Breast Augmentation

Type I, (hypoplasia) underdevelopment of the lower inner (medial) fourth (quadrant); type II, (hypoplasia) underdevelopment of the lower inner (medial) fourth (quadrant) and outside (lateral) fourth; and type III, severe breast tightening and narrowing (constriction) and overall underdevelopment (global hypoplasia).

Tuberous Breast Deformity: Classification and Treatment Strategy for Improving Consistency in Aesthetic Correction
Kolker, Adam R.; Collins, Meredith S.
Plastic & Reconstructive Surgery. 135(1):73-86, January 2015.

Safety has not been established in hematologic disorders that interfere with blood clotting, blood thinning, wound healing, immune system derangements, such as immunosuppressive regiments for cancer, HIV, autoimmune conditions like scleroderma, or lupus, and compromised blood supply, as would be found after radiation for cancer.

Wound dehiscence is a disruption of the incision used to access the breast implant pocket in breast enlargement. It may be due to infection, impaired healing, or post-operative trauma. If due to infection, antibiotic therapy or even removal may be necessary as outlined in the question on infection. If due to impaired healing, the precise factor(s) must be identified and addressed, though the breast implant needs may be salvaged. If Caused by trauma, and no breast implant exposure is noted, either primary, or delayed wound closure may be used.

What are their advantages and disadvantages? The Spectrum® Postoperatively Adjustable Breast Implants are made only by Mentor. The obvious advantage to the adjustability of such breast implants is the ability to enlarge or diminish the size of a breast after the operation. Many women that are quite pleased with the results of their breast augmentation surgery wish that they would have opted for breast implants that were slightly larger, or slightly smaller. Indeed, the decision as to how large of a breast augmentation to request is a tough one. Short of wearing a silicone prosthesis to determine the optimal size for breast enlargement in any particular woman, there are not very many options. This is not what one would call high tech, and at times some patients are unsure in spite of such a maneuver. The Spectrum® Postoperatively Adjustable Breast Implants give a plastic surgeon the ability to adjust the dimensions of an enlarged breast for up to half a year after the fact. This is performed via a tiny fill tube left in place at the time of surgery. The breast implants are filled to a point deemed perfect by the patient, and the tube is removed in the office. Another very powerful reason to use such adjustable implants is when performing breast enlargement surgery along with breast lift surgery. Because the complication rate for this procedure is unacceptable to some aesthetic surgeons they chose to stage it, or perform the breast augmentation separately from the breast lift. The reason for this is that the two procedures stress breast skin more than either one alone. The breast augmentation will stretch breast skin, and place it under tension. The breast lift will excise skin and place it under tension. This excessive tension, in the very least can make for very wide and unattractive scars, and at the worst cause breakdown of the incisions and implant exposure, breast skin and fat (necrosis) death, and possible life-threatening infection. Because the adjustable breast implant does not need to be inflated to full capacity at the time of a simultaneous breast lift and breast enlargement surgery, the augmentation mastopexy can be carried out all in one step. The breast can then be gently and gradually stretched over time. This will obviate the need for an extra surgery. Siltex Contour Profile® Spectrum® Style 2500 breast implant, as the name suggests, is a textured implant of anatomic or teardrop shape, that more accurately reflects the silhouette of a mature breast, with a gentle slope, that can be filled to the desired size as describe above. It is available in the size listed below.

			Minimum Fill
Catalog Number	Nominal Volume	Temp. Min. Volume	Min. Final Volume	Min. Width	Min. Height	Min. Projection
354-2511	275 cc	235 cc	275 cc	11.5 cm	9.5 cm	5.1 cm
354-2512	350 cc	300 cc	350 cc	12.3 cm	10.5 cm	5.3 cm
354-2513	450 cc	380 cc	450 cc	13.2 cm	11.0 cm	6.1 cm
354-2514	550 cc	470 cc	550 cc	14.0 cm	11.9 cm	6.4 cm
354-2515	650 cc	550 cc	650 cc	15.0 cm	12.7 cm	6.6 cm

 

			Maximum Fill
Catalog Number	Nominal Volume	Temp. Min. Volume	Max. Final Volume	Max. Width	Max. Height	Max. Projection
354-2511	275 cc	235 cc	330 cc	11.1 cm	9.4 cm	6.3 cm
354-2512	350 cc	300 cc	420 cc	11.9 cm	10.1 cm	6.9 cm
354-2513	450 cc	380 cc	540 cc	12.7 cm	11.0 cm	7.5 cm
354-2514	550 cc	470 cc	660 cc	13.7 cm	11.9 cm	7.9 cm
354-2515	650 cc	550 cc	780 cc	14.5 cm	125 cm	8.2 cm

The Spectrum® Postoperatively Adjustable Breast Implants are made only by Mentor. The obvious advantage to the adjustability of such breast implants is the ability to enlarge or diminish the size of a breast after the operation. Many women that are quite pleased with the results of their breast augmentation surgery wish that they would have opted for breast implants that were slightly larger, or slightly smaller. Indeed, the decision as to how large of a breast augmentation to request is a tough one. Short of wearing a silicone prosthesis to determine the optimal size for breast enlargement in any particular woman, there are not very many options. This is not what one would call high tech, and at times some patients are unsure in spite of such a maneuver. The Spectrum® Postoperatively Adjustable Breast Implants give a plastic surgeon the ability to adjust the dimensions of an enlarged breast for up to half a year after the fact. This is performed via a tiny fill tube left in place at the time of surgery, adjacent to the incision. The breast implants are filled to a point deemed perfect by the patient, and the tube is removed in the office. The fill volume is generally determined by the amount of injection that a patient would tolerate, and typically that is on order of 50 – 100 cc. Although it is possible to attempt to fill the Spectrum® expandable breast implant years after the surgery in theory, this would probably not be very feasible practically. This is because of the presence of a breast capsule that forms to varying degrees in every breast augmentation patient. Another very powerful reason to use such adjustable implants is when performing breast enlargement surgery along with breast lift surgery. Because the complication rate for this procedure is unacceptable to some aesthetic surgeons they chose to stage it, or perform the breast augmentation separately from the breast lift. The reason for this is that the two procedures stress breast skin more than either one alone. The breast augmentation will stretch breast skin, and place it under tension. The breast lift will excise skin and place it under tension. This excessive tension, in the very least can make for very wide and unattractive scars, and at the worst cause breakdown of the incisions and implant exposure, breast skin and fat (necrosis) death, and possible life-threatening infection. Because the adjustable breast implant does not need to be inflated to full capacity at the time of a simultaneous breast lift and breast enlargement surgery, the augmentation mastopexy can be carried out all in one step. The breast can then be gently and gradually stretched over time. This will obviate the need for an extra surgery. The Smooth Round Spectrum® Style 1400 breast implant, as the name suggests, is a smooth implant of moderate projection that can be filled to the desired size as describe above. It is available in the size listed below.

Smooth Round Spectrum® Style 1400 Sizing Chart

			Minimum Fill
Catalog Number	Nominal Volume	Temp. Min. Volume	Min. Final Volume	Min. Diameter	Min. Projection
350-1410	125 cc	105 cc	125 cc	9.4 cm	2.7 cm
350-1420	175 cc	150 cc	175 cc	10.3 cm	3.1 cm
350-1430	225 cc	190 cc	225 cc	10.8 cm	3.5 cm
350-1440	275 cc	230 cc	275 cc	11.6 cm	3.8 cm
350-1450	325 cc	275 cc	325 cc	12.4 cm	4.0 cm
350-1460	375 cc	320 cc	375 cc	13.5 cm	4.1 cm
350-1470	425 cc	360 cc	425 cc	14.0 cm	4.2 cm
350-1480	475 cc	405 cc	475 cc	14.3 cm	4.4 cm
350-1485	525 cc	450 cc	525 cc	15.0 cm	4.4 cm
350-1490	575 cc	490 cc	575 cc	15.7 cm	4.8 cm

 

			Maximum Fill
Catalog Number	Nominal Volume	Temp. Min. Volume	Max. Final Volume	Max. Diameter	Max. Projection
350-1410	125 cc	105 cc	150 cc	9.3 cm	3.2 cm
350-1420	175 cc	150 cc	210 cc	10.2 cm	3.8 cm
350-1430	225 cc	190 cc	270 cc	10.9 cm	4.3 cm
350-1440	275 cc	230 cc	330 cc	11.5 cm	4.6 cm
350-1450	325 cc	275 cc	390 cc	12.1 cm	4.9 cm
350-1460	375 cc	320 cc	450 cc	13.0 cm	4.9 cm
350-1470	425 cc	360 cc	510 cc	13.7 cm	4.8 cm
350-1480	475 cc	405 cc	570 cc	13.8 cm	5.4 cm
350-1485	525 cc	450 cc	630 cc	14.4 cm	5.6 cm
350-1490	575 cc	490 cc	690 cc	14.2 cm	6.0 cm

Please Note: Individual implant dimensions may vary slightly in products of this type. Not all units will conform exactly to the dimensions noted above.

The Spectrum® Postoperatively Adjustable Breast Implants are made only by Mentor. The obvious advantage to the adjustability of such breast implants is the ability to enlarge or diminish the size of a breast after the operation. Many women that are quite pleased with the results of their breast augmentation surgery wish that they would have opted for breast implants that were slightly larger, or slightly smaller. Indeed, the decision as to how large of a breast augmentation to request is a tough one. Short of wearing a silicone prosthesis to determine the optimal size for breast enlargement in any particular woman, there are not very many options. This is not what one would call high tech, and at times some patients are unsure in spite of such a maneuver. The Spectrum® Postoperatively Adjustable Breast Implants give a plastic surgeon the ability to adjust the dimensions of an enlarged breast for up to half a year after the fact. This is performed via a tiny fill tube left in place at the time of surgery. The breast implants are filled to a point deemed perfect by the patient, and the tube is removed in the office. Another very powerful reason to use such adjustable implants is when performing breast enlargement surgery along with breast lift surgery. Because the complication rate for this procedure is unacceptable to some aesthetic surgeons they chose to stage it, or perform the breast augmentation separately from the breast lift. The reason for this is that the two procedures stress breast skin more than either one alone. The breast augmentation will stretch breast skin, and place it under tension. The breast lift will excise skin and place it under tension. This excessive tension, in the very least can make for very wide and unattractive scars, and at the worst cause breakdown of the incisions and implant exposure, breast skin and fat (necrosis) death, and possible life-threatening infection. Because the adjustable breast implant does not need to be inflated to full capacity at the time of a simultaneous breast lift and breast enlargement surgery, the augmentation mastopexy can be carried out all in one step. The breast can then be gently and gradually stretched over time. This will obviate the need for an extra surgery. Siltex® Round Spectrum® Style 2400 breast implant, as the name suggests, is a textured implant of moderate projection that can be filled to the desired size as describe above. It is available in the size listed below.