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    Oncologist-mammologist and plastic surgeon

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    The history of breast implants is usually counted from the beginning of the 60s of the last century, when the first silicone implants were created in the USA. For more than 60 years, technologies and materials have improved, the fashion for the shape and size of the breast has changed, and today mammoplasty is one of the most popular plastic surgeries.

    Experts admit that the main trends today are technological materials and maximum naturalness.

    “Modern implants are made from medical silicone, which is maximally compatible with body tissues: the body does not react to it and does not reject it. The natural appearance of the breasts is achieved through the correct selection of the shape of the implants. Drop-shaped ones are the most popular, but in some cases round ones are necessary, ”says Vladimir Zlenko, a plastic surgeon, candidate of medical sciences.

    According to the oncologist-mammologist of the Atlas clinics Maxim Ignatov, implants do not affect the condition and health of the mammary glands directly. However, he notes that myths about the association of breast resizing surgery with cancer are still prevalent among patients.

    “Contrary to myths, implants and breast resizing surgery are not associated with the risk of developing breast cancer. The risk of developing breast cancer is influenced by pregnancy, childbirth and subsequent lactation, certain foods in the diet, alcohol, hereditary factors, general lifestyle, ”he explains.

    Vladimir Zlenko adds that implants are installed through small incisions under the breast, and they are placed under the muscle in such a way that the mammary glands and their structures are not affected. The plastic surgeon clarifies that when planning mammoplasty, it is necessary to consult with a mammologist and do a number of examinations, including ultrasound and mammography.

    “If during the diagnostics a woman was found to have benign formations (small cysts, fibroadenomas), then with the permission of a mammologist, implants can be installed. In controversial cases, for example, if the formation is large, a biopsy is taken. Sometimes both the removal of a benign formation and the placement of implants are carried out at the same time, ”says the surgeon.

    According to Zlenko, many patients do not decide on breast plastic surgery, as they are worried about the compatibility of implants with pregnancy and subsequent breastfeeding. –

    “Implants do not affect pregnancy and lactation in any way, because the milk ducts are not damaged during the operation. The incision is usually made under the breast: it is impossible to touch the milk ducts there. In general, implants do not interfere with normal life,” he explains.

    Another common fear of patients is the rupture of the implant and damage to its shell. In fact, according to doctors, this is possible only with a strong external influence, for example, with injuries, or with serious errors during the installation of the implant.

    “If the implant shell is damaged, the silicone gel may come into contact with the surrounding tissues, which leads to inflammation. This process is accompanied by tissue compaction around the implant and pain. In this case, the implant needs to be replaced. The implant can only be damaged by piercing objects or if it was installed and fitted incorrectly, which is why it is so important to contact an experienced plastic surgeon. If there is a suspicion that the implant is damaged, then an ultrasound and CT scan are performed and, if confirmed, the implant is replaced,” says Vladimir Zlenko.

    Maxim Ignatov notes that after implantation, women, as a rule, monitor the condition of their breasts more closely.

    “With age, the risk of developing cancer increases, which is why annual diagnostics are so necessary. Every year it is important to consult a mammologist and do an ultrasound of the mammary glands, even if there are no complaints. From the age of 40, it is important for women to also undergo a mammogram. Implants motivate women to take care of their health – go to the doctor regularly and get checked, ”says the oncologist-mammologist.

    Vladimir Zlenko adds that implants do not interfere with examinations such as mammography, ultrasound or MRI of the mammary glands, or with various manipulations, if they are necessary.

    “The main thing is to warn the doctor that silicone implants are installed. If, for example, during the examination, the doctor finds a neoplasm and prescribes a puncture, the implants will also not interfere: such procedures are done under ultrasound control so as not to hurt the implant, ”explains Zlenko.

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