Modern breast implants. How they are made, types of breast implants, which are the best and their shelf life. Removing breast implants

Breast implants, why are they dangerous? Despite claims that breast implants are completely safe for a woman's health, new research suggests the opposite, saying silicone from breast implants spreads throughout the body. Whether this is true or not, we’ll tell you now.

What do we know about breast implants and why are they dangerous?

Anna (this is not the woman's real name) decided that her death would not be in vain. Before Anna contracted breast cancer, which eventually defeated her, this Dutch woman suffered for years with pain and countless strange symptoms. In 2008, shortly before her death at the age of 56, Anna made the decision to donate her breasts to medical science to understand why she got cancer. The group of pathologists who examined Anna's body in the Netherlands was led by plastic and reconstructive surgery doctor Ruta Capella.

Using special tools of light and electron microscopes, as well as X-rays to analyze the tissue of internal organs and the nervous system, the cause of Anna's suffering was discovered 17 years ago, implants were inserted into her breasts, and the silicone spread throughout the body to the ovaries, bladder and spinal cord. In fact, silicone was present in every tissue sample, and in unusually large quantities. Thanks to celebrities such as and, who openly talk about figure-improving surgeries on social networks, breast augmentation is still the most popular type of plastic surgery. Of the 14 million cosmetic surgeries that Americans undergo each year, approximately 300,000 are . In the UK, the popularity of breast implants has fallen slightly since 2014. After some celebrities, for example, told the press that they decided to remove the implants to restore their natural appearance, the number of operations decreased by 20%.

Breast augmentation before and afterVictoria Beckham.

But despite this, mammoplasty surgery is still the most popular form of plastic surgery, with almost 9,000 British women having breast augmentation every year. Medicine has been experimenting with breast augmentation for over 100 years. At first, paraffin and animal fats were inserted into the breasts, and after World War II, in order to make Japanese women similar to the American ideal, the idea of ​​filling the breasts with silicone appeared.

In fact, the first silicone implant was invented only in 1962, and after trying it on just one dog, it was implanted into a woman from South America, who, by the way, just wanted to remove a tattoo.

Incredibly, a procedure that is performed annually on 5-10 million women worldwide has had no long-term, objectively safe studies to date:

  • neither regarding the implants nor the surgery itself. And it is still claimed that this procedure is completely safe. There are only two known scandals related to breast implants. The first occurred in the late 90s, when three US silicone manufacturers - DowCorntngCorporation, Bfistoi-MyersSqwbbCo and HealthcareCorporaton
  • agreed to pay $3.7 billion to women who blamed breast implants for their health problems.

The second scandal occurred in 2010, when it became known that the French company PotyimpiantProihese was filling its products with industrial silicone, which is usually used to make mattresses, and selling them throughout Europe. In eight women, the implants spread and caused a rare form of lymphoma from which they died.

Despite the deaths, the most important issue was ignored - How safe are implants? Maybe it's a slow-acting poison? What is the likelihood of a leak?

On this issue, Capella and her colleagues from Radboud University Nijmegen Medical Center in the Netherlands are categorical: “Gel release is a phenomenon characteristic of all types of silicone implant models, regardless of whether they are soft, round or anatomical. The question is when this happens, the leak containment layer in newer models slows down the spread of silicone, but does not stop the process itself.

There are currently two types of implants. Newer types of implants with a leak-retaining layer have a silicone layer, or shell, filled with a silicone mass similar to gummy bears. Implants with physiological fluid have a silicone shell. These types of implants are inserted or filled with body fluid or salt water, and can also be empty and filled through a valve during surgery.

Before breast augmentation, it is worth finding out what is known about it today. Complications are very common.

The Mayo Clinic has conducted significant research. It involved 749 women in Minnesota who received implants between 1964 and 1991. Complications occurred in 178 women, or 24%, and 19% were related to implants. One of the problems is capsular contracture (when the formation of scar tissue around the implants hardens the breasts and causes them to shrink, causing them to become stiff and painful), hematoma fissures and wound infections.

Most breast implants burst

Disadvantages of silicone gel implants include contracture, cracking, leakage, obvious holes, and complete bursting. Scientists at the University of Maryland conducted a study in which they found that 64%, or almost 2/3 of implants that are in the breast for 1 to 25 years, burst or leak, despite the fact that manufacturers offer a lifetime warranty on their breast implants.

Almost all women think that the implants will be intact after eight years, but after 12 years the number of these women will decrease by half, and after 20 years only 5% of women will have intact implants. FDA scientists even recommend removing implants within eight pets, but they don't add that important breast tissue is often removed during scar tissue removal. One study of 100 women who were asked to get rid of silicone implants found that 57% of the implants already had holes or ruptures. In the UK, implant ruptures even have a name - Jordan syndrome. Plastic surgeon Douglas McGeorge admits implant ruptures have become five times more common, with cases rising to more than 1,500 in 2012 and 2013.

Silicone has long been linked to autoimmune diseases

For example, with systemic lupus erythematosus, rheumatoid arthritis, progressive systemic sclerosis and vasculitis. However, because the FDA continues to remain silent about the risks, women who react this way to breast implants are being diagnosed with silicone implant failure syndrome, or autoimmune/inflammatory syndrome.

In one study of 32 women, all had mismatch syndrome, 17 of them had systemic autoimmune disease, and 15 women had disorders that could be attributed to immune-related antibodies, proteins, and antimicrobial molecules."

And that's not all - three sisters had silicone implants and all suffered from arthralgia, myalgia and sleep problems, but all complaints improved when the breast implants were replaced with ones that do not contain silicone gel.

Breast implants often suppress sexual sensitivity

In a study of 100 women, 75% of them reported that they lost nipple sensation after breast augmentation. In a third of these women, nipple sensitivity disappeared completely.

Bacteria and mold can grow in the body fluid of breast implants

Because the silicone shell is partially permeable, research suggests that fluid-filled implants, especially those that have a valve through which salty fluid is injected, can harbor dangerous bacteria and fungi that can harm health.

Breast implants sometimes interfere with breastfeeding

although this depends on how the surgery was performed. In one Texas study, researchers found that 64% of women with breast implants did not have enough milk for their baby, compared with only 7% of women who did not have implants. Incisions around the nipples may be the main culprit for this problem, although other incisions can make breastfeeding more difficult.

Breast implants can harm babies

A study that was conducted at Schneider Children's Hospital in New York suggests that children of mothers with silicone breasts may also suffer because they are also at risk of developing autoimmune disorders. Of the 11 children aged 18 months to 13 years who suffered from long-term abdominal pain, six were breastfed by their mothers with silicone implants. These children also had other symptoms such as repeated vomiting, trouble swallowing and irritable bowel syndrome. Some had joint pain and periodic rashes, and all had impaired esophageal function.

Breast implants increase the risk of developing cancer

The French National Cancer Institute raised concerns about breast implants after they were linked to anaplastic large cell lymphoma, a type of non-Hodgkin's lymphoma that usually affects soft tissue lymph nodes and the liver. This was confirmed in a study that found that 71 cases of this rare disease were associated with breast implants. The FDA acknowledges that the risk is very low, but it is growing.

Breast implants may increase suicidality

One review of all available studies found that women have a 12-fold increased risk of committing suicide after receiving implants. If implants are inserted after a mastectomy, women have a 10-fold risk of suicide compared to those who do not have reconstructive surgery. None of the women in the studies had mental health problems before receiving silicone injections.

The sad truth is that silicone breast implants have been used by millions of women for 50 years, but there is still no long-term study to confirm their safety.

Years go by - there are still no rules!

  • 1967 The first models of implants were invented, whose silicone shell is filled with physiological fluid or salt water, and silicone material for the first time becomes the choice of plastic surgeons.
  • 1976 The FDA gains regulatory authority over breast implants. Since thousands of women have been using them without rules for nine years now. The FDA allows implants to be inserted without the usual safety checks.
  • 1992 There are thousands of complaints about similar autoimmune diseases, and the FDA is limiting the use of breast implants to women who need breast reconstruction and those who want breast enlargement who agree to participate in clinical trials.
  • 1998 DowCorrwg, Bristol-MyersSquibb and BaxterHeatthcare agree to pay $3.7 billion to settle the claims of more than 170,000 women whose health was caused by implants. Dow repaid 3.2 billion.
  • 1999 The American Institute of Medicine says there is not enough evidence to say that silicone and body fluid implants create "systematic health problems."
  • 2003 The FDA recognizes Inamed's (now Allergan) saline breast implants as safer than silicone based on one year of data, but does not allow approval of that company's silicone breast implants.
  • 2005 An FDA advisory committee recommended approval of MENTOR but not inamed silicone breast implants, but this recommendation was overruled and both products were approved.
  • 2010 When eight women developed cancer and died from cracked implants, the French company PolyimplantProthese admitted that it had filled its products with industrial silicone, not medical grade silicone.

Comments 29

Girls, silicone implants from Polytech (Silimed) caused me an autoimmune disease - ankylosing spondylitis, rheumatoid arthritis in other words. Now I'll take them out. I hope for recovery.

I’ve had silicones for 13 years, and the other day I felt a lump near my nipple. I decided to do a mammography and ecography. I did it yesterday. The silicone burst in one and so I felt for this lump, and a crack also appeared in the second breast. They said it needed to be deleted. I made an appointment with the surgeon. That's how things are. Nothing lasts forever, although they promised it would be forever.

And I removed the implants. Almost all my hair fell out and huge pimples all over my body and my chest constantly hurt, I was very tired of the pain.

what a horror, girls! you pay a lot of money, and then you need to either fix it or delete it altogether... they said it right, nothing lasts forever...

My implant in my left breast turned over. The surgeon didn't say anything about turning him back. He said that he would remove excess skin as it had stretched (in half a year) and reduce nipple halos. He said it would be done under anesthesia. Irest not under general anesthesia... some kind of wildness... I don’t know how I can bear it! And yes, under the nipple of my right breast I see and feel some kind of unevenness... like a bulge... God forbid it burst there... now it’s scary. The implants are guaranteed... I can do an MRI and if the implant ruptures they should replace me with new ones... a lot of scary thoughts...

In 2015, after the removal of “Eurosilicones”, a contracture formed, a doctor at the Duna clinic (Novosibirsk) recommended POLYTECH implants, which, according to the doctor, have a shell that does not allow capsular contracture to appear. After 6 months after installation, the edge of the implant began to clearly sag at the bottom of the right breast To which the doctor said - you will get better, it won’t stick out. After three years, nagging pain appeared, the implants stood out from under the breasts, they were held by the skin, the head doctor of the Dune Ego clinic suggested removing the implants. It was an interesting moment, the doctor said. Although you did not have this operation with us, we will not leave you in the lurch.” Although I had the operation to install these prostheses at his Duna clinic, but over the past time there has been a reorganization of the legal entity. Thank you very much, Mr. Egorov. that they didn’t leave me with the problem and removed them for free, the implants installed by the doctor at your former-new clinic were from nagging to burning pain. The sternum hurt so much that it was impossible to sleep without painkillers. But the doctor who installed these implants told me that everything was normal, there should be no pain and advised me to take Corvalol. Having finally waited for the operation to remove these implants, I still did not receive an explanation as to why there was pain. As a result of installing POLYTECH implants, I lost 220,000.00 rubles and suffered a lot of negative consequences. The chest is in a deplorable state. There are no answers to my questions from the doctors. During the three years of wearing these implants, the distributor POLYTECH changed, and the Dune clinic was renamed to Medicine LLC (aka Dune Ego). This is how the story ended.

Alina 13 Mar 2019

What a nightmare! 😮😮😮

Natalia 17 Mar 2019

Girls, aren't you afraid of the consequences!!! Everything is beautiful and natural!!!

Lena 19 Mar 2019

Just stupid women who don’t accept themselves... Why?

Fools! Fools! And 99% of their men don’t need this. Own ego and brainlessness. And who will need your children when you start quacking from your useless tits? Fools

Lena and Victoria, what brought you to this site)) you yourself would like to get breasts done, but apparently there is no money))) go with spaniel ears or with acne instead of breasts))

better with a spaniel ear, but healthy! Just count how much money manufacturers, clinics, and surgeons make from stupid things! 10,000,000 operations per year for an average of 200,000 rubles (you can convert to euros if there are not enough zeros)) and you are on the hook with the surgeon for doing OP several times!! This is crazy!! and so many risks! for what?

Modern breast implants are not dangerous! Previously there were low-quality ones, yes! Now medicine is on a completely different level! It is much more important to think about the hands that will operate on you! Believe me, the most important thing is to find your surgeon) I searched for a long time and found Alexander Markushin! and I am immensely grateful to him!!! I don’t regret it at all! And more than 3 years have passed! and the implants are in place and intact;)

Oh, girls. In 2016, she had surgery to install implants in her buttocks. There wasn't a day that I didn't regret it. Immediately there were complications: first, seroma - liquid that leaked from the stitch for 4 months, after that my eyes began to water, they watered for a year, no matter what drops I used, nothing helped, and my eyes still water from time to time. Then finally the song: herpes appeared on the face one after another, without stopping, although before it popped up once a year. I couldn’t put into words how much I suffered during this time, I constantly felt unwell, weakness, rashes all over my body, the seam kept getting inflamed, moles began to appear all over my body very quickly, although this had never happened before. I began to feel like a sick old woman. My kidneys and liver began to hurt, although they had never hurt before. At first I didn’t connect this in any way with the implants, but gradually it finally dawned on me that I needed to urgently remove them before I got completely sick. I made an appointment with a surgeon, I will urgently remove them, keep your fingers crossed for me so that everything goes well 👌

I inserted Mentor in Chelyabinsk in Uvildy, everything went fine (pah-pah-pah)))) there are good surgeons there! But... you should always count on your health, everyone’s body is different. The only thing that worries me is that my hair is falling out: I think I need to get it checked, maybe it’s not because of them

Poor girls! Get well soon everyone! I don’t want beautiful tits anymore... no idiot is worth my health! Thanks to everyone who shared!!! Girls, get well soon!!!

Girls, I just changed my mind about getting boobs, health is more important, I will develop spiritual beauty, open my heart and attract a man who will need me, not boobs.

Girls, I had a fibroadenoma removed, and now one breast doesn’t look good. But I’ve read everything here... And if you pump in your own fat, will it lift your breasts?

Currently, breast augmentation operations are available, if not to everyone, then to most of those who have such a need. They are affordable both in price and geographically due to the fact that plastic surgeons who practice breast augmentation with implants are now found in almost all large and medium-sized cities of Russia.

It is necessary to immediately make a reservation that the term “pumping up the breasts with silicone” means precisely the use of silicone-filled implants. Injections into the chest using a syringe have only historical value. In European countries and the United States, the introduction of silicone-based fillers into the breast is prohibited by law due to the harmfulness of the procedure and its frequent complications.

For men and women

Everyone knows about silicone breast prostheses. Placing breast implants in men is a relatively new area of ​​plastic surgery. And we are not talking about gender reassignment surgery at all.

Male breast implants are often called pectoral, so as not to be confused with female ones. They are most often used by those who are actively involved in sports in order to achieve an ideal figure.

Usually these are those men who have a constitutionally narrow and flat chest and who cannot gain the desired muscle volume through physical exercise. Often, surgery to install pectoral implants is combined with liposuction and mastopexy for gynecomastia.

How do men feel about this?

The attitude of men depends on what kind of silicone breasts a woman gets herself. There is a common belief that such breasts:

  • much denser than natural;
  • she has a huge size;
  • the operated breast has an unnatural shape, which often does not correspond to age, weight, etc.
In fact, none of the listed qualities is mandatory, but all of them together or in various combinations are found in women who, when choosing implants, were guided only by size.

Often these qualities are so pronounced that the question of how to distinguish silicone breasts from natural ones does not arise; everything is obvious. In addition to size, they have a fairly large number of other characteristics. If you approach the issue of choosing implants wisely, then no one will be able to distinguish artificially enlarged breasts from natural ones.

Video: Progress of breast augmentation surgery

Types of implants

The density of the breast to the touch is determined by the density of the implant itself. If you choose a soft one, the illusion of natural breasts will be complete. In addition, such implants will behave naturally: take different shapes depending on the type of bra, the presence of clothing, and body position.

If you choose dense ones, then such breasts will be pleasant to look at from a distance, but to the touch they will be clearly artificial and hard. And such breasts will retain the same shape in any position and in any underwear.

Size and shape

Gigantomania and unnatural breast shape, which was chosen in accordance with a stereotyped and exaggerated idea of ​​beauty, without taking into account the features of the figure and appearance in general, is what can often be seen in before and after photographs.

Size does not matter if, with an initial breast size of zero, a woman who is not particularly thin makes a choice between the second and incomplete third size.

If we are talking about the fourth or fifth size of a twig girl, then we can say with confidence that the unnaturalness will not only be noticeable, it will be striking.

As for the shape, some ladies after the age of thirty often change implants just to make the breast shape more natural for their age. The most interesting thing is that there is not a single comment on men’s forums about the presence of scars as a sign of silicone breasts.

The presence of scars only for women is an indicator of unnaturalness, and even then not for everyone. This means that if you approach the choice of breast size, shape and implant density wisely, then others will not have any suspicions about your new shape.

Pros and cons of silicone breasts

The pros and cons of silicone breasts are relative and are often a consequence of which implants the patient chose and how well the surgery was performed.

Pros:

Photo: silicone prostheses
  • excellent mood, well-being and self-esteem from the fact that the breasts look great;
  • the ability to become pregnant and breastfeed without restrictions if the ducts of the mammary glands are not damaged during the operation;
  • a new wardrobe and a collection of new swimsuits every year;
  • new relationship with an old or new partner.

Cons:

  • cost of surgery, implants, compression garments, recovery period;
  • the operation is performed under general anesthesia;
  • the need to spend part of the planned or unpaid leave on the operation and postoperative period, since sick leave is not given for plastic surgery;
  • the recovery period requires compliance with a large number of restrictions;
  • after childbirth, the shape of the operated breast may change for the worse;
  • there may be adverse consequences of the operation, such as displacement of the implant, its rupture, contouring of the implant under the skin, back pain and much more;
  • inability to breastfeed if the milk ducts are damaged during surgery through an incision around the nipple.

Video: Silicone implants

Frequently Asked Questions

Which ones to choose?

If earlier implants were chosen solely on the principle of “the bigger,” now a huge size is not in fashion. Ideal shapes are in fashion as an indicator of youth and health. Therefore, preference should be given to safe, proven products from those manufacturers that have proven themselves well.

The shape and size must be chosen based on the shape and size of the bust you want to get. To prevent such complications as capsular contracture, implants with a rough surface have been developed.

What can you save on during breast augmentation?

You cannot save on the cost of implants, since replacing low-quality prostheses is a full-fledged operation that is performed under anesthesia and costs money. There are young ladies who find some offices in Europe that sell them cheap. If you want to repeat their experience, please note that this is entirely your responsibility.

You cannot save money on compression garments, since the effectiveness of healing during the recovery period depends on it. You can’t save money on pain relief for the operation either, since you can choose a budget option for anesthesia, but this means a long recovery from anesthesia after the operation, poor health, nausea and vomiting.

Those who were given anesthesia with good drugs feel much better. After such anesthesia, by the evening you can have a full dinner, and you feel much better.

During the recovery period, medications such as painkillers and antibiotics, silicone patches, and scar removal creams will also be periodically needed.

The only thing you don't have to pay for is the pretentiousness of the clinic. But only in those cases if you can find, through recommendations, an excellent surgeon whose services will cost a reasonable amount of money.

Is it possible to breastfeed a baby like this?

It all depends on the method of performing the operation and the location of the incisions. To maintain the opportunity to breastfeed your baby, two conditions must be met:

  • the incision should not take place in the area of ​​the areola, since it is in this place that the milk ducts come closest to the skin and there is a risk of damage to them;
  • the implant should be installed under the muscle, or partially under the muscle, but not under the glandular tissue of the mammary gland, as this may damage the glandular tissue of the mammary gland.

How can surgery affect pregnancy?

An operation can only become a problem if it occurs in the first days or weeks after conception. Anesthetics, painkillers and antibiotics can have a toxic effect on the fetus and cause birth defects. Therefore, it is recommended to terminate such a pregnancy. In other cases, no plastic surgery is a contraindication for conceiving and bearing a child.

Will the scars be very noticeable?

If there is no tendency to form hypertrophic or keloid scars, then there is no risk of developing rough scars. To make everything look absolutely perfect, you can make an incision in the armpit or perform an endoscopic operation.

Do implants need to be changed?

3rd generation implants, which are currently used for breast augmentation, do not require routine replacement. Repeated surgery will be required if mastoptosis develops and cosmetic defects such as skin ripples appear.

Price

Prices often depend on the experience and reputation of the plastic surgeon, so any attempt to save money can lead to unplanned costs for correcting cosmetic defects that may appear after unsuccessful breast augmentation surgery.

Modern breast implants help women achieve the desired size and shape of their breasts and eliminate natural or post-childbirth and lactation deficiencies. Mammoplasty remains one of the most popular plastic surgeries in the world.


Breast implants – modern breast endoprostheses

Progress in medical research has allowed the latest generations of breast implants to achieve sufficient safety and durability of use.

The main advantages of modern implants:

  1. Aesthetic properties: imitation of natural female breasts when viewed at rest and during changes in body position.
  2. Imitation of natural breasts when touched.
  3. Resistance to mechanical stress (implant ruptures occur only with a strong impact or injury).
  4. Sterility.
  5. Biocompatibility with tissues of the human body (extremely rarely causes rejection).
  6. Safety of filler in case of damage to the implant wall.

Types of breast implants in modern plastic surgery

Breast endoprostheses are divided depending on the shape, filler, and surface structure.

The shape of implants can be anatomical or round.

Anatomical implants They have a teardrop shape and bring the breasts as close as possible to their natural contours.

Advantages of anatomical implants:

  1. Imitate the shape of the breast as naturally as possible in a standing and sitting position;
  2. Suitable for women with initially flat chests.

Disadvantages of anatomical endoprostheses:

  1. They look unnatural lying on your back.
  2. Limit the use of bras with a lifting effect.
  3. More difficult to implant.
  4. They often shift during use, which leads to deformation of the breast shape.
  5. More expensive.

The choice of anatomical endoprostheses is most appropriate for women:

  1. Having an initially flat chest.
  2. Visual imitation of natural breasts is extremely important.

Round implants have the shape of a ball.

Advantages of round implants:

  1. Gives maximum volume.
  2. Raise the chest.
  3. Technically easier to implant.
  4. Relatively cheap.

Disadvantages of round endoprostheses:

  1. Visually they don’t look natural enough.
  2. May turn over during operation.

The choice of anatomical endoprostheses is most appropriate when:

  1. Ptosis of breast tissue.
  2. Asymmetry of the mammary glands.
  3. The need for a sufficiently large implant volume.

The surface of the endoprosthesis can be smooth or textured.

Smooth endoprostheses appeared much earlier and are still widely used.

Their main advantages:

  1. Relatively low price.
  2. Soft to the touch.
  3. Stability during operation.

The disadvantages of smooth endoprostheses include:

  1. Often cause fibrocapsular contracture.
  2. Often displaced after implantation.

Textured implants have a rough surface due to the presence of micropores. This surface allows connective tissue cells to fill the voids and securely fix the implant.

The main advantages of textured endoprostheses:

  1. They practically do not cause pronounced forms of fibrocapsular contracture.
  2. Securely fixed after installation.

Disadvantages of textured implants:

  1. Denser (harder) to the touch.
  2. More expensive.
  3. Slightly lower service life.

Most plastic surgeons, given the disadvantages of smooth endoprostheses, consider them outdated. Textured surfaces are used when materially possible.

The filler of the breast endoprosthesis can be a saline solution or silicone gel.

Saline solutions are used the longest (more than 50 years). The liquid chosen was standard saline solution (0.9% sodium chloride).

Pros of saline implants:

  1. Absolutely safe if the filler gets into surrounding tissues (the solution corresponds to blood plasma).
  2. Some of them can be filled during surgery through a special hole, which makes the incision minimal.
  3. Some of these implants can be adjusted after surgery.

The main disadvantages of saline implants:

  1. Low resistance to mechanical damage.
  2. They have a limited service life.
  3. Excessive softness on palpation.

Gel as a filler it began to be used primarily to create a natural feel when touching the breast after mammoplasty.

The following silicone gels are currently used:

  1. Hydrogel.
  2. Highly cohesive filler.
  3. Gel "SOFT TOUCH".

The densest is the highly cohesive filler. When palpated, it gives an unnatural hardness, but does not leak into the surrounding tissues when the membranes rupture.

The hydrogel is soft and natural to the touch. It can leak after injury, gradually undergoes biodegradation in tissues, and is harmless.

Gel "SOFT TOUCH" is considered the most modern. It has an elastic consistency and practically does not enter the surrounding tissues after the implant shell ruptures.

Pros of silicone gels:

  1. Not identified by touch.
  2. Resistant to mechanical damage.
  3. After the shell ruptures, the gel almost does not flow out of the implant into the surrounding tissue.
  4. Absolutely sterile.
  5. Resistant to ptosis.

Disadvantages of silicone filler:

  1. Requires a longer incision for implantation.
  2. Require magnetic resonance monitoring of the integrity of the shell (once every 2 years).

Silicone fillers are currently used much more often than saline fillers in all groups of patients.

The size of the implant can be fixed or adjustable during surgery (saline endoprostheses).

The size is chosen taking into account individual needs. Every 150 ml of filler increases your breast size by 1 size.

Breast implant prices vary from 20,000 to 80,000 rubles per piece.

  • The most expensive are anatomical implants with a textured surface and SOFT TOUCH filler.
  • Hydrogel and highly cohesive filler can reduce the cost of an implant to 40,000-60,000 rubles.
  • The cheapest are round smooth implants.
  • If hydrogel is used as a filler, then the price of the product will be about 30,000-40,000 rubles.
  • Saline round smooth endoprostheses cost up to 30,000 rubles per copy.

Rules for choosing breast implants and service life

The choice of breast implant is best left to an experienced plastic surgeon.

  • For women with severe ptosis and a small volume of their own tissue, round implants of high and medium profile are used.
  • Round low-profile endoprostheses are most suitable for correcting asymmetry.
  • With an initially flat chest, preference is given to anatomical forms of the prosthesis.

In any case, preference should be given to silicone fillers and textured surfaces.

The choice of endoprosthesis size depends on the woman’s wishes and the anatomical structure of the chest.

The size of the implant depends on:

  1. Initial breast size.
  2. Constitution and chest size (asthenic, normosthenic, hypersthenic);
  3. History of childbirth and lactation.
  4. Elasticity of fabrics.
  5. Growth.
  6. Body proportions.
  7. The wishes of the patient.

Modern implants are highly durable and can be used for a long time. Saline endoprostheses are limited to a maximum service life of 18 years. Silicone implants can theoretically be used for life.

Reasons for replacing the endoprosthesis:

  1. Violation of the integrity of the shell.
  2. Changes in breast shape after childbirth and breastfeeding.
  3. Significant change in body weight.
  4. Specific complications of mammoplasty (fibrocapsular contracture, breast deformation, calcification, displacement of the endoprosthesis).

Since the dawn of cosmetic medicine, breast replacement is considered the most popular plastic surgery to this day. Breast implants are prostheses made from biocompatible high-quality material that are placed under the muscle or skin to increase breast size or shape it.

Pros and cons of thoracic endoprostheses

The advantages and disadvantages of breast implants are usually distinguished according to their filler, technical classifications, installation options and shape. But there are also generally accepted factors that are relevant for any type of endoprosthesis. Breast implants have the following advantages:

  • Imitation of natural breasts. They imitate natural female breasts as accurately as possible, both visually and tactilely;
  • Biocompatibility and sterility. Today, implant fillers do not create inflammatory processes inside the breast and guarantee a minimum risk of prosthesis rejection;
  • Filler safety. Salt fillers are completely harmless to the body, and the highly cohesive gel does not shift even when the prosthesis is damaged;
  • Low frequency of ruptures. Breast implant ruptures occur mechanically, due to severe trauma or impact. When manufacturing prostheses, factories carefully test the tension before releasing the prostheses onto the market, this reduces the risk of damage to the implants. In the event of a rupture, the manufacturing company undertakes to replace the prosthesis free of charge, as indicated in the product warranty document.

Disadvantages of endoprostheses These include more unforeseen cases, but they still happen:

  • Tactile sensations. Breast implants can be sensitive to the touch, especially when the installation is performed under the gland;
  • Implant contouring. Most often, the contours are visible in a supine position and with the condition that the endoprosthesis is located under the gland. Placement under the muscle almost never creates a contouring effect;
  • Risk of fibrocapsular contracture - applies to prostheses with a smooth shell;
  • Wrong size choice. The size of the implants must clearly correspond to the woman’s natural breast size.

Characteristics of breast implants, their types and photos

Classification of implants by filler

Silicone filler. Dentures first appeared in 1991. This is a silicone bag (elastomer) filled with cohesive silicone gel (a dense gel, similar to the consistency of marmalade with a distinctive feature that remembers the shape of the implant), hydrogel filler or gel "SOFT TOUCH".

The elastomer itself can be completely smooth and have a rough, textured surface. If the integrity of the prosthesis is compromised, the filling composition remains in place and does not penetrate the breast tissue. Therefore, silicone implants are absolutely safe. In modern cosmetic medicine, as a rule, they are used.

Saline implants. The oldest type of implant, which was invented back in 1960. Dentures are round bags made of silicone material that are filled with saline solution. Endoprostheses can pre-fill with a substance, or filled using a hole directly during surgery. When installing the second option, the doctor makes a much smaller incision. There are saline implants that allow manual correction after mammoplasty.

The main disadvantage is the tendency to damage the implant, its softness, the ability to tactilely determine the presence of fluid in the mammary gland; if the prosthesis ruptures, the shape of the breast is lost, and there is also a need for re-correction. Some women complain of a distinctive "gurgling" sound of fluid in their breasts. The main advantages of saline implants include the complete biological compatibility of the saline solution in the event that the prosthesis ruptures and the filler passes into the tissue. The physical solution is identical to plasma in the human body.

Minimum possible age To install saline dentures, you must be 18 years old. Today, saline implants are used less frequently than silicone ones.

Highly cohesive aggregate is the densest material that feels like marmalade. Anatomical prostheses are made from highly cohesive gel. Due to the increased density, implants are almost not deformed during wear and do not leak if damaged. The disadvantage of this filler is that the breasts do not look natural due to the rather pronounced ability of the filler to remember the shape and the unnatural hardness of the consistency.

“SOFT TOUCH” filler is similar in characteristics to the filler described above. The difference is less negative properties and less density.

Hydrogel filler (bioimplants) are manufactured as an alternative to silicone implants. The natural polymer carboxymethylcellulose is used as a filler. This filler is harmless; if it ruptures and enters the breast tissue, it biodegrades.

Silicone prostheses They imitate breasts as accurately as possible, are sterile, do not change the original shape and almost never contour. In addition, they are almost the same to the touch.

Flaws:

  • the traumatic nature of the operation, which is explained by the presence of a larger incision for installing the prosthesis;
  • need for an MRI every few years to detect damage.

Surface

Textured. This surface has small pores. Once in, the connective tissue does not grow around the implant and does not lead to complications. It is for this reason that many surgeons prefer prostheses with a porous textured surface. Another advantage - textured denture securely adheres to surrounding tissues, thereby reducing the risk of displacement.

Smooth. Today, cosmetic surgery considers smooth implants to be a relic of the past, but some doctors still offer this option to patients. After installing the prostheses, the body creates a capsule around them from connective tissue. Since the smooth surface does not have pores, intensive tissue growth in the mammary gland leads to thickening of the breast near the implant, and the prosthesis itself leads to deformation. This process is called fibrocapsular contracture. A disadvantage of smooth endoprostheses is also the risk of their displacement after installation, which creates breast deformation.

The advantages include thin shell of the prosthesis, which makes them softer, unlike textured ones, reduces cost and extends service life.

Forms of endoprostheses

Teardrop-shaped or anatomical. They are widely used to enlarge flat breasts, and in cases where the patient wants to maintain maximum naturalness and smoothness of the contours of the mammary gland. Anatomical prostheses are a little more expensive than round ones, and it is also more difficult for a doctor to work with them. Many surgeons are of the opinion that due to the enlargement of the capsule, teardrop-shaped prostheses acquire a round shape over time. In addition, the anatomical implant can move, from which the breast receives deformed contours. To avoid these nuances, when choosing anatomical prostheses, it is necessary to give preference to their textured surface.

Due to their high density, anatomical implants maintain the shape of the breast even in a supine position, which is quite unnatural. Difficulties also arise when you decide to adjust or lift your breasts with a bra.

Round. Most often used for correction and enlargement of breasts with severe asymmetry or ptosis. Round endoprostheses are suitable for girls who decide to make their breasts as raised and voluminous as possible. Several types of round implants are manufactured: high-profile and low-profile. They tend to turn over and do not create visual naturalness. But these prostheses are very easy to install, which is why many surgeons choose them. At the same time, round dentures have quite low cost.

Volume

The size of breast implants is determined by the physical volume of their filler, namely milliliters. There is a theory according to which 150 milliliters of solution or gel is proportional to one natural breast size. During mammoplasty, the original size is also taken into account. That is, by setting dentures with a volume of 400 milliliters, the owner of the first size will have a fourth as a result of the operation. There are also such concepts as:

  • Adjustable size - correction and filling occurs directly during surgery using a special hole in the elastomer;
  • Fixed size - dentures of a certain volume.

Choosing the right volume

The choice of the shape and volume of breast implants takes place at the first consultation with a plastic surgeon, usually for this purpose photos of operations “before and after” are viewed and, as a rule, the patient and the surgeon come to a general consensus, but it is best to leave the final word to the doctor. He takes into account all the anatomical features and chooses the size and shape that will give the girl the most natural and beautiful breasts. The access (incision for the implant) is also agreed upon with the surgeon, taking into account the characteristics of the implant and the characteristics of the patient’s body.

Main factors for choosing endoprostheses:

  • Chest volume;
  • Figure proportions and height;
  • Initial breast size;
  • Breast density;
  • Skin condition.

Breast implant service life and replacement

Today, companies that manufacture endoprostheses provide a lifetime guarantee of products without any risk to a woman’s health. Therefore, purely theoretically, the implant does not require replacement, except in extraordinary cases that are related to their integrity (in this case, the manufacturer undertakes to make a replacement at his own expense). In addition, augmentation mammoplasty does not interfere with breastfeeding. But there are other factors that can force a woman to undergo repeated surgery:

  • Defects that have appeared in the shell of the prosthesis;
  • Breast deformation due to breastfeeding or pregnancy;
  • Significant weight changes.

Leading implant manufacturing companies

Nagor (England). Breast implants come in a variety of sizes and shapes. Clinical trial results have proven 0% rupture of dentures over five years. Most implants have a textured surface and a gel filler.

Mentor (America). Manufactures anatomical and round dentures with a textured shell. Used as a filler highly cohesive gel. Saline implants are also manufactured with the possibility of adjustment during surgery or after completion. Mentor dentures are among the most resilient.

Arion (France). Anatomical and round endoprostheses, filler - silicone gel and hydrogel. They are characterized by a monoblock connection between the valve and the prosthetic shell and a six-layer shell. Products have a lifetime warranty.

Allergan/McGhan (America). They are distinguished by the special pore size of the textured surface, which allows the connective tissue to be absorbed deep into the prosthesis. Firmly fixed in the chest. Filled with soft gel, good imitate natural breasts. The product also includes saline-filled dentures.

Polytech (Germany). The breast implant is filled with a soft, highly cohesive gel, has a “memory effect” (it does not deform during any manipulation), the plastic shell has several layers. Shell - coated with MPC, textured or smooth.

If you have found the most modern clinic and a professional plastic surgeon, then you can be sure that the problem of choosing the right implant will be in good hands, and soon you will be able to enjoy your beautiful and new body shapes by comparing photos before and after surgery.





Breast implants allow the modern woman to achieve 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 augmentation is one of the most common plastic surgeries that are performed at the moment. Why undergo surgery, each woman has her own motives. For augmentation, various types of silicone implants are used.

Before surgery, a woman needs to undergo tests and an examination to exclude possible contraindications. Breast augmentation with implants should be avoided if you have diabetes, cancer, or 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 are made of high-quality material, have a durable shell and do not react with adjacent tissues, therefore ensuring lifelong wear.

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

The consequences of mammoplasty may not always be pleasant. Hematomas can form, nipple sensitivity is lost, postoperative sutures become infected, and 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 installed and pregnancy has occurred, then this will not have any negative impact on its course. The same cannot be said about the shape of the breasts. Against the background of hormonal changes, throughout 9 months there is an enlargement of the mammary glands and 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 of a teardrop shape, 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 augmentation with round implants does not bring the maximum natural effect and there is a risk of displacement of the prosthesis.

It is advisable to choose round silicone implants if you need to significantly increase the size of your breasts or if 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 resistance to 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 to 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. The approximate price is 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 become 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 manufacturers of the new generation.

  1. 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 on the skin, the shell consists of three layers, which provides increased strength, tearing is not possible, and a long service life.

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

  1. 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.
  2. Germany offers varieties of prostheses from Polytech. Gel-filled implants do not deform. The surface is textured or smooth.
  3. 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, last for many years, and 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.”
  1. 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.
  2. 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 another surgery be necessary? 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 a 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 in the mammary glands.
  • The fusion of connective tissues becomes a mandatory indication for changing implants. The woman begins to feel tightness in the chest area and pain.
  • Asymmetry of the mammary glands.
  • It is necessary to urgently change breast prostheses even if they rupture or become dislodged.
  • 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. The shape of the breast after removal of implants does not change for the better. 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 a repeat operation is performed due to complications, it is longer and more traumatic. The rehabilitation period is also long.