Breast implants are one of the most popular forms of breast reconstruction techniques. They are used mostly in plastic surgery to give the breast the better forms. Its use, and they found in patients with breast cancer. Especially popular are breast implants in thin women with small breasts, when there are certain difficulties in the application's own tissue for the formation of breast cancer.
Currently, there are two types of implants: saline and silicone.
Represent a bag and a silicone elastomer filled with saline. Implant technique is that, through a small incision is introduced first bag, which is then filled with saline. Saline implants are popular in the U.S., where the use of silicone implants is limited. However, in our country, saline implants are used less frequently and more popular it is silicone. The results of the use of saline implants are satisfactory, but their use is more than cosmetic problems: they can rupture, wrinkle. In addition, these implants are noticeable to the touch.
The creators of the first silicone implants in 1961, there were two plastic surgeons, Thomas and Frank Gronina Gerov Shatat from Texas, USA.
Silicone implants have been five generations in their development. The last, fifth, generation siilkonovyh implant is stable and forms a highly-cohesive properties (ie, high adhesiveness). These properties are extremely reduced propotevanie silicone gel.
In most cases, the implant of the breast is required extension or expansion of the skin in order to create space for the implant. For this purpose a special device is used as a container. Balloon attached to the so-called port, which allows no additional interventions are gradually expanding the space for the implant. Thus, the skin gradually becomes a natural form of hanging. Finally, when the chemotherapy is completed and the process of stretching the skin, the balloon dilator is replaced with a permanent implant.
Preventing the formation of scar tissue
Once the implant is installed under the skin around it is formed by fibrous tissue in the form of capsules. Its formation is part of the normal process of wound healing, which usually occurs within the first few months after the operation. In 15% of cases, the capsule can be painful and dense, deforming the breast. In the case of radiotherapy the risk of scar capsule grows by 40 - 50%.
For the prevention of scar tissue is formed by a massage and recommended exercise.
Expiration of silicone gel breast prosthesis migration
Sometimes the implant can shift slightly, so you may need a massage to get it back in its place. Less commonly, there may be a gel or fluid outflow from the implant. The risk of this complication increases with time. Most of the implants that were installed 10 - 15 years ago, there is leakage of the contents. But usually it is not so much. You can see yourself that leaked the contents of the implant, because the mammary gland becomes smaller in this case. A small leakage of saline from the implant is not visible. Such a leak is harmless. Unlike saline implants, silicone gel leaks can be detected by magnetic resonance imaging.
Is silicone safe
To date, there are different points of view on this issue. The advantage of silicone is that it provides Bole realistic properties such as weight and consistency of breast cancer, compared with saline implants. The latter, for example, when the feeling perceived as a tank with the liquid.
Previously, the initial use of silicon as a material for implants in women have been cases of autoimmune arthritis and lupus, which are a type of allergic diseases. Modern silicone implants are also more secure. Currently, as a filler for implants tried substances such as peanut and soybean oil because of their greater density. In addition, the possible leakage of these materials in the body is not formed scar tissue, and the oil just gradually absorbed by tissues.
The risk of infectious complications
Infectious complications are inherent in any surgery. This is particularly the case when the chemotherapy of cancer in women there is a weakening of immune forces of the body. To date, reports on the frequency of infection from 1% to 9%. In most studies presented evidence that the incidence of infection ranges from 2% to 4%.
Another of the facts, which are very important to take into account the patients who choose breast implants - is that this type of breast reconstruction makes it difficult to diagnose tumors in the future. This can be facilitated by the fact that fibrous (scar) capsule that forms around the implant, may eventually become saturated with calcium salts (so-called calcification).
Many experts believe, however, that, indeed, the use of mammography in women c breast implants, calcification may occur in the fibrous capsule surrounding the prosthesis, but it does not jeopardize the mammography examination. Typically, calcification is not a characteristic feature of calcification, which is associated with malignancy, although sometimes one can be mistaken for another. In the literature, unpublished reports, which confirmed a documented diagnosis of missed or delayed due to the presence of calcified capsule.