How much does a 600cc breast implant weigh

Breast implants - cost, shape, size

Breast augmentation using breast implants is one of the most popular procedures in plastic and aesthetic surgery. In Germany, around 66,000 breast augmentations are performed every year.[1] In order to achieve the desired breast shape, many women opt for breast augmentation (breast augmentation) with implants. These are plastic pillows that are inserted into the breast tissue. For most models, the cover is made of silicone. The breast implants are also filled with a leak-proof silicone gel. The surface of the breast implants can be roughened or smooth. The textured variant is mainly used to prevent it from growing together with the breast tissue and from slipping.[2]

In this article, we will provide you with comprehensive information about the various shapes, sizes, materials and manufacturers of breast implants. However, a detailed examination and discussion with the treating medical specialist before the use of implants is essential!

Information, costs and prices for breast implants

costs500 to 1,000 euros
materialSilicone gel or saline solution
to shaperound or anatomical
common sizes 180 to 700 ml
locationabove or below the pectoral muscle
durability20 years and more

In order to achieve the desired breast shape, many women opt for breast augmentation (breast augmentation) with implants. These are plastic pillows that are inserted into the breast tissue. For most models, the cover is made of silicone. The breast implants are also filled with a leak-proof silicone gel. The surface of the breast implants can be roughened or smooth. The textured variant is mainly used to prevent it from growing together with the breast tissue and from slipping.

Breast implant material

Larger breasts from surgery

Breast implants differ mainly in material and shape. A lot has happened historically since the end of the 19th century. During the first breast augmentation in 1895, the affected woman was implanted with a fat tumor. Since then, medical professionals have experimented with various substances: In addition to glass balls and wool, the treating people used to use ivory and bovine cartilage. Beeswax, paraffin, and polyethylene were also injected into women's breasts for enlargement until the 1950s.[3]

The first silicone breast implants were developed in 1961, and the first surgery took place a year later.[4] Today breast implants consist of a silicone shell that is filled with a silicone gel. A saline solution was also used until a few years ago.

How safe are breast implants? Shelf life of breast implants

Rumors about the inadequate safety and durability of breast implants keep circulating. Nowadays, breast implants are very safe and quite durable. The silicone gel used and the multi-walled cover offer reliable protection against leakage - even if the cover is damaged by an accident or other external influences. Nevertheless, it is possible that implants tear after being subjected to massive force or force or due to crushing and subsequently have to be replaced.[5] In addition, breast implants do not last a lifetime; they usually have to be replaced after 15 to 20 years.

Since 2001 there has been a seal of approval in Europe that guarantees the quality of the implants. A complementary innovation in the field of breast implant safety is the implant registry. So far there is no central documentation in Germany about which people have which implants. In order to create more security and transparency, the Federal Cabinet has decided to introduce such a register in the future. Breast implants should therefore be recorded centrally from mid-2021.[6]

When are breast implants used?

Breast implants are commonly used in:

  • Breast enlargement (breast augmentation)
  • Breast lift (mastopexy)

Breast augmentation is usually an operation with an aesthetic background. However, the intervention can also be medically justified. If the breast had to be amputated due to cancer or an accident, a subsequent reconstruction (breast reconstruction) is possible.[7]

In mastopexy, after excess skin has been removed, it often happens that the patient feels that her breast is too small. In most cases, the breasts are comparatively small with little glandular and fatty tissue and a large excess of skin. The desired shape can be (re) established with an additionally inserted implant.

Breast Implants: Cost

Breast implants cost between 500 and 1,000 euros each and make up a significant part of the cost of a breast augmentation. In rare cases, the price can also be higher or slightly lower. In principle, round breast implants are cheaper than anatomically shaped ones. That is why the prices for the round shape are usually listed in the complete offers from medical professionals and clinics for breast augmentation. Interested parties can expect costs between 3,500 and 6,000 euros for the entire operation.

Breast implants and their shapes: round or anatomical - the difference

Breast implants are either round or anatomical in shape. Which shape is suitable for a patient is determined together with the medical specialist in a preliminary examination. The various models differ primarily in terms of the desired effect.[8]

Round breast implants for a full breast

If the patient wants a full breast, round breast implants are particularly suitable. In addition to the lower part, these also raise the upper part of the chest. This emphasizes the cleavage. Furthermore, the breast looks larger after the use of a round implant than with an anatomical implant of the same volume. Finally, round breast implants have the advantage that their position cannot visibly change. However, if the implant is too big, the breast looks more artificial.[9]

Anatomical breast implants for a natural breast

To ensure that the effect is as natural as possible after breast augmentation, medical professionals usually recommend anatomically shaped breast implants. These are teardrop-shaped and narrow towards the top. The lower area of ​​the breast appears full and the upper area rather flat - a natural shape is created. However, anatomical implants have the disadvantage that they appear smaller than round implants with the same volume. In addition, it may be externally visible if a breast implant should twist. This may require a correction of the situation.[10]

Conclusion: round or anatomical breast implants?

The patient's anatomy as well as their expectations and wishes play an important role in the choice of the implant shape. These are explained in detail during the preliminary medical examination so that the treating specialist can recommend the right breast implant. There is also the option of testing the shape of the implant with a special bra during the preliminary examination. Many practices and clinics now also offer a 3D simulation for breast augmentation. This is a very good illustration of the likely result of breast augmentation.

Breast Implants: Sizes

The best way to find out which breast implant size is suitable in an individual case is by talking to your doctor. It is also assessed from a medical point of view to what extent personal wishes can be implemented. The following applies for orientation:

  • If a natural look is desired, the breast implants should not be too large.
  • Anatomical implants with too large a volume can also appear artificial.
  • Usually implants with a volume between 250 and 600 ml are used.
  • The average size is around 320 ml per breast.

B-lite breast implants for very large breasts

In addition to conventional breast implants, B-lite breast implants offer a further development that is particularly interesting for women who want significantly larger breasts. These implants are up to 30 percent lighter than conventional breast implants and therefore put significantly less strain on the skin and tissue. Another benefit of the lower weight of B-Lite implants is that the breasts do not sag as much with age. The weight reduction of the implants produced in Germany is made possible by small hollow spheres as filling material. A B-Lite implant with a volume of 300 ml no longer weighs 300 g, but only around 220 g.[11]

Breast Implants: Surgery and Cutting Techniques

If a patient has decided on breast augmentation with implants, has selected the right breast implants together with a doctor and discussed all risks and possible complications, the operation takes place. This takes one to two hours and is usually carried out under general anesthesia as an inpatient. The patient then stays in the clinic for at least one night. Upon express request, some practices also offer outpatient treatment. In this case, however, it should be ensured that the patient is cared for by family or friends for the first few days.

There are basically three options for inserting breast implants:[12]

  1. Incision below the breast in the underbust crease (inframammary)
  2. Incision in the armpit (axillary)
  3. Incision in the lower area of ​​the areola (periareolar)

The most common interface is that in the underbust crease, as this access enables the implant to be inserted very precisely.

 

Breast Augmentation - Cutting Techniques

Position of the Breast Implants - Under (UBM) or Over the Pectoral Muscle (UBM)?

When deciding on breast augmentation with implants, it must be clarified in advance where exactly the implants are to be positioned in the breast. Implantation is possible over (UBM) or under (UBM) the pectoral muscle. Whether breast implants are placed above or below the pectoral muscle depends on the following factors:

  • natural breast shape and size
  • Texture of the chest
  • Size of the desired implants
  • Physique of the person to be treated

 

Insert breast implants

Breast Implants Insert Under the Muscle (UBM)

If implants are placed under the muscle, there are two methods to choose from: The breast implants can be positioned submuscularly or subpectorally.[13]

Submuscular technique for breast augmentation

In the submuscular technique, the breast implants are placed completely under the pectoral muscle. This is especially recommended for slim women who have a small breast with little fat and glandular tissue. If the implant is pushed under the muscle, the contours of the implant disappear and are not visible from the outside.[14]

However, only a small implant size can be used with this technique because the space under the pectoral muscle is limited. This is why some doctors first use smaller implants in their first operation. This is how the muscle stretches. Six to twelve months later, the small breast implants can be removed and exchanged for larger ones. The sub-muscular method is also suitable for sporty women, as the implants sit firmly under the muscle during movement. The procedure is a bit more painful and the healing process may take longer.

Subpectoral technique for breast augmentation

With the subpectoral technique (also called dual plane), the breast implants are only partially placed under the muscle. To do this, the pectoral muscle is loosened and the upper part of the implant is pushed underneath. The lower part of the breast implant is covered by breast tissue (glands, fat). This allows larger implants to be used compared to the submuscular method. However, if there is little breast tissue, contours may appear. In addition, the breasts feel rather unnatural after the enlargement.[15]

Breast implant insert over the muscle (ÜBM)

Due to the greater restrictions on implantation under the pectoral muscle, around three quarters of breast augmentations are currently performed. As a result, the patients are able to work again more quickly and suffer less pain. When inserting breast implants over the muscle, a distinction can also be made between two methods.[16]

Subglandular technique for breast augmentation

In the subglandular technique, the implant is placed between the pectoral muscle and the glandular tissue. This method is particularly popular because it can be done quickly and easily. However, there is a risk that the contours of the breast implant may become visible on the skin.

Subfascial technique for breast augmentation

Subfascial breast augmentation is done less often because it is technically a little more complicated than augmentation with the subglandular technique. The breast implants are placed inside the fascia - that is, between the muscle and the muscle shell. This procedure is more complex, but has the great advantage that the silhouette of the implant is also covered by the breast tissue and the result of the breast augmentation looks more natural.

With breast augmentation above the muscle, doctors have more options available to achieve the result desired by the patient. Larger breast implants can be inserted over the muscle and a clearly visible cleavage can be formed. Even breasts that have lost volume and firmness can be treated and lifted very well with the implantation over the muscle.

Sick with breast implants: Risks of using breast implants

In principle, the risks associated with the use of breast implants are low. Nevertheless, a detailed consultation must take place before every breast operation, in which interested parties are made aware of the possible complications of the procedure. The possible risks of aesthetic plastic surgery include:[17]

  • Capsular contracture (painful growth around the breast implant)
  • Formation of skin folds
  • Infection of the wound
  • Disruption of wound healing
  • Bleeding during and after surgery
  • Severe scarring
  • Damage to the implant
  • Decreased or increased sentience
  • Unsatisfactory appearance

If capsular contracture occurs or the implant is damaged, it must be removed. Usually a new breast implant is then inserted straight away.[18]

Breast Implants in Old Age

Desires for breast implants differ according to age. The desire for larger breasts usually decreases with age. What is desired is a breast that anatomically fits the body, or the tightening of the breast after pregnancy (s) and breastfeeding. Good health of the patient is a basic requirement for the operation.

Breast implants - how does the healing process go after the operation?

The healing process for breast augmentation with implants usually goes smoothly. In the first few days, many women are sensitive to touch and experience tension and even chest pain. After the operation, the clinic will give you a special bra. For successful and rapid healing, it is important to wear it for at least four to six weeks. This relieves both the skin and the scars on the breasts. The tissue can heal better.[19] The patient should also avoid exercise for four to six weeks. If in doubt, the treating specialist can also be consulted.

An ultrasound scan will be done about four weeks after the operation. This is to ensure that the breast implants do not slip and that no bleeding has occurred in the breast. In addition, annual follow-up is recommended in order to quickly discover any irregularities.

Breast implants: manufacturers at a glance

Several large manufacturers of breast implants have established themselves on the market. It is therefore worthwhile to get an overview of the most common manufacturers during the preliminary investigation.

Allergan

The US company Allergan Inc. is one of the leading manufacturers of breast implants. Its portfolio includes around 500 different implants that differ in shape, size and material, surface and consistency. If a doctor offers you breast implants from Allergan, you can choose from a wide variety of models.

Breast implants from the manufacturer Allergan undergo numerous production and quality tests, so that in addition to the strict regulations of the US FDA, the guidelines for European medical devices are also complied with. Thanks to the BIOCELL texturing, the implant sits in the desired position in the breast for a long time.In addition, it is currently being examined whether this can reduce the risk of capsular contracture.

mentor

Mentor is a leading medical device company and has been manufacturing breast implants for more than 30 years. Like Allergan Inc., Mentor has had approval for the sale of silicone implants from the US Food and Drug Administration (FDA) since 2006. Breast implants from this manufacturer are characterized by their dimensionally stable properties. The reason for this is the so-called memory gel, which makes the breast feel very natural. As a manufacturer of breast implants, Mentor has been part of the US company Johnson & Johnson since 2009.

Eurosilicone

Eurosilicone is a French manufacturer of breast implants. The company has over 20 years of experience and sells its products in more than 90 countries worldwide. Eurosilicone produces around 250,000 implants annually and, according to its own information, achieves a demonstrable reduction in capsular contracture thanks to their special surface texture. In addition, Eurosilicone offers the GCA comfort guarantee for silicone-filled breast implants for all patients. If a replacement is necessary due to damage or capsular contracture, the manufacturer provides new implants - the patient then only bears the costs of the operation.

Nagor

Nagor is the only UK manufacturer of breast implants and has factories in Scotland and England. Like Eurosilicone, Nagor belongs to the GC Aesthetics Group and works with more than 40 partner companies worldwide. Nagor has more than 34 years of experience designing and manufacturing breast implants.

Polytech

The only German manufacturer Polytech produces in Dieburg and has been on the market for around thirty years. Distribution takes place on almost all continents. The breast implants are filled with silicone gels and have a protective layer on the inside. All common structures are available for the surfaces of the implants, from smooth to fine-pored to microtextured. Silicone implants developed by Polytech and AMSilk, which are covered with a new type of silk coating, are currently being tested in a European clinical study.[20] In addition, Polytech manufactures breast implants with a reduced weight.

Expert interview with Dr. med. univ. Eugen Spirk, specialist in plastic and aesthetic surgery and general surgery:

Foreword by Dr. Spirk

"The expert interview below reflects the current state of knowledge (November 6, 2019) as well as my personal experience after 16 years of surgery. My remarks show my treatment principles. They therefore neither lay claim to permanent scientific validity nor are they to be understood as recommendations for every patient. Each patient should be individually advised and treated by a specialist in plastic and aesthetic surgery. Therapies in this area are sometimes viewed very differently and can also be solved differently. I ask you to bear this in mind, as publications are often taken from the Internet and, in the event of deviations, people quickly speak of malpractice or incorrect treatment - although on closer inspection it is usually not the case. "

How do implants feel?

Dr. Spirk: “Breast implants today are designed to be removed after healing as natural as possible feel. So they should feel soft to the patient both in the body and when touched and ideally like their own breast. Overall, it can be said that the body and the psyche no longer perceive the implant as foreign after healing and thus no longer feel it accepted as part of the body (similar to dental implants). Of course, there are also cases in which the patient has difficulties and the process takes longer. From the touch, i.e. the feel of the breast, the patient can feel a moderate, soft result after approx. 3 months and most patients report that everything feels optimal after a year. With regard to the degree of softness of the implants, there are of course also differences. The size, shape and placement above or below the muscle as well as the thickness of the tissue around the implant are essential points that should be considered when choosing the implants so that everything feels good. "

How can breast implants break?

Dr. Spirk: “Implants go overall today very rarely brokenbecause the The quality of the current generation of implants is extremely high is. Especially if - as recommended - you choose implants from one of the well-known premium manufacturers with decades of experience, you have less risk of an implant rupture through no fault of your own than you did 15 years ago. Today there are so-called "gummy bear implants" which, as the name suggests, no longer have liquid silicone as their content, but - similar to a gummy bear - a full silicone that cannot leak, but remains dimensionally stable and is still soft. A planned exchange every 10 years has been with most manufacturers for a few years no longer absolutely necessary. Even an implant that has been proven to be damaged (if it is the latest generation with the properties described above) can no longer be operated on immediately as an emergency.

Implants can in principle break before insertion, during insertion and after insertion, which is why there is one gentle surgical technique and a routine in the surgical team important and beneficial. Normally, implants can withstand a lot after being inserted, so that they can be damaged by accidents in everyday life, e.g. B. should not break if you fall off your bike. Extremely large implants over 600 ml, which are located directly under the skin, are of course subject to a higher physical injury and risk potential than, for example, implants of under 400 ml, which are placed under the muscle. This is easy to imagine, since there is simply more tension and less surrounding tissue around the implant "for dampening" directly under the skin. "

When do breast implants grow in?

Dr. Spirk: "Breast Implants begin to grow in from the time of surgery. Resistance to slipping or turning is usually achieved after 4-8 weeks and is very much dependent on the shape, size, position and surface properties of the implant. A thin film is always formed around the implant first, as most implants are surrounded by a so-called "membrane" in the body. Because of this, our patients become the first Restrained from exercising 8 weeks after the operation.

What are the best implants?

Dr. Spirk: “The best implants are those that never cause complications, look very good, feel good and cost nothing ... Unfortunately, they don't exist ... As is always the case in life, the answer to more complex things is not that easy and does not include naming one Brand or product answer.

In my opinion, there are a few important things that must be observed in order to find the right implant through the jungle of implants and manufacturers. In my opinion, however, the problem arises less with the patient than with the patient Practitioner. A specialist in plastic and aesthetic surgery has to deal closely with the implant manufacturers and the individual products on the market throughout his entire professional life during his training, after his training and especially when he uses breast implants Advising patients optimally to be able to. The selection should be made together with the patient, but the essential direction and which manufacturer to take should, in my opinion, still be largely determined by the doctor you trust, as his many years of experience are an essential advantage for the patient.

In the following, however, I would like to make a few essentials Points for choosing an implant highlight which are important:

Certified implants; Premium manufacturers known in specialist circles with decades of experience; Research and training commitment of the manufacturer in relation to the implants; anatomical, round, smooth, micro- and macro-textured implants to choose from. "

About Dr. med. univ. Eugen Spirk

Dr. med. univ. Eugen Spirk completed his medical studies at the Leopold Franzens University in Innsbruck. He then trained in plastic surgery with Prof. Dr. Anderl and Prof. Dr. Hussl and at the Anatomical Institute of the Medical University of Innsbruck with Prof. Dr. Burst further.

In 2009, Dr. Spirk his specialist qualification in Munich. He has been running his private practice in Munich since 2011. All breast augmentations are carried out there according to the internationally required 14-point standard of the Allergan company.

In addition, Dr. Spirk his knowledge and experience as a specialist and trainer in the Allergan Medical Institute for Germany South. Also for the years 2018/2019, Dr. Spirk has continued to be vindicated as an international expert, spokesperson, and instructor for the Allergan Medical Institute.

 

Do you have further questions about breast implants or are you looking for a practice or clinic near you? Give us a call or write to us. Our staff will be pleased to advise you. Of course free of charge, non-binding and discreet.

 

Phone: 0800 200 50 60

 

[1] Association of German Aesthetic Plastic Surgeons (VDÄPC), https://www.vdaepc.de/pressemitteilung-statistik-2019-trends-der-aesthetisch-plastischen-chirurgie/ (as of 2018/19).
[2] Fansa, H .; Heitmann, C .: Breast Surgery. Luxembourg: Springer-Verlag, 2018.
[3] Wörle, B .: Aesthetic Surgery. Stuttgart: Kohlhammer Verlag, 2007.
[4] Berger, A .; Hierner, R (Ed.) .: Plastic surgery: Mamma. Tribe. Genitals. Heidelberg, Berlin: Springer Verlag, 2007.
[5] Wörle, B .: Aesthetic Surgery. Stuttgart: Kohlhammer Verlag, 2007.
[6] German Society for Aesthetic Plastic Surgery (DGÄPC), https://www.dgaepc.de/transparenz-im-sinne-des-patientenschutzes-bundesregierung-beschliesst-einfuehrung-eines-deutschlandweiten-implantateregisters/ (as of April 3, 2019) .
[7] Busch, K .: Breast Cancer - An Overview. Flensburg: GRIN Verlag, 2008.
[8] Fansa, H .; Heitmann, C .: Breast Surgery. Luxembourg: Springer-Verlag, 2018.
[9] Ibid.
[10] Ibid.
[11] Germann, G .; Reichenberger, M .: B-Lite - The implant of the future or what does the future of implants look like? Heidelberg: Kaden Verlag, 2018.
[12] Wörle, B .: Aesthetic Surgery. Stuttgart: Kohlhammer Verlag, 2007.
[13] Fansa, H .; Heitmann, C .: Breast Surgery. Luxembourg: Springer-Verlag, 2018.
[14] Ibid.
[15] Ibid.
[16] Berger, A .; Hierner, R (Ed.) .: Plastic surgery: Mamma. Tribe. Genitals. Heidelberg, Berlin: Springer Verlag, 2007.
[17] Wörle, B .: Aesthetic Surgery. Stuttgart: Kohlhammer Verlag, 2007.
[18] Ueberreiter, K .: Autologous fat tissue transplantation. Luxembourg: Springer-Verlag, 2016.
[19] Fansa, H .; Heitmann, C .: Breast Surgery. Luxembourg: Springer-Verlag, 2018.
[20] POLYTECH Health & Aesthetics GmbH, https://polytech-health-aesthetics.com/de/unternehmen/historie/ (as of October 6, 2020).