Smallness of the breasts; It may develop as a result of either developmental insufficiency of the breast tissue or the extinction of the breast tissue after breastfeeding (involution).
What are the Features of Silicone Breast Prosthesis?
-The outer surface is made of a hard shell, and the inside is made of soft and gel-like silicone.
-The outer shell is highly resistant to pressure. This structure can carry a load of 40 kg in 1 cm area. It does not explode under pressure. But it can be pierced with sharp objects. Even if the outer capsule is punctured, they keep their shape due to the memory of the gel silicone inside.
-Silicone is the least allergenic substance known to the body. Therefore, it is not expected to cause an allergic reaction.
– It does not pass into milk secretion and has no known side effects on breast diseases (including cancer).
It does not prevent mammography, which should be routinely performed in women over 40 years of age.
-The only known problem in silicone breast prosthesis is ‘Capsule Contraction’. Capsule contraction; It is the sometimes severe development of the fibrous capsule that develops physiologically over a period of time and surrounds the prosthesis. Although this is rare, the prosthesis may need to be removed in severe capsular contractures.
How Are Breast Prostheses Classified According to Their Shape?
Breast prostheses are produced as ‘drop (anatomical)’ and ’round’ in shape. Round prostheses are used in breasts where the fullness of the nipple is desired to be evident, and anatomical prostheses are used in breasts where an enlargement suitable for the natural form of the breast is desired.
How and Where Are Breast Prosthesis Placed on the Body?
The breast prosthesis can be placed in the armpit, nipple or under the breast groove. The most commonly used method today; It is the placement of the prosthesis with the submammary approach. Because it can be placed through this incision, giving the least damage to the breast tissue and other surrounding tissue.
Another issue is in which tissue layer the breast portico will be placed.
1- Under the breast (subglandular)
2- Under the membrane (subfacial)
3- Submuscular (submuscular)
4- It can be placed as half muscle, half under breast (Dual plane).
Since the breast prosthesis is used to enlarge the breast tissue that is absent or less; that is, since it will create virtual breast tissue; It is perfectly correct to find out where the most suitable texture plan is at the basis of creation.
If there is no or very little breast tissue, the prosthesis should be placed on the submuscular plane. Submuscular placement is not recommended in patients with sufficient breast tissue.