More and more women choose to undergo breast augmentation or remodelling (breast uplift). While any rejuvenation surgery requires the woman to reach certain age, women may long for larger breasts from the moment they discover that their breasts won't grow bigger. That is why we treat not only girls barely of age, but also ladies in their fifties, who decide to remove this handicap and their health allows them to undergo the intervention.

Consultation before the surgery

The consultation before the procedure is very important - the doctor evaluates the condition of the patient’s breasts, finds out what she considers an ideal breast shape and size and recommends possible surgical procedures, size and shape of the implant. “In order to undergo the surgery, the patient must be 100% healthy. The first step is an initial consultation, where the patient receives all the necessary information about the procedure, course of treatment, convalescence and also the risks associated with the procedure itself. Preoperative examination also includes sonographic or mammographic examination of the breasts. The surgery itself lasts about one hour and is usually well tolerated by the patients afterwards. During convalescence, it is important for the patient to be disciplined and follow the doctor's instructions,” says MUDr. Martin Skála, plastic surgeon at the OB Care Clinic.

Breast augmentation is performed under general anaesthesia, the same as other breast surgeries, followed by one to two days hospitalization. The resulting effect and postoperative course are also influenced by several details - e.g. the implant surface or the type of silicone gel.

Implant in the lead role

One of the main quality criteria for breast implants is their safety and tolerability. Implants are exposed to many influences and physical stress in the body - be it everyday sports or extreme cases such as injuries or traffic accidents. A safe implant should withstand almost any load it could be exposed to. Biocompatibility is one of the key parameters studied in clinical trials, which test the ability of the surrounding tissue to receive the implant without adverse reactions of the body. Leading implant manufacturers strive to maximize the natural tissue quality. Biocompatibility tests also include the elimination of toxicity and carcinogenicity risks.

In addition to the above-mentioned chemico-physical tests, mechanical stress tests are equally important. During tensile strength tests the implant cover is stretched up to 450% of its original length. The package must be free from any damage after the test. The correct thickness and uniformity of the implant cover is also checked to ensure its strength. The thickness is different for each model. Previous implant covers were too thick, so breasts might not have looked natural after the surgery and were hard when touched. The implant cover could become thinner after the development of the cohesive gel. The thickness of current implant covers ensures a natural look and perfect strength. It is usually in the range of up to 2 millimetres.

Current state-of-the-art implants are filled with safe medical silicone consisting of cohesive polymers. The cohesive gel has a denser consistency and there is no uncontrolled gel leakage outside the implant cover even if the entire implant is cut longitudinally.

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