How long does an implant rupture remain without symptoms? Archive for the ‘implant rupture’ Category. Publications on the topic

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As for silicone, it all depends on its type. Old mixtures can flow and affect muscles and lymph nodes, modern jelly-like ones remain in place.

In any case, when a rupture occurs, scar tissue can form - capsular contracture, which leads to the appearance of compactions, breast deformation, and asymmetry.

Symptoms of implant rupture

In most cases, implant rupture occurs asymptomatically, and the woman herself may not be aware of it until a specialized examination. However, often the signs of rupture are quite obvious:

pain, especially when it comes to saline leakage;
change in breast shape, from sagging and reduction (if the implant with saline solution is damaged) to the appearance of obvious external signs, such as asymmetry;
the appearance of tubercles, lumps and other neoplasms on palpation;
the ability to feel the edge of the implant when touched;
changes while maintaining shape and size, such as loss of contour, new outlines.

How to Identify Breast Implant Damage

In many cases, only a doctor can determine damage to the implant. That is why women after prosthetics are recommended to undergo an examination with a magnetic resonance imaging scanner or an ultrasound examination approximately once every two years.

Sometimes a woman herself understands that damage has occurred, as she observes a change in the shape of her breasts and experiences discomfort. In this case, you should immediately go to the doctor who will conduct full examination and will prescribe an operation to remove the prosthesis, evacuate the spilled contents and install a new implant.

Consequences after implant rupture:

Local consequences, which do not have a serious impact and are easy to deal with. This happens if the contents of the prosthesis remained inside the fibrous capsule, or it was a biocompatible gel removed naturally without harm to the body.
Regional implications associated with the penetration of the contents of the prosthesis beyond the formed pocket. The gel penetrated into the muscle tissue, lymph nodes and nerves of the arms and armpit, can cause irritation and discomfort, as well as the formation of scar tissue at the points of penetration.

What to do if an implant ruptures?

If you suspect damage to the implant, you should immediately consult a doctor. Most often, the consequences can be dealt with without harm. The damaged implant is removed, the leaked contents are evacuated, if necessary, scar tissue is excised, and then a new prosthesis is installed. It should be noted that the risk of such damage is significantly reduced if you use modern materials and undergo breast augmentation surgery in our clinic with professionals with extensive experience. A good operating doctor is a guarantee that you will never encounter such problems, but will enjoy beautiful breasts with perfect shape.

The information on the site was personally verified by plastic surgeon Maxim Aleksandrovich Osin; if you have any additional questions, call the phone number listed on the site.

Implant rupture refers to the formation of a crack or hole in the shell. Damage may occur in the following cases:

Unnoticed damage to the implant shell during surgery
- destruction of the implant wall over time (the most common cause)
- weakness of the shell that arose during the production of the implant (manufacturing defect)
- chest trauma, such as being hit by a seat belt while car accident or with external capsulotomy (operation to destroy the fibrous capsule)

Most implant damage is asymptomatic, so a woman with implants mammary gland should be periodically examined by the attending physician. This is especially important for patients whose implants are older than 10 years.
The most accurate examination methods are magnetic resonance imaging chest, Ultrasound of the mammary glands.

The silicone gel in modern breast implants is cohesive (jelly-like) and does not spread, but there are still reports that even cohesive silicone can migrate to adjacent areas such as the arm or torso, but this is extremely rare.

The consequences of the rupture may be local and/or regional.

Local effects caused by implant rupture:

The consequences of rupture of an implant filled with silicone gel may not lead to significant changes, since the silicone often remains within the fibrous capsule (intracapsular rupture). In this case, the shape and elasticity of the mammary gland may change slightly. With prolonged release of silicone gel from the implant, capsular contracture may form. Due to the long asymptomatic period in case of rupture, it is necessary to monitor the condition of the implants at least once a year.
When an implant with saline solution or hydrogel ruptures, the shape of the breast also changes, but the gel and saline solution are quickly absorbed and completely removed from the body, without causing the development of fibrous contracture.

Regional effects caused by implant rupture:

In cases where, when a rupture of the implant shell occurs, the gel extends beyond the fibrous capsule (extracapsular rupture), its consequences have a greater impact on the change in the shape of the implant and can lead to a decrease in the size of the mammary gland as a result of the gel leaking beyond the boundaries. chest area. In the vast majority of cases with extracapsular ruptures, the gel remains within the formed surgical pocket and can be evacuated when the implant is removed. In a small number of cases, silicone gel can be found in breast tissue, underlying muscles, tissue axillary area, in the armpits lymph nodes and very rarely in the nerves of the arm located deep in the axillary region. In some cases, this may require removal of part of the breast and muscle tissue. Silicone gel that gets outside the capsule can cause inflammatory reaction, leading to the formation of infiltrates (seals) in soft tissues and lymph nodes that can be palpated.
These complications were common when using implants with liquid silicone gel and are now practically non-existent.

Breast enhancement surgeries are among the most popular. After all, such an intervention solves not only aesthetic, but also psychological problems, often getting rid of complexes. But mammoplasty can also cause complications. Problems come in different forms, and there are many reasons for their occurrence.

Read in this article

Possible problems

Mammoplasty is serious surgical intervention, carried out under general anesthesia. During the operation, living tissue is damaged, which must then heal. All this does not exclude the occurrence of problems inherent in any surgical procedure. Their occurrence is not at all necessary, but possible. Complications can be divided into general and specific.

Surgical

General complications include the following:

Development infectious process . The problem is detected a few days, less often weeks, after the operation. The pain characteristic of this period does not subside as it should, but intensifies. Swelling and redness of the skin also increases, and discharge from the stitches purulent fluid. If the complication is caught at an early stage, it can be eliminated by taking antibiotics. In other cases, you have to remove the implant, carry out treatment and only then do mammoplasty again.

A - skin necrosis; B - suture gap; C—fat necrosis; D — necrosis of the nipple-areolar zone

Leaving the problem unattended is dangerous. The infection can develop to toxic shock, manifested by a sudden rise in temperature, vomiting, diarrhea, skin rashes, and loss of consciousness. This is a deadly condition.

Hematoma and seroma. They are accumulations of blood and serous fluid. A hematoma can form as a result of leakage from a vessel damaged during the intervention. Sometimes its walls are injured in postoperative period. Seroma occurs in a similar pattern, but contains serous fluid. Small formations disappear without intervention.

Hematoma

But if fluid continues to flow into them, increasing the problem to a significant size, it is necessary to drain the formation and suture the vessel. Otherwise, complications can lead to infection and more complex conditions.

Formation of rough scars. Normally, healed sutures should be barely noticeable. But if the body has a tendency to hypertrophic tissue fusion or the appearance of keloid scars, a problem will arise. When mammoplasty is the first surgical intervention, this feature cannot be predicted. But if it is known before the operation, better surgery not to do, but to correct the breasts in other ways.

Hypertrophic scar

However, a hypertrophic suture can form due to difficult healing caused by improper care and suppuration. In any case, additional treatment will be needed to get rid of the problem.

Changes in the sensitivity of the nipples and areolas, and the mammary glands in general. The complication has two manifestations - pain or numbness in this area.

The first is justified by tissue damage. But if the nerves are injured or pinched, there is no freedom muscle contractions, the pain will continue to be present for a considerable time after the operation. This already needs to be treated. Damaged nerves can lead to loss of sensation, which also needs to be addressed.

Increased body temperature. If it is slightly higher than normal, the symptom is considered as a natural reaction to surgical intervention. But the cause of a rise in temperature can also be developed inflammation. Here you will need to take antibiotics, whereas in the first case simple observation is enough.

Specific

Complications after mammoplasty can also be of a special nature, directly related to damage to mammary gland tissue and the introduction of implants into this area:

Capsular contracture. The endoprosthesis must acquire a shell of fibrous tissue. But if it is too thick and dense, it causes discomfort. The chest becomes hard, painful, and feels full. And the implant is compressed, which can cause damage, displacement, and protrusion through the skin. This requires intervention to remove the endoprosthesis, remove the contracture, and then install a new one. But no one can guarantee that the complication will not recur.

Implant shell rupture. If it is salty, the breast will immediately change its shape, becoming wrinkled. When a silicone endoprosthesis ruptures, the problem is not always obvious. It is detected during hardware examination. But this complication will in any case require replacement of the implant.

Breast asymmetry. More often occurs against the background of implant displacement. The problem is also caused by defects in engraftment even if it is in the correct position. Your own tissues can behave unpredictably due to individual characteristics. The complication can be eliminated by repeated surgery.

Implant displacement

Breast deformity. An external defect in the mammary gland zone can be expressed not only by their asymmetry. For example, there is such a disadvantage as . These are additional hemispheres just below the mammary glands. A problem arises when implants slip shortly after surgery or after a year and a half.

Another defect is symmastia, in which the mammary glands appear fused. Both problems are treated surgically, that is, by performing repeat mammoplasty.

Symmastia

Allergy to the implant. This is a rare complication, typical for those who, in principle, have an intolerance to many substances and materials. Manifested by breast swelling, skin rashes, and redness. If it doesn't help conservative treatment, you will have to remove the implant.

Calcification. Influenced by presence foreign object Islands of compactions may form in the thickness of living tissues. This is a deposit of calcium salts, which, although not common, causes problems. If the complication is extensive, it is necessary to remove the implants.

Necrosis of breast tissue. The areas around the implant are subject to death. The scar tissue formed here is deprived of normal blood supply due to the pressure of the endoprostheses. More often the skin suffers due to the peculiarities of their installation.

Breast tissue atrophy. It appears over time after long-term placement of implants in the mammary glands or their removal without replacement with new ones. The tissues become thinner, the breasts take on an unaesthetic appearance, unevenness, and sagging.

Impossibility of lactation after the birth of a child. Surgeons claim that high-quality intervention does not affect the ability to breastfeed. But according to statistics, 67% of women with implants do not have lactation, despite the preservation of the milk ducts. Among mothers who have not had mammoplasty, this number is 7%.

Others

Mammoplasty gives complications after surgery that seem to be not directly related to the presence of implants:

Connective tissue pathologies. Statistically, the impact of endoprostheses on the occurrence of autoimmune diseases not proven. But it cannot be denied that surgery and tissue adaptation to the presence of a foreign body force immune system work hard. This weakens it, which may provide a chance for systemic disease.

Malignant tumors of the mammary glands. It is known that the presence of an implant does not affect their appearance. But after installation, mammographic examination of the breast, which is the most informative in diagnosing cancer, is difficult. And unnoticed in time benign tumor has time to be reborn.

Deterioration of sex life. Loss of breast sensation, which persists for some for a long time, deprives a woman of the usual sensations during lovemaking. And this area by nature should be an erogenous zone.

To learn about the most common complications after mammoplasty, watch this video:

Factors that will affect the result

The possibility of getting a complication after mammoplasty surgery is not at all predetermined. What does it depend on successful outcome surgeries and hassle-free life with implants:

Choosing an operating doctor and clinic. Many complications arise due to incorrect installation of the implant, violations of sterility during surgery, careless manipulations surgical instruments. These are infections, necrosis, hematomas, seromas, damage to areas that should remain untouched during the intervention.

Postoperative care provided in the hospital also affects the outcome. Equally important is the doctor’s taking into account the characteristics of the patient’s body at the stage of preparation for mammoplasty.

Preparation for surgery and rehabilitation. The results of tests taken to identify contraindications cannot be ignored. It is important to make efforts to prepare the body for it and facilitate recovery after. Drinking alcohol, smoking and taking blood thinning medications are prohibited.

Must be worn during compression garments, refusal to stay in the heat. Careful care of sutures and timely consultation with a doctor if anything is alarming are important.

Mammoplasty gives a chance to correct what nature has done wrong or what merciless time has done. But it requires a more attentive attitude to health, work on oneself, a lot of money, and constant monitoring. If you correct your breasts with implants and avoid complications, you still need to be prepared to replace them in 5 to 15 years.

When a woman decides to have surgery to correct her breast shape, she does not expect to get a beautiful result. serious problems with health.

But oh possible risk any plastic surgeon will tell you about complications at your first appointment.

Sometimes postoperative consequences cannot be avoided, and the patient should be informed about all complications after mammoplasty, as well as ways to solve them.

General overview of the procedure

Mammoplasty is a surgical restoration of the size or shape of the breast by installation of specially designed implants into the mammary gland. The operation is carried out under general anesthesia, the incision is made with a surgical scalpel.

to install foreign body into the chest, it is necessary to form a pocket by separating the tissues from each other. Such an intervention does not leave its mark on the body and requires it to have certain reserves for rapid recovery.

Average rehabilitation period after mammoplasty lasts about 1-3 months, depending on the patient’s health condition. The full result can be assessed after six months.

Limits of postoperative norm

Throughout recovery period a woman must follow all the recommendations of the plastic surgeon. This will minimize all possible risks.

Of course, postoperative complications cannot be avoided completely. For example, The patient will experience noticeable pain for about a week after the intervention.. Such discomfort is normal and can be eliminated with specially selected analgesics.

You cannot do without bruises and swelling - they are an acceptable consequence after mammoplasty if they are not accompanied by severe pain and an increase in body temperature.

To control the situation, it is necessary to regularly visit a plastic surgeon throughout the entire rehabilitation period.

Complications and solutions

In some cases, a woman notices that the implant in the breast is not positioned correctly or that any movement of the body brings unbearable pain.

Most complications develop in the first hours and days after surgery, but sometimes problems can appear months or even years later.

If discomfort occurs, it is important to consult a specialist in a timely manner in order to immediately begin treatment, if necessary.

Swelling

At normal recovery body, swelling disappears 3-5 days after surgery. This maximum term, during which excessive hyperemia and tissue swelling should pass.

Edema is pathological if:

there was a feeling of fullness;
the skin around the chest is very red;
local low-grade fever (skin is hot to the touch);
body temperature increased;
pain is not relieved by analgesics.

If such signs appear, you should urgently consult a doctor.

Excessive swelling is eliminated by physiotherapy and the application of cooling compresses in a hospital setting. It is not recommended to treat swelling on your own. If the pathology is accompanied by the formation of pus under the implant, surgical treatment is prescribed.

Seroma

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Seroma is the accumulation of lymphatic fluid in the subcutaneous fat. Such a complication can be caused by incorrect actions of the surgeon during surgery, implants that are too large for a certain breast, or non-anatomical tissue dissection.

When to suspect a seroma:

the chest is very swollen;
clear liquid is released from the unhealed scar of the swollen mammary gland;
the pain is constant;
the scar turned very red.

To eliminate serous fluid, drainage is prescribed postoperative wound or its dissection with subsequent pumping out of biological material. Anti-inflammatory drugs are prescribed in combination.

Dangerous hematomas

A hematoma is an ordinary bruise, that is, subcutaneous hemorrhage. It may appear due to injury to the unrecovered breast, improper stopping of bleeding during implant installation, and unskilled actions. medical personnel during the rehabilitation period.

Minor bruising is normal and will resolve on its own. But in some cases, medical attention is required.

When consultation is needed:

the hematoma is very extensive, it can spread under the chest or into the shoulder area;
the symptom is accompanied by an increase in body temperature;
the pain does not go away a week after the operation.

The first thing you need to do is stop the bleeding. To do this, the specialist uses hemostatic agents, medications to reduce blood pressure(if necessary) and applying ice compresses.

In the future, extensive hematoma must be removed using tissue drainage.

Breast sagging

Sometimes sagging occurs through long time after surgery, how natural process tissue aging. But if we talk about complications, ptosis should be mentioned.

It can be artificial and pronounced. In the first case, sagging occurs due to the installed implant being too small; in the second, tissue sagging is a feature of the body and its reaction to a foreign body.

How to determine ptosis:

nipples are located above the average level of the chest;
the mammary glands are strongly drooping;
The distance between the collarbones and the beginning of the chest has increased.

Sagging mammary glands can be corrected only with repeated plastic surgery. The specialist must select implants that are larger in size and perform the operation based on the characteristics of the body.

Implant contouring

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This complication most often develops in those women who have too thin a layer of subcutaneous fat. When the implant is installed not under the muscle, but directly under the mammary gland, its contours can be visible through the surface of the epidermis.

How to determine contouring:

the contours of the implant can be seen visually and palpated;
the chest protrudes unnaturally.

To eliminate this complication, the specialist will suggest the introduction of special corrective fillers. In some cases, lipofilling is indicated.

This procedure involves taking sebum from suitable areas on the patient's body and then transplanting it into the chest area.

Implant displacement

Implant displacement is another unpleasant complication after mammoplasty. Most often it develops due to improper selection of an endoprosthesis or illiterate actions of the plastic surgeon during the operation.

How to determine offset:

the implant protrudes unnaturally to the side from its main position;
The mammary glands look asymmetrical.

On early stages You can correct the situation by wearing a special corrective corset and a certain position of the body while sleeping. Also, when the implant is displaced, all physical exercise.

Inflammation, suppuration

One of the most dangerous complications is suppuration of the postoperative suture. This can happen due to non-compliance with the rules of asepsis and antisepsis during surgery, the patient’s failure to follow the doctor’s recommendations and improper treatment of the scar.

How does the complication manifest itself?

the chest is very swollen and burning;
V short time body temperature rises to high levels;
the skin around the mammary gland turns red;
pus is separated from the suture or nipple itself.

On initial stages Inflammation can be stopped by taking antibacterial agents and intensive treatment of inflamed skin.

If the process cannot be controlled with medication, surgical intervention is prescribed.

Loss of sensation

During the first time after an incision in the skin, it loses its sensitivity. This is not a pathology and can be quickly eliminated with the help of physiotherapy.

But sometimes the patient does not feel the breast tissue or the nipple itself for a long time. This complication occurs due to incorrect actions of the surgeon during mammoplasty, which can damage the nerve network.

To combat the problem, the specialist prescribes a complex of physiotherapy and massage.

Capsular contracture

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After the implant is installed in the mammary gland, a formation begins to form around it. connective tissue. IN in good condition it does not exceed a tenth of a millimeter and the growth stops there.

But due to the characteristics of the body, this process can progress, which provokes the formation of capsular contracture.

How to determine a complication:

the endoprosthesis and its contours can be felt by hand;
breast deformation occurs;
seals, dents or defects appear on the mammary gland;
when touched, the patient feels pain.

The second stage of capsular contracture is eliminated with the help of physiotherapy, massage, the use of vitamin E and a complex of anti-inflammatory injections.

Stages 3 and 4 can only be corrected surgically. To do this, the specialist completely removes the implant, removes the contracture and installs it again. Sometimes a smaller endoprosthesis is selected.

Rippling or skin ripples

Rippling, also called skin rippling, is quite rare complication after mammoplasty. This can happen due to the characteristics of the patient’s body, the incorrectly selected type and size of the implant, as well as the illiterate actions of the surgeon.

How to determine the appearance of skin ripples:

predominantly, the defect is noticeable when the body is tilted forward;
peculiar folds appear on the skin of the chest, similar to fingerprints.

Most often, breast lipolifting is used to eliminate the defect. In some cases, a specialist may recommend replacing the implant with an endoprosthesis with a denser structure.

Preventive measures

To minimize risk possible complications, first of all, you will need to take a responsible approach to choosing a plastic surgeon.

The specialist must have the appropriate qualifications, have a diploma and certificates confirming regular training.

This will eliminate problems that most often arise due to incorrect actions by the doctor during mammoplasty.

What can be done for prevention:

wear shapewear for the entire recommended time (1-3 months);
reduce physical activity to a minimum;
do not lift heavy objects;
carefully treat the seam and chest area with antiseptic agents;
do not injure the mammary glands;
regularly visit a doctor until the tissues are completely healed;
During the entire rehabilitation period you should not drink alcohol or smoke;
take after surgery antibacterial agents as prescribed by the doctor.

With the right actions during the rehabilitation period after mammoplasty, most serious complications can be avoided.

Of course, some problems may arise due to the individual characteristics of the body. But a good doctor will definitely warn about all possible troubles, based on the medical history of a particular patient.

The video presents Additional Information on the topic of the article.

I heard that some patients of plastic surgeons after a few years are faced with such a problem as rupture of implants. Please tell me how relevant is this? Can you guarantee that the implants will not break? And what manufacturer's products do you use? Thank you.

Doctors' answers

Hello Julia. Today, all leading implant manufacturers provide a lifetime warranty on their products. So there is no need to worry about the shell breaking. They can withstand enormous loads that are not even present in the body. The only thing that is really dangerous is injury with a sharp object (knife), which should be avoided even without implants, and the second, more realistic option is to carry out medical manipulations, punctures of the mammary gland. Therefore, before such procedures, it is MANDATORY to warn the doctor about the presence of implants. But even if the implant was accidentally damaged, there is no urgent need for surgery, because The gel is not fluid and does not migrate anywhere from the implant bed. In this case, it is recommended to routinely replace the implant with a new one.

Hello. On this moment there is no such problem. Leading manufacturers provide a lifetime warranty on implants. We use Allergan, Mentor, Arion... In order to destroy the implant shell, you need to make enormous efforts. All rare cases of damage to the shells are related to implants of very old generations.

Hello, Julia! In surgery, the word guarantee is a misnomer. In general, there are no guarantees in medicine. About implants - all companies producing implants claim that they will last a lifetime. However, if there is a serious injury that harms the body, the implant may also be damaged.

Hello, implant manufacturers provide a lifetime warranty on their products and issue a passport for the implant that is installed. Most often in my practice I use implants of the two most famous manufacturers Mentor or Natrele. I invite you to an in-person consultation. Dr. Kirill Lelikov

Hello! Now almost more than 80% of manufacturers provide a guarantee of 50 years or more. Implants can withstand loads from 5 to 8 atmospheres of pressure. Yes, with the implant it’s better for me to forget about diving, but in Everyday life and even with frequent flights, the implants can easily withstand the load. The shell of the implant can be mechanically damaged and the gel can leak out. But even with this, advanced companies create gel forts that do not spread much and remain as close as possible. And yes, in such cases it is necessary to remove it surgically. Mechanical damage It varies among doctors - this is damage (rupture) of the cannulas, for example, when they want to add volume using lipofilling. Or other injuries whose impact exceeds the load of 5-8 atmospheres. And this is almost Summing up, I can say with confidence that modern gel-filled implants are as safe as possible for modern woman leading an active lifestyle. In my practice I use Natrel Silimed, Motiva Nagor, Eurosilicon and Mentor. Best regards, Victoria S.

Greetings! I work with implants from only two companies: Mentor and Allergan. They have a lifetime warranty on their products and in my 16 years of experience I have never seen any breaks. If you have any questions, call. I will be glad to help you with the choice of implants and with the operation.

Hello Julia! This problem exists. I don’t think anyone can give you a guarantee that the dentures won’t break. Manufacturers provide a lifetime guarantee that if anything happens to the prosthesis, you will be returned a similar product or its full cost. Violation of the integrity of the shell can occur from a sharp push to the chest, when the seat belt is suddenly deployed in an accident. In my work, I most often use prosthetics from Allergan or Arion.

In practice, this cannot happen, only with serious injury or damage. These are quite rare, almost casuistic cases. Don't think about it. Implants are now modern with a good shell, but you yourself must understand that anything can happen and no one can give a 100 percent guarantee

Hello! Yes, breaks are rare, but they do happen. There is no reliable information about why this happens, but I personally saw the facts of the breakup myself. This is why manufacturers recommend changing implants after 10 years.

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Modernity sets its own requirements in everything. With changing standards, we need to not only look good, but also demonstrate our uniqueness. We turn our clothes into works of art, but what about our flaws? Not always with us perfect skin or figure, but this is not a death sentence and aesthetic medicine will help us in the fight against our shortcomings. The Lege Artis Clinic is based on the principles of aestheticism, which bring you closer to the desired ideal, transforming your body into a real masterpiece. The most difficult thing in the work of a plastic surgeon is to emphasize a person’s individuality and at the same time achieve an excellent result from the procedure. Being true virtuosos, experienced plastic surgeons Lege Artis clinics cope with this task with amazing ease. It is very difficult to obtain the naturalness of the procedures performed, but reviews about Lega Artis say the opposite. The high competence of doctors has been repeatedly confirmed by various clinics in the USA and Israel. Frequent internships abroad allow you to adopt techniques that open up new opportunities and reduce the recovery period. The most modern equipment of the clinic helps to achieve maximum efficiency of procedures. The patient experiences stress during surgery and best medicine after it there is comfort and peace. Clinic Lege Artis and reviews from its clients in in social networks talk about the exemplary service and attentive attitude with which the clinic staff surrounds their visitors. A characteristic feature of the Lege Artis Clinic is to ensure complete patient safety. Doctors, based on their wealth of experience and advanced technical equipment, make precise planning, which leads to the expected success. In Lega Artis, reviews are used to constant increase quality of service and maintaining it at the proper level. Management and plastic surgeons study them regularly to remain in close contact with the patient.