In Belarus, there is no such statistics - our "plastic" the market is still booming, clinics come and go, many operations are not taken into account, as a profession as a plastic surgeon, and does not officially exist. We will help you to understand this is not new, but have not yet ordered the direction of medicine and get the best professional information.
If you've decided that you need to increase the breast or to change its shape, and the surgeon can not do without, it does not mean that you can go right tomorrow and operated. First, you should visit some doctors. We need to start with a consultation with your surgeon of the future who will tell you all about the upcoming operation.
After the initial consultation the patient the potential rents some tests, ECG does, consult with mammologist and if necessary, makes ultrasound.
If a patient colds, fever, menstruation - the operation will transfer to another day. And another point: smokers should give up the habit not later than one month before the operation.The most interesting stage for the patient - to select the shape and size of future breast. In the United States until 2006 and was banned silicone used only physical solution implants. As for the size of implants, it does not match the size of the bra (1, 2, 3, etc.), but differs in size and is measured in milliliters. But the patient does not necessarily understand all the intricacies - enough to bring the surgeon to the desired image the breast. Another thing is that to a tee to repeat the picture is unlikely to succeed: the doctor can not change the shape of your chest and nipples.
The next step - modeling the breast on a computer or using silicone pads that are placed in a bra. You have to choose the form of implants: round to look more sexy and provocative, anatomic (teardrop) - more natural. Advise what form to prefer, is difficult. Anatomical implants are more expensive and a half to two times. Very important is the surface of the implant - smooth or rough (textured): smooth start to rotate with higher probability than the rough.
The last thing to choose is the cut: under the breast, armpit or around the areola. But no matter what implant you choose, the most important thing - to get it certified with a lifetime warranty and all the data: Part size, manufacturing date, contact the manufacturer.
The operation is performed under general anesthesia and lasts one and a half to two hours. Based on the size and thickness of the chest muscles, the surgeon decides to enter the information. If the gland tissue a little - something deeper, under the muscle, or the edge of the implant will be felt.
After the operation, during the day should be in bed.
After discharge, every two days will have to go to the dressing until the stitches will be removed - this is usually done on the tenth day. Within 2-3 weeks, keeps swelling. There may be bleeding in the breast tissue (two cases can not be excluded and a half thousand bleeding and infection). Two months have to constantly go to supporting the cotton bra for large straps (to avoid stretch marks), and apply anti scarring, as well as limit the sexual life, avoid exercise, heavy lifting, hot tubs, and smoking.
Modern implants are actually eternal, but this is not the only factor. Breast of any woman is changed every five years, so ensure that the replacement is not required, nor can a surgeon. Besides, now a new generation of silicone implants filled with a jelly-like fluid instead. That sparked a wave of new operations for changing implants, set up in 2000, the safer.
The final result depends not only on the skill of a plastic surgeon, but also from the natural size of your breasts and other features of physiology.
Three critical questions:
1) above or under the muscle? If you own a very small breasts, it is better to put the implant under the muscle - otherwise he would be easily detectable. If the chest is relatively large, and then over the muscle implant will not be too noticeable.
2) What size is best? The size of implant is measured in milliliters. The smallest - 90 ml, the largest - 740 ml. Most popular: 200 ml (increase breast size by 1.5), 300 ml and 400 ml.
3) Where do the cut? Choosing where to enter the implant, you should understand that not only a question whether it would be noticeable scar, but also in security operations.
Under his arm. The operation is more complicated, but the scar is almost imperceptible.
At the edge of the areola. Scar at this point is invisible. This method is not possible with small areola.
Under the breast. In 90% of the operated women's section here. This is the most convenient place for the surgeon, and therefore the safest. Cutting length of 4.5 cm, and a scar in the crease hardly noticeable.
Around the navel. Technically complex operation, possible only with the physical solution with implants, which are inserted by collapsing tube, then straighten and fill with fluid.Complications.
The gap. Car accident, fall, sting - all this can cause rupture the implant. Yet the main reason for tears - time and depreciation. According to the American administration of the Food and Drug Administration (FDA), to 5% of implants fail within 5 years. Physical solution implants "blown away", and saline implies that leads to inflammation. Dense filling of modern silicone implants does not.
Hematoma. Within days after the surgery under the skin usually collects blood. With minor bruises the body handles himself. Bigger is not absorbed and require opening to extract liquid.
Formation of a "capsule." Scars that are formed around the implant may be too dense. Breast hardens and loses its shape, and even years after surgery is not possible occurrence of pain. It all depends on the individual healing, immunity from a woman on whether she smokes, and the type of implant: the probability of "capsules" around textured implants in less than two times around the smooth.
The loss of sensitivity. Approximately 5-7% of women reduced the sensitivity of the nipple, even five years after surgery.
Infection, sepsis, bleeding. Rare (2 of 1500 operations), but unpleasant complications that require the removal of the implant with the re-introduction of the same or smaller in size after 4-6 months.
