Functioning of round breast prostheses
Composition of the round breast prosthesis
Round breast prostheses are most often made of silicone gel.
Round breast prostheses filled with serum are little used.
Saline inflatable round breast prostheses may actually deflate (partially) being responsible for ripples or waves to see, completely.
There is no guarantee on these inflatable round breast prostheses with saline.
Silicone round breast prostheses pre-filled with silicone.
I most often use round breast prostheses pre-filled with silicone gel
These silicone gel round breast prostheses can be smooth or textured.
The external coating of the round breast prosthesis will be uneven in a very fine way in the case of textured prostheses.
Round breast prostheses and textured
Different textures or round prostheses
The texture of the round prosthesis can be micro-textured or macro-textured.
The role of the texture of the silicone gel breast prosthesis is questionable.
Initially round breast prostheses have become textured to reduce the risk of rejection (hull) on round breast prosthesis.
In fact over time it appears that the frequency of hulls on round breast prostheses has decreased due to the improvement of the cohesivity of the gel contained in the round breast prostheses.
For which prosthesis texture to opt in priority?
For me, in case of placement of round breast prostheses I prefer to use smooth or micro-textured round breast prostheses in retro-pectoral or dual plan.
In rare cases where the prosthesis is pectoral (or retro-glandular), I prefer to use micro-textured round breast prostheses or macro-tectured round breast prostheses.
What is the process of placing of round breast prostheses
The discussion between the patient and aesthetic doctor
During the first consultation for a breast augmentation I will expose you the advantages and the disadvantages for the placement of different types of round or anatomical breast prostheses.
Do not think that a round breast prosthesis gives as result breasts too round, too artificial, too Bimbo.
An anatomical evaluation for the choice of the prostheses
The round breast prosthesis have improved because of the improvement of the silicone gels inside these round breast prostheses.
The round breast prosthesis is anatomized over time, the shape of the round breast prosthesis spontaneously taking on a natural appearance.
The round breast prosthesis can therefore give perfectly natural results especially if round breast prosthesis is smooth or micro-textured.
During this consultation I evaluate the thickness of your gland, your pectoral muscle.
I will make you try Sizer, round breast prostheses intended to be tried in a bra to simulate the breast augmentation.
The position of a round breast prosthesis
This test allows to try different volumes of round breast prostheses.
The position of the round breast prosthesis will be defined in consultation.
The big advantage of the round breast prosthesis is that in can turn on itself without deforming the breast.
The round breast prosthesis can be introduced by axillary, areolar or under mammary incision.
The round breast prostheses can be pre- or retro-pectoral (dual plan) and those that are incisions.
What are the complications of round breast prostheses ?
The complications of the round breast prostheses are those of all prostheses :
Complication related to the hull of the round breast prosthesis
The hull : it is a rejection reaction to the breast prosthesis whether it is a round breast prosthesis or an anatomical breast prosthesis. The hull risk is reduced if the round breast prosthesis is positioned behind the muscle (dual plan or retro-pectoral).
Complication related to the wear of the round breast prosthesis
Wear of the prosthesis : a round breast prosthesis is not a definitive round breast prosthesis. The round breast prosthesis is given for 10 year life span. This life span of the round breast prosthesis may be longer (15 to 20 years) but there is no definitive round breast prosthesis (in the same way no definitive anatomical breast prosthesis). I recommended to my patients to carry out a surveillance ultrasound every 3 years until 40 years (the echography is the best way to evaluate the thickness of the round breast prosthesis). The ultrasound detects the wear of the round breast prosthesis and will define the date of chanche of the round breast prosthesis. Leakage of the round breast prosthesis will be avoided.
Large cell anaplastic lymphoma
The large cell anaplastic lymphoma:
It is a tumor attached to the capsule around the prosthesis. The risk is very low but must be known. The treatment of this disease consists in practicing the removal of the tumor and the peri-prosthetic shell of the round breast prosthesis (in anatomical). When it is feasible the cure rate is very high).