The breast implants are a kind of bags coated with silicone-based materials and filled with substances which vary the characteristics of each. There are several different types of breast implants, taking into account the content. First of all there are the saline implants, which are those that are placed in the patient and are then filled with physiological solution or saline solution. It is the most commonly used in the United States today, due to certain restrictions on the use of silicone gel implants: filled silicone gel implants and hydrogel implants.
The sizes of Breast Augmentation vary and are measured in cubic centimeters. It can also be textured or smooth implants. The smooth ones should only be placed behind the chest muscle, never ahead, due to the incidence of capsular contracture that exceeds 80%. In the case of Textured implants, on the other hand, it does not matter if they are placed in front or behind the pectoral muscle, since they do not mainly affect the formation of capsular contractures. There are also special prostheses that are recommended for women at high risk of breast cancer.
Other types of implants also exist taking into account the profile: low, high and extra high. In this way, the greater the profile, the greater the projection of the breast and the greater the cc. Greater volume. As for the form, there are two types of implants: the round ones, which are the most used worldwide; and the anatomical, tear-shaped, much more natural and similar to normal breasts. The difference is that in the anatomical part, the upper part has a smaller volume. The round implants show that volume at the top. The materials used in the filling have advantages and disadvantages. In the case of silicone, it is much more consistent than saline solution and the latter is more harmless than the first, for cases of filtration or rupture.
Characteristics of breast implants
Salt filling: The bag has a silicone cover and is filled with a sterile saline solution. They are the only ones currently used in the United States.
Silicone gel filling: The implant has a silicone cover and is filled with silicone gel. In the United States, this type of implant is available and used in 90% of the interventions. Nevertheless, an investigation by the FDA on a new type of implant filled with cohesive silicone gel that apparently would reduce the risk of spills is currently underway.
Rope implant: It is an unusual method and is generally used to achieve extreme breast dimensions. Created by Dr. Gerald W. Johnson, using polypropylene. Rope implants are characterized by the fact that the breasts continue to expand after surgery. They are available in the United States.
Engineered tissue implant: A procedure in full development and that has the advantage that it can keep the size of the breasts stable for life. It is done by extracting cells from the patient’s own, which are then combined with an appropriate support material to produce an Engineered Tissue Breast Implant. There are no risks of rupture or spills.
Several scientific studies carried out today have concluded that none of these implants cause cancer or other types of autoimmune diseases, however, in the prior consultations will always be determined which is the best option for each case.
The implants come in different sizes, all of them in cc. and the choice will depend on the patient and his doctor. The best way to determine more accurately the volume desired by patients, is to use prostheses of various volumes in a bra without filling until she chooses the one with which she feels better.
Form of breast implants
There are two types of breast implants in terms of shape: round and anatomical. The first ones are the most used all over the world and show the highest volume at the top. The anatomies, on the other hand, are much more natural and show less filling in the upper pole of the breasts. To achieve volume and a greater sense of naturalness for Breast Reconstruction, the implants are filled with:
– Physiological serum (water and salt). It is very similar to the fluid that makes up 70% of the human body, which means that in case of spill or loss, it is absorbed without problems by the body.
– Silicone gel, a natural substance, inert, purified and in a gel state.
The variety of breast implants in terms of shapes, sizes and fillings allows you to choose the one that best suits the needs of each patient, which must be decided together with the professional chosen to know which one best suits each case.