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Pain: There are some patients more sensitive than others to any kind of surgery, although in general the amount of pain is minor, when present it’s readily controlled with proper medication. With submuscular implants, due to the initial stretching of the muscle some patients complain of tightness that usually goes away after few days after the procedure.

Implant rupture: It’s rare nowadays since the use of last generation implants with better shells and there are several possible causes, like failure in the manipulation of the implant by inexperienced surgeons, degradation of the implant shell in older implants, chest trauma and bad technique of mammography. In case of rupture the high cohesive silicon present inside the implant prevents easy escape of it outside the shell. Signs of implant rupture can be the loss of firmness or volume in the affected breast or development of a capsular contracture. The diagnosis is suggested by clinical examination and breast ultrasound but the higher percentage of detection will be with a magnetic resonance of the breasts. The latest studies show that 5th generation implants placed by an experienced plastic surgeon have a rate of rupture of 1,1% in a follow up of 6 years. The treatment consist in removal and change of the implant.

Capsular contracture: As a natural response to the presence of an implant, the body develops a capsule around it and it's formed by collagen fibers. In few cases this reaction is more important and causes retraction of the implant, and then the breast feels more firm and can change the appearance of it.  The level of contracture is commonly classified with the Baker system from I to IV, grades III and IV requires some intervention like opening of the capsule, extirpation of the capsule and might be necessary to change the implant. To prevent this from happening we follow a strict protocol for manipulation of the implant, with use of antibiotics in the pocket for the implant and after the surgery, textured implants and prescribing massage exercises after the surgery,  all measures related to minimize the rate of contracture.

Infection: This complication is very rare because special care is taken to avoid any kind of microscopically contamination of the implant and also antibiotics are used during the surgery and few days after. Infections are reported to be treated with oral antibiotics and in case of lack of response the implant must be removed.

Hematoma and seromas: Hematomas are collections of blood and a seroma is a collection of lymphatic fluid around the implant that also can be seen in many types of surgeries in any part of the body. To prevent the formation of a closed collection we usually use very small tubes that drains any fluid present after the surgery which are removed the next day from the surgery. The removal of drains does not hurt and no extra analgesic is needed.

Clinic:  Strma Ulica 16, HR - 43500 Daruvar, Hrvatska
Tel: 043 675 200     Fax: 043 675 214
Skype: poliklinika.arcadia
E-mail: poliklinika@poliklinika-arcadia.hr
Offices: Daruvar - Zagreb - Varaždin
  

 

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