Breast implant history and current understanding
The journey of breast implants began in the early 1960s in the United States with the development of the first silicone devices. Over more than six decades, materials and techniques have advanced. Shapes, sizes, and safety standards have evolved, making breast aesthetics one of the most sought after areas of plastic surgery today.
Experts agree that today the emphasis is on advanced materials and achieving the most natural look possible. Modern implants use medical-grade silicone that aligns closely with body tissues, reducing the chance of rejection or significant adverse reactions. The choice of implant shape also plays a critical role in achieving a natural silhouette. Drop-shaped implants are widely popular, though in certain situations round implants may be preferred for specific aesthetic goals. These insights come from Dr. Vladimir Zlenko, a plastic surgeon and medical science candidate. [Attribution: Dr. Vladimir Zlenko, Plastic Surgeon]
According to Maxim Ignatov, an oncologist-mammologist at Atlas clinics, implants do not directly influence the health status of the mammary glands. He notes that persistent myths about breast reduction surgery increasing cancer risk remain common among patients. [Attribution: Atlas Clinics]
Contrary to popular belief, breasts implants and related procedures are not linked to a higher risk of breast cancer. The likelihood of cancer is affected by factors such as pregnancy, childbirth and breastfeeding, diet, alcohol use, genetics, and overall lifestyle. [Attribution: Dr. Maxim Ignatov, Oncologist-Mammologist]
Dr. Zlenko adds that implants are placed through small incisions under the breast and positioned beneath the muscle without disturbing the breast tissue itself. When planning a mammoplasty, it is important to consult a mammologist and undergo a sequence of assessments, including ultrasound and mammography. [Attribution: Dr. Vladimir Zlenko]
If benign formations such as small cysts or fibroadenomas are found during diagnosis, implants can still be considered with a mammologist’s approval. In uncertain cases, for example when a mass is large, a biopsy may be performed. In some scenarios, removal of a benign lesion and implant placement can occur in a single operation. [Attribution: Dr. Vladimir Zlenko]
Many patients hesitate about breast aesthetics due to concerns about how implants might interact with pregnancy and breastfeeding. Dr. Zlenko explains that implants do not affect pregnancy or lactation since the milk ducts are not compromised during the procedure. The usual incision is made beneath the breast, a location that avoids contact with the milk ducts. In general, implants do not interfere with everyday life. [Attribution: Dr. Vladimir Zlenko]
Another common worry is implant rupture and shell damage. In practice, such events occur mainly after significant trauma or due to placement errors. If the implant shell is breached, the silicone gel can contact surrounding tissues, potentially causing inflammation and discomfort around the implant. In these cases, replacement of the implant is necessary. Damage typically results from penetrating objects or improper installation. It remains essential to consult an experienced plastic surgeon. If there is suspicion of damage, ultrasound and CT are used to confirm findings before replacing the implant. [Attribution: Dr. Vladimir Zlenko]
Ignatov notes that after implant placement, many women become more vigilant about breast health. He emphasizes that cancer risk increases with age, making annual checkups important. Even without symptoms, women should consult a mammologist yearly and undergo breast ultrasound. For women aged 40 and over, a mammogram is advised. Implants often motivate proactive health monitoring and regular medical visits. [Attribution: Dr. Maxim Ignatov, Oncologist-Mammologist]
Dr. Zlenko highlights that implants do not hinder mammography, ultrasound, MRI, or other necessary evaluations. The key is to alert the clinician if implants are present. If a neoplasm is found and a biopsy is needed, procedures can be performed under ultrasound guidance to protect the implant. [Attribution: Dr. Vladimir Zlenko]