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Breast Implants - Things You Must Consider!

Written and reviewed by
Dr. Prashantha Kesari 90% (10 ratings)
MCh - Plastic and Reconstructive Surgery, DNB, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Bangalore  •  21 years experience
Breast Implants - Things You Must Consider!

One of the leading types of cosmetic surgery in the world is breast augmentation through implants. These implants are prosthetic inserts which are put into your breasts surgically to enhance the look, shape, feel, size, and balance in your body. Although these are primarily used for cosmetic purposes, they may also be used for reconstructive surgery after an accident or after mastectomy (breast removal surgery).

Types of breast implants
There are primarily two types of breast implants: Silicone and saline. The sacs that contain both forms of implants remain the same. The sac holding the material in both the cases is made out of silicone. The two primary types are explained below

  1. Saline implants: As the name states, saline implants are sacs filled with saline water. In the case of saline implants, the sacs are inserted into the breast through an incision. After the sacs are put inside the breast, they are filled with saline water and once the desired shape, contour, and size are achieved, the implants are sealed off and the incision is closed.
  2. Silicone implants: In this type of implant, the sac is pre-filled with silicone gel. This option is considered to have a more natural look and feel as it resembles human fat. The size of the implants however has to be decided beforehand. The doctor will make an incision on the underside of the breast, where the crease lies and then insert the implant into the breast. The incision is then closed and after healing, the scar will be hidden under the crease of the breast.

Considerations before surgery
1. Complications 
This form of cosmetic surgery is one of the most commonly performed around the world. However, there could be a few complications that can arise after the surgery –

  1. Infection after surgery
  2. After surgery, scar tissue formation may cause the shape of the tissue to change
  3. The implants may leak or rupture
  4. Pain in the breasts
  5. Change in the breast sensations and the nipples (although in most cases this temporary)

2. Other considerations post surgery
Some of the other considerations that you might have to consider before surgery would be –

  1. Breastfeeding: While some women have stated that they were able to breast feed successfully after an implant, others have reported problems. Thus you may need to talk to your doctor about this especially if you want to have children post surgery.
  2. Complications in getting a mammogramMammograms to check for breast cancer and growths in the tissue may become complicated as the implant will block a straight view. However, pictures from other angles can be taken.
  3. Getting breast implants won’t stop your breasts from sagging: If you have sagging breasts, then you will need to opt for a breast lift surgery instead of breast implants as implants won’t correct sagging.
  4. Breast implants may not last a life time: Breast implants may require to be changed after a few years as your body shape may change and you may gain or lose weight. Implants may even rupture or leak, resulting in the change of the breast shape and thus, may require corrective surgery again.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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