Cohesive Silicone Gel Breast Implants
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Cohesive silicone gel implants are an excellent option for women who have insufficient fat volume in the breasts or who desire a more dramatic enhancement. Unlike saline implants, cohesive silicone gel breast implants have higher integrity and are more resistant to leakage. Moreover, silicone gel implants are offered in round and tear drop shapes where the teardrop shapes are suitable for patients who wish to achieve natural, supple breasts.
At Vendome Aesthetic Medical Centre, breast implant procedure is performed endoscopically with general anesthesia under the supervision of board-certified anesthesiologists to ensure patient safety and to prevent the risk of nerve and vascular damages. Implant sizes are precisely measured and evaluated at all times to ensure the best surgical outcome. Compression bandage are fixated in the chest area after the surgery and patients can be discharged after few hours in the recovery room.
Endoscopic Cohesive Silicone Gel Breast Implants
In recent years, a growing number of surgeries have been performed endoscopically. Vendome Aesthetic Medical Center utilizes one of the most technologically advanced high definition endoscope system to perform procedures including breast augmentation, facelifts, and forehead lift.
Endoscopic cohesive silicone gel breast augmentation does not only minimize the size of incision with a speedy recovery, but also greatly improve patients’ comfort and safety throughout the procedure.
The Golden Triangle Method for Endoscopic Cohesive Silicone Gel Breast Implants
Every woman has an unique breast anatomy which is often influenced by factors such as genetics, weight loss, pregnancy, and aging. Finding the right implants is crucial to the success of breast augmentation procedure.
Methods（silicone implant or fat grafting）, types of implants, incision placements may greatly influenced the results. Rather than focusing on the size of the breasts, it is a plastic surgeon’s responsibility to evaluate patient’s breast anatomy （contour, fullness, asymmetry, nipple and areola location）, height, and personal aesthetic needs.
Pre-Operative 3D Simulation
Pre-operative assessments for cohesive silicone gel implants includes：
｜BMI Assessment
｜Body Fat Assessment
｜3D Simulation
｜Breasts Ultrasound and MRI Scan
MRI scan allows plastic surgeons to determine the contour, size, physiological condition of the patients’ breasts and to evaluate the most suitable implant size.
Comparison of Implant Types
Smooth Silicone Implants
Smooth silicone implants are softer in texture which generates natural results for patients with thinner breast tissue padding. It is noteworthy that post-operative massages are mandatory for patients who received this type of implants to prevent capsular contracture.
Textured Silicone Implants
Textured silicone implants are firmer in texture which imitates the breasts of caucasian women. Researches have found significantly reduced incidence of capsular contracture among women who received this type of implant. Moreover, post-operative massages are not required.
Tear Drop Textured Silicone Implants
Tear drop textured silicone implants mimics the natural shape of breasts. However, teardrop implants may not be suitable for patients who have less upper pole volume. Textured surface are required during the manufacture of teardrop to avoid rotation and distortion of the implants. Moreover, post-operative massages are not required.
Breast Implant Incision
Surgical incision for adhesion silicone implant breast augmentation can be placed in the folds of the armpits, below the areola, or in the crease underneath the breasts:
1. Trans-axilliary (in the crease of the armpits): most popular option among Asian women, where scars are hidden in the folds of the armpits.
2. Peri-areola (at the areola): scars are hidden at the edge of the areola, however, may not be suitable for women with smaller areola.
3. Inframamary Fold (in the crease underneath the breasts): scars are hidden in the crease underneath the breasts, suitable for woman with mild to moderate ptosis.
Comparison of Implant Placement
Subpectoral Implants
Implants that are placed underneath the pectoralis major muscle is most suited for thinner patients with smaller breasts. The technique decreases the likelihood of exposing the actual shape of implants and improves the texture (softness) of the breasts.
Subglandular Implants
Implants that are placed above the pectoralis major muscle is most suited for patients with sufficient breast tissue. The technique provides natural results with enhanced texture and cleavage.
Complications in Cohesive Silicone Gel Breasts Implants
Cohesive silicone gel implants has been a frequently inquired procedure with high post-operative satisfaction. However, like any other surgical procedures, unpredictable risks and complications do occur. Capsular contracture is the most common complication following breast augmentation procedure. It is an immune response occurs against foreign materials in the human body. Incidence of capsular contracture can be reduced with subfascial implant placement where the implant is smoothly placed under the capsule. Furthermore, the causes of capsular contracture include:
｜Innate factors
｜Inadequate skin coverage for the implant
｜Inadequate implant size selection
｜Inadequate post-operative care
｜Mastitis
｜Impaired wound healing, hypertrophic scarring, and keloids
｜Hematoma, seroma, and over confluent fibroblasts
｜Insufficient release and narrow capsular space
If you are considering breast implant, it is important to find an accredited plastic surgery clinic and a qualified plastic surgeon to customized your procedure based on your health condition and needs. In addition, routine checkups are also required to minimize post-operative complications.
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Cohesive Silicone Gel breast implants. Individual results may vary.
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Cohesive Silicone Gel Breasts Implants. Individual results may vary.
Comprehensive Post-Operative Pain Management
Long lasting Intravenous anesthetics
Epidural analgesia
Method
Long lasting Intravenous anesthetics injection
Ultrasonic nerve block
Continuous epidural analgesia
Duration
12-24 hours
6-12 hours
3 days in average and can be used up to one week
Timing
Before surgery completion
（used in patients who refusing epidural analgesia）
After surgery
During and after surgery
Although younger women favor cohesive silicone gel breast implants, young female is consistently a strongest risk factor for post-operative nausea and vomiting (PNOV). In order to ensure our patients well-being, Stardust Anesthesia and Sedation Specialists have selected several preventative and therapeutic strategies to reduce the occurrence of PNOV：
（１）Total intravenous anesthesia instead of inhalational anesthesia can effectively reduce 20% of PNOV.
（２）Combine options for post-operative pain management while reducing the dosage of anesthetics.
（３）Post-operative antiemetic drugs can effectively reduce 15-20% of PNOV.
Frequently Asked Questions
