High profile, biodimensional and anatomical, smooth or microtextured breast prostheses. Designed for use in reconstruction and augmentation mammoplasty. The breast implants are made with a silicone elastomer cover and silicone gel components. Our implants are designed to produce a soft tissue adhesion. They also have a barrier layer of silicone elastomer with which the diffusion of the gel is minimized.
Breast prostheses of extra high profile, smooth or microtextured. Designed for use in breast augmentation. The breast implants are made with a silicone elastomer cover and silicone gel components. Our implants are designed to produce a soft tissue adhesion. They also have a barrier layer of silicone elastomer with which the diffusion of the gel is minimized.
Gluteal implants are permanent prostheses available in a wide range of volumes. These implants incorporate a barrier layer in their structure to suppress spillage of the gel. The silicone gel is sufficiently cohesive that it feels like real muscle tissue and does not move in the event of a rupture of the prosthesis.
- Unilateral or bilateral breast hypoplasia. Breast reconstruction in patients, with adequate tissue coverage, after mastectomy or trauma.
- Asymmetry or aplasia of the breast.
- Replacement of implants for medical or cosmetic reasons.
- Congenital deformity of the breast.
- Breast reconstruction in patients after mastectomy or trauma, in the case of tissue expanders.
- Treatment of soft tissue deformities in the case of tissue expanders.
- Patients must be over 18 years of age to be candidates for surgery to increase breast size..
- Tissue coverage that the surgeon determines is inappropriate or inappropriate.
- Radiation injury, ulceration, poor vascularization or a history of complications in wound healing can affect the adequacy of tissue coverage in different degrees.
- Active infection in the body.
- Existence of breast carcinoma without mastectomy and macroscopic residual local tumor of the breast after a mastectomy.
- Advanced fibrocystic disease considered as premalignant without mastectomy.
- Mamas in which the nipple is located below the inframammary fold without concomitant mastopexy.
- Physiological disorder that, according to the surgeon, involves an undoubted high risk during surgery and / or post-operative complications.
- Obesity, smoking habit, diabetes, autoimmune pathology, coagulopathy, severe chronic pulmonary or cardiovascular pathology, can affect in different degrees the suitability of the patient for surgical implantation.
- Use of drugs that may cause a high surgical risk and / or significant post-operative complications, including drugs that may hinder blood clotting.
- Radiation therapy is a relative contraindication and can hinder the use of the tissue expander and increase the risk of complications.
- Repeated previous contour correction failures.
INFORMATION TO BE PROVIDED TO THE PATIENT
It is known that breast implant surgery benefits patients from the physical and psychological point of view. Among the expected benefits we can mention the following: restore the image of the whole body, facilitate emotional recovery after cancer, eliminate the need to use external prostheses, recover body symmetry, provide freedom to choose clothes or perform physical activities, and improves sexual and interpersonal relationships. Before making a decision, it is recommended to speak with a counselor about any non-medical issue.
Once the patient has received all the information and before making a final decision, it should take at least 30 days to think about the risks and benefits of a breast implant. Patients are advised to discuss with their physician any previous unsuccessful surgical procedures, infections, psychological illnesses, painful “cystic” breasts, a history of cancer that has spread, or any medication that has been taken and that may alter the blood coagulation. Patients should receive information about the surgical operations of implants.
These implants can be placed behind the breast tissue, either in front of or behind the thoracic muscles, and the incisions can be made in different places, such as inframammary, periareolar or transaxillary. Most likely, this surgical operation is performed under general anesthesia, which adds a slight but important risk to the entire operation. After the operation, the patient may need to carry a drain tube for a few days to remove any liquid present in the wound. The surgical operation can be completed in a day or it can require a hospitalization of 2 to 3 days, in the case of a more complex surgery. Patients should consult the postoperative treatment with their surgeon, as the wound may take several weeks to heal. The need to evaluate the integrity of the implant and the method that will be used for this evaluation should be discussed with the patient.
Before making the decision to perform surgery, the surgeon must inform the patient about the warnings listed. The surgeon should warn the patient that medical monitoring of adverse reactions may require explantation of the prosthesis. Implants can break at any time.
The risk of rupture increases with the age of the implant To prevent the risk of rupture, implants may have to be removed after a few years.
Patients should be informed that the implants may break, which would require a new surgical intervention to be replaced or revised. The causes of break include: ·
Damage caused by surgical instruments.·
Other injuries produced during surgery, such as improper handling or handling.·
Capsular contracture or abrasive calcifications in the fibrous capsule.·
Closed or external capsulotomy.·
Stressful factors such as traumatisms, intense physical activity, massage and / or vigorous manipulation.·
Excessive compression during the performance of a mammogram.
2 . Capsular contractureThe formation of a fibrous tissue capsule around an implanted device is a normal physiological response. The contracture of the fibrous capsule remains a frequent complication after surgery with breast implants. The cause of capsular contracture is unknown, but most likely multifactorial. The contracture develops in different degrees, unilaterally or bilaterally, and can occur within weeks to years after surgery.The contracture of the tissues of the fibrous capsule that surround the implant can originate a range of symptoms that include: firmness, discomfort, pain, distortion, palpability and / or displacement. Severe cases are those that have a greater clinical importance and can force surgical intervention. Capsular contracture may recur after performing corrective surgical procedures.DO NOT treat capsular contracture by compression or external massage, procedures that may cause injury, or folds in the implant, and / or hematoma.
3. InfectionInfection around the breast implant can occur days, weeks or even years after surgery. Signs of acute infection recorded in association with breast implants include: erythema, hypersensitivity. Accumulation of fluid, pain and fever.Erythema may also occur as a normal response to expansion.Infection that does not respond to treatment may require removal of the implant.The toxic shock syndrome (TSS) has been described as a possible complication of breast implant surgery and may also be associated with other types of breast implant surgery and may also be associated with other types of implant surgery.
4. NecrosisThe necrosis can inhibit the healing of the wound and force a surgical correction and / or explantation. As a result of the necrosis a permanent scar deformity can occur.
5. Hematoma / seromaPostoperative hematoma and seroma may inhibit wound healing and require surgical correction and / or explantation
6. Inflammatory reaction In studies to evaluate the capsules around TEXTURIZED tissue expanders, the possible presence of silicon particles inside the giant cells has been described, indicative of a local (and non-specific) reaction to foreign bodies, and the formation of silicone granulomas. Another study suggests that certain types of capsule cells, including some perceived as giant cells, may actually be secretory cells that are formed in response to the friction forces of the tissue expander, providing lubrication at the capsule / expander interface.
7. ExtrusionIf the tissue coverage is not adequate or sufficiently stable, and / or there are complications in the healing of the wound, the extrusion of the implant may occur.
8. Interference with the standard mammography techniqueBreast implants can complicate the interpretation of mammographic images by hiding part of the underlying mammary tissues and / or compressing the underlying tissue.Images of the breast tissue can be improved by submuscular implant placement. The orientation marks are visible in the mammographic images and must be taken into account during the interpretation of them, in the case of anatomical products filled with silicone gel.Patients should also be instructed regarding:Inform the radiologist of the presence, type and placement of the implants, as well as the presence and location of the orientation marks (if applicable).Ultrasound can be a useful technique along with mammography.
9. PainAs expected after carrying out any invasive surgical procedure, pain of varying intensity and duration may occur after implantation. In addition, improper size, improper placement or surgical technique, or capsular contracture can lead to pain from nerve impingement or interference with muscle movement.
10. Pain without explainable cause should be investigated promptly.In the case of tissue expanders, the expansion process may cause discomfort, but should not cause excessive pain. The pain may be an indication of an expansion that exceeds the tolerance of the tissue, which would produce ischemia and necrosis.
11. The expansion should be suspended until the pain problem is resolved.
12. PtosisPtosis occurs naturally in all breasts over time.
13. DistortionTissue expansion is a process that requires a lot of time and work, and can cause temporary distortion and discomfort.
14. CalcificationCalcification usually occurs in mature mammary tissues with or without implantation. the microcalcification after implantation occurs characteristically in the fibrous capsule or around it, in thin plates or accumulations. The extensive microcalcification can cause hardness of the breast, discomfort and may require a surgical procedure.
15. Tissue atrophy / deformity of the chest wallIn the case of explantation, tissue atrophy may be felt. In some rare cases, deformity of the thoracic wall has been registered in association with the use of breast implants.
16. Diffusion of the gel Small amounts of silicone gel can diffuse through the elastomer shell of the implant. The detection of minute quantities of silicone in the periprosthetic capsule, lymph nodes axillary lymph nodes and other distal regions in patients with conventional implants filled with gel and apparently intact has been published in medical literature.
17. Inadequate tissue flapAn inadequate tissue flap may occur after expansion, which may require additional surgery and expansion.
18. Effects on the bone A compression of the thoracic wall associated with the use of tissue expanders for breast reconstruction has been described. The presence of a thick capsule, which causes greater resistance to expansion, may be a contributing factor. Rarely bone resorption occurs.
19. Deformation Permanent deformation of breast implants filled with cohesive gel may occur, which requires revision surgery to replace the implants. This can be caused by trauma during or after surgery.