REASONS for Breast Implants
ABOUT Breast Implants
As discussed on the Breast Augmentation page of this website, there are two basic types of breast implants, as well as the pro’s and con’s of both implant types:
- Tend to provide slightly more projection for women who prefer that look.
- Require less surveillance than silicone. If a saline implant ruptures, the breast deflates. The body absorbs the saline fluid and we can easily replace the implant.
- Tend to show more visible rippling in the overlying skin of the breast.
- Look and feel somewhat less natural than silicone gel-filled breast implants.
Silicone gel-filled breast implants:
- Are dramatically improved from those made in the past, which were made of aweaker outer shell and a less stable gel material filling. Silicone gel implants today are highly cohesive. They are soft and pliable, but do not leak when cut.
- Generally look and feel more natural, particularly as it can be difficult to discern where the breast ends and the implant begins.
- Require more aspect of maintenance, including, but not limited to, annual exams, regular mammograms, and/or ultrasounds and potentially even MRIs. One reason is that it is nearly impossible to tell if these implants are intact or ruptured. If ruptured, however, they pose no health risk and neither drip nor leak out into the patient’s tissues or body.
Breast augmentation surgery is generally not a Dzone and donedz type of operation. In addition to making sure you care for your implants, there may be times when you need a breast augmentation revision.
CARING for your Implants
One area of concern for many patients is how to detect a rupture in the implant. This differs based on the type of implant you’ve selected:
- Ruptures in saline breast implants are usually self-evident. When a saline breast implant ruptures, the saline leaks out and is absorbed by the body. The implant naturally deflates as the saline leaks out causing the breast to decrease in size. The change in size will signal a rupture.
- Silicone breast implants are less obvious to detect. The silicone gel is Dzcohesive,dzmeaning that it doesn’t move freely, and there may not be any change in observable breast size. This means you may need an MRI to detect a rupture:
- MRI screening should be done on a regular basis. Dr. Tepper can recommend agood radiologist and provide you with the appropriate screening schedule. Generally, you won’t need an MRI for the first three years after your implant surgery.
- If however, you have suffered chest trauma or broken a rib, you should schedule an immediate MRI.
Patients also want to know how to care for their new breasts on a more routine basis. While we can discuss daily care during your post-operative visits, here are some recommendations to help:
- Get a bra that will support your new profile and prevent sagging. You might want to have a bra fitting to select the appropriate level of support. And if you engage in strenuous activity of any sort, you should wear a tightly fitting sports bra to keep the girls immobile.
- Make massage a part of your daily routine. You can massage the implants each day in the shower, making sure that the implants move freely up and toward the center of your chest. This helps ensure that they will continue to move as freely as your natural breast tissue.
- Take precautions when visiting the dentist. Dental procedures, especially teeth cleaning, will introduce bacteria into your blood stream for a short period of time. There is some evidence that this bacteria might end up in the capsule around the implants and that you might develop an infection. While this is rare, why take a chance when one dose of oral antibiotics taken an hour before the visit and two doses afterwards will prevent the possibility? Let your dentist know of the issue, and he can prescribe the antibiotic for you.
RESULTS of Implants and Considering Revision Surgery
There are several reasons why you might want or need to consider breast augmentation revision surgery:
- To further modify your appearance by changing implant size, shape or placement and to correct capsular contracture. This is particularly true if your new implants cause rippling.
- To remove the buildup of scar tissue and reposition your implant.
- To repair or replace a ruptured/deflated breast implant.
- To correct other issues such as asymmetry, bottoming out, general breast implant malposition and symmastia (bread loafing)
- To adjust to bodily changes caused by changes in age, hormones, or weight.
In all cases, Dr. Richard Tepper will discuss your best options with you to help you look and feel your best.
Note that breast augmentation revision surgery can be more complex than primary breast augmentation. Having already been through the primary procedure, you are already prepared for the surgery and recovery. You will want to be open and clear about any issues and wishes, to help Dr. Tepper suggest the right choices for this revision.
Before & After Photos
View Before and After photos of some of our satisfied patients who have chosen to work with Dr. Tepper.