Why Are Breast Implants Placed Below the Muscle?
Placing the breast implants below the muscle can be more aesthetically pleasing in appearance as it allows for a more natural look on some patients. This is especially those with thin tissues where the upper pole of the implant may be more visible if the implant is placed above the muscle.
How Do You Avoid Any Rippling In Breast Implants?
There are a few factors to consider when trying to prevent any form of rippling in a breast implant. First and foremost is to understand the type of implant and where the implant will be situated (Placed above or below the pectoralis muscle) The most advantageous way to prevent or minimise rippling is to place the breast implant below the muscle, especially when there is inadequate breast tissue. Unfortunately in the lower pole where there is no muscle coverage, rippling may be impossible to avoid when there is insufficient soft tissue coverage, especially when larger implants are selected.
What do you do with a Ruptured Silicone Implant?
A ruptured silicone implant can have health implications and should generally be replaced. The silicone can create small granulomas or small masses in the breast, which mimic tumours and cause internal scarring. The silicone can also travel within the lymphatics to the glands in the armpit resulting in further anxiety.
We recommend undergoing an MRI for radiographic evidence to ensure the implant is definitely ruptured. If so, it should be replaced. Implants should be considered for removal and replacement 10-15 years down the track.
If my silicone implant ruptures how long do I have to have it replaced or removed?
It is best to get your ruptured implant as soon as possible. This is to avoid scar tissue that can form after time due to the silicone leaking. Recovery takes up to 3-5 days, so we recommend being proactive.
For Sagging Breasts, are high-profile or moderate-profile implants better?
If you suffer from breast ptosis or sagging breasts, we recommend undergoing a breast lift with an implant if you want more volume or fullness at the top. It is a mistake to think you can make up for sagging breasts by putting in a larger implant. This generally produces breasts where the nipple is too low on the breast mound and a poor cosmetic result. If a patient would like their breasts to be lifted and gain more fullness in their upper part of the breast, we recommend doing a lift with moderate-plus profile implants. High-profile implants have a smaller base width for the same volume and so are less likely to fill out the upper pole. As always, it is impossible to determine your best course of action without a face to face consultation.
What does the number of CC’s in a breast implant mean? Does it refer to breast size?
Not necessarily. Normally, the breast size after a breast augmentation and the actual size of the implant does not directly correlate. Over-augmenting patients can create disproportioned breasts relative to their body and chest wall. It can also create more movement in the breast tissue, causing distortion. The aim for a plastic surgeon is to proportion a patient’s implant to their chest-wall diameter, the amount of breast tissue the patient has and the size and shape. It is best not to focus on the number of CCs, especially when looking at photographs online. The same implant can produce very different results in different patients. Your Specialist Plastic Surgeon is the best one to determine the optimum implant to deliver the look you are seeking.
Why can one breast be hard, and the other breast be soft?
When a breast implant hardens, it is commonly known as a Capsular Contracture. Capsular Contractures are uncommon. This typically happens in the earlier stages after augmentation, sometimes within the first few months. To rectify this issue, a 6-8-week aggressive breast massage is appropriate if the patient is proactive early. However, if the capsular contracture develops, procedures such as radical capsulectomy, inferior capsulotomy and release of scar tissue would be beneficial.
What is the potential for loss of nipple sensation on one side and not the other?
Loss of sensation in the nipple is not uncommon for breast augmentation. However, it is possible to regain sensation. We recommend patients wait up to 3-6-months to gage whether the loss of sensation has come back. In the majority of the time, sensation will return, however it is possible to lose sensation permanently.
How can you make cleavage?
A number of factors impact on the level of cleavage a patient will have after augmentation. These include: the shape of a patient’s breast, the amount and distribution of their own breast tissue, the degree of augmentation and the diameter of a patients breasts pre-surgery. Further, it is not guaranteed that the implants will create a significant amount of cleavage.
LATEST NEWS UPDATE
Statement in response to media coverage on the Medical Journal of Australia’s paper on Breast implant associated-Anaplastic Large Cell Lymphoma (BIA- ALCL)