We have compiled a list of frequently asked questions regarding our breast implants procedure, if you are concerned about the potential well being of your implants we have all the answers you need to know.
IF I HAVE IMPLANTS BUT THEY ARE NOT PIP – ARE THERE PROBLEMS
WITH ANY OTHER BRANDS?
No reasons for concerns, the MHRA (Medicine and Healthcare products Regulatory Agency) alert is only related to PIP implants.
SO ARE OTHER BREAST IMPLANT BRANDS SAFE?
I strongly believe that the breast implants we use today are safe and reliable due to the continuous research worldwide with major advances in breast implant technology.
Currently, there is no apparent association between silicone gel-filled implants and connective tissue disease, breast cancer or reproductive problems.
All other women with breast implants should feel safe with their devices.
When discussing breast cancer risks with my patients, I inform them that women with augmentations have less breast cancer than those without.
Many studies have proven that women with breast implants tend to have 30% less regular breast cancer than statistically expected. If they do get breast cancer, their survival rate is 30% higher than the survival rate of women without implants. The reason is probably that breast augmentation patients breasts will be more carefully monitored and any abnormalities picked up early.
HOW SHOULD I MONITOR MY BREAST IMPLANTS TO PREVENT PROBLEMS?
I suggest to all my patients that it is sufficient that they see their plastic surgeon once a year. Self-examination is highly recommended and immediate consultation is necessary if their breasts change in size or shape or develop lumps.
The longer a woman has breast implants, the more likely she is to experience local complications or adverse reactions. Woman need to monitor their breasts for the rest of their lives.
The most frequent complications experienced by breast implant patients include capsular contracture, implant rupture, wrinkling, asymmetry, scarring, pain and infections.
WILL IMPLANTS INTERFERE WITH MY ROUTINE MAMMOGRAM AND WHAT OTHER SCANS COULD I HAVE?
It is possible that a breast implant could interfere with a mammogram. It is therefore extremely important to tell the radiographer of your implants so that they can use the appropriate screening technique.
Be aware to use a radiology centre that has experience in the special techniques required to obtain reliable results for breasts with implantation.
Mammograms can detect extra-capsular silicone when an implant ruptures but they do not detect intra-capsular ruptures. The relative value of ultrasound alone to detect intra-capsular rupture is controversial because its accuracy depends on the skill of the ultrasound technologist, the equipment used and the experience of the interpreting physician.
MRI continues to be the most effective method of detecting silent (asymptomatic) rupture. The FDA currently recommends that women get their first breast MRI – 3 years after they receive their implants and every 2 years thereafter to detect silent rupture.
DO I HAVE A SAY IN MY BRAND OF BREAST IMPLANTS?
I see many patients in my practice walking into my rooms on Jimmy Choo shoes clutching a Gucci bag.
However, whenever I ask these patients, what implants they are “wearing” very few are able to give me this information!
I would want to urge any patient undergoing breast implant surgery to research the safety of the proposed implant their surgeon is planning to use and ask for the reasons that they are using that specific brand. Know what you are “wearing” and be sure of the quality.
In my practice, the 3 well-known brands are used that comply with international standards, EU requirements and are FDA approved: Allergan – Natrelle, Conquest – Motiva and Johnson&Johnson – Mentor.
WHAT ABOUT SALINE IMPLANTS?
Saline implants still have an outer silicone shell, but instead of being filled with silicone, is filled with saline (a natural saltwater solution).
The advantage is therefore that in the case of rupture the saltwater can be easily absorbed and excreted by the body.
I, however, do not recommend my patients to use saline implants, they tend to rupture or deflate at an earlier stage than other implants. They also look and feel less natural and prone to visible wrinkling.
DO I HAVE ANY OTHER OPTIONS TO INCREASE THE SIZE OF MY BREASTS WITH AN IMPLANT?
Recently a new technique of removing your own fat from an unwanted large love handle and re-injecting this fat into the breast tissue has definitely created an alternative to conventional breast implants.
The advantages are no invasive surgery and no foreign implants.
Even though plastic surgeons have been using the advantages of lipofilling in other areas of the body for more than 15 years, the use in the breast has been discouraged until recently.
The 2 major reasons were: Firstly there were concerns that fat could mask the signs of possible breast cancer and secondly the survival of the fat was unsatisfactory with too much fat being absorbed back into the body.
New techniques have however developed over the past few years and we are now finding that fat injections can have up to 70% survival rate, with resultant 150-200cc survival of fat per breast. This increases a breast by nearly a cup size. The limitation is however that the results are still very small natural breasts. MRI scans are able to decrease the concerns of misleading mammograms.
Beautifully shaped and size breasts definitely make women look and feel womanly, sensual and confident. For this reason breast augmentation surgery has been one of the fastest-growing procedures and extensive research and advances have been made to continuously improve the quality of the implants used today to ensure that I can with confidence improve my patients’ results and satisfaction.