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Breast implants Paris

Breast prostheses or breast implants are a medical device used in breast surgery to increase the volume of the breast, for aesthetic or reconstructive purposes.

Breast augmentation with breast prostheses and implants is the most common cosmetic surgery procedure in the world.

The fundamental points to be discussed in consultation are

  • The shape: round or anatomical.
  • The nature of the content: Silicone gel or physiological serum.
  • The pre-pectoral position (in front of the pectoral muscle) or retro pectoral (behind the muscle)
  • The approach: sub mammary scar, lower hemi-areolar or axillary.

This information sheet was written by Dr. Ralph ABBOU and Dr. Rachel PESSIS who are cosmetic surgeons in Paris.

Before and after breast implants in Paris

What are breast implants ?

Breast prostheses are implants or medical devices used to increase breast size in cosmetic and plastic surgery.

Silicone or saline filled implants can add volume to your breasts, improving their size and shape.

 Breast implants are among the most studied medical devices. Their technology has also improved considerably in recent years, with options that look more natural and carry fewer risks.

Implants mammaires paris

Why get breast implants?

The placement of implants allows many objectives:  

  • Increase the volume of the breasts
  • Embellish the shape
  • Improve the shape
  • Correct moderate ptosis

Who can benefit from breast implants?

Breast implants are for patients who wish to increase the volume of their breasts and who do not have enough fat for breast lipofilling or who wish to increase their breast volume by more than one cup.

What are the advantages and disadvantages of breast implants?

Benefits

  • Your breasts will be bigger, firmer and more beautiful
  • High satisfaction 
  • Increased self-confidence

Disadvantages

  • Change of breast prostheses every 10-15 years on average

Here’s how the breast implant procedure works

Before breast implants:

  • Two cosmetic surgery medical consultations to choose the volume of the prosthesis and define the position of the prosthesis and the shape
  • Anesthesia consultation
  • Smoking cessation
  • Mammography and preoperative assessment

Process of an operation

The procedure takes place in the operating room under general anesthesia and lasts about an hour. The patient is discharged the same day or the next day, depending on the case.

Post-operation:

After breast implant surgery:

  • Moderate pain for a few days calmed by painkillers
  • Bruises and swelling for 15 days
  • Compression garment for 1 month
  • Stable result at 3 months post-op.

Price of breast prostheses Paris

Surgical procedurePrice
Breast augmentation with prostheses From 5500 €

 

 

The cost of breast implants to increase the volume of the breasts depends on the complexity of your case and any associated surgical procedures: lipofilling, breast lift…

FAQs

Is breast augmentation by prostheses painful?

When you wake up after the procedure, there will be some discomfort and moderate chest pain. In addition, your movement will be limited. This is especially true if the implants are placed under the muscle. However, most patients find this discomfort quite tolerable and will disappear after a few days.

Is there a scar after the operation?

For a breast augmentation by prostheses, there is necessarily a scar that is placed in an inconspicuous area. 

Can breast augmentation correct breast ptosis (sagging breasts)?

If your breasts have moderate ptosis, then breast augmentation with prostheses can improve their shape and form. If the ptosis of the breasts is significant, a breast lift will be the most appropriate surgical solution.

Is there an effective way to prevent shells after breast augmentation?

There’s still a lot that plastic surgeons don’t understand about capsular contracture, so there’s always a chance that you could develop it. However, there are steps you can take to reduce your risk:

  • the “no contact” technique when inserting your breast implant. 
  • place your implants in a sub mammary incision.
  • stop smoking before the procedure.

Are silicone implants safe?

Silicone gel-filled breast implants are the most tested medical device in the world. Their safety has been proven in numerous studies over the years.

How to choose the size or volume?

There is actually a scientific method for selecting your breast implant size based on the width (base) of your breasts and the projection you desire.  Complete breast measurements are imperative to ensure that you receive the appropriate size. Of course, you can select an implant that is larger or smaller than your breast measurements, but to a certain extent, otherwise the result will not be optimal. 

What are the shapes of breast implants?

A round breast prosthesis provides more volume on the upper part of the breast and allows a more rounded result than average for a more pronounced neckline.

An anatomical breast prosthesis provides more volume on the lower part of the breast, which allows for a more natural result.

These explanations are theoretical to allow you to understand the differences between the two types of breast implants. Depending on your desire and your morphology, we will find the prosthesis that will suit you.

Should I choose silicone or saline implants?

Because modern scientific research proves the safety of silicone breast implants, most women choose silicone implants over saline-filled breast forms. However, each type of implant has its advantages and disadvantages. Silicone serum implants tend to lose some volume every year. In practice, 99% of the implants placed are silicone gel implants. We will advise you in consultation according to your case.

Textured or smooth breast implants?

Textured breast implants theoretically have a lower incidence of capsular contracture or shell.

When implants are placed above the pectoral muscle, many breast surgeons choose textured breast implants. When implants are placed below the pectoralis muscle, many surgeons choose a smooth breast implant.  

In practice, for the past year or so, we have been placing only smooth implants because of the risk of anaplastic large cell lymphoma that has been shown to occur with textured implants. To ensure your safety, we follow the official recommendations of the French National Authority for Health.

Breast implants above or below the pectoralis major muscle?

Numerous research studies have shown that a breast implant placed under the pectoral muscle has a lower risk of becoming hard or developing capsular contracture (shell) than an implant placed over the muscle. The extra layer of tissue or muscle covering the breast implant will further camouflage any rippling of the breast implants.

A potential problem with placing a breast implant under the muscle is called animation deformity in which the shape of the breast implant is distorted each time you squeeze the pectoral. If you have sagging breasts, a breast implant placed over the muscle is better able to lift the breasts than one placed under the muscle.

Breast implants can be positioned either :

  • In front of the pectoralis major muscle
  • Behind the pectoralis major muscle

The choice of the position of the breast implants depends on many parameters that will be explained to you during the medical consultation and that depend on your wishes and your morphology.

To simplify:

  • if you already have breasts, it is possible to place the implants above the muscle and this will give a very natural and harmonious result.
  • if your chest is really small, we advise you to place the prostheses behind the muscle and this will allow a more natural result in this case. Indeed, if we place the implants above the muscle in a patient who has no breast, the implants may be very visible.

protheses mammaires paris

What are the possible scars?

  • Areola: The transition in skin color from the breast skin to the darker areola skin is the ideal place to hide a scar
    Sub-breast crease or fold: Another common site for inserting
  • breast implants is the sub-breast crease which allows for nearly invisible scars.
  • Underarm: Using modern endoscopic equipment, a new site for inserting breast implants is through the underarm. The scar is well hidden in the natural folds of the armpits. The advantage of the underarm approach is the absence of scarring on the breasts.

What is the content of breast implants?

Silicone gel gives a natural feel close to a natural breast and in case of rupture, it is cohesive, meaning that the gel does not disperse in the body: it is the reference implant today.

Saline breast implants have a shorter life span (10 years maximum) and present a greater risk of leakage than silicone gel implants. These implants are rarely used today.

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