Breast Prostheses for breast augmentation

The breast augmentation operation is undoubtedly one of the plastic surgery treatments most demanded by our patients. One of the most important aspects to take care of is the correct choice of Breast Prostheses, always with the advice of a practical surgeon and an image consultant, who will advise you on the type, size and shape most suitable for your anatomy.

The breast prostheses are formed by a silicone wrap and a filling.

The filling of the breast prosthesis can be of two types, according to its composition:

  • Silicone gel: a high cohesive silicone gel is used. This type of breast implant is the most used and recommended. In case of rupture in the cover of the prosthesis, it is very difficult to spill the filling, since the cohesiveness of the gel causes it to remain inside. In case of breakage, a decrease in breast volume will not be noticed, so it is advisable to perform a magnetic resonance periodically to detect breaks. In addition, the gel facilitates a much more natural appearance, both in sight and touch.
  • Saline solution: it is a physiological saline composed of water and salt that is used as a filler in the breast prosthesis. This type of prosthesis has the disadvantage that they deflate over time, increasing the possibilities of undulations and bends, with the consequent risk of rupture of the prosthesis cover. In case of breakage, the salt water that forms the filling is absorbed by the body without any risk, although obviously the volume loss will be noticed gradually. On the other hand, they are tougher to the touch, giving it a less natural appearance.

Both types of prosthesis should be changed every 10-12 years approximately, depending on the problems that appear: encapsulation, breaks, hardening,..

The shell of the breast prosthesis is made with a type of elastic silicone in order to reduce the risk of breakage. The texture of the surface of the breast prosthesis can be:

  • Smooth surface: In Smooth Breast implants, the incision to insert the prosthesis is smaller than with a rough-cover prosthesis. In addition, in case of infection it is more difficult for bacteria to nest in the covers since they do not have wrinkled folds, so an antibiotic treatment is very effective. These prostheses have less incidence to the seroma, the accumulation of liquid fat after surgery, a benign but bothersome complication during the postoperative period. They are softer covers to the touch.
  • Rough surface: the rough or Textured Breast implantsreduces the risk of encapsulation in the breast prosthesis. It is a common problem where there is a capsular contracture around the breast prosthesis, whose consequences are a pain in the breasts of different intensity, extreme sensitivity, wrinkles, deformations and displacement in the breasts, as well as hardening. The roughness of the cover of the breast prosthesis reduces the chances that the organism will react excessively causing the encapsulation. In addition, this rough surface allows it to adhere better to the tissues, decreasing the possibility of displacement of the breast implant.

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