Breast implants can make a woman confident and attractive. In order for the result to meet expectations, serious training and a qualified surgeon are required. He will help you choose the ideal shape and size of the implants.
Breast implants for breast glands: what they look like, how often to change, service life, pros and cons. Price. Photos before and after. Reviews
Breast endoprostheses are silicone shells filled with gel or water-saline solution. They differ in a variety of materials and shapes. The service life of implants is 7-13 years. Manufacturers do not limit the service life by a time frame, however, replacement of implants is a frequent occurrence.
This happens for the following reasons:
- damage to the breast implant, followed by the leakage of a gel or solution (very rare);
- the occurrence of inflammation that cannot be cured with medication (rarely);
- the desire to change the size of the breast, its shape, to replace old implants with modern and safe (often);
- physiological changes: sudden jumps in body weight, pregnancy and childbirth, natural aging processes (often).
The advantages of installing endoprostheses are the ability to correct the strong asymmetry of the breast, its sagging, the moral satisfaction of the woman.
The disadvantages include possible complications (rejection of the implant, infections, a long rehabilitation process). Even after a successful operation and a recovery period, the diagnosis of breast diseases becomes more difficult in the future.
The cost of implants depends on the manufacturer and quality, as well as the company's pricing policy. The starting price of one endoprosthesis varies between $ 600-900. If you choose a model made to order or with a specific filling, then the price rises to $ 1500-2500 per piece.
Complications are due to the low level of professionalism of the surgeon, incorrect adherence to recommendations during the rehabilitation period.
Breast lift with implants
Mastopexy with endoprosthetics is a series of surgical procedures that help to create the correct shape of the breast. It is indicated if the classic breast augmentation does not bring the desired result.
The reasons why the surgeon prescribes a combined surgery:
- Breast-feeding. During the lactation period, the skin of the breast is subjected to stretching. After the end of feeding, the size of the mammary gland decreases and the breasts sag.
- Loss of large mass of excess fat.
- The need to change breast implants. If you want to reduce the size of the breast and maintain its shape, the surgeon selects smaller endoprostheses. Therefore, he needs to additionally undergo mastopexy.
In most cases, a breast lift with implants is performed in two stages. Mastopexy is performed and, after healing, the breast is enlarged.
Much less often, augmentation and tightening are combined together. This requires a highly qualified surgeon. It should be borne in mind that it is unlikely that it will be possible to avoid various complications.
The most common are:
- Improper scarring. Thin, inconspicuous seams are formed when no additional pressure is applied to them. The weight of the implant exerts this very pressure, as a result of which the scars "spread" and become excessively coarse.
- Breast asymmetry.
- Ptosis. Incorrect calculation by the surgeon can cause displacement of the areola of one or both nipples, which looks extremely unattractive.
- Infection with subsequent necrosis of the gland tissue. Due to multiple injuries after surgery, blood and plasma accumulate in the chest, which are a favorable environment for the multiplication of pathogens.
Mammoplasty is performed under general anesthesia. The duration of the operation is 4-6 hours, and the cost is $ 5000-6000. However, the high cost is not always a guarantor of the surgeon's high qualifications and quality.
Breast augmentation with implants
After passing the necessary tests and consulting the surgeon, the day of the operation is appointed.
Preparation for it should be carried out taking into account all the doctor's recommendations:
- Elimination of bad habits a few weeks before mammoplasty.
- All medications you have taken must be reported to your doctor.
- If you have an allergy, try to completely eliminate the effects of allergens on the body.
Before starting the operation, the doctor, together with the patient, discusses all the nuances and possible complications.
Common negative effects include:
- the formation of hematomas;
- abnormal scarring;
- capsular contracture.
Contraindications: infectious diseases, neoplasms, allergies, breast diseases. They also do not spend them on girls who have not reached the age of majority. After the operation, strict adherence to the doctor's recommendations will eliminate the occurrence of complications by 80%.
Types, sizes, shapes of breast implants. Photo with implants
Silicone implants
Silicone endoprostheses are medical breast implants for reshaping the size and shape of the breast. 
Surgeons prefer silicone for a number of reasons:
- Filling with cohesive gels of different densities tactilely makes the breast indistinguishable from natural.
- Consistency and special properties of gels. If the shell is damaged, they do not flow out of the implant. There is no risk of breast damage.
- Due to its high density, it is possible to produce anatomical (drop-shaped) shapes. This is problematic when filled with brine.
- By modifying the properties of a filler gel, you can achieve a wide variety of characteristics.
- Silicone implants are lighter, which reduces additional skin stretching.
Round implants
In the presence of a flat chest, round endoprostheses, in most cases, will look artificial and unaesthetic.
There are several types of implant filler:
- water-salt;
- silicone;
- combined - water and silicone gel;
- biogel.
Round implants can be high profile (highly convex) and low profile (flatter). Some models have a volume adjustment function. This is convenient as the surgeon can adjust the size and shape of the breast during the operation.
A relative disadvantage is the possibility of its displacement inside the mammary gland. Outwardly, this is practically not noticeable, but it can cause some discomfort in a woman.
Anatomical (teardrop) implants
Anatomical breast implants are recommended for women with asthenic constitution and small breasts. They are asymmetric in shape - the upper edge is thinner, thickens towards the bottom. Their appearance is as close as possible to the natural shape of a woman's breast and resembles a drop.
Due to asymmetry, manufacturers produce models with a wide variety of shapes, profiles, and sizes. Individual production is possible.
A relative disadvantage is their denser texture (necessary to preserve the anatomical shape of the implant), tactilely not very similar to a natural breast. During installation, the endoprosthesis may also be displaced.
The advantage of the drop-shaped form is scientifically proven, low percentage of capsular contracture formation, outwardly the most natural and natural breast.
The best lifelong breast implants - rating, firms. Where to buy, how much are
Implants "Mentor"
Breast implants from the Mentor company are considered the safest.
The manufacturer uses developed and patented materials: Siltex casing and MemoryGel cohesive gel. Anatomical Mentor implants have an improved bend line. Even if you have breasts with a minimal amount of adipose and glandular tissue, they will not stand out. 
On the territory of Russia, distributors are the companies "Clovermed", "Implant Medical". More than half of women choose the products of this company for mammoplasty.
You can purchase or order endoprostheses from authorized dealers via the Internet or by contacting them by phone. In most cases, implants are ordered directly at the clinic, one implant starts at $ 900.
Implants "Motiva Ergonomics"
The only company producing ergonomic endoprostheses. They are able to look natural in any position of the body, harmonious even in an initially small chest.
The widest choice of volumes from the smallest to the largest: 4 types of profiles, several types of viscosity, seven-layer shell, smooth, textured or micro-textured surface. The products are approved by the most important commissions FDA, ISO, EN, CE.
You can purchase implants through the official website motivaimplants.ru or through the clinic of aesthetic medicine, where breast augmentation will be performed. The cost of the pair fluctuates around $ 2000.
Implants "Allergan"
Implants "Allergan" are characterized by a wide range of sizes. This facilitates selection even in the most difficult cases - not only for mammoplasty, but also for breast reconstruction.
In addition to the standard one-component filling, endoprostheses with combined filling of different densities are produced. This allows you to achieve the required parameters of shapes, profiles and sizes.
It is possible to purchase implants directly through the clinic where the plastic surgery will be performed or from a representative of ZAO Family Health. The cost of one implant is about $ 750.
Sebbin implants
For more than 30 years, Laboratoires SEBBIN has been producing high-quality premium implants for breast augmentation that meet all international standards.
The shell of endoprostheses consists of 9 layers. The last layer is made in such a way that the risk of developing capsular contracture, statistically, does not go beyond 1%. The inner content is Naturgel gel, which comes in 3 types of density and tactilely does not differ from the natural female breast. The company offers the service of creating custom-made implants.
Each endoprosthesis is tested for possible defects. You can order implants on the official website of the company sebbin-lab.ru, or at the clinic where the mammoplasty will take place. The cost of the pair is $ 2000-2500.
Implants "Polytech" ("Polytech")
The German company POLYTECH Health & Aesthetics, a leading supplier of breast endoprostheses in Europe, has been producing silicone implants for breast augmentation for 30 years. 
Their products are characterized by an 8-layer shell, which prevents tearing and penetration of silicone into the gland tissue. The top layer is of 3 types. The most popular is considered microtextured.
The filling is a non-flowing high viscosity gel of the latest generation with shape memory. Not so long ago, the company introduced the Sublime Line modular system, which helps in the selection of the implant. It includes 4 categories, each containing 4 profiles and 18 sizes.
You can purchase branded endoprostheses from the official distributor Bonamed LLC or through the clinic where the plastic surgery is planned. The cost of a pair starts at $ 2000.
Implants "Nagor"
The company "Nagor", a leader in the sale of implants in Ireland and the UK, has been developing and improving its range of endoprostheses, which includes more than 200 items, for 35 years. The gel filling prostheses is indistinguishable from a natural breast in terms of density and tactile. The quality and environmental friendliness of materials is confirmed by European standards ISO 10993, BS EN ISO 14630, EN 12180.
The company guarantees, in the event of damage or formation of contracture, free replacement of both implants. The possibility of choosing a different model is allowed. Endoprostheses can be ordered through the official website nagor.su, from the distributor - Medical Test company. The cost of one implant starts at $ 850.
Implants "Natrelle"
Natrel breast implants are a new line from McGhan. Represented by 140 models of silicone implants and 100 models with water-salt filling. Includes round and anatomical shapes. 
BIOCELL textured shell is designed with such features that the overturn of the teardrop implant or the development of contracture is reduced to zero. They are filled with cohesive gels of different densities (round) or Soft Touch gel (anatomical), which is able to remember the original shape.
You can buy endoprostheses at the representative office of the manufacturer CJSC Family Health. You can also purchase them through the clinic. The cost of a pair of implants is approximately $ 1500-1800.
Implants "Arion"
The French production of Arion implants is of high quality: a wide range of models, different types of gel densities, smooth and textured shells characterize the brand. The casing consists of 6 layers that firmly protect against tearing. 
Hydrogel bioimplants of the Monobloc system are considered the safest and most reliable, do not interfere with X-ray examination of the breast.
You can purchase implants through the clinic or contact representatives of the company through the official website lab-arion.ru. The estimated cost of a pair of implants is $ 1600-2000.
Installation and removal of breast implants - breast plastic surgery. Methods for installing implants
There are several options for placing implants in the breast:
- Between the gland and the pectoralis major muscle. The method is suitable for breasts with a sufficient content of glandular and adipose tissue. Then the implant will not be felt and its edges will not be visible.
The advantages of the method:
- Minimal pain during the rehabilitation period. Fast recovery time.
- No further deformation and displacement of the implant, especially when playing sports.
- The most pronounced form.
Disadvantages:
- High risk of developing capsular contracture.
- The likelihood of asymmetry, waves or stretch marks.
- Decrease or complete disappearance of breast sensitivity, especially nipples.
- Partially between the gland and under the pectoralis major muscle. The most optimal and therefore popular method for mammoplasty. Suitable for most women.
Advantages of the method:
- Natural curvature of the breast, no waves along the edge of the implant, stretch marks. Since it is supported not only by the skin, but also partially by the muscle.
- The risk of capsular contracture is minimized.
- No sagging, asymmetry, deformation and displacement.
Disadvantages of the method:
- Long and painful rehabilitation period. Edema may persist for up to several months.
- If you do not take care of the décolleté area, implants may shift over time. It is necessary to keep the skin toned.
- Between the pectoralis major and minor. The method is characterized by the installation of an implant under the pectoralis major muscle. It was developed as an alternative to the pancreatic method of insertion.
Advantages:
- There is practically no risk of developing capsular contracture.
- No hints of an implant - tactile or visual. It is completely hidden under the muscle tissue.
Disadvantages:
- Long recovery period with severe pain and swelling.
- The presence of the implant does not give the desired volume and elevation of the breast, as it is partially "extinguished" by the muscle density.
- During sports activities or muscle tension, the endoprostheses are deformed and may shift.
Surgeons rarely use this installation method.
Removal of implants is carried out through the same hole as the installation.
There are 3 options:
- through an incision in the nipple;
- through an incision in the fold under the breast;
- through an incision in the armpit.
Where exactly the suture will be depends on the size of the implant, the structural features of the chest and the woman's wishes.
Consequences of implantation - what does the breast look like after 10 years
With a well-performed operation and correctly selected implants, the deformation of the breast will be minimal over time. The tissues are stretched due to the impact of the mass of the endoprosthesis.
An important role is played by the woman's age - the older she is, the faster mammoplasty will lose its original appearance. That is why, after 10 years, breasts can either look amazing or not very pretty.
Is it possible to breastfeed a baby with silicone implants
Mammoplasty does not affect breastfeeding in any way. Even if the implant ruptures, the silicone cannot in any way harm the quality of milk or its production.
Breast implants can partially interfere with feeding if the glandular ducts have been injured. Then the amount of milk will decrease, but its production will not stop.
Breast Implant Videos
Breast implants - what you need to know and what to think about:
Breast implants and the whole truth about them:
It is round implants that are most in demand among all types of endoprostheses, which are designed to correct and increase the shape of the breast. Their main advantage is their inability to significantly spoil its appearance when turning and displacement. This is why they are preferred in most cases by plastic surgeons.
Views
Generation of implants
Now for operations, third-generation implants are used, which have become much safer compared to their predecessors, do not require planned replacement.
Excipients
This could be:
Saline still retains market share due to the existing and supported in the media perception of the dangers of silicone to the body.
In fact, it is precisely such implants that cause the greatest number of inconveniences to their customers, since water seeps through the shell of the prosthesis, the prosthesis loses its volume and gradually “deflates”.
And due to the fact that the saline solution is easily poured into the implant, they can gurgle so that it can be heard by people nearby.
If we talk about silicone gel, then modern gel is cohesive, i.e. non-flowing. It adheres to the shell and, even if damaged, does not leave the cavity of the implant. The video below just shows one such implant, which is cut with scissors in order to check the declared properties of the gel.
Additional safety is provided by a special three-layer shell, which blocks the leakage of the gel outside. Multi-chamber implants are two spheres, one inside the other. In the first, outer chamber, there is a layer of silicone. Inside there is a cavity that is filled with saline.
Such implants are better than saline ones in that the risk of a splash of liquid or gurgling noise is much less. They are better than silicone ones because the solution is injected into the implant during the operation. This means that the size of each breast individually can be adjusted in order to get a symmetrical bust in the end.
Biocompatible or bioimplants are implants that are filled with a gel based on a natural polymer of carboxymethyl cellulose. When the polymer enters the tissue from a torn implant, it dissolves without a trace.
Their only drawback is the gradual leakage and resorption of the gel, as a result of which they lose volume and begin to require replacement.
Forms
The profile of the implant is determined by the ratio of its thickness to the length of the base. A high profile means that the implant itself is more convex. A low profile usually means it will be flatter. The presence of several options for the thickness of endoprostheses allows you to choose the best option, taking into account the structure of the patient's chest, in order to get the most natural breast in each case.
Video: Sectional Silicone Implant
Round breast implants after placement
There is such a widespread belief that round implants are suitable only for very young girls, and for those who are older, it is better to put anatomical endoprostheses. In fact, all women are very different. And physical parameters such as shoulder width, chest measurements, height, weight are very different. Likewise, women's expectations about the end result of breast augmentation differ.
For someone with the first breast size 250 ml will be more than enough, and for someone for the third own size 320 ml will not be enough. Therefore, someone will need an anatomical implant, while someone else will need a round one.
When choosing, consider the following. When a round implant is placed vertically on the chest, it changes its shape, since the gel in its cavity is shifted more towards the lower pole, i.e. its shape approaches a drop-shaped one. And then add pressure on the upper pole of the pectoralis major muscle, under which it is partially located. This brings the final shape of the implant even closer to a teardrop shape.
Therefore, if you are on the road and cannot decide which is better, round or anatomical to choose, then it is better to choose for yourself the size and shape of the breast that you want, and their choice is left to your surgeon.
Which is better to choose
Products of such companies as Mentor, Eurosilicone, McGun... If we compare prices, then the products manufactured under the McGun brand belong to the highest price category. This is due to the large number of innovations that the manufacturer uses when releasing their products.
In particular, McGun endoprostheses have:
- a special shell that prevents the displacement and rotation of the implants;
- a special form of silicone gel - a highly cohesive gel, which, after vulcanization, retains its elasticity, but always takes its original shape after deformation;
- a huge range of implants, which allows you to choose a prosthesis on an individual basis for any woman with any request.
Photo: McGun endoprostheses According to statistics, Mentor has the lowest risk of developing capsular contracture. Eurosilicone has proven itself in Europe and the world as consistently high quality and safe. If you are planning to buy implants from other companies, then first of all, read the information about the manufacturer, manufacturer, availability of product quality certificates. And in any case, do not fall for phrases like "This is a trade secret" in response to your questions.
Photo: Mentor implants The origin of a product becomes a trade secret when it is not profitable for the seller to divulge some information about the product. Well-known European and American manufacturers are proud of the fact that they have not only head offices, but also the production itself is located on the territory of Europe or the States. You will be happy to name the country and city where the production is located.
Video: Implants Mentor
How to decide on an operation
12 simple rules that will allow you to get the best mammoplasty result and the least problems in the future.
- Rule one: the chest is constantly changing.
This means that it is necessary to take into account possible changes in the shape and size of the breasts in the future under the influence of changes in body weight, pregnancy and breastfeeding, care, age and other reasons. And do not expect that plastic surgery will preserve the desired shape of the breast for decades.
This will avoid future disappointment from the possibility of prolapse of the operated breast, implant displacement, breast flattening, implant contouring and other changes.
Also, taking into account the possible change in the shape of the breast in the future allows you to choose such a volume and configuration of implants that will allow the breast to look natural not only at a young age, but also at a more mature age.
- Rule two: the choice of a surgeon and clinic must be taken seriously.
It's not a secret for anyone that in most clinics, breast augmentation surgeries are on stream and are performed one after another with virtually no interruptions. It is better for yourself to choose a clinic and a surgeon, who still leave time to complete all the necessary manipulations in full, even when it takes more time.
A simple example is capsular contracture. One of the factors why it develops is the discrepancy between the size of the pocket that is formed under the implant and the implant itself. A large prosthesis is pushed into a small pocket, which ultimately does not contribute to normal healing and beauty of the breast, leads to the development of connective tissue, eruption of sutures, and tissue necrosis.
Photo: capsular contracture A second simple example is implant displacement. It happens when the pocket is very large for a particular implant. In order for the pocket to match it, the surgeon needs to have a set of sizers - special prostheses that are inserted into the pocket during its formation in order to control its compliance with the implant. And several sizes to choose from are slightly larger and slightly smaller than those that need to be installed in order to be able to select the optimal size during the operation, instead of pushing the inappropriate size of the prosthesis into the formed pocket.
Photo: displacement of the implant It would seem that everything is logical in the description. But such an operation can take up to an hour and a half, and most plastic surgeons want to reduce this time to 40 minutes. It is good if it is about taking care of the patient's health in order to shorten the time of anesthesia. It is bad if the operations are put on stream in order to bring maximum profit to the clinic.
- Rule three: the patient must know everything. Forewarned is forearmed.
The necessary amount of information about augmentation mammoplasty, features of anesthesia, types of implants, the course of the postoperative period enable a woman to more consciously approach the problem of choosing the required volume, the future shape of the breast.
In the postoperative period, informed patients can quickly navigate if something goes wrong, they know by what day the swelling will go down, they know that violating the doctor's recommendations is the best way to harm themselves.
Some surgeons at consultations refrain from discussing such details as how edema affects the shape of the breast, when the long-awaited "slope" appears instead of the bulge of the upper pole, which spoils the whole picture, how the contractions of the pectoralis major muscle affect the shape of the implant, what there may be complications of the operation and when you need to start worrying. As a result, those patients who do not have information are helpless in a number of situations and begin to look for answers on forums and from people far from the topic, which only adds fuel to the fire of doubts and fears.
- Rule four: the larger the volume of the implant, the worse the long-term results.
Each implant has its own weight. This weight is added to the breast's own weight. As a result, the process of breast ptosis only accelerates.
Photo: correct selection of the prosthesis Also, a large implant can begin to be felt or contoured if there is not enough soft tissue to close it.
- Rule five: the choice of the location of the implant is best left to the surgeon.
Depending on the shape and size of the patient's own breast, the patient's body structure and her physical activity, the surgeon can choose the optimal variant of its placement in order to ensure the best result of the operation.
- Rule six: the patient chooses the type, shape and size of implants together with the doctor.
This is due to the different costs of different manufacturing firms, and with their different characteristics, such as the degree of elasticity / stiffness. For one it will be important that the softness of the implant is no different from the softness of the natural tissue of the gland, and for the second it will be important that the implant keeps its shape impeccably. In the second case, you will have to choose a more rigid implant.
- Rule seven: the shape of the breast changes under the influence of the volume of the implant, but does not always exactly repeat its shape.
In order to end up with a breast of a certain shape, it is necessary to take into account a lot of characteristics when choosing implants, such as the thickness of the glandular tissue, the amount of subcutaneous fat, the height and width of the mammary gland, the structure of the chest and much more.
Therefore, before consulting the client, it is best to decide not so much with a specific implant, but with what kind of breast she wants. And the surgeon will select the implant for the result that the woman needs.
- Rule eight: it is better to approach the choice of the place of the incision with knowledge of the matter.
The incisions can be performed:
- Under the bust: the most convenient access for the operation and the safest in terms of the possible risk of damage to the glandular tissue;
- Around the nipple: there is a risk of damage to the ducts and glandular tissue, it is difficult to form a pocket for the prosthesis, there are scars along the contour of the areola;
- From the armpit: there is a risk of contouring the implant, since the lower points of fixation of the chest muscles are damaged during the formation of the pocket, it is difficult to form a pocket, there is no 100% guarantee that the seam in the armpit will not be noticeable.
- Rule nine: in the first days after the operation, the breasts may look terrible, but this is not a reason to be upset.
During the first week after surgery, the breast can become almost twice its expected size due to swelling. Plus there is a period when the implant is higher than its intended placement. In this situation, there is no need to panic. You just need to give your body time to recover. Surgeons even came up with a metaphorical description of this process, which they called "The Melting Island": the ice around the island will melt, the island will remain.
- Rule ten: everyone can have complications.
Here it is better to act consciously, instead of relying on chance or shifting responsibility to the surgeon.
This means that there is no need to hide from the doctor the presence of diseases or conditions that can lead to complications of anesthesia or surgery, go for an operation with malaise or symptoms of a disease that occurs in an acute form or is an exacerbation of a chronic process.
What does this mean in practice:
- You should not undergo surgery if you feel that you have caught a cold or have recently had an infectious disease such as the flu, herpes of the lips, any infections of the skin, eyes, oral mucosa or genitourinary system;
- You should not agree to an operation in those moments of life when something bothers you: serious problems at work or in the family, divorce;
- You should inform your doctor about all your chronic or acute diseases of the internal organs, it is better to undergo treatment and stabilize your health than to risk going for an operation right away;
- Tell your doctor about your bad habits, such as smoking or drinking alcohol, taking medications, homeopathic or hormonal drugs, cases of allergies and intolerance to any substances or drugs;
- Do an ultrasound of the mammary glands even when nothing bothers you.
- Rule eleven: the results of an operation change over time.
Weight changes, pregnancy, sports and many other reasons will constantly affect the skin and soft tissues of the mammary glands, therefore, over time, a second operation may be necessary, aimed at a breast lift or simultaneous lifting and replacement of implants. This is a common practice for plastic surgeons and a certain proportion of their patients.
One of the most popular plastic surgeries today is breast endoprosthetics or mammoplasty, which brought the real dawn of cosmetic medicine.
Statistics show that plastic surgeons perform more than 100,000 operations a year to change and correct the size of the mammary glands.
What are implants?
These are endoprostheses made of high quality biocompatible material that give the breast a larger size or change its shape.
Advantages and Disadvantages of Breast Prostheses
Dignity
The advantages of using any endoprostheses include:
It is important to know that there are cases when, due to mechanical action, the implant still breaks, then it can be replaced at the expense of the manufacturer of this prosthesis. As a rule, this point is stipulated in the product document in the warranty section.
disadvantages
Disadvantages mainly occur when unforeseen events occur, for example:
Implant classifications
Of course, the advantages and disadvantages can make up a long list when viewed by filler, installation options, shape, or technical specification. The information above refers to generally accepted factors.
By filler
Silicone
The world met them in 1991. They look like a silicone bag with a multilayer elastomer shell and a gel inside. The filler can be:
Why are silicone implants better than others?
The most natural and best breast implants are silicone. They perfectly imitate women's breasts, have a wide range of models, and look natural. Installation over the pectoral muscle is possible, as there is no wrinkling effect.
If the prosthesis is damaged, the internal filling will not enter the mammary gland, but will remain in its place. It is this factor that recognizes silicone implants as completely safe. Therefore, they have gained the greatest popularity in cosmetic medicine.
The disadvantages include a large incision when installing a prosthesis and regular (once every 2 years) magnetic resonance imaging to exclude the presence of an implant defect, since the problem cannot be detected by touch.
Saline
Anatomical
Working with anatomical shapes is more laborious and at a cost they are more expensive than round ones. This implant can move and deform the contours of the breast. But, this can be avoided by giving preference to the textured surface of the prosthesis. It should also be noted that the anatomical implants are quite dense in structure and even in the supine position, the chest keeps its shape, which looks unnatural.
Yes, and you will have to forget about corrective and breast lifting bras. Even the best teardrop-shaped breast implants often deform into round shapes!
Both shapes come in different profiles: low, medium, high and extra high. The height is selected by a plastic surgeon after analyzing the client's physique.
By the size of endoprostheses
In addition, the patient's anatomical features should be taken into account:
- natural breast size;
- skin condition and tissue elasticity;
- chest size (asthenic, normostenic or hypersthenic);
- body proportions;
- breast density.
After analyzing all the data, the plastic surgeon advises the patient on the shape and volume of the implant, which will look as natural and beautiful as possible.
Even if the patient has a flat chest, the enlargement will help to acquire a beautiful shape. Special measurements are taken to determine the exact size and volume of the prosthesis. For this, indicators are determined not only for the volume of the chest, but also the thickness of the breast, the location of the nipples, the distance between the mammary glands.
The nuances associated with the incision for the implant are also discussed. In modern clinics, you can simulate the result on a computer. Of course, the wishes of the patient are always taken into account, but the final word remains with the doctor.
Breast implant life
In theory, the implant does not require replacement, except in unforeseen cases. Reoperation may be required only if the breast is deformed after pregnancy and breastfeeding, after a significant change in weight and if a defect in the prosthesis is found.
The manufacturer of endoprostheses gives a lifetime warranty without harm to human health, while, if an implant replacement is required, it is made at the expense of the manufacturer!
Implant manufacturing companies
Arion Is a French company that produces anatomical and round implants with hydrogel and silicone filling.
Allergan- an American manufacturer offers implants with a special pore size of a textured surface. This allows the connective tissue to dissolve deeper into the prosthesis. They sit in the chest like a glove. Filled with soft gel to make breasts look natural. The company also offers saline-filled implants.
According to the reviews of plastic surgeons, the implants of this company have a very small percentage of cases with complications, only 1-4%.
Nagor- British implants with a huge selection of shapes and sizes. Has been manufacturing prostheses since the 1970s. Within 5 years, the percentage of gaps was 0%! The products are textured and filled with gel content. The products are distinguished by a special casing.
Polytech- implants with memory effect from Germany. The product with a highly cohesive gel practically does not change shape, and the shell consists of many layers. Can be smooth or textured.
Mentor- American manufacturer has been producing one of the elastic prostheses and anatomical and round shape since 1992. The casing is strong and textured and filled with highly cohesive material. This company also offers saline implants that can be corrected during the operation.
A professional plastic surgeon in a good modern clinic will always help with choosing the right implant and tell you which breast implants are the best for today.
It is the most widespread, habitual for surgeons and safe for patients.
The main advantages of filling with silicone gel are its softness, ability to keep its shape and reliability: an integral shell will not let it through.
Today they are produced by dozens of manufacturers, the price varies from 20 to 80 thousand rubles per piece, round and anatomical options are offered. The latter, in turn, are divided into four more groups by profile: extra high, high, medium and low. Which one is ideal for you - you decide for the most part, based on your aesthetic considerations, but the surgeon can make his own suggestion if it helps to get a better effect.
Breast augmentation with round implants
Immediately, it should be noted that the breasts are unnatural if you decide to enlarge the bust with such an implant. But if you want to emphasize and highlight the upper pole of the chest, then there is no better option.
When choosing the size of the implant, take into account your height and skin condition - the maximum size that will be recommended to you directly depends on them in order to make the most attractive effect.
Breast after augmentation with round implants
In fact, the rehabilitation period after the use of round or anatomical (teardrop-shaped) inserts is not categorically different: general recommendations for wearing compression underwear, limiting physical activity, forming the final appearance of the bust 10-12 months after the operation.
Differences will be noticed only in the process of "exploitation" of the breast: in the horizontal position of the body, the breast will retain the same position as in the vertical position, which is unnatural. On the positive side, there is a permanent push-up effect, no fear of asymmetry in the event of displacement or rotation of the implant. It is also easier for a surgeon to work with them - access for installation is not limited.
Which implants are best for breast augmentation
Above, two existing types of endoprostheses were mentioned:
- round;
- anatomical (teardrop-shaped).
They, in turn, may differ in filler:
- silicone gel;
- saline;
- other saline-based fillers.
- smooth;
- textured.
And, of course, the profile:
- short;
- average;
- high;
- extra high
By shuffling all these options, you can get a huge range of implants for mammoplasty: round silicone medium profile with a smooth surface; anatomical saline low-profile, textured; high profile anatomical silicone, smooth ...
Perhaps, it is worth explaining separately what is the peculiarity of teardrop-shaped implants: it is, as it were, a symbiosis that has taken on an anatomical shape and a round base. It is also an intermediate option for the price: more expensive than round, but cheaper than anatomical.
No one has compiled a rating of anatomical implants for mammoplasty, and it is definitely impossible to single out the best option - everyone has their own preferences and capabilities, but anatomical silicone with a textured surface is optimal from the point of view of aesthetics and medicine.
The shape and types of breast bioimplants for the mammary glands
Hydrogel is a young alternative to classic silicone, designed for maximum biocompatibility between humans and the endoprosthesis.
The advantages of this filler are huge:
With all this, they have no more contraindications than other options.
But there is no barrel of hydrogel without a fly in the ointment, and in this particular case, instead of tar, there is a polysaccharide gel, in fact - 90% water. Liquid filler has several very unpleasant disadvantages:
- wrinkling;
- deformation;
- gurgling.
In the case of water flowing through the capsule barrier, it is absorbed by the body without any problems, but voids are created, which emit an unpleasant, characteristic “gurgling” sound.
And the main disadvantage of "blue" implants is the price. High price. Despite the cheap components and the manufacturing complexity of silicone implants, marketing has played a cruel joke with the price tag for this type of endoprosthesis.
Choosing the right implant
As mentioned above, the choice has to be made together with the doctor: you express your desires and your version of the vision of beauty, and he will advise the most effective and appropriate method for achieving such an effect.
Initially, a flat chest is recommended to be corrected with an anatomical prosthesis, asymmetry is corrected - low-profile spherical, and in case of severe ptosis and a deficiency of own tissues, use a high-profile round implants.
Some restrictions when choosing a size have already been mentioned, but there are a number of important factors:
- elasticity of tissues;
- the original volume of the bust;
- the design and size of the chest;
- childbirth and lactation;
- body height and proportions;
- the wishes of the patient.
Today, anatomically shaped breast augmentation is an ordinary operation that all world surgeons have been practicing for more than half a century, using more and more new and improved methods and tools to achieve an effect. Therefore, the risk of such a procedure is minimal in the case of a thorough consultation, choosing a good specialist and following the rules for the rehabilitation period.
Video of breast augmentation surgery with implants
We welcome readers on our site for whom the question of anatomical implants is relevant. There is no complete uniformity in the use of different types of endoprostheses either among plastic surgeons or among patients. And today we will consider one of the types of improving the shape of the bust - increase breast anatomical implants.
Types of implants - "anatomists" and criteria for their selection
Anatomical differences:
- dimensions (or height and base / base or diameter);
- shell texture;
- filler material and sheath.
The doctor can and should describe all the features of endoprostheses to you during the consultation. Focusing on the merits and demerits.
Profile
The main difference between this type of endoprosthesis and hemispherical implants is the profile. To be precise, it is customary to understand the profile as the height from the base (base) to the highest point of the implant. It is customary to distinguish endoprostheses by height or profile:
- with high;
- average;
- low profile.
Some companies, for example (Germany), offer their patients ultra-high profile breast endings.
It is the profile, as a parameter, that allows the specialist to choose the ideal prosthesis for improving the female bust. When choosing a particular implant, the doctor is guided by:
- on their own experience;
- aesthetic taste;
- client's wishes;
- her anatomy;
- and the actual state of the tissues.
- in the process of eliminating mastoptosis;
- and to add volume to the upper breast pole.
This form prosthesis makes the breast as natural as possible, but less lush compared to endovers of the same size. 
Texture
By texture, you can choose an implant:
- with a smooth surface;
- textured (porous).
The former are cheaper, the latter are less prone to displacement and other unpleasant movements inside the pocket prepared for it. The presence of texture allows tissues to grow into the pores of the shell and fix the prosthesis.
Fillers and casing
Most modern breast prostheses are made of elastomer as a shell. Many firms specializing in the production of breast prostheses prefer to make multi-layer capsules of increased density. Such endoprostheses can be stretched almost 10 times without breaking the capsule.
Less commonly, manufacturers offer double-layer or double-sheath lumenimplants. In this case, the space between the layers of the shell is filled with saline, and the inner capsule already contains the gel.
Modern implants are filled mainly with silicone balls and gels:
- cohesive;
- mobile;
- dense cohesive (cross-linked) with "shape memory";
- hydrogel;
- biocompatible filler and the like.
The latest offerings from breast implant companies are double-gel prostheses.
Breast implant market novelties
It will stop at micro-polyurethane implants. Polyurethane endoprostheses have been developed for reimplantation of patients who developed after the first endoprosthetics. Over time, plastic surgeons began to recommend this variant of the prosthesis to all potential clients.
The surface of these implants allows to minimize the proliferation of connective tissue around a foreign object (prosthesis). This practically negates the risk of contractures after mammoplasty.
Most implants have a fairly thick shell. Micropolyurethane shells are thin, that is, their thickness is no more than a few millimeters. But by the number of micropolyurethane bubbles, if you stretch them in one line, you can get "beads" of several kilometers.
Connective tissue will grow into the cavities formed by them, fixing the prosthesis. Due to this, the layer of connective tissue will be thin, but firmly holding the prosthesis in its "embrace", minimizing the risk that the anatomical implant will unfold, ruining the work of the surgeon.
The same feature of end insertion allows minimizing the risk of such an unpleasant complication as ripples. Such prostheses allow plastic surgery to remain at the peak of its popularity. 
Advantages of modern "anatomists"
The high quality and reliability of such endoprostheses is ensured by:
- high aesthetic indicators, which can be assessed in the photo of patients who have undergone the procedure;
- reliability and tear resistance;
- safety in case of damage (modern gels are either biocompatible, or practically do not flow through the gap);
- sterility;
- pleasant tactile sensations (when in contact with a woman's breast, it is almost impossible to detect an implant).
At the same time, the anatomical shape of the endowment provides a natural appearance of the breast, which excludes the visual recognition of the plastic.
Disadvantages of anatomical endoprostheses
When inserting a prosthesis, surgeons may not use all access points. For the implantation of a micropolyurethane implant, a higher qualification of a specialist is required than for the introduction of a conventional anatomist. 
In the event of an overturn of the prosthesis, this will be clearly noticeable and a second operation will be required, in contrast to the overturn of a round endoprosthesis. The normal anatomist can eventually become rounded due to the growth of fibrous tissue.
Breasts that have been corrected by anatomists cannot be corrected with underwear. And, of course, unlike the round "brothers", anatomical endoprostheses retain their shape even in the supine position, which is not entirely natural. It is easy to see in the pictures before and after the implantation.
This concludes our short review on this one, we are waiting for you on ours again. If you found something interesting for yourself in our articles, be sure to share this information with your friends via social networks.
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