Types of Breast Implant in Delhi

Breast augmentation is a cosmetic surgery in Delhi that involves introducing an inflatable breast implant (prosthesis) behind the breast or pectoral muscle (on which the mammary gland rests) to increase volume.

The procedure of breast augmentation in Delhi lasts an average of one and a half hours and is performed under general anaesthesia. For this type of surgery, convalescence is about a week.

The choice of breast implant in Delhi

The physiological saline implant is inflatable while the silicone gel implant is pre-swollen. There are several types of breast implants and all consist of a flexible outer shell.

The envelope

The outer shell wall is made of silicone, but be careful, it is not silicone gel. Silicone is a material that offers great biocompatibility with the human body. This material is also used in the manufacture of joint implants, pacemakers and heart valves, condoms and lubricants as well as in certain drugs.

Implants with physiological saline

The shape of the envelope is round and has a high profile, a moderate profile or a moderate PLUS profile. The high profile has a smaller circumference than the moderate profile and the moderate profile PLUS and gives more projection to the breasts. High-profile breast implant in Delhi are suggested for women with narrow chest or breast. The smooth surface is preferable to the textured one. The textured surface is not recommended because it increases the risk of complications such as perforation of the implant and deformity of the breast. The breast enlargement in Delhi with an anatomical profile (in the form of a drop of water) is not recommended since there is a risk of rotation of the implant during the manipulation of the breast.

Saline

The physiological saline is in fact sterile water containing a concentration of sodium (salt) to 0.9%, product which is reabsorbed by our system in case of leakage and which is completely harmless since it looks a lot like liquid which makes up 70% of our body.

Silicone gel

Breast implants put on the market in the sixties were filled with a silicone gel. This gel, which has been responsible for all the controversy surrounding implant safety, has now been on sale in India since October 2006, with restrictions for the next ten years.

By allowing manufacturers to sell silicone gel breast implant in Delhi, Health India is subjecting them to certain conditions including:

• Review continuously for 10 years the results of long-term clinical trials.
• Conduct a large, long-term study of tens of thousands of women.
• Continue implant resection studies and analyses - from all available sources to better characterize possible modes and causes of failure.

It is therefore important to know and understand that silicone gel breast implants are now freely available in India, but still subject to numerous studies.

Possible consequences related to the rupture of the silicone gel breast implant:

The consequences of breaking a breast implant with silicone gel are not entirely known since the studies are in progress. However, there have been reports of silicone gel leakage to the chest, armpit, upper abdomen, upper arm, and groin. Studies have demonstrated the presence of silicone gel in the liver of patients with breast implants filled with silicone gel. Cases have also been reported where silicone gel has migrated to the armpit lymph nodes and caused lymphadenopathy, although there were no signs of rupture.

The possible consequences of a silicone gel leak are as follows:

• Lesions to the nervous system
• Degeneration of tissues in direct contact with silicone gel
• Change in breast size or shape
• Calcification of the fibrous capsule
• Appearance of granulomas
• Induration of breast tissue
• pains

During rupture of the silicone gel implant or contracture of the fibrous capsule with calcification, the surgeries are difficult, time consuming and expensive.

In short, cohesive silicone gel implants:

• Require an incision of 5 to 6 centimetres (axillary saline implants: 2.5 centimetres)
• Increase the palpation of folds of breast implants (thicker wall)
• Require Magnetic Resonance Imaging (MRI) monitoring to ensure there are no leaks. According to the Food and Drugs Administration (FDA), a patient with silicone gel implants should have first magnetic resonance imaging three years after plastic surgery in Delhi and then every two years. These follow-ups may be at the expense of the patient. The sum of the costs associated with these follow-ups may exceed the cost of the initial surgery.
• To undergo a breast augmentation in Delhi or a second intervention with silicone gel implants, the patient must be at least 22 years old (for physiological saline implants, the patient must be at least 18 years old).

Current studies on cohesive silicone gel breast implants show that there is now a lower risk of fibrous capsule contracture, but this risk is still higher than that for physiological saline implants. According to these same studies, the risk of silicone leakage would also be reduced, but the phenomenon of silicone perspiration through the implant wall probably persists. It is in twenty years that we can say with certainty that these implants are safe. Do you want to be part of these studies?

The plastic surgeon in Delhi is responsible for giving you all detailed and written information regarding silicone gel breast implants. He must also have you sign a document stating that you have received the information and that your decision is informed.