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TREATMENT GUIDE |


treatment guide Body augmentation


Henrique P. Ladvocat Cintra provides a practical guide to breast augmentation, including patient and implant selection


long-term results are often related to disproportion between breast envelope and implant. Oversized implants were the main


A 78 ❚


cause of mechanic complications such as breast sagging or rippling. No matter what type of implant, excessive volume placed in the upper pole gradually shifted to the lower pole, bottoming it out. When dealing with the request for


larger implants, we must plan where to add enough volume to fill the deflated breast and enhance its contour without the side-effects of an excessively heavy implant. It is obvious that a single shape of


implant cannot address all possible variations of breast anatomy; nevertheless, a round shape is still the


FTER A LONG CLINICAL experience with breast augmentation,


the


majority of medical societies worldwide agree that unfavourable


most popular among surgeons. It is quite simple to use, but it lacks specificity. A round implant adds the same volume to all breast quadrants, which is not always required for a particular situation. With form stable silicone gel we can


predict the shape of an augmented breast if it remains where first planned, and also if there is a proper balance between the weight of the implant and the elasticity of the breast tissue. Taking into consideration the ageing changes of the breast, it seems logical to keep the weight of the implants as low as possible — with lower oestrogen levels, breast tissues become inelastic, dehydrated, and more vulnerable to mechanic complications. The manufacturers soon realised that a


more sophisticated demand was more frequent. Naturally, the aim of implants evolved to adjusting the shape of an implant to fill specific anatomic needs. Customised breast augmentation became possible. However, the problem remained with


Motiva Breast Implants Establishment Labs


Description Motiva breast implants represent the latest advancements in breast aesthetics. For the first time patients and surgeons can achieve the desired breast shape with 100% filled breast implants without ‘under-fill’ and only ‘form stable’ anti-migration characteristics. Many enhancements that enable ease of insertion, the potential for smaller scars, and durability


improvements are incorporated into every breast implant. Using only the highest medical grade silicones, the CE-marked Motiva Implant Matrix® line is rigorously scrutinised by professional quality engineers throughout the manufacturing process. All products are produced in full compliance with ISO and EU requirements, and are certified under the Medical Device Directive 93/42/EEC.


January/February 2012 | prime-journal.com


Indications Breast augmentation and breast reconstruction surgery.


Availability Commercially available, or under product registration, in most countries outside of USA and Canada.


Contact www.establishmentlabs.com; www.motivaimplants.com


Figure 1 The surgeon should undertake a number of measures during the initial assessment process


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