Schnheitschirurgie

Breast augmentation using an implant insert

For the best results from breast augmentation, it is important that the right implant is selected for the patient.
When choosing an implant, attention must be paid to the shape, size, external material and filling of the implant.

Implant shape

Both Breast implants become round and anatomical implants differed from each other.
Round implants are used for breast augmentation more often used as they fewer complications cause and cheaper are. Of the disadvantage compared to the anatomical implants is that the breast gets a uniformly large volume and therefore rather unnatural works.

There anatomical breast implants are very narrow at the top and wider at the bottom, a more natural result be achieved. It is also possible with anatomical implants To compensate for differences in the shape of the breast, because the implants can be varied in width, height and thickness. With a very narrow chest the implant must also be narrow, for example, in order to avoid lateral contours caused by implants that are too wide. Also at different sized breasts It is possible to compensate for this by using implants that differ in their height, but not in their transverse and longitudinal diameter. As a result, the correction is not noticeable. The most important advantage of the anatomical implants is therefore that by their flexibility a compensation of shapes and asymmetries of the breast is possible. Of the disadvantage Compared to the round implants, however, it is more common due to their shape Twist (Rotation) or a shift (Dislocation) the Implants what can come to one unnatural appearance leads and one renewed operation makes necessary.

Implant sizes

The size of the Implants is a individual question and depends on the wishes of the patient. Still is considered Rule of thumb, that the No enlargement more than 2 bra sizes should be so that a natural result can be achieved.
In addition, factors such as Body symmetry, Amount of skin and Skin texture and existing Breast volume, such as Width of the chest the patient should be included. So that the edges of the implant are not visible, the implant should be surrounded on all sides by a good soft tissue jacket.
In addition, it can with Deploy from too large implants after some time to sag the chest come and also Skin cracks and Stretch marks can occur.

Implant shell

Breast implants almost always consist of Silicone, can, however, in their Surface texture distinguish. One differentiates between silicone covers rougher (textured) surface of covers with smooth surface. A common complication of breast augmentation is the Capsular contracture which is an extremely painful change in the connective tissue, which in severe cases even leads to a Implant change can lead. Studies following may reduce the risk of Capsular contracture with silicone implants rough surface reduced become. Another advantage over using silicone pillows smooth surface is that with textured implants it is not so easy to get one unwanted changes in position of the implant.

Implant filling

As Implant fillings come liquid silicone gel, dimensionally stable (cohesive) Silicone gel or one Salt filling into consideration.

In Europe it will dimensionally stable Silicone gel preferred as it inexpensive and due to its dimensional stability it cannot leak. Implants with liquid silicone gel-Filling are used these days barely yet usedbecause that risk for the leak high and this in turn can cause damage to the body. In the United States are mainly using implants Salt filling used. These rarely run out and have on expiry just a very low health risk. However, in contrast to the silicone gel fillings, they show a little unnatural sense of touch on. In the meantime there were also implants with soybean oil and hydrogel filling, but these were withdrawn from the market due to the side effects.

Read more about the topic here Breast Augmentation Risks.

Durability of the implants

In the eighties when still Implants With liquid silicone gel filling It was common to use implants every ten years to switch. Through the meanwhile Some manufacturers even guarantee improved implant shapes, shells and fillings for the lifetime durability of the implants. However, since the Displacement of the implants or the Change in shape of the breast should be considered, one should assume a limited shelf life. In conclusion, however, it should be noted that most patients do not change implants for medical or health reasons, but rather because they want to change their size.