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Breast prosthesis and everything we need to know about it


Breast surgery is one of the most popular cosmetic surgeries in the world. Breast surgery for men and women is not only used to have a more beautiful body, but in some cases breast surgery is also used as a treatment or prevention. Breast cosmetic surgeries (or mammoplasty) fall into three general categories:
Breast prosthesis, breast reduction and breast reconstruction.
Here is a summary of the most important things you need to know about breast surgery, from choosing the best plastic surgeon to the necessary steps after breast augmentation surgery, to tell you all to make the best decision with awareness and a sense of satisfaction after surgery. Try a prosthesis.
Why do we think about breast augmentation?
There are many reasons why your breasts may be smaller than you want them to be, such as poor diet, hormonal imbalances, genetic factors, thyroid complications, or factors such as breastfeeding, breast cancer, and so on.
Natural methods for breast augmentation are usually very slow or unsatisfactory. But with the advancement of medical science, reliable and harmless methods for breast augmentation have been developed and have been successfully performed all over the world for many years.
Fortunately, in Iran, with excellent and experienced doctors and surgeons, you can also use these methods to achieve the desired result in the shape of your breasts and see noticeable changes in the shape of your body and limbs in the shortest time. After reading these tips, if you have any questions, ask Dr. Bakhshi.
What is a breast prosthesis?
Augmentation mammoplasty is a type of breast surgery that aims to increase the size, shape or filling of the breast, also called a breast implant.
Sometimes it is decided to perform cosmetic breast surgery and abdominoplasty operations together, which is called mommy makeover.
Breast implant surgery includes reconstructive surgery and cosmetic surgery, including:
Enlarge breasts that are naturally small
Recovering the changed size and shape of the breast after pregnancy, weight loss, breastfeeding, etc.
Creating symmetry in the breasts in case of asymmetry
Repairing breasts that have been emptied for any reason
Choosing the right surgeon
If you have decided to have breast augmentation surgery, you should carefully choose who your surgeon is. Your doctor must be trained and skilled to perform a safe surgery.
Before making your final decision, be sure to consult several times with the doctor you plan to perform breast surgery. Investigate him;
Your doctor:
What qualifications and training did he receive?
How many similar surgeries have been performed and what have been the results? (See photos before and after her surgeries for other patients)
What medical and surgical associations is he a member of ?; His membership in a relevant professional association (such as membership in the Iranian Society of Plastic Surgeons) reflects the standards set in his training and skills.
What postoperative care will it offer you?
Also ask him about these things:
What are the most common complications of your surgery?
What should you do if something goes wrong or you are not happy with the outcome?
Ask her to explain all the pros and cons of different types of breast prostheses, depending on your body.
Consult your surgeon about the size and shape of the implant and the location of the prosthesis (behind the breast or behind the breast muscle).
How much does the operation cost and if you need follow-up treatment, do you need to pay more?
How will the operation be performed and how long will it take?
Is anesthesia needed?
Pain and complications and risks of surgery and after surgery?
How long is your recovery?
What deformity can you expect from the operation and how long does it take to see the final result of the surgery?
Types of breast implants
How to choose the material of your implants?
There are three main types of breast implants: silicone, saline (salt) or another compound
Salt implants:
Like salt water, they are filled with a sterile saline solution. The solution is kept inside the silicone elastomer shell. These implants can be filled with different amounts of saline solution. This affects the feeling, firmness and shape of the breast. A saline breast prosthesis is more likely to shrink, tear, or fall off over time. But if it leaks, the solution is naturally absorbed and excreted by the body.
Silicone implants:
It consists of an outer shell of silicone filled with a silicone gel, which is less wrinkled and more natural. However, they can spread to your breasts and form lumps. Patients who choose a silicone breast prosthesis should have more regular check-ups with their doctor than with a saline implant. The doctor can check the condition of the implants with an MRI or ultrasound scan.
The alternative implant composite may be filled with polypropylene filament, soybean oil, or some other material.
How to choose the size of your implants?
Before surgery, the surgeon should help the patient choose the size of implant needed. This can be done by placing implants of different sizes in a bra to see how they feel.
Types of surgical prosthesis incisions
The surgeon and the patient must talk about the incision options from the beginning and reach the desired result. The choice of incision depends on several factors, including the size of the breast prosthesis, the anatomy of the patient, the type of implant, and the priority of the surgeon and the patient.
But in general, the following cutting options are possible for breast plastic surgery.
Inframarium incision is made in the crease under the breast
Cut the lower transformer, underarm
Piriarolar incision, around the nipple
Where is the breast implant placed in the breast?
In muscle placement, the implant is placed under the pectoralis muscle. The recovery period may take longer and there may be more postoperative pain. When placed under the breast or under the gland, the implant is placed behind the breast tissue and on the breast muscle.
What's going on in the operating room?
General anesthesia is usually used in breast surgery, so that the patient is asleep during the surgery. But sometimes local anesthesia is used and the patient is awake. This takes about 60 to 90 minutes.
Types of sutures to close incisions
The surgeon closes the incisions with layered sutures or breast tissue sutures. Sutures, skin patches, and surgical tape are used to close the skin.
Initially, surgical incision lines will be visible, which will fade over time with the use of special treatments. But in most cases, surgical incisions or scars will not completely disappear.
Breast augmentation
To get the best results from breast surgery, here are a few tips, and in all cases, consult your doctor again:
Work and activity: A full recovery from breast surgery may take several weeks, so you may need to take a week or two off work and not drive for at least a week.
Bra: Some surgeons recommend that you wear a sports bra all day long (up to 3 months after breast prosthesis surgery (you should consult your surgeon about this).
Exercise: Avoid heavy weight training or strenuous exercise for at least a month.
Medication: Ask exactly how to use the prescribed medications and do it.
Contact the doctor: You need to know when to make the next appointment or if we should contact the doctor.
When will the result of the action be known?
After 1 or 2 weeks: Your sutures will be removed (unless you have absorbable sutures).
Absorbable or soluble sutures usually disappear within 6 weeks.
After 6 weeks: You should be able to return to most of your normal activities. Your scar (scar) should also begin to fade.
After a few months: Your breasts should look more natural and begin to return to normal. If you use a sports bra, you may not need to continue using it.
Sunbathing and traveling by plane with implanted breasts is unobstructed.
Possible complications of breast prosthesis surgery:
Breast prosthesis, like any surgical procedure, has its risks. Among patients undergoing breast surgery, 46% of women with silicone gel implants and 21% of those with saline implants underwent at least one additional operation over 3 years.
Chest pain
Stiffness, infection or need for additional surgery
The sensation in the breast, nipples or both may change temporarily
Plant rupture or leakage
Accumulation of fluids
Capsular contraction refers to hardening of the Aaron region
Postoperative emergencies that you must contact your doctor:
Any signs of infection, such as fever, or heat and redness in the breast area
Chest pain, unusual heartbeat, or shortness of breath
Breast prosthesis once and for all?
Breast implant durability is not permanent. They will probably have to be replaced at some point.
Some women may need another operation after about 10 years to have an implant replaced or for other reasons.
Silicone, saline, or composite prostheses under the muscles of the chest or breast tissue usually last an average of 7 to 12 years.
Contact us to consult with Dr. Ruhollah Bakhshi, a specialist in plastic surgery.