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Should the prostheses be placed in front of or behind the muscle?

Prosthetic implants can be positioned indifferently both in front of and behind the muscle, preferring the latter when the breast is unable to offer sufficient coverage to the prosthesis. Both positions have advantages and disadvantages. Retroglandular breast augmentation (in front of the pectoralis major muscle) respects the anatomy, is very simple to perform and does not present any risk of injury to important structures rhinoplasty thailand

On the other hand, it is easier to “feel” the prostheses under the skin since their coverage is entrusted only to the skin itself and to the gland already present. The retromuscular location (between the pectoralis major muscle and the pectoralis minor muscle) is less natural and makes the operation longer and more complex but, on the other hand, 2/3 of the prosthesis are covered not only by the skin and gland but, partially, also by the pectoralis major muscle, decreasing the possibility of “feeling” the prostheses by touching the breast. Therefore both methods are very valid, with the preference for one or the other linked to a different indication, they present minimal risks and guarantee excellent results on an aesthetic and physiological level.

Breast implants are cold. The prostheses are made of silicone gel, a cold material, but, inserted inside the mammary cavity, amply supplied with blood and heated by this, they acquire heat from the environment in which they are located, therefore, to the touch, the breasts with prostheses inside them are always warm and indistinguishable from those that do not contain prostheses.

Prostheses can break in particular environments, such as inside an airplane. The prostheses are made up of a silicone shell filled with silicone gel, they do not contain air and therefore cannot be affected by pressure variations. Furthermore, they are located inside the mammary cavity and, therefore, can only break in the event of accidental damage during the surgical procedure or as a result of chest perforation.

Prostheses must be replaced after a certain number of years. That’s not true at all; they should be removed and replaced only if they present problems, a rather remote eventuality. To demonstrate this, it is enough to know that the 2 US prosthesis manufacturers, Allergan (McGhan) and Mentor.