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Mammary implants
History
The history of the mammary implants is most occurred rarely example of as the science and medicine is a perfect marriage. When we study the evolution of this procedure we see that although the first increase mamoplastia was brought in 1895 by Czerny who transferio a lipoma (benign tumor of fat) to correct a volume defect. The rapid evolution of the skill is a result of the effort of the science in combination with the medicine.
To the beginning of 1950 I initiate the employment of injectable materials like paraffin, oils and derivatives of the oil, with distant results of the wished ones. In 1963 Cronin and Gerow developed the use of gel of silicone shut up in a covering of elastómero of silicone, With suitable results. From these works the first generation of implants made the company Dow Corning 1964 and 1968. In a few years, in 1972 the covering was modified her slimming in an important way, diminishing the complications index. For this epoch the first implants were made with the modified covering and you refill of saline solution (whey).
1980 saw the implant being born with polyurethane coverage giving answer to the constant problem of the capsular contraction. Between 1998-1999 several works were published with statistical supports guided by medicine based on the evidence that demonstrated that there is no association between the use of implants of gel of silicon and the production of cancer or illnesses immune car.
Indication
One of the surgeries more versatile is the inclusion of mammary implants, it can be used in a sure way for multiple functions. Be for the volume increase with esthetic ends, for mammary reconstructions postrauma or cancer or for simetrizar the breasts for syndromes or for causes idiopáticas the implants are undoubtedly a resource that cannot be quantified of objective form. Although its indications only stretch to increase nowadays we have learned to calculate the size and volume of much surer and efficient form.
Technique
To implant the inclusion techniques evolved quickly, great surgeons published papers and created techniques, access roads, modifications and flat anatomical adequate to protect the implant properly.
The technique can today be performed by different routes, to list the most used by the tuition of plastic surgery.
Periareolar, this technique since its inception has been the favorite of most American schools. This a small cut is made in the lower part of the areola, allowing to introduce the implant in any of the desired anatomical planes.
Inframammary, perhaps more suitable technique when you want to include an implant of greater proportions, cutting is performed in the inframammary (under the breast) Groove by what hides the scar properly.
Axillary, the introduction of the implant via the armpit hide the scar, and allows the prosthesis have the required coverage. Although there are some limitations this technique can be performed safely and with excellent results.
Umbilical, use the SCAR to enter the implant is certainly an attractive idea to the majority of patients by the absence of a noticeable scar. However, this technique is restricted to the use of prosthesis in saline solution (serum). These are entered empty and then are filled via a valve.
Types
The mammary implants like said previously evolved in a fast way. At present there exists a large number of formats (anatomical or in drop, round, conical, etc.). Also large number of material of frabicacion and filling (cohesive gel of silicon, polyurethane and saline solution). As well as its dimensions (high, super high profile, wide base, etc.). This does of vital importance the consultation with a quite trained specialist, for the election it must be based on medical and scientific criteria.
Care
The mammary implants at present have evolved to be one of the surest surgeries. For its cohesive character the prostheses of gel of silicon support high pressures, but if for some motive the same ones were perforated they do not spill in the cavity. At present so much the polyurethane prosthesis as those of gel of silicon with coverage texturizada present an index of quite small capsular contraction. The general care of quite surgery like a good feeding, an excellent hygiene, rest and to continue the recommendations of its surgeon they are fundamental. The comeback to the normal activities must be direccionado for its specialist. Images studies must be realized before the surgery for control and when the patient was to be submitted to a control examination must remind to the technician the presence of the implant.
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