Patients with silicone inserts may experience a variety of problems that may be related to either the insert itself (including chest coughing, insertion rupture, excessive folding of the outer sachet, wrong size of the insert, etc.) or changes in the skin overlying the silicone insert (skin or teat drop and poor scar quality). Most of the time, however, there is a combination of the above problems, so it is important to choose a qualified plastic breast surgeon, such as Konstantinos Benetato, for the smooth conduct of such a demanding procedure.
Creation of the “capsule” occurs when the body forms around the insert a layer of scar tissue, which, although not in itself dangerous, creates problems when it rises. Approximately 10% of patients form such uncontrolled scarring scarring over a period of ten years, and a small number of patients develop them much earlier. Some insert types, including saline inserts, tracheal surface inserts and polyurethane inserts, may have a slightly lower risk of sclerosis.
The options for treating Sclerosis include removing the insert and scar tissue and replacing the insert with a new one. If possible, it would be preferable to change the placement of the insert, for example instead of being placed under the breast, placed under the muscle. Also, if a new insert is added, it should usually be slightly larger in size. It is important to note that after removing the insert, the patient will get a larger scar.
Another option is to remove the insert and then to rebuild the rest of the breast by carrying out anorectal breast surgery (Mastopexy). This surgery is an excellent form of treatment since the patient has enough mass tissue to form a fit breast shape. In the event of intense skin relaxation accompanied by shrinkage of the capsule, the combination of addition of a new insert and augmentation mastopexy will be needed.
Silicone insertion rupture is reasonably worrying for patients and is a problem that has been highlighted during the findings on the safety of PIP inserts used throughout the world in 2011 and 2012. Although Mr. Constantine Benetatos has never used inserts PIP in its surgical interventions, it is important to note that even the best qualitative inserts present a small risk of rupture over time. Although the rupture of the silicone insert may be quite worrying, its treatment is not considered urgent and can be done at a reasonable time, depending on the convenience of each patient.
For over forty years there has been evidence that Silicone inserts are very safe. When this type of insert breaks, the silicone may remain within the “capsule” (also known as an intracappy rupture) without leaking into the breast. In this case, it is more difficult to perceive the rupture as the symptoms are very faint and the problems that can be caused in the short term, little.
In more severe cases, rupture may cause silicone leakage outside the capsule and inside the breast (exocapse rupture). When this happens, the pad should always be removed as it can become problematic and cause silicone particles to form, silicone deposits in the area of the armpit lymph nodes, and possible breast deformities and infections.
Depending on the problem of relaxation of the skin of each patient’s breasts, the chest can be rebuilt at the cost of creating new incisions. Mr. Konstantinos Benetatos may also consider replacing the inserts at the same time as rehabilitation, but this will depend on the age of Silicone Implants.
Skin folds, after a breast augmentation with silicone, occur when the natural folds of the insert are visible through the skin. It usually occurs in patients with thin breast skin or those who have Silicone inserts under the breast rather than under the muscle.
There are different treatment options including: