Breast augmentation with prostheses

Breast Surgery Pr Meningaud Paris Est

Breast implants:

Prostheses are mainly reserved for very thin patients.

A follow-up every year or even every 2 years is recommended. On average, prostheses are replaced after 15 years, but this depends on the condition of the prostheses radiologically and on the patient’s symptoms.

The retro-muscular plane is preferred for slim patients or those without a mammary gland.

The scar is hidden in the areola (if larger than 3 cm) or in the fold under the breast.

The breast implants currently in use consist of an envelope and a filler.

The shell is always made of silicone elastomer. The filler inside the shell may be silicone gel or saline.

Breast augmentation with prostheses in East Paris

Breast Surgery Paris East Créteil

The implant is said to be pre-filled when the filler has been incorporated at the factory. The surgeon orders the appropriate volume. The vast majority of implants worldwide are pre-filled with silicone gel.

Significant technical progress has been made. Silicone gel has become highly cohesive to limit perspiration through the envelope, a source of shells. The strength of envelopes has increased, reducing the risk of rupture. The wall can be smooth or more or less textured, i.e. rough.

Macro-textured prostheses are now prohibited. They are associated with a rare cancer affecting lymph nodes and organs: anaplastic large-cell lymphoma. The prosthesis can be round or more or less contoured for a more natural look.

Smoking is always inadvisable in the run-up to surgery, but even more so when prosthetic material is involved. Depending on the case, the prosthesis may be placed just behind the gland or under the muscle. Depending on the case, a drain may be placed to evacuate blood accumulated around the prosthesis. Finally, a shaping dressing is applied.

Breast implants are generally considered to have an average lifespan of 10 years. Replacement should be discussed at this point. In all cases, an annual clinical check-up is recommended. The risks are the same as those mentioned above for the cure of isolated ptosis, with the addition of specific risks associated with the prosthesis.

Infection of the prosthesis cannot be treated with antibiotics. It leads to removal of the prosthesis. A new prosthesis can only be placed after a few months.

Ruptures of the prosthesis envelope naturally require replacement. Secondary misalignments or displacements will require surgical correction. Prosthesis rotation can affect the aesthetic result in the case of contoured implants. Late periprosthetic effusion will require investigation to rule out the possibility of cancer.

An average of 10 days’ convalescence is required. You will need to wear a bra and support for one month, day and night, and 12 hours a day for a further month.