Ms.D.

Ezhilarasi
Assistant Professor
Sri Shanmugha Educational Institutions
INTRODUCTION
Augmentation mammoplasty is a cosmetic procedure
done to resolve the dissatification that some women
feel with small breasts,either because their breasts
never developed to a desired size or because their
breast lost volume after pregnancy or weight or ageing.
When compared to the normal ,inadequate breast
volume may lead to a negative body image,feeling of
inadequacy and to low self-esteem.
Augmentation mammoplasty was performed 289000
times in 2009,as the most frequently performed
cosmetic surgical procedure in women in the united
states.
Augmentation mammoplasty is an aesthetic
procedure designed to increase the volume and size of
the breast,other surgical goals include improvements
in breast shape, symmetry and nipple position.
The procedure is accomplised by making an incision,
surgically creating a space or pocket under the breast
and inserting an appropriately sized breast implant.
History -Implants
1.1890 – Paraffin Wax Injections
2.1920 – Fat transplant from Abdomen
3.1960 s First silicone breast implants are developed by
plastic surgeons
4.1962 first silicone implant is implanted.
5. FDA acts the medical devices act –but silicone
implants are grandfathered in as medical devices.
6.1964 Saline implant developed.
WHY IMPLANTS?
To enhance breast size for women who feel their breast
are too small
 To correct a reduction in breast size after pregnancy
To balance naturally occuring difference in breast size
Reconstructive techniques following breast surgery or
mastectomy.
CONTRAINDICATIONS
Young age
Silicon allergy
Implant fear
Previous failed implant
Need for adjusant radiation therapy.
Previous abdominal or thoracic surgery
Coronary artery disease.
EVOLUTION OF IMPLANTS
1.SALINE IMPLANTS
2.SILICONE IMPLANTS
1.SALINE IMPLANTS
The use of inflatable saline – filled breast implants was
first reported in 1965 in france.
The saline filled implant was developed in order to
allow the non inflated implant to be introduced
through a relatively small incision and then inflating
the implant insitu.
2.SILICONE IMPLANTS
These silicone gel breast implants were designed
under more stringent ASTM( American society for
testing methodology) and FDA- influenced criteria for
shell thickness.
Silicone is a mixture of semi inorganic polymeric
molecules composed of varying length chains of
polydimethyl siloxane.
Liquid silicone are polymers with a relatively short
average length and very little cross- linking.They have
the consistency of an oily fluid and are frequently used
as lubricants in pharmaceuticals and medical devices.
Interestingly ,silicone containing compound are
ubiquitous in everyday life. The general public has
been exposed to them for over 50 years in consumer
products such as hairsprays, suntan lotions and
moisturizig creams.
Silicone are extremely resistant to the action of
enzymes when implanted into living tissue largely due
to their hydrophobic nature.
SILICONE SALINE

More expensive Less expensive

Lighter Heavier

Implant volume is fixed Adjustment of minor breast volume

Feel more natural Feel more artificial

COMPLICATIONS
ACUTE
1.Hematoma
2. Infection
INTERMEDIATE
1.Implant malposition
2.Double bubble deformity
LONG TERM
1.Rippling
2.Ptosis.
THANK YOU