If you are considering breast reconstruction with implants, you are probably asking yourself this question. Today, there are many different types of breast implants on the market. The one thing that is common to all types of breast implants is that the shells are always made of a silicone elastomer, while shape, surface and filling are available in a wide variety:
While it is common to refer to breast implants as merely round or anatomical, it is more accurate to define the shape of breast implants by the following features:
Implants with a round profile are generally considered suitable for the reconstruction of a more youthful breast, whereas the anatomical or teardrop shaped implants have the natural curved shape of an adult woman’s breast.
In addition to the different bases, profiles and projections, implants are available in different volumes, or sizes. This diversity is required in order to accommodate different body types and breast shapes. In a detailed consultation, your doctor will take the time to discuss your options and find the implant that is most suitable for you.
Silicone gel-filled implants are the most widely used implant type all over the world, both for augmentation and reconstruction. Saline-filled implants are used far less often because they tend to feel less natural and come in a limited range of shapes.
State of the art implant technology, also offered by POLYTECH, has allowed the production of silicone implants filled with a highly cross-linked, cohesive silicone gel. In these, the cross-linking of the gel preserves its form. These types of implants also revert to their original shape when touched or moderately pressed.
Today’s implants are much safer than the implants of earlier generations due to the significantly improved manufacturing standards. All implants have a diffusion barrier that minimizes the risk of small silicone molecules migrating into the surrounding tissue. In addition, the low molecular weight components in the highly crosslinked and cohesive gel filling have been drastically reduced. If these implants are damaged, they will not leak in case of rupture.
As part of the body's natural reaction, a capsule of connective tissue is formed around any foreign body inserted into the tissue, including around breast implants. The undesired tightening of this capsule (capsular contracture or capsular fibrosis) can result in changes to the shape as well as to the position of the implant, and so to the shape of the breast. Additionally, the capsule can become very hard and cause pain. Capsular contracture is the most common complication of breast implant surgery and is classified using the Baker scale (see the section Risks and complications with breast implants).
A capsular contracture may never occur, or it may occur after weeks, months or years. It cannot be predicted if or when a capsular contracture will occur and, if it does, how pronounced it may be.
Capsular contracture rates, as well as rates of other complications such as rotation and dislocation, vary in relation to the implant surface.1