About the mammary prosthesis
This goal is achieved by using mammary prostheses that have shapes and sizes adapted to the breast-thorax proportions, or to the patients’ demands. Generally the doctors use the prostheses with a volume between 180-250 cc and a hemispherical shape. Currently some firms offer shaped prosthesis that imitate the mammary profile and give better results, but are also more expensive.
These prostheses often contain physiological serum or silicon gel.

The silicon
The silicon is a synthetic material, not reactive inside the organism, it does not react chemically, electrically, immunitary or allergically and it has been used, without notable problems or complications, for over 50 years.
The silicon has the advantage of offering a sensation that is very close the natural one, but for a long time it has been unrightfully accused of inducing some autoimmune affections like the dermatomyositis, disseminated erythematic lupus, etc, by the passing of small quantities through the prosthesis covering and getting in contact with the internal medium.
The interferences of the silicon with the mammary cancer are another misinterpreted aspect. The silicon does not interact with the surrounding tissues so the mammary neoplasm induced by the silicon is a supposition without a scientific support.
The accidental breaking of the implants that contain physiological serum (which may happen during the traffic accidents or during the sudden depressurization of the airplanes) does not induce any kind of risks, but only obviously imposes the replacement of the implant.

Remember!
The mammary augmentation- the enlargement of the mammary volume- is mainly performed with mammary prostheses with silicon or physiological serum.
It is possible to perform the augmentation with autologous fat, prelevated and processed from the same patient, but the quantities are small and there are many risks.
The silicon is an inert material that does not induce mammary cancer or autoimmune diseases. It may delay the tracing of a mammary tumor.
The most often complication is the capsular contraction that can be successfully treated by medication if it is precociously diagnosed.

About the incision
The installation of the implants may be performed through periareolar incisions or through incisions made at the level of the submammary groove, through incisions at the armpits level, or through incisions at the endoscopical umbilicus level.

Consultation and analysis
The patient will describe her medical history insisting on the medical problems of the breast, pains, inflammations, mastitis from the clinical record, surgical operations, personal physiological clinical record, the number of births and abortions, breastfeeding period, the installation of the first menstruation, of the climacteric period, the types of birth controls used.
The patient will receive all the necessary information about the types of mammary implants, about the modalities of introducing them, about the complications that may appear, about the remaining scars, and the doctor will choose the mammary implant that satisfies her expectation and desires at a maximal level.
The required preoperatory analysis: analysis of the blood, urine, the radiological examining of the breast - mammography/scopy, the examination by a specialized oncologist.

The surgical intervention
The surgical intervention takes place under general anesthesia and it lasts for 1h30-2h. The approach way, that leaves the only scar after this intervention, can be positioned in the submammary groove, periareolar (in this case the scars are minimal), or in the armpit. The incision has a size of approximately 4-6 cm. The prosthesis can be placed either under the mammary gland or deeper, under the pectoral muscle. This possibility, under the pectoral muscle, has more advantages like: a low incidence of the mammary contraction, a higher stability in its intended place. The implant that is placed under the mammary gland can give the breast a "natural" larger appearance.
The suture of the incision is done with reabsorbable stitches that are not visible at the skin surface and that do not necessitate extraction.
Postoperatory cold local applications (ice bag) and avoiding the ample movement of the hands, especially in the first 6-7 days, are recommended. If necessary, medication against the pains will be indicated by a specialist.
The intra and postoperatory prophylactic antibiotic therapy associated with the strict surgical measures taken when installing the implants are the only safe ways to combat the septic complications.
The final aspect of the scars can be appreciated after 8-12 months and it is closely connected with the particularities of each individual to form scars.

About complications
The complications are generally minimum, the most unpleasant problem is the burst of the scars and the need to review the scar tissue after a period of minimum 6 months. Other complications as the haematoma, the serum, the suprainfection, small cutaneous mortifications are easily resolved by treatment.

The results
The intervention is not a mutilating one, pregnancy and breastfeeding being possible in about 3 months after the operation. The results last long time.
The usage of the implants does not contra-indicate pregnancy and breastfeeding; they are possible after at least 3 months postoperatory, but approximately 12 month after the birth a consultation and a revision of the shape and of the position of the implant or of the breast are often necessary.
Recommendations
The local massage with an anti-inflammatory unguent is recommended for reducing the discomfort in the first period and for preventing the capsular contraction.
The normal sexual life can be resumed after 3 postoperatory weeks.
After the operation, flying by plane does not induce risks for the patient, only the sudden depressurization of the airplane can lead to the breaking of the implants
The normal hygiene care can be resumed in about 5-7 days after the operation, and the social and professional obligations can be fulfilled after 7-10 postoperatory days.
For a period of about 3 months it is recommended to keep on wearing a bustier or a brassiere well adapted to the new shape and volume of the breasts. The patient can procure surgical brassieres with anti-decubitus support.