A new generation of breast implants

"The majority of women who consult for breast correction (due to a ptosis or desire for breast augmentation) today want an intervention that meets precisely four essential criteria: absolute safety of breast prosthesis material Side effects (mainly the appearance of hull) very attenuated, sensual but natural breasts, and a rag-ring as discreet as possible, "says Dr. Victor Cohen, cosmetic surgeon.

A challenge successfully tackled by a new generation of breast implants, whose specificity is to be composed of two cohesive silicone gels, medical-surgical quality. Thanks to their different density, these gels remain superimposed on the inside of the implant, without mixing. The most flexible, located at the back of the implant, will mold very naturally on the chest wall, while the firmer, located at the front, creates a very glamorous push-up effect. As for the envelope of the implant, it consists of a layer of polyurethane foam whose rough texture allows perfect adhesion to the wall on which it is placed. Finally, thanks to its anatomical shape, this implant is suitable for breast augmentation as well as for the correction of a moderate ptosis.

THE ADVICE OF YOUR BEAUTY

The placement of these innovative implants gives powerful results, but it is delicate and requires an experienced practitioner, perfectly mastering this type of prostheses.

The price: from € 4,500, including the surgeon's fees, those of the anesthesiologist and clinic fees.

Victoria, 50: "a tailor-made solution"

"After a very severe diet, I lost 15 pounds and my breasts, too, melted. To find a harmonious chest, I consulted a surgeon who put implants. But, one year after the intervention, the formation of a very resistant and painful hull required the immediate withdrawal of the prostheses. I was sad but relieved because I found my new chest out of sync with my sporty and unsophisticated look. Back to square one, I made an appointment with the surgeon who had just made a very natural breast, my best friend. From the outset, I expose my requirements: a pulpy chest without being embarrassing, with unsuspected prostheses.

"No question of being decked out, lying down, of two frozen shells!" After examining me, the surgeon gave me the green light for innovative anatomical implants, which would be placed in front of the muscle. they bring to the breasts a mobility and a very natural flexibility, and their envelope avoids the appearance of cockles.These new technologies provided a solution tailored to my expectations but also worried me.And if the gels were to mix? Precise and reassuring answers from the doctor finally convinced me and, on D-Day, I was serene.After an hour and a half of intervention under general anesthesia, I woke up with compressed breasts in a modeling bandage that I had to to keep the following night, which I spent at the clinic, except for this somewhat stifling constraint, I hardly felt any pain. "

"I had to wear day and night bras for a month that close in front and hold the chest even more, after three to four months the breasts were in place, and from the fourth month the scar began to fade, and today, one year after the operation, my breasts are very natural, both in sight and touch, soft, without any hull feeling, full and discreetly sexy, they bring me exactly the ease I dreamed of, far removed from the artificial and inert aspect of my first implants. "

THE PRACTITIONER'S OPINION *

"It is thanks to a sophisticated and safe technological feat (a double cooking of the implant) that these two gels of different cohesion are obtained, which can cohabit in the same prosthesis without mixing and without being contained in separate compartments. With the porous polyurethane foam envelope, it allows the anatomical implant to adhere perfectly to the muscle and stay in place, without the weight of the breast.

Another "plus": in its presence, the formation of a shell (fibrous membrane, more or less thick and annoying, made by the body in response to the presence of a breast implant) is extremely rare (less than 1%, against 4 to 6% with a prosthesis without outer layer of polyurethane). A performance all the more remarkable that the location of the implant, in front of the pectoralis major muscle, promotes the risk of hull. But this localization also has a big advantage: it generates virtually no postoperative pain, unlike the retro-pectoral position. One downside: the price of this innovative implant is much higher than that of a traditional implant with a single gel and a textured envelope. "

* Dr. J.-MT, cosmetic surgeon.

Martine, 42: "a very discreet scar"

"After breastfeeding my second son, I found myself with a chest that lacked vigor.A disaster for me who had firm and tonic breasts allowing me to wear low- rise necklines without bra.I consulted a surgeon who explained to me that the placement of implants would not give an aesthetic result, given the fineness of my skin and the narrowness of my thorax.He advised me a breast lift, but as this intervention is accompanied by a scar in the middle of each breast I refused Recently, my gynecologist told me about a new generation implant.The surgeon with whom I made an appointment confirmed to me that the double gel, associated to the anatomical shape of the implant, would give back to my breast a very harmonious shape, with a very discreet scar under the breast fold.I needed a time of reflection of several months before deciding on me. "

"After the operation, I felt no pain because the implant was placed in front of the pectoralis major muscle.Today, ten months later, the shape and mobility of my chest are so natural that I forgot the presence of a foreign body My firm, firm and sensual breasts have reconciled me to my femininity. "

THE PRACTITIONER'S OPINION *

"With its narrow chest and thin skin, Martine made the right choice by choosing cohesive double-gel anatomical implants, while the softer gel on the back of the implant allows for optimal adaptation to the morphology of each patient. the firmer gel at the front, it guarantees a stable shape, even when the amount of tissue that covers it is low.Finally, the anatomical shape of the implant leaves all the mobility of the breast, while permitting to "absorb" the ptosis harmoniously, with a minimal scar, even invisible, located in the lower half-areolar part or in the sub-mammary furrow. breast remodeling or facelift, where the correction of the ptosis is accompanied by a heavy ransom scarring: incision around the areola with, in addition, depending on the case, either a vertical scar in I, or an inverted scar T. "

* Dr. J.-MT, cosmetic surgeon.