Prosthesis replacement - Dr Giovanni Bistoni -->
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Prosthesis replacement

Why should I change my prosthesis?

Old Prostheses (breast implant rupture). The prosthesis once required a replacement about 10 years. Nowadays is no longer the case since we have definitive prostheses that do not require replacement. -Gain Not aesthetic. by choosing an improper prosthesis in previous surgery. -Change The volume of the prosthesis. Capsular -Contractura. capsular contracture is due to subclinical infections in primary surgery, ie small infections in the implant surface not giving rise to an obvious infection itself but which generate an abnormal and excessive capsule. In these situations must perform a capsulectomy, ie, remove the old capsule and enter new breast prosthesis to form a new capsule quality. -Need A lift in addition to increase, ie, Mastopexy Additional. The old implants, ie smooth, have the problem of not adhering to the capsule that forms around him and gravity fall with consequent sagging breast. So many times it also needs the parts a mastopexy (breast lift). -Gain Not satisfactory after mastopexy or breast reduction. In these cases the key is to make a revision surgery preserved the blood supply, ie, they must master various surgical techniques to improve results without altering the blood supply of the breast. -Asimetrías. In these cases it requires complementation of different techniques and types of breast prostheses, mainly in its projection.

Types of prosthesis


One of the problems is that the law as regards roughness or texturing the surface of the implant. Thus, each manufacturer has its own pore diameter prosthesis resulting in a roughness of better or worse quality. This is crucial, patients show quality differences in the roughness of each brand.


The advantage of roughness is the lowest rate of capsular contracture. The drawback is that they require a more precise placement since this roughness helps the breast implant sticking to what surrounds him surgical dissection.


These implants are easier to implement. This increased mobility breasts have to be smooth since not adhere to the breast. This increased mobility is very positive at first but his behavior is that of a breast heavier over time resulting in a greater drop in the breast and therefore less durable unresultado given their lack of consistency. Also these implants have a higher risk of irregularities and capsular contracture.

Types of prosthesis





They are spherical in shape, that is, equal in their lower and upper portion. Therefore, filled in the same way the upper and lower poles. They are generally used in women who desire a fuller breast in the upper chest. However, it is important to note that these implants are much more limited in case you want to vary the shape of the breast or correct certain aspects of the breast.


Are also known as drop-shaped or tear. In these, the maximum projection point is not in the middle of the prosthesis but slightly lower, the lower pole adopting a more rounded shape. These implants have many more variables to determine (height, width, projection distance lower pole) and therefore their choice is more complex and delicate. However, the dominance of these implants can go much further in a speech breast augmentation or mastopexy.



Cohesive silicone gel

Cohesive higher quality gels are known as “stably gels“. These gels retain their shape in case of breaking its envelope and its contents do not have migratory capacity. His touch is variable depending on the degree of cohesiveness.


From our point of view these prostheses are obsolete. Besides its results are inferior and his touch is much harder so your information is very restricted.