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Commonly Asked Questions About Breast Implants
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How does one choose the ideal breast implants?
The choice of the volume and shape of breast implants for is made with the help of your surgeon after a clinical examination to evaluate the width and shape of your chest, the height and axis of your breasts and the size of the areola. It is also important to with your surgeon the results you expect. The CE label is compulsory for each medical device circulating within the European Union. Since 1998, only products bearing a CE certificate of conformity and for which the manufacturer provides complete and precise information are authorised. The CE label is for any medical device. Outside the European Union, is by the competent bodies.
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At what age can breast implant surgery be considered?
During puberty, the size of the chest will develop as a result of hormonal changes and if contraceptives are taken. Breast stability is reached at the end of puberty. We therefore strongly recommend waiting until the patient is at least 18 years of age before considering the insertion of breast implants. Your state of health and physical are also factors to be considered.
Any surgical intervention results in the formation of scars. For breast augmentation, the scars are placed in the most discreet position possible: in the hollow of the armpit for an axillary approach, below the breast for the , at the level of the lower hemisphere of the areola for the areolar approach.
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Prominent scarring from the approach for insertion of breast implants is possible despite meticulously closed scars and can lead to unsightly hypertrophic or keloid scars. Red or swollen scars depend on each patient’s scarring capacity and can be treated with surgical intervention, laser therapy, or the use of compressive garments or silicone dressings. For a delicate and supple scar, it should be massaged from the third week after the breast implants have been inserted. Your surgeon will show you how to massage the scars.
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The result is not immediately visible. In the days following the procedure, oedema swells the breasts: they are tender and sensitive with mild discomfort. The delay in assessment varies from one patient to another, but in general, the breasts become softer from the 3rd month when the breast implants begin to stabilise. The definitive result will be evident after six months when the silicone breast implants have become definitively positioned, and the chest continues to relax to find its natural shape and position. Mostly, the scars are discreet and gradually subside over 6 to 12 months, becoming almost invisible.
Your surgeon will specify postoperative follow-up. Your surgeon will see you a few days after the operation to check that everything is going well. We recommend wearing a full-support bra with a front opening and no underwiring for about 6 weeks during the immediate period. Your surgeon will help you choose a bra, depending on the type of operation and your anatomy. Postoperative follow-up is crucial for optimum healing. Your surgeon will arrange several follow-up appointments during the first year after the operation. The recommended frequency for the visits is one month, 3, 6 and 12 months after insertion of the breast implants, then every year, even if you do not have any symptoms associated with the implant.
Patients with silicone breast implants, like all women, should be checked regularly for the detection of breast cancer (check on the general state of health and palpation of the breasts). For women with silicone breast implants, this check should be carried out annually by their surgeon or another specialist in this field to reveal any possible problems associated with the implants. Additional checks can be made if necessary ( or MRI).
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The presence of silicone breast implants does not prevent mammography from being carried out. However, conducting the examination is more delicate, and interpreting the results is more difficult. It is, therefore, essential to let the technician know you have breast implants. He or she can then take the necessary precautions and adapt the examination technique (numbered plates).
Yes, because the body perceives any artificial as a foreign body, it forms scar tissue around the implant and encapsulates it. This is a normal biological phenomenon which with all implants. However, in some cases, this capsule can thicken and harden, causing contraction of the implant in its pocket. The formation of this is usually accompanied by pain and potential creases on the chest surface.
The is a rare complication which can occur after an impact, a violent trauma, or an operative trauma (implant damaged during the operation). It may also be due to a retractile fibrous shell or simply due to the ageing of the implant. The main risk of rupture is the migration of the silicone gel into the body (the escape of the gel through a breach in the shell). silicone breast implants from Silimed use new-generation medical-grade silicone. The silicone gel in the shell is very cohesive, reducing the risk of migration and complications. Nevertheless, removal of the silicone breast implant is necessary if the implant ruptures.
Current studies report that breast cancer is not more common in women with silicone breast implants. Besides, pre-filled silicone gel implants are used for the reconstruction of the breast after cancer.
At the moment, there is no proof of any correlation between the appearance of systemic complications, cancer or autoimmune diseases and silicone breast implants.
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Silicone has been used as an implantable material since 1950. It is considered the biomaterial as it is inert and non-allergenic. It is found in several applications (notably medical and cosmetic). It is better to prevent the silicone from penetrating the tissue. For silicone breast implants, the filling gel is very (thick and viscous) and minimises the risk of diffusion into the body.
It is expected to notice a reduction in nipple and areola sensitivity, regardless of the surgical approach. This sensation is temporary, rarely permanent, and sensitivity reappears after a few months.
From a medical point of view, pregnancy is not contraindicated after the insertion of silicone breast . However, during this period, hormonal changes are significant, and the mammary gland volume changes significantly, which could affect the aesthetic result. It would, therefore, be preferable to defer the of silicone breast implants to six months to one year after the baby is born (or at least six months after you have finished breastfeeding) to ensure the optimum result.
Breastfeeding is not contraindicated after the insertion of silicone breast implants because the mammary glands and their ducts are . Still, it is preferable to separate the two events somewhat (pregnancy cannot be considered until after the 3rd month after the operation). Silicone breast implants are unlikely to become misshapen by breastfeeding or breast pump use; however, the aesthetic result may be altered by changes in the mammary glands’ volume.
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As a general rule, it is recommended that you avoid any physical activity for the first 6 weeks following the to reduce the risk of silicone breast implant displacement or other complications. For more intense sports (running, bodybuilding, combat sports) an additional rest should be observed. You should discuss further with your surgeon.
The will give you a patient card after filling it in and affixing the labels designed for this purpose (each label corresponds to one implant). This card identifies the prosthesis implanted (implant reference, volume, lot number, manufacturer’s details, date of the operation, and the name of the specialist). You should keep the patient card you receive after the operation with your medical documents indefinitely. We also recommend keeping it with you at all times to facilitate emergency medical treatment.
The will ask you to sign the informed consent form after your initial consultation and before your operation. It is not a release form, but a document in which you give your agreement to the breast implant procedure and confirm that you have been adequately informed by your specialist of the procedure and the risks involved.
The recommended delay between the first consultation and the day of the operation is 14 days. This period will allow you to make your decision calmly. It will also give you time to see the twice for consultation, to have a mammogram (systematic in women aged over 35 years), and to have a consultation with the anaesthetist for a complete pre-operative check-up before the operation. This delay is highly recommended and should be respected in your interests.
At present, there is no reimbursement for the cost of silicone breast implants if they involve aesthetic or " cosmetic" surgery. On the other hand, if the operation is justified for medical reasons such as following cancer, or in case of significant breast malformation such as (tubular-shaped breasts with a very shrunken base), (total absence of a mammary gland), reimbursement may be possible after previous agreement.
For more on silicone breast implants or to book a free breast enlargement consultation, please call us on or email Alternatively, please fill out our contact form, and a member of the team will be in touch.
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Centre for is a CQC-regulated private hospital on London’s Baker Street, delivering plastic and cosmetic surgery through GMC-registered specialist surgeons. Our expertise spans facial procedures and , , for men, and body contouring procedures such as and . Patient safety, surgical excellence and natural-looking results sit at the heart of everything we do.
Centre for Surgery is a CQC-regulated private on London’s iconic , offering plastic and cosmetic surgery led by GMC-registered consultant surgeons.
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