Among the possible incisions, three are the most frequent; all of them are approximately 1.5 inches (4 cm) long:
A semicircle under the lower outline of the areole (dark area around the nipples).
On the armpit.
At the fold where the breast meets the chest. This incision is the one that allows an easier and faster insertion of the implant but, because it leaves more visible scars, our surgeons do not resort to it except in very particular cases; for example, when there already is a scar from a prior implant that must be replaced.
The surgeon will determine which one of the three incisions is better for you, according to your body and the kind of implant chosen. Working with special instruments through the incision, he creates a pocket in each breast to hold the implants. He then places the implants in each one of the pockets, using the nipples as reference. Finally, he inserts the drainage tubes and closes the incisions with sutures.
It is important to mention that the implants are always placed behind the mammary gland, but there are two possible locations:
Behind the pectoral muscle: this procedure is more complicated and the recovery is more painful, but the muscles prevent the implant's outline to be seen under the skin, giving the breast a more natural look. Placed here, the implants will interfere less in future mammograms.
In front of the pectoral muscle: this location is advisable for women who do intense physical exercises with their arms. Hospitalization
If the surgery is performed with local anesthesia, no hospitalization is required. If general anesthesia was used, you will have to be hospitalized for one night.
Anesthesia: Between 30 to 120 minutes, according to the complexity of the case.
Breast Implants Surgery length : Between 2 and 4 hours, according to the complexity of the case.
Advantages of cohesive silicone gel implants
Cohesive means that it tends to remain whole. This means that, even if the shell were to rupture, its content would not spill out. It would remain whole without any divisions.
They do not lose their volume as time goes by.
They do not make 'liquid' sounds during physical activities.
They have a very natural consistency when touched. In the past, its content used to leak through the micropores of the shell and caused capsular contractures. Nowadays, these leakages have been almost completely reduced thanks to the cohesive properties of the content and to the new shells made of several superimposed layers.
In most European countries, in Asia and America the use of these implants for cosmetic purposes is allowed, but not in the United States, where they may be used, however, for reconstructive purposes.
Advantages of saline breast implants
If they rupture, the content of these implants is assimilated by the body and eliminated in a completely natural way. They lose their volume in a matter of hours and, since this change in volume can be seen immediately, they can be replaced as soon as you notice it.
If the liquid inside leaks out, it will not produce capsular contracture, the content is metabolized and eliminated naturally by the body. Nowadays, these leakages have been almost completely reduced thanks to the new shells made of several superimposed layers.
