Breast augmentation using breast implants is one of the most popular surgeries in plastic surgery. According to statistics, every year surgeons around the world perform at least 100,000 such operations.

Breast implant manufacturers annually release even better, safer and “natural” models onto the market. However, it should be understood that such products have not only advantages, but also disadvantages. Even the most advanced models are not without them. Therefore, it is important to know about the types of implants and their features.

Advantages and disadvantages of thoracic endoprostheses

Breast implants are endoprostheses from biocompatible material. With their help, surgeons can change the shape and size of a woman’s mammary glands.

Like any other product, breast endoprostheses have advantages and disadvantages. Their advantages include:

High biocompatibility. Thanks to the use of modern materials in production, the risks of developing postoperative inflammatory processes in the patient's body are reduced to a minimum.
Safety. The fillers used in such endoprostheses do not pose a threat to humans. Even if the implant ruptures in a woman’s body, the modern dense gel it contains will not leave the endoprosthesis.
High level imitation. A woman's breasts look completely natural after surgery. Moreover, it is also impossible to determine the presence of an implant by touch.
Minimal risks of damage to the endoprosthesis. Of course, if there is a severe trauma to the chest, the implant may be damaged, but its rupture will not pose a threat to health.

By the way, in the event of a rupture of the endoprosthesis, a woman has the right to replace it with a similar implant at the expense of the company that manufactured it breast implant.

The disadvantages of such endoprostheses appear in the following situations:

The implant size was incorrectly selected. It must correspond to the breast size that the woman wants to get.
Contour manifestation. That is, the contours of the endoprosthesis are clearly visible under the skin. True, this only happens if the implant was placed under the mammary gland. In addition, for the contour to appear, the woman must lie on her back. If the implant was placed under the muscle, then no defect is observed.
The presence of an implant can be determined by palpation. This defect appears when the endoprosthesis is installed under the gland.
Risk of developing fibrocapsular contracture. This occurs in cases where a prosthesis with a smooth shell is used.

All of the above disadvantages of breast implants only appear in the event of a doctor’s error. If the endoprosthesis was selected correctly and installed according to the recommendations, then no problems should arise with it.

Types of Breast Implants

The advantages and disadvantages of a particular implant are determined by its shape, installation option, filler, performance qualities. It is these parameters that formed the basis for the classification of endoprostheses used for breast implantation.

Silicone prostheses

They first appeared on the market in 1991. Such dentures They look like silicone bags. Their multilayer shell consists of elastomers. The gel is placed inside. The following are used as fillers:

Gel high density. It is not subject to deformation and does not leave the prosthesis shell if damaged. The disadvantage of such a filler is that it is unnatural appearance.
Gel of standard density. It has a jelly-like consistency, so if the implant shell is damaged, it can spread throughout the tissues. The main advantage of such a gel is the provision of natural forms.
Soft Touch. Externally, this filler is very similar to high-density gel, but lacks its negative characteristics.

Silicone breast implants are considered the most natural. They allow you to accurately simulate female breast. In addition, they have the widest range. They can be installed under the pectoral muscle.

The main disadvantage of silicone prostheses lies in the need to make a large incision in the skin to install them. The patient will also be forced to undergo regular MRI scans. chest to identify possible prosthesis deformation.

Saline dentures

These are the oldest implants. The first models appeared in 1960.

Externally, such a prosthesis looks like a silicone bag with saline solution. Moreover, the prosthesis is filled with saline solution immediately before installation. This is done through a special valve on the surface of the prosthesis.

Many plastic surgeons use a trick when installing saline endoprostheses: they fill the membrane with saline solution after placing it in the patient’s body. This allows you to reduce the incision and manually adjust the size of the prosthesis.

Main disadvantage saline prosthesis - high probability its damage, after which the woman will have to undergo breast implantation a second time.

By the way, some women who have installed such endoprostheses talk about gurgling sounds in the chest when moving.

Saline implants are rarely used today. them gradually are crowding out gel analogues from the market.

Bioimplants for endoprosthetics

Such prostheses are also known as hydrogel prostheses. Inside them there is a natural polymer - carboxymethylcellulose. This substance is completely harmless to humans, since upon contact with tissue it breaks down into water, carbon dioxide and glucose. Therefore, there is no need to be afraid of complications after damage to the prosthesis.

Breast implants with hydrogel are produced in the most different forms and sizes. They don't interfere x-ray examination chest organs.

They have only 2 drawbacks:

1. High cost. Few women can afford to install such prostheses.

2. With age, the implant wall becomes permeable and the filler can leak through the outer shell.

Hydrogel prostheses are used in cases where it is necessary to seriously enlarge the breast, and at the same time it should look as natural as possible.

The surface texture of the endoprosthesis largely determines the areas of its application. Today, implants are produced with 2 surfaces: smooth and textured.

Smooth surface

Today, implants with such a surface are almost never produced. The reason for this is the possibility of formation in the breast after installation of the prosthesis. These tumors deform the prosthesis. This process is called fibrocapsular contracture. In addition, the smooth surface facilitates the displacement of the prosthesis during movement.

A smooth shell has several advantages:

High elasticity.
Low price.
Long service life.

Despite obvious advantages They stopped using such prostheses because of one single drawback, which turned out to be too dangerous for the patient’s health.

Textured surface

Due to the presence of pores, such a surface is easily overgrown with connective tissues. This allows you to completely eliminate the likelihood of complications after surgery. In addition, the textured surface eliminates the possibility of the prosthesis shifting during movement.

Actually, for these reasons, implants with a textured surface have become increasingly popular among plastic surgeons.

The shape of prostheses can be round or anatomical.

Round endoprostheses

They are used in cases where it is necessary to eliminate severe asymmetry or ptosis. mammary glands. Such prostheses have 2 subtypes:

High profile.
Low profile.

Surgeons love working with these implants because they are easy to install. Patients appreciate such prostheses for their high cost.

Round endoprostheses have one serious drawback - they are prone to overturning.

Anatomical implants

Such prostheses are more expensive, but allow more complex tasks during breast implantation. Experts recommend giving preference to anatomical implants with a textured surface. This choice will allow you to avoid displacement and deformation of the breast contour after surgery.

Anatomical endoprostheses perfectly maintain the shape of the breasts, but a woman will have to stop using bras, as they can deform the prostheses and make them round.

Rules for choosing a breast implant

Natural breast size.
Condition of the skin in the area of surgery.
Elasticity of nearby tissues.
The size of the chest.
Body proportions.
Breast density.

As a rule, the surgeon selects several options for prostheses and offers them to choose from during the next meeting with the patient. Naturally, he advises paying attention to those models that will make the breasts as natural and beautiful as possible. But the final choice still remains with the woman.

After determining the type of implant, the issue of its shape is resolved. To do this, the doctor determines how far the mammary glands are from each other and specifies the location of the nipples.

The last selection point is size coordination. Today, thanks to computer modeling, the patient can see what her breasts will look like after surgery.

Breast implants solve various cosmetic problems. Some women agree to breast implantation medical indications, others want to bring their appearance to certain standards. I would like to advise both of them not to try to save on endoprostheses and choose high-quality plastic surgeons who will help you make the right choice.

If you decide to set yourself breast implants, then soon enough the question will arise about choosing the implants themselves - their size, shape, filler and surface. In this case, experts recommend trusting your surgeon - he will select implants that will anatomically match your body, so that after the operation the breasts will look beautiful and natural.

How to choose breast implants

When choosing breast implants, the surgeon considers two main factors:

The wishes of the patient herself - what shape and size of the breast she wants to have, whether she needs to change the position of the nipple-alveolar complex, etc.;

Anatomical features of the patient. This is necessary to ensure that the breasts look proportional, because sometimes a woman’s desires do not correspond to reality, and the patient may not like breasts made only upon request.

In the second point, the doctor takes into account the following factors:

Body weight and height;

Initial density and volume of the mammary glands;

Skin condition;

Chest volume;

General proportions of the figure.

Measuring all this will allow you to select an implant. perfect shape and size, as a result of which the breasts will look natural.

IMPORTANT: Also, when choosing implants, it is important to pay attention to their company. Now preference is given to implants from the companies Mentor (USA), Eurosilicone (France) and Arion (France), although there are other quite reliable companies . Each company has its own disadvantages and advantages, as well as a line of implants of different shapes.

How to choose the shape of implants depending on the shape of the breast

There are two main forms of breast implants:

Round ones are cheaper and easier to install. They are indicated if it is necessary to correct or enlarge breasts with signs of mastoptosis;

Anatomical, or teardrop-shaped. They are identical in shape to natural mammary glands. They are usually used to enhance completely flat chests. Such implants are more expensive and much more difficult to install.

Both types of implants have four different profiles: low, medium, high and extra high. The profile is chosen based on body type and determines how much the breasts will be lifted up.

The choice of implant shape should also be made by the surgeon based on a number of factors:

IMPORTANT: It is worth understanding that the table provides only recommendations. For example, round implants are considered quite universal, so if for financial reasons a woman can only have them installed, then they will be installed, and the breasts will look good.

Fillers and coating of implants

Implants are classified not only by shape, but also by filler.

Saline implants

These implants are filled inside with isotonic saline solution sodium chloride, that is, salt. They come with and without valves - the first are placed empty in the chest and then filled through a special valve, and the second are implanted already filled.

Such implants are very inexpensive, and if they are filled after installation, the incision required is very small. But, unfortunately, they are very soft, so there is a risk of the shell breaking. The content in this case will go to soft fabrics, which will require urgent surgery. For this reason, saline implants are now practically not installed. In addition, they do not feel very natural to the touch.

Silicone implants

Silicone implants are more modern version. They have a multilayer elasomer shell, and inside they are filled with a viscous gel having different densities:

Cohesive standard gel. Perfectly imitates the natural texture and shape of the mammary glands. The consistency is similar to jelly. When the membrane ruptures, it dissolves;

Highly cohesive gel. Has a very hard structure and low degree of deformation;

Gel Soft Touch. The consistency is similar to jellied meat. If the shell ruptures, it will not leak. After compression, it regains its shape very quickly.

Silicone implants are very elastic, retain their shape for a long time, and the risk of complications when using them is minimal. In addition, there are many models of such implants, and they feel almost identical to the touch. natural breasts. At the same time, during installation of the implant, a large incision is required, which is quite traumatic. And after the operation, you will need to regularly undergo magnetic resonance imaging to quickly detect a violation of the integrity of the membrane.

Bioimplants

Such implants are made from carboxymethylcellulose, a natural polymer. If the implant is damaged and the hydrogel gets into the tissue, it will break down into water, carbon dioxide and glucose, which is completely safe for the body. In addition, such implants are completely transparent to X-rays. However, their cost is significantly higher, and over time, such implants decrease in volume due to the fact that liquid seeps through the shell.

Today, people most often install silicone implants.

Also, breast prostheses differ from each other in the type of surface:

Smooth implants. After installation, they are overgrown with connective tissue, which in theory increases the likelihood of compaction and deformation of the mammary gland, but at the same time they have a much stronger and thinner shell. In general, such implants, as practice shows, are quite safe;

Textured implants. Their shell is finely porous, due to which the product reliably adheres to tissues. This is usually how anatomical prostheses are made so that they do not move or deform the breast.

This issue is actually not that important, since both surfaces of the implants show good results.

Measurements when selecting an implant

To understand how a surgeon selects breast implants, you need to know what measurements he takes. The following parameters are usually measured:

Thickness of the mammary glands;

Volume of soft tissues;

Chest width;

Nipple position.

The last parameter is worth considering in more detail. The specialist needs to measure the distance from the nipple to the anterior midline of the chest. The patient should raise her arms up 45 degrees.

A pinch test is also performed to determine the thickness. glandular tissue and determining the location of the inframarital fold after surgery.

Operation prognosis

Today at good clinics In plastic surgery, 3D computer modeling technology is used to assess whether the implant is correctly selected. With its help, both the surgeon and the patient can approximately see how the shape and size of the mammary glands will change and how new breasts will appear on the patient's body. Of course, a complete match cannot be guaranteed, but if the patient is not satisfied with the result on the monitor, then another option for implants can be selected, again creating an image on the computer to evaluate the result. This allows you to avoid unpleasant situations when the patient does not like her breasts after surgery.

Vectra XT 3D 3D modeling device

Breast implants allow modern woman get the desired, seductive bust shape. They are prostheses made of high-quality material. During surgery, they are inserted under the skin or muscle. There are many types of implants, which have their own advantages and disadvantages.

Breast enlargement is one of the most common plastic surgery that are currently being done. Why undergo surgery, every woman has her own motives. To increase use various types silicone implants.

Before surgery, a woman needs to undergo tests and an examination to exclude possible contraindications. You should avoid breast augmentation with implants if diabetes mellitus, oncological diseases, poor blood clotting.

Breast surgery is done under general anesthesia and can last up to three hours. The prosthesis can be installed in the chest either under the skin or under the muscle. During installation, incisions are made in the fold under the breast, along the extreme line of the areola, or an incision is made through the armpit.

Modern breast implants Made from high-quality material, a durable shell and does not react with adjacent tissues, so lifelong wear is ensured.

When inserting implants, you must follow all the surgeon’s recommendations. Recovery after surgery lasts approximately one month. During this time, you must wear compression garments, limit physical activity, anti-inflammatory medications and ointments may be prescribed for fast healing scars.

The consequences of mammoplasty may not always be pleasant. Hematomas may form, nipple sensitivity may be lost, and infection may occur. postoperative sutures, scars form. Sometimes the dentures themselves can become deformed, rupture, or become dislodged.

Breast implants are not placed during pregnancy. But if they have already been established and pregnancy has occurred, then there is no effect on its course. negative impact it won't have any effect. The same cannot be said about the shape of the breasts. In the background hormonal changes During all 9 months, the mammary glands become enlarged and there is a high probability of developing ptosis.

The service life of breast implants has now been significantly increased. How long you can walk with implants depends on many factors. If you choose quality material, you can wear them for a lifetime, but there is no guarantee that over time the weight will not change, injuries will not occur, or other factors will not occur.

What are the best breast implants, description of varieties

To enlarge your breasts, you need to choose the right silicone. Which implants are best suited, you need to know their main characteristics. Breast implants differ in shape, size, and have differences in the quality of the filler. They also differ in surface features.

Breast implants are available in anatomical and round shapes. What does the bust look like after implantation?

With anatomical prostheses in the form drop-shaped The bust will look as natural as possible in a sitting or standing position. Teardrop-shaped dentures can be chosen for women with very small breast sizes. But there are also disadvantages. With anatomical prostheses, silicone breasts look unnatural when lying down, are difficult to install, and there is a risk that over time the prosthesis will shift and the bust will become deformed.

Round implants have a spherical shape. They are capable of greatly increasing bust size and are easily implanted. However, breast enlargement round implants does not bring the maximum effect of naturalness and there is a risk of displacement of the prosthesis.

Round silicone implants It is advisable to choose if you need to significantly increase the size of your breasts, there is severe ptosis or asymmetry of the mammary glands.

You can install dentures filled with silicone gel or saline solutions.

Salt fillers were the first to appear. They are absolutely harmless, a minimal incision is required and the condition of the implants can be corrected even after surgery. The disadvantage is considered to be weak opposition mechanical damage. They have a limited service life and are unnaturally soft to the touch.

The latest advances in silicone gel are: hydrogel (natural and pleasant to the touch, but not durable), Soft Touch gel (elastic to the touch and does not leak when the shell breaks), cohesive filler (hard to the touch, but the durable shell does not allow leakage) contents into adjacent compartments if damaged).

Breast implant sizes are calculated in milliliters.

The choice of size depends on the individual wishes of the patient. It is believed that every 150 ml of filler increases the bust by one size, but the original size is also taken into account. For example, a woman with the first breast size, installing a 400 ml implant, will end up with a fourth bust size.

If a 300 ml implant is installed by a woman who has a second bust size, the resulting size will be number four.

The shape, filler, and texture that was chosen largely determines how much it costs to make silicone breasts. Round dentures are considered cheap. The price will be about 60 thousand rubles. Breast augmentation with anatomical implants will cost the most. Approximate price about 110 thousand rubles.

For breast augmentation, dentures with a textured or smooth surface can be chosen.

The textured surface has small pores into which the connective tissue enters and does not grow around the implant. This reduces the risk of complications. Prostheses with such a surface rarely move and deform the breast.

Smooth prostheses are being chosen less and less often in surgery today. After implantation, the connective tissue grows together around the prosthesis, forming a capsule. Silicone breasts becomes dense to the touch and may become deformed.

Breast prosthesis manufacturing companies

When choosing implants, you need to take into account the reliability and reputation of the manufacturer. Below is a rating of the most popular and good producers new generation.

America offers an extensive catalog of implants from Mentor. Mentor breast implants have an anatomical and round shape with a textured surface. The filler is a highly cohesive gel. Mentor dentures are the most durable and resilient.

Among other advantages of Mentor prostheses, the following can be noted: the elasticity of the structure allows you to make small cuts in the skin, the shell consists of three layers, which provides increased strength, tearing is not possible, long term use.

Mentor produces anatomical implants and with a saline filler, which allows you to adjust the shape during and after surgery. For those wondering how much Mentor implants cost, we can say that average price is about 50 thousand rubles.

France is famous for prosthetics from the Arion company. Anatomical and round endoprostheses intended for breast augmentation with silicone are filled with gel or hydrogel. The shelf life of implants is very long, and damage to the shell is minimal.
Germany offers varieties of prostheses from Polytech. Gel-filled implants do not deform. The surface is textured or smooth.
Implants from Motiva ergonomix are often chosen, which have an anatomical shape with a textured surface. The shell consists of two layers, which provides high resistance to tearing. Motif implants have gel as a filler.

Numerous studies and the experience of women themselves indicate that Motiva ergonomix implants are safe and serve for many years, perfectly correct and enlarge the breasts. Implants from this company cost approximately 200 thousand rubles. They do not need to be replaced even after ten years. “I got implants many years ago. There is no discomfort. The breasts are firm and natural and have not changed shape.”

The English company Nagor offers a wide variety of shapes and sizes of breast prostheses. All of them have a long service life, are not damaged, and are safe. They mainly have a textured surface and a gel filler.
The leading position is occupied by the company producing breast implants – Allergan. You can choose prostheses that take into account all the structural features of a woman’s body. The shell consists of several layers, the filler is biogel. “I’ve been wearing Allergan implants for nine years now. The breasts are still beautiful, attractively shaped and pleasant to the touch.”

Implants from these manufacturers will remain popular in 2018. The shape of the made breast becomes lush and voluminous. In most cases, it remains soft and natural to the touch.

Removal and replacement of breast implants

All women who are planning to or have already installed endoprostheses are interested in the question of whether they need to be changed after some time. High-quality implants can last a very long time, more than 18 years. Therefore there is no need to change after 10 years. Why might you need another one? surgery? Repeated surgery, when it is necessary to change implants, can be performed for several reasons.

A desire to change the size and shape of the breast.
Replacement with more modern material, from which the prosthesis is made.
It is necessary to make a correction due to a sharp change in body weight.
The reasons may be related to age-related changes mammary glands.
The fusion of connective tissues becomes mandatory indication to changing implants. The woman begins to feel tightness in the chest area and pain.
Asymmetry of the mammary glands.
Change it urgently breast prostheses necessary even in case of their rupture or displacement.
Development of deep folds or stretch marks.

It is possible to permanently remove breast implants, but understand that the appearance of the breasts will be altered. Breast shape does not change after removal of implants better side. Stretch marks, folds appear, and ptosis is observed.

The reviews note: “I removed the endoprostheses after a long time of use. The skin stretched and the breasts looked saggy, so I had to.”

How difficult it is to change implants depends on the reason for the need for this procedure. If the implants are installed correctly, and the replacement is only for aesthetic purposes, then the procedure is easy. Since there is already a socket in which the old implant was installed, you just need to make adjustments. Rehabilitation will take little time.

If reoperation is carried out due to complications, it is longer and more traumatic. The rehabilitation period is also long.

Implant dimensions

Implant dimensions are great value when choosing it, however, not all manufacturers indicate all required dimensions implants. For example, most companies name only the diameter of the implant platform, which is important for the formation of gingival papillae, but do not indicate the diameter of its middle and apical parts, although these parameters are of great importance when implanting near anatomical formations. In particular, implants are often placed close to the teeth, and the distance between the implant and the root must be at least 1 mm to achieve sufficient osseointegration and to avoid damage to the root.

Dental implantology is an orthopedic discipline with a surgical component. When planning implant treatment, first of all, it is necessary to measure the mesial-distal extent of the edentulous area, which determines the width of the artificial crown or crowns, and then the distance between the roots of the teeth adjacent to the edentulous area. Since in most cases it is necessary to achieve a high aesthetic result, then, as noted above, the parameters of the so-called “pink aesthetics” become of great importance, namely the height of the gingival papillae, the scalloping of the gingival margin, the thickness and color of the gums adjacent to the implant-supported prosthesis.

IN this section contains information about the diameter of the orthopedic platform and the apical part of the implants that were used in the ones presented in this book clinical cases. In each situation, the implant was selected based on specific requirements. It should be noted that the NobelActive 3.0 implant (Nobel Biocare) has the thinnest apical part, and the apex of the NobelReplace implant is thinner than the apex of the NobelActive NP implant. All implants shown have a conical configuration, so the size of the implant body is not given special attention here.

Agenesis of the lateral incisors upper jaw. The orthodontist decided to move the left canine and first premolar mesially into the position of the left lateral incisor and canine, respectively.

The first premolar was shaped into a canine tooth using a composite restoration. In the area of the missing right lateral incisor, space was freed up for installation of the implant.

in this case, the patient was not satisfied with the results of three years of orthodontic treatment aimed at replacing the right maxillary lateral incisor, which was missing as a result of agenesis. During the movement of the teeth, it was not possible to create sufficient space between the roots of adjacent teeth. Additional orthodontic tooth movement was planned to provide adequate space for implant placement and artificial crown fabrication. We decided to install the NobelActive 3.0 implant, which is the thinnest implant with an internal connection and is characterized by high primary stability.

Unfortunately, it was not possible to achieve an increase in the llesial-distal distance beyond 5 mm, which is the absolute minimum for an implant with a diameter of 3 mm. At the time of treatment, the only implant of this diameter was the one-piece NobelDirect 3.0 implant.

On the one hand, in addition to the size, the advantage of this implant lies in the design in which the implant and abutment are a single unit, but on the other hand, this complicates prosthetics and limits the possibility of installing the implant at an angle.

Ortolont: Alvaro Larriu

The situation after creating the required space for implantation and manufacturing an aesthetic crown supported by the implant. The final result of the treatment can be considered satisfactory, with the exception of minor disharmony of the gingival contour in the area of the lateral incisors.

Ortolont: Aomingo Martin.

The patient has a stylized left lateral incisor and agenesis of the right maxillary lateral incisor. We decided to move the canines slightly to create space for prosthetics of the lateral incisors using implants. Given the characteristics of the anterior maxilla and the size of the anterior teeth, traditional narrow platform (NP) implants were preferred in this case, namely the NobelReplace Tapered NP implants, which are characterized by a relatively non-aggressive thread and provide optimal stability during delayed implantation.

The patient has stylized lateral incisors of the upper jaw with significant root resorption. There is sufficient space to install implants. In this situation, NobelActive NP implants were preferred, providing optimal primary stability for immediate implantation.

Orthodontic tooth movement made it possible to increase the mesial-distal space to 6 mm, including to preserve the gingival papillae in the implant area. Minimal sanding proximal surfaces and movement of teeth made it easier to achieve a high aesthetic result due to the normalization of the midline of the dentition, the formation free spaces 6 mm long, modeling adequate proportions of the anterior teeth and creating a class I canine relationship.

Ortolont: Aomingo Martin

3 months after fixation of the crowns, a gingivectomy was performed in the area of the right implant to normalize the height and scalloping of the gingival contour.

Combined case

Importance the right choice implants is demonstrated using the example of replacing missing lateral incisors of the upper jaw. The mesial-distal distance in the edentulous area of the right lateral incisor is only 4.5 mm, so co-grinding of the proximal surfaces of the teeth is required to increase the available space. During treatment, the thinnest implant was NobelDirect 3.0. In the area of the missing left lateral incisor there was sufficient mesial-distal space for the installation of the NobelReplace Tapered NP implant.

1. Saline solution

Saline implants appeared in 1961. They are bags made of elastomer (silicone material) with a sodium chloride solution inside. Breast implants are most often filled with saline after surgery, although in some cases it is filled before.

The disadvantages of such implants are:

softness;
the likelihood of damage and rupture leading to changes in breast shape;
pronounced sound of fluid movement;
unnaturalness of sensations.

If saline breast implants lose their shape or rupture, they need to be replaced. Such prostheses also have many advantages. Among them is the fact that the doctor manages to limit himself to a small incision, as well as full compatibility with the body (if the implant is damaged, the saline solution will enter the tissues, but will not cause harm to the internal organs).

2. Silicone

Silicone implants have been used since 1992. These are elastomer bags that can be filled with hydrogel filler, Softtouch gel or cohesive silicone gel. Such materials have a dense consistency (about the same as marmalade), so if damaged, nothing leaks out of them.

The photo clearly shows that even with a cut and under pressure, the gel does not flow out.

Silicone breast implants hold their shape well, they are safe, and therefore popular. Among their other advantages:

natural breasts;
lack of visible contours;
inability to detect silicone by touch.

The disadvantages of wearing such implants include the requirement to undergo an MRI every two years, as well as the need for a large incision during surgery.

Smooth or textured?

1. Smooth endoprosthesis.

them in modern medicine are used less and less. There are no pores on the smooth surface, which increases the likelihood of fibrous capsular formation and even deformation of the implant. It can also move around the mammary gland, changing its shape. Well, among the advantages of these implants are their softness, reasonable price and long term operation.

2. Textured endoprosthesis.

It has the smallest pores. Connective tissue penetrates precisely into them, which eliminates its growth and minimizes the risk of complications. Moreover, the implant with a textured surface holds securely in the breast and does not move from its place.

Choosing the shape of breast implants

1. Round.

They are used to eliminate asymmetry and correct shape in cases of severe ptosis. These same implants allow you to lift your breasts and make them as voluminous as possible (though they look unnatural). Sometimes implants can tip over. Well, the advantages of this form are low cost and ease of installation.

The photo shows what the bust looks like after surgery to install round breast implants.

2. Drop-shaped.

Such endoprostheses come in low and high profile. Anatomical breast implants are suitable for augmentation flat chest and maintaining its natural form. Disadvantages traditionally include high cost, difficulty of installation, a tendency for the implant to become rounded after some time, and the risk of displacement. In this case, the breasts of a woman lying on her back are in an unnatural position.

The photo shows the result after installation of anatomically shaped breast implants. In this case, low-profile endoprostheses were chosen.

How to choose the size of breast implants

Size breast endoprostheses depends on the volume of filler. Approximately 150 milliliters of gel or saline solution equals one full size. Moreover, during mammoplasty, the patient’s natural volume is combined with the size of the implant.

The sizes of endoprostheses are:

fixed (install a pre-selected implant of a certain size);
adjustable (the volume of filler changes during surgery).

In order for breast implants to look aesthetically pleasing after surgery, it is important to choose the right not only their shape, but also their volume. It is worth remembering that immediately large size It will not be possible to make breasts, especially if the woman previously had a bust of 1-2 sizes. In this case, plastic surgery is performed in several stages.

If you want to have breasts with the most natural shape possible after surgery, you should trust the recommendations plastic surgeon. He will select the size based on:

initial breast volume;
skin conditions;
chest volume;
height and weight;
density of the mammary glands.

Period of use

Modern breast implants can be used almost unlimitedly after surgery. In most cases, the need for repeat mammoplasty arises only when the membrane is damaged, and the manufacturer usually provides a replacement implant free of charge.

Mammoplasty does not interfere breastfeeding, if the ducts were not damaged during installation of the implants. Sometimes, after the cessation of lactation, the breasts may change and sag, then it is recommended to perform and replace the breast implant, choosing a more suitable shape. The same recommendations will apply to sudden weight loss.