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To each patient her own implant.
Breast Augmentation can be performed using two different kinds of implants. It is essential that the surgeon has the required knowledge about all kinds of implants and that he is therefore able to recommend the most appropriate implant in each case. There is no standard implant suitable for all patients: a surgeon who is using the same kind of implant for all patients has no clear idea of what breast augmentation is about.
During the pre-operative consultation, it is important to assess what can be achieved with the procedure and, at the same time, to understand the patient's needs and expectations, in particular the desired size and shape. Based on this, the kind of implant, the volume and the technique will de agreed.
To help the patient's decision, Dr. De Fazio uses the “Sizer Kit” system, which simulates the post-operative result on the patient herself, who can in this way have an active role in choosing the best implant.
Breast Implants can be round or anatomical; furthermore, they can have a low, moderate or high profile; all of them are pre-filled with cohesive silicone gel; finally, they can be textured (with a rough texture) or polyurethane-coated. The latter are the safest to minimize the complication, although rare, of capsular contracture. It is also important to underline that the silicone gel is not liquid rather semi-solid, and, therefore, there is no filler leakage (silicone gel bleed); in addition, it keeps its shape, reproducing the texture of the breast parenchyma or of the breast muscle mass, improving its adherence to the tissues.
The duration of breast implants is unpredictable; on the other hand, it is not necessary, as some people say, that they must be replaced after 10 years. In fact, the major Breast Implant producers provide a long-term guarantee.
The dual-plane technique consists of placing the implant underneath the pectoralis major muscle (chest muscle), which will be split from the mammary gland. The incision is normally around the nipple (periareolar), but this is not possible when the areola is too small to be able to introduce the implant. In these cases the incision will be in the inframammary fold.
This technique minimizes both the capsular contracture and the rippling risks; the latter might occur in the upper pole with subglandular implants.