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Your Beautiful Magazine!


Page 16


Female Focus


Information supplied by


Dr. I. Poole, Clinica El Arenal. found at Av. Arenal 2, Jávea. Tel: 96 579 2418 11am - 1pm clinicaarenal@gmail.com


Breast Implants


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There seems to be concern about breast implants especially since the PIP case in 2011.


Those implants were made of non medical silicone gel and they were also found to be thin enough to easily rupture


causing the internal industrial silicone gel to be spread through the surrounding tissue. In one particular case at that time, this leak was blamed for being responsible for causing breast cancer in a patient who later died. After that, they were removed from the market in all countries and instructions were given to patients in order to have them revised or removed, hence the need of having some guidelines about their proper use.


1. The filler: Implants are like bags with a filler. They can be made of medical silicone gel which is not supposed to cause alterations to tissues in the unlikely case of a leak or rupture, hidrogel, a gel made of cellulose that would be reabsorbed by the body in case of rupture or saline solution. The latter one can even be inflatable and is often used to expand tissue for reconstructive surgery but the touch is soft, not as the gel which is very similar to flesh.


2. The coating: In the past the coating was a single layer of poliuretane. Those implants were more fragile so they could be ruptured by trauma, also they were found to have a higher risk of encapsulation. The capsule is a body’s reaction to a foreign body by creating a fibrous bag around it. This capsule may later retract over it, shrinking and making implants hard at touch. This is now minimised by the use of the “texturised” implants where the outer coat is rough.


Also modern implants are made of 3 layers and are 10 times stronger than previous ones.


3. The shape: It can be simple, a semi-deflated bag of gel that adapts to the breast tissue, enlarging it on its 3 dimensions. It can be of high profile, similar to the previous one but higher in order to increase its projection towards the front or even very high profile. In both these cases, they are intended to enhance a pre-existing breast as they will only project its central part, so if there is not enough glandular tissue around, they will acquire the shape of half an orange, not half a pear as they should. Finally and to me the best ones, are the anatomical ones that already come with the half a pear shape giving a much more natural result.


4. The volume: The patient’s demands must always be confronted with the expected results as large implants in a small chest will always result in an unnatural look. Sometimes, when the chest is round and small, breasts may end up pointing to the sides instead of the front and others may result in an unnatural half an orange shape, so it is wise to say that in this particular case the patient is not always right and that the experience and advice of the surgeon is fundamental in order to achieve the best result for each single case.


We have a list of different implants that we may use, among these, I would like to add a link to a manufacturer’s website with detailed information for anyone interested. There are many other recommended brands so this one in particular is just one of them, but I like the way they present it. http://www.laboratoires-arion.fr/.


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