Prosthesis chest

Breast correction with prosthesis or implant is a procedure that can be performed by a breast surgeon and a plastic surgeon. This operation is considered to be one of the surgeries that have both cosmetic and therapeutic aspects. In cases such as breast reconstruction after breast cancer and mastectomy, considering the vital role of the breast in women, this operation can be considered a type of treatment and must be performed by the best breast prosthesis surgeon you know.

From the aesthetic point of view, breast augmentation by means of breast prosthesis is a safe and minimally invasive cosmetic procedure that is performed in a short procedure under general anesthesia. It is necessary to have a consultation session with a breast prosthesis surgeon before surgery. In this session, the person is examined according to the natural size of the breasts, breast width, patient’s interest, breast tissue conditions and the doctor’s specialized experience, the most suitable prosthesis in terms of size, gender and shape of the prosthesis. It is chosen for the individual.

Facts you should know about breast implants

The increase in breast volume depends on the patient’s body structure, and its amount should be proportionate to other parts of the body. In this surgical method, breast prosthesis is used to create a bigger, fuller breast or to replace the volume of the breast that was lost during pregnancy or weight loss. Breast prosthesis alone is not suitable for reconstruction of breasts that have severe drooping, and a breast lift should be performed along with it.

Complete procedures of breast prosthesis surgery

The first stage of breast prosthesis surgery

Anesthesia: In the first stage, the patient is put under general anesthesia by anesthesia technicians.

The second stage of breast prosthesis surgery

Surgical incision: In this stage, the necessary incisions are made to place the prosthesis in the desired areas to minimize the possibility of scars and scars. They happen under the armpits.

These incisions are based on the type and shape of the prostheses (in breast prostheses, prostheses are used in both teardrop and round shapes), the surgeon’s skill is very important in breast enlargement and bulking surgery.

The third stage of breast prosthesis surgery: inserting and placing the prosthesis

In breast prosthesis, two places can be used to place the breast prosthesis

Above the pectoral muscle and below the pectoral muscle

The fourth stage of breast prosthesis surgery:

Closing wounds and dressings

At this stage, the gap created for placing the breast prostheses is stitched by absorbable threads and sterile adhesives are placed on it, and finally, the medical bra that must be prepared in advance is used.

Choosing the best breast prosthesis surgeon in Tehran

If you are planning to do breast prosthesis surgery, it is better to check the portfolio of the breast surgeon you want before taking any action in this regard and have a consultation with your doctor to get the necessary information about all the necessary points regarding breast prosthesis surgery. do it Dr. Reza Waqardoost, with the necessary expertise in this matter, can surely help you a lot. It is enough to visit the samples of work on the site and communicate with the contact numbers on the site.

How much does a breast prosthesis cost?

Every year, the amount of surgical services increases by a percentage. Also, we have always faced an increase in the amount of currency. Of course, it is not possible to accurately state the amount of this amount. And this amount will be determined after consultation with the doctor, and the cost of the breast prosthesis operation will be determined only when the patient is examined.

Care before breast prosthesis

The first step before the breast prosthesis operation

Choosing an expert breast surgeon is the first step that should be taken carefully before breast implant surgery.

During the consultation, the expert surgeon explains the procedures that must be followed before the breast prosthesis operation for the applicant of this surgery.

In addition, the specialist surgeon during the consultation session; It asks about the person’s expectation of the result of the surgery and considering things such as the dimensions of the patient’s chest, his physical condition and fitness, as well as considering the level of his expectation from this surgery; He suggests a type of breast prosthesis that suits his condition.

In this session, the surgeon will also talk to the patient about the incision site and the placement of the breast prosthesis.

Also note that if there is a history of breast cancer in your first degree relatives, you should definitely inform your doctor about this issue during the consultation.

In case of certain underlying diseases such as diabetes, asthma, liver diseases and cardiovascular diseases; Inform your doctor because some diseases prevent breast prosthesis surgery.

Also, if you have a history of previous surgeries, you should also inform your doctor about this.

Important measures that must be followed before breast implants

  • Before performing this surgery, a pregnancy test must be done; Because it will not be possible to perform breast prosthesis in case of pregnancy.
    If necessary, perform the tests and photographs that the surgeon may have prescribed for you before the operation and share the results with your surgeon.
    You should not eat or drink anything 8 hours before the breast prosthesis operation, because you must fast on the day of the operation.
    Be sure to take a bath the night before the operation, because you will not be allowed to shower for a few days after the breast prosthesis surgery.
    In general, stop taking anti-inflammatory drugs and drugs such as gelophene, ibuprofen, and aspirin that have a blood clotting effect one week before surgery.
    You should avoid drinking alcohol 2 weeks before the breast prosthesis operation, because it causes the bleeding to intensify.

    If you have any questions about breast implant surgery, be sure to ask your surgeon. For example, some people think that they will no longer be able to breastfeed after breast implant surgery. In answer to this question, it should be said that no, the breast prosthesis surgery did not cause any disturbance to the breastfeeding ducts, and as a result, after performing this surgery, the person will be able to breastfeed his baby.

Care after breast prosthesis

Recovery period after breast prosthesis surgery 1 day of surgery:

After being transferred to the recovery area in the operating room, you will be monitored and cared for in terms of the stability of your vital signs and general health following anesthesia and surgery.

Usually, you will be discharged on the same day after the operation, and before discharge you will receive advice on how to care for your breasts and take care of surgical wounds, medications to relieve pain and reduce infection, as well as the time of your next visit with your surgeon.

At home, due to the effects of anesthetic drugs, you will feel heavy and confused, and you may also experience nausea, and it is better to have a reliable person by your side for the first 24 hours.

Be sure that the person you choose to take care of you knows exactly what to do and it is better to bring him or her with you to the pre-operative consultation, as well as the post-operative advice and guidance you have received since discharge. Talk to him.

You can start walking on the same day of the operation with the approval of your surgeon. Start walking as soon as possible after the operation because it will reduce the swelling and reduce the chance of clot formation in your legs.

Don’t play the game and rest regularly and take your painkillers as prescribed.

Important points after breast prosthesis surgery

After the operation, the patients stay overnight in the clinic and hospital for the necessary care to control the infection and control the pain.

After the operation, your breasts will be swollen and may be slightly bruised. This is normal and will disappear over time. After the operation, it may seem that the breast is too high, this is also normal, and during the first two months, it will go down and return to its normal state.

You should use special bras for a few months after the operation (according to the doctor’s opinion).

It is not prohibited to remove the dressing after 4-5 days after the operation.

The movement of the hand will be limited for a while and driving will be prohibited for a month because it will cause pain.

This operation is more painful than other operations. To control pain at home, use only acetaminophen codeine tablets or acetaminophen suppositories.

You can return to your daily activities 7 to 10 days after the operation, but avoid doing heavy work. But the time to return to all activities is about 4-6 weeks after the operation.

It is safe to do light exercise after two months and heavy exercise after 6 months. It is necessary to have a suitable bra for the day of the operation.

Recommendations that you should follow for breast prosthesis

1-Diet: start with liquids and if you can tolerate it, start with the usual and preferably “low salt” diet.

2- Avoiding constipation and impaired functioning of the intestines due to immobility and the effects of anesthesia: by consuming plenty of fluids and fresh fruits and vegetables, and using laxatives if necessary.

3- Consuming fresh pineapple to speed up the absorption of bruises and swelling after the operation because it is rich in bromelain and vitamin C.

4-Limiting salt intake for at least 2 weeks to reduce swelling and the possibility of fluid accumulation

5- Avoiding smoking and alcohol for at least 4 weeks after breast prosthesis surgery, especially in combination with sleeping pills.

6- Regular and complete use of the drugs prescribed by your surgeon until the end

7-Avoid taking aspirin and similar drugs except in coordination with the doctor

Breast prosthesis recovery period (first few days after surgery)

In the first few days, you will usually feel pain in the surgical incision area and pressure on your chest. Usually these issues are tolerable, but use painkillers based on your doctor’s recommendations.

You may be inclined to take over-the-counter medications to relieve pain, but you should make sure that they are among the medications that your plastic surgeon has mentioned as safe to use.

After 2 days, you will usually be allowed to take a bath, but again, do it with the approval of your surgeon.

It is recommended to walk at least 3 times a day in the first few days after breast augmentation surgery to reduce the risk of blood clots.

Breast prosthesis surgery recovery period (after one week)

You will most likely return to work after a week, unless your work requires moving heavy objects, bending a lot, and doing strenuous stretching activities. On the other hand, you may feel ready to resume your social activities, but be patient. Avoid driving for 1 to 2 weeks after the operation or while you are taking sleeping pills.

Avoid driving until you have gained full range of motion in all directions of your shoulders and arms.

Breast prosthesis recovery period (about two weeks after surgery)

At this time, your condition is much closer to normal and you will feel enough energy. You probably still wear a medical bra all the time, but unfortunately you still can’t go to the gym to exercise. At this time, your daily activities are back to normal except lifting heavy objects.

Breast prosthesis recovery period (three to four weeks after surgery)

As the one-month anniversary of your operation approaches, you should find the ability to exercise. However, some restrictions are still necessary. Wait a short time to start chest exercises, and on the other hand, exercises in shoulders and arms are added gradually. But our best advice is that if you feel discomfort or pain, stop them and start again after one to two weeks. Listen to your body and don’t overdo it. Patience is the key to a smooth recovery. Avoid lifting objects heavier than 2.5-3 kilos for 6 weeks and this amount and overall duration can be adjusted by your surgeon.

The effects of breast prosthesis on the beauty of women's body

Advantages of breast prosthesis: In breast augmentation, prostheses are used to fill the breast, and these prostheses are placed inside the body for reasons such as reduction of breast volume after childbirth or weight loss. The most advanced and widely used breast enlargement procedure is the use of breast prosthesis. Predictability and extensive study of the risk factors and safety of the operation are among the reasons for the popularity of this method. If you are dissatisfied with the size of your breasts, your concern will be resolved by performing breast prosthesis surgery. Other advantages of breast prosthesis include the following:

Highlighting and filling the breasts
Improve body balance
Increasing appearance attractiveness and self-confidence

Prosthesis is used for breast reconstruction after mastectomy surgery (breast removal) or injury.

What are the complications of breast prosthesis?

Bleeding

Some patients experience internal bleeding in the space around the prosthesis. This bleeding often occurs immediately after surgery and in some cases up to 2 weeks after. In this case, the breast becomes hard and swollen and requires another surgery. During this laparoscopic surgery, the bleeding is stopped and the blood is drained from the site. Of course, there is no need to remove the prosthesis in this surgery. Most likely, the patient will not be admitted to the hospital after this surgery, and only a bruise will remain on the chest. However, the patient’s condition soon improved and this second surgery will not affect the result of the breast prosthesis, and in general, the probability of bleeding complications is less than 1%.

Infection

Infection is the most problematic complication of breast implants, but it occurs rarely in less than 1% of patients. Usually, after 2 or 3 weeks after the surgery, it becomes clear that the breast prosthesis is facing a problem. The breast is sensitive, swollen and red, and may be accompanied by discharge from the scar and fever. In this case, it is better to contact your doctor and inform him of the situation. Sometimes, mild infections will improve with antibiotics, but in most cases this is not enough. Most patients with severe infection around the breast prosthesis need to have the prosthesis removed. Immediately after the removal of the prosthesis, it is not possible to insert a new prosthesis, and it is necessary to wait 3 to 6 months for the effect of the infection to disappear completely. It is likely that the cost of the breast prosthesis operation that is paid for the first time will cover complications such as infection and bleeding.

· Capsular contracture

After breast implants are placed, the body forms a capsule of fibrous tissue around the implants as part of the healing process. This is the body’s natural reaction to the entry of any foreign object.

Over time, the fibrous scar tissue begins to shrink and contract, which is called capsular contracture. The amount and extent of this accumulation is different in each person. In some people, this capsular contraction can cause the prosthesis to tighten and compress so that the patient feels tightness, pain and discomfort in the chest. Capsular contracture is an unavoidable complication, and all people who have had breast implants suffer from it to some extent, and the patient may even need another surgery in the future. There are two methods to reduce the stiffness caused by capsular contracture: open capsulotomy and open capsulectomy.

Prosthesis rupture

Breast prostheses eventually break, but it is not possible to predict for sure how many years after the breast prostheses this will happen or how long the prostheses will last. According to studies conducted on silicone prostheses, these prostheses are expected to last 7 to 12 years. Of course, some of them last for several years or even several months, while others last up to 15 years. According to a research conducted in this regard, most women have ruptured a breast prosthesis at least once in 11 years, and the probability of it bursting increases every year. In 21% of women, the silicone resulting from the rupture of the prosthesis leaks out of the breast capsule, and in most cases the patient is unaware of it.

·  Silicone leakage

Studies indicate that the silicone gel inside the prosthesis can turn into a silicone liquid at normal body temperature. Also, reports show that silicone may leak and be transferred to lymph nodes and other organs. In this case, serious complications and risks may occur for the patient.

Wrinkled or wavy

Wrinkling or rippling of the breast occurs when the saline (salt water) inside the saline prosthesis moves to its sides. Of course, this problem may also occur with silicone prostheses, but its probability is much less than with salt prostheses. If this problem occurs in the upper half of the chest, it can cause more problems because it shows itself in bustier tops and swimsuits.

Permanent breast prosthesis and its benefits

In contrast to temporary prostheses, there are permanent prostheses that a person places the prosthesis permanently in his chest by performing surgery. During this operation, the shape of the breast is modified and it gets more volume until it approaches natural breasts. There are different types of permanent breast prostheses, depending on the type of surgery and the patient’s condition, the doctor can choose a model.

The right age for breast prosthesis surgery

Based on the studies, it seems that women can use prosthesis from the age of 17-18. But despite this, it is still emphasized that every person is unique and a decision should be made based on all the variables.

In general, a good result from breast cosmetic surgery is obtained when there is sufficient and complete support of the parents along with the adolescent with emotional maturity and physical development. In this situation and with the help of a skilled surgeon, the satisfaction of surgery is usually very high in this group of patients.

In America, any adult woman can do this procedure, but there they recommend saline prostheses from the age of 18 and silicone prostheses from the age of 22.

Who can have breast implants?

People want breast augmentation surgery to improve the shape of their breasts. In some women, one breast is smaller than the other, and breast augmentation surgery can help balance the size of the breasts.

How long is the breast prosthesis operation?

The duration of the breast prosthesis operation is about an hour and usually this operation is performed under general anesthesia.

Of course, the surgery can also be performed with local anesthesia. Usually, the person is discharged on the same day and does not need to stay overnight in the hospital.

Types of breast prostheses and the benefits of each

Before performing any surgery, it is necessary to have enough information about it to make a fully informed decision. Types of breast prostheses are divided into three groups based on the type: silicone, saline (salt water) and composite. Their form is round and teardrop shaped.

Prosthesis for breast enlargement

Breast cosmetic surgery brings the breast to the desired size and makes it shapely. It is also possible to improve the non-uniformity of the breast and create a little lift with this method. If you are unhappy with the size or shape of your breasts, you can consult a plastic surgeon. If you think that your breasts are too big or small or droopy, or if you have lost one or both of your breasts due to a certain disease, you can solve all these problems by performing breast surgery.

Teardrop model breast prosthesis

In lacrimal breast surgery, the doctor usually makes incisions in three different places, i.e. the armpit, the tissue around the nipple and around the navel or the fold below the breastbone, and then inserts the prosthesis into the chest. After that, the body keeps the prosthesis in place and prevents it from moving under the skin. Then the surgeon closes the incision in its proper place and stitches it. After a few days, the patient can open the dressing area by a specialist after consulting his doctor and observe the changes little by little.