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Breast augmentation with implants

Breast augmentation / Breast implants / Breast enlargement Breast augmentation / Breast implants / Breast enlargement The essential of the operation is the following: the plastic surgeon lays implants under the chest tissue and thus the final result is a larger chest than before the operation; it feels naturally and has also a natural form. This kind of operation has already been practised for over 40 years and the number of the women having prostheses is over several millions.

Can the breast implant cause any diseases or later on health problems?

It is not proven that implants can cause breast cancer or enhance its risk, that the material weakens the immune system or the silicon is attained to the mother milk. The breast implants produced nowadays have got no expiration date, so after the implantation, as far as there are no problems, they can remain on their place during the whole life. If it is still necessary to replace the implants later on, that can be solved with a simple operation. The later pregnancy doesn’t mean problem and the breast feeding is also possible (exception is very rare). But it is imaginable that after more pregnancies the breasts will flag which would happen without implants as well, but this state can be corrected with another operation. A few months after the operation the patient can do all physical activities, even competitive sport and can travel by plane. Consequently, there are no constrictions in the afterlife.

How does the operation happen?

Before the age of 18 a breast augmentation is not well-founded. In most cases the operation is accomplished in general anaesthesia because it is more comfortable and safer for the patient. Before the intervention a laboratory test is necessary. The test can be accomplished in our clinic as well. If the patient is at the age of 35 to 40, she has to have made a mammogram in any case. The implants can be put in through short 3,5 – 4,5 cm wide cuts behind the tissues. It can happen: on the verge of the areola or under the breast. The implant can be implanted under the chest tissues or deeper under the breast muscle. In both cases there are advantages and disadvantages, usually the constitutional factors determine the method that has to be chosen. In general the operation lasts from 1 to 1,5 hours and in the end a vacuum tube will be led in the breast in order to drain the trickling ichors. This tube will be removed one day after the operation. The patient receives a close band and a special bra for the operated region.

What kind of implants do we use in our clinic?

In our clinic we use American (Mentor) and French (Eurosilicon) Implants. These have got the compulsory CE certification from the European Union. The implants are lent form or drop shaped filled with cohesive gel (it is a gel and not a fluid silicon which can run out) and they have smooth or scratch / scrappy surface.

How do the first 1-2 days and 2-3 months after the operation run?

Rest: The patient has to spend one night in our clinic and can go home on the following day. It is practical to travel by car but the patient isn’t yet allowed to drive by herself. The patient is allowed to drive 3-4 days after the operation at the earliest. The patient has to take a rest for 7-10 days after the operation at home (this means bed rest). All physical activities have to be diminished. After 7-10 days the patient can do light physical activity and a little work. In the first 2 weeks the patient has to come back twice for control and for the switch of the band and the stitches will be removed on the 12.-14. day Pain: dim and expansive pains (not intolerable) in the first 3-4 days. Simple painkillers can help (for instance Algopyrin, Demalgon). In the first 1-2 days fever is often. On the 4.-5. day a light itching can occur around the wound, but this is only a sign of the healing. It can be uncomfortable that in the first week the patient is not allowed to sleep on the abdomen. Cleaning: The wound can’t be contacted with water for four days. From the fifth day the patient can take a shower (not bath) and the clear shampoo water, running on the operated region, doesn’t cause an inflammation any more. After the short shower the wound can be dried carefully with a hand towel, the patient has to put a sterile band on the wound and get the special bra on. Two weeks after the operation the patient can bear its regular life, she can work again and the patients from abroad can travel home. But intensive sports like tennis, swimming, dance, aerobic etc. are not recommended for a few months. Sunbathing and solarium are not advisable for further 2 weeks and the use of a sunscreen can be necessary for a further half year. The wear of a bra is very important for further 2-3 months, but this time only during the day. Possible side-effects: Shrinking of the sub capsular: the organism notices the implant as a foreign body and forms a thin capsule around it. This covering develops approximately 2-3 weeks after the implantation, but generally it doesn’t cause complaints and isn’t noticeable. In few cases it can occur that the capsule becomes thicker, it shrinks and thus the implant can deform and it moves the implant from its place. The breast can become hard, can be deformed and finally an uncomfortable expansive feeling can occur. This side effect can cause problems 1-2 years after the operation. Its solution can be another operation, in which the state before the capsule formation can be set back. In such cases the implants don’t have to be replaced at all costs. Nowadays the capsule operation is very rare. Movement and shift of the implants: it can occur in the first days, the chance is 1-2 % and it is very rare that a new operation will be necessary. The split of the silicone wall: it is a rare side-effect. A serious injury of the chest wall (for instance because of a car accident) can be the cause of the split of the silicone wall. The content of the implant can run into the tissues. If this is a salt solution, it dissolves by itself. If this is a silicone gel, it can be removed with another operation. Secondary bleeding: the chance is 2-3 %; probably another operation is not necessary. Inflammation: the chance is 2-3 % and in some cases it can be solved without an operation (Antibiotic, etc.). If an operation is still necessary, the implants have to be removed and they can be implanted again after minimum 2-3 months. Diseased scarring / keloid: the chance is 1-2 %. In such cases often only the wound healing is longer, the area of the wound is red and the cicatrice is brighter. This time a spontaneous healing can be expected and the healing can be quickened with different crèmes. It is very rare necessary that an injection has to be given in the cicatrice and a correction operation is even more scarce. Sense irritations: the chance is 4-5 %, it can occur around the areola or on the surrounding skin. In general the regeneration comes on its own, but this can last even up to one year.
6 EINFACHE SCHRITTE