Even though there are different ways to place the implant - halo or breast groove – the most commonly used by Ivan Mañero MD Plastic Surgery Institute is the armpit, although the use of one or another will depend on the patient’s will, the circumstances of the case and the surgeon’s opinion. We have to keep in mind that all of them leave imperceptible mark and that this kind of surgery does not interfere with breastfeeding. The prosthesis used are of the latest generation – cohesive gel with high quality silicone – and, currently, the safest of the market.
Once the inflammation and bruising disappear (if they appear) the breast will show a normal look in more or less six to eight days.
In a month’s time almost the whole inflammatory process will come to an end, anyway, the final evolution until reaching the definitive stabilization, is considered to be more or less six months.
A special bra and a chest strap will have to be used during one month.
Although the patients will be carrying drainages during the first 48 hours, they are not an indication to remain hospitalized; they will avoid blood clusters and secretions as well as reducing inflammation and possible postoperative nuisances. They are usually removed at the first curing visit.
Between the first week and ten days, it is advisable to start with massages and lymphatic drainage that will help reducing inflammation and a faster recover from the surgery.
Although your social life will restart in a few days, your re-entry to your working activity will depend on which activity you develop.
Which are the best breast prosthesis?
At Ivan Mañero MD Plastic Surgery Institute we recommend the last generation cohesive gel silicone prosthesis, as their risk of breaking or leakage is minimal and we achieve a very natural result, differently from the saline serum ones. There are smooth, rough, with round shape, teardrop shape… i.e. there are different models to choose. The final decision will depend on the surgeon’s advice and the patient’s preferences.
Are prosthesis harmful? Can they cause breast cancer?
There has been a lot of literature about this issue and any study has prove that prosthesis, either serum or silicone ones, cause any kind of illness. Regarding the relationship between breast cancer and prosthesis the situation is exactly the same. Silicone prosthesis have been used for more than 50 years and the different studies have not been able to prove that there is a bigger incidence of breast cancer or other tumoural or autoimmune diseases in women who have undergone an intervention with prosthesis. In fact, this kind of prosthesis are the ones used around the world to reconstruct a breast after a mastectomy. Anyway, it is recommended that women with severe immunological diseases to discard this kind of surgery.
In my family there are previous cases of breast cancer, should I have an augmentation with prosthesis?
All women with previous family cases have to be more careful at controlling their health status, but the use of prosthesis will not be the reason for a tumour to appear.
Can I breastfeed my baby with breast implants?
In principle there are not problems for breastfeeding after a breast augmentation. There are other interventions as mastopexy or breast reduction that could lead to an alteration in natural breastfeeding. In any case, the patient should ask for the surgeon’s advice before making up her mind.
How often do I have to change the silicone prosthesis?
In principle, breast prosthesis are meant to last forever. We will only have to change them in case of breaking, leakage or excessive wear.
The leakage, breaking or wear of an implant can lead to serious risks for my health?
When the implant is made of silicone, the only alteration in these cases is what in medicine is known as siliconome, i.e. a fibrous reaction surrounding the leaking material. Although nowadays with the cohesive gel prosthesis leakages and the problems they cause are avoided. In the case that would happen, it is necessary to remove the implant to avoid the inflammation and hardening of the area and to replace it. If the prosthesis is made with saline serum, the body will reabsorb the liquid without any problem, but the implant will have to be changed, since the visual impact is quite noticeable.
If the breast is heavier with the prosthesis, will it drop or hang before?
At the institute we recommend to place the prosthesis under the muscle, a way of avoiding the impact of its weight on the skin. But after the placement of breast implants, the breast follows its natural evolution. Anyway, we have observed that in patients with prosthesis, the flaccidity caused by time is smaller
What is the difference between placing the prosthesis over or under the muscle?
At the institute we prefer to place the breast prosthesis, almost in every case, under the pectoral muscle. The submuscular placement diminishes the percentage of capsular contracture, separates the prosthesis from the gland and makes a more natural breast, avoiding those excessively round, anaesthetic breasts with very limited movement.