Breast augmentation in Paris

Women's surgery at Henri Mondor Hospital

Breast prostheses

Plastic, Reconstructive & Aesthetic Surgery in Paris Est Créteil

Breast implants are mainly reserved for very thin patients.

A follow-up every year or even every 2 years is recommended. The prostheses are replaced on average after 15 years, but this depends on the condition of the prostheses from an X-ray point of view and on the symptoms experienced by the patient. The retro-muscular plane is preferable for slim patients or those without a mammary gland.

The scar is hidden in the areola (if the areola is larger than 3 cm) or in the fold under the breast. The breast implants currently in use consist of a shell and a filler.

Breast lipofilling

Injection of fat into the breasts in Paris

Increasingly, fat injections are being used to increase the volume of the gland. This technique is popular with patients who do not want foreign bodies.

What’s more, it allows any localised excess fat to be treated at the same time: hips, abdomen, saddlebags, knees. This technique was originally developed for reconstructive surgery. Doubts about the possibility of breast monitoring slowed its development in aesthetic surgery for a long time.

Indeed, radiological calcifications may appear as a result of tissue healing. In fact, they are different from those seen in breast cancer and do not pose any problems for experienced radiologists. To date, there is no evidence that fat transfer increases the risk of breast cancer. However, a coincidence remains possible, as breast cancer is common in general.

Breast augmentation in Paris

Pr Hersant Plastic, Aesthetic & Reconstructive Surgery

The envelope is always made of a silicone elastomer. The filler contained within the shell may be silicone gel or physiological serum.

The implant is said to be pre-filled when the filler has been incorporated at the factory. The surgeon orders the volume appropriate to the case. The vast majority of implants fitted worldwide are pre-filled with silicone gel.

Significant technical progress has been made. Silicone gel has become very cohesive to limit perspiration through the envelope, a source of shells. The strength of the envelopes has increased, reducing the risk of rupture. The wall can be smooth or more or less textured, i.e. rough.

Macro-textured prostheses:

These are now prohibited. They are associated with a rare cancer affecting lymph nodes and organs: anaplastic large cell lymphoma. The prosthesis can be round or more or less contoured for a more natural look.

In the run-up to surgery, smoking is always inadvisable, but even more so when it comes to fitting prosthetic material. Depending on the case, the prosthesis may be placed just behind the gland or under the muscle. Depending on the case, a drain may be placed to evacuate the blood accumulated around the prosthesis. Finally, a modelling dressing is applied.

It is generally accepted that breast implants have an average lifespan of 10 years. Replacement should be discussed at this point. In all cases, an annual clinical check-up is recommended. The risks are the same as those mentioned above for the cure of isolated ptosis, with the addition of specific risks associated with the prosthesis.

Prosthesis infection :

Cannot be treated with antibiotics. It leads to the removal of the prosthesis. A new prosthesis can only be placed after a few months.

Ruptures of the prosthesis envelope naturally require replacement. Secondary malpositioning or displacement will lead to an indication for surgical correction. The rotation of the prosthesis may affect the aesthetic result in the case of a profiled implant. Late periprosthetic effusion will require investigations to rule out the possibility of cancer.

The average convalescence time is 10 days. A bra and support must be worn day and night for one month and 12 hours a day for a further month.

It affects one woman in eight during her lifetime. A strict check-up must therefore be carried out by a specialist radiologist before the operation, then after one year and then according to the radiologist’s recommendations. Modern techniques make it possible to obtain fat deposits that are more evenly distributed and therefore more natural. The technique requires sufficient donor sites. Patients who are too thin cannot benefit from this technique.

The fat is harvested in a non-traumatic way through small incisions hidden in folds. Micro-cannulas are used to graft micro-particles of fat along a number of independent paths through the recipient tissue, ensuring a homogenous result. As this is a graft of living cells, the tissue changes as the patient’s weight fluctuates.

Results:

Can be appreciated 3 to 6 months after the operation. Sometimes a second fat transfer session is necessary. The specific complications of this operation are cytosteatonecrosis: these are firmer areas that correspond to oily cysts. These areas eventually soften over time. If this is not the case, further investigations are necessary.

On average, 30% of the fat disappears, but the rest is permanently biointegrated. Note that if you gain weight, your breasts will enlarge, but if you lose weight, they will shrink. A second session is sometimes necessary.

This technique provides a natural, moderate increase in size (one cup maximum).

A support bra must be worn for 1 to 2 months.

A week’s convalescence is often necessary.