Frequently Asked Questions About Pectoral Implants

1. Am I candidate for Pectoral Implants?
2. What are Pectoral Implants made from?
3. How many techniques are there in implanting Pectoral Implants?
4. What does a typical Pectoral Implants consultation entail?
5. How is the Pectoral Implant procedure performed?
6. Does augmentation with Pectoral Implants look fake?
7.What should I expect post-operatively?
8. Is there much pain associated with getting Pectoral Implants?
9. What scars are involved with Pectoral implants?
10. Is there a lot of swelling involved with a Pectoral Implant procedure?
11. When can I return to work?
12. When will I be able to see the results?
13. What are the risks of getting Pectoral Implants?
14. What is Arnica montana, I have heard that it reduces swelling and bruising? Which is the best kind to take?
15. How long do Pectoral Implants last?

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1. Am I a candidate for Pectoral Implants?

If you are in good health (no serious health concerns) and have realistic expectations -- you may be a good candidate for Pectoral Implants.  Some individuals can exercise and lift weights or bench press until they are blue in the face and cannot seem to build muscle in the chest area.  If you are one of these individuals, you may be a candidate for Pectoral Implants.

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2. What are Pectoral implants made from?

Pectoral Implants are normally made from medical grade silicone, a pliable,  yet firm, solid piece of silicone.  This solid Silicone is made from sand, is generally well-tolerated by the body and has the capacity to be formed into various shapes.

Normally these blocks of silicone can be carved to custom fit an individual for implantation.  The medical grade silicone is non-reactive and considered non toxic and an excellent choice for augmentation in these areas. 

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3. How many techniques are there for a Pectoral implants?

There is really only one technique so far and two insertion types.  Depending upon your body's tissue, the Silicone implants will be custom fit to accommodate your own body style and inserted through an incision in the natural crease under the pectoral mound or on the side near the underarm area and placed under the muscle to hide the contours of the implant and decrease the possibility of palpability.

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4. What does a typical consultation for Pectoral Implants entail?

Your surgeon will discuss with you the realistic expectations you must have and what he thinks is possible for the end result.  He will discuss the risks of the procedure. show photos if applicable and discuss with you the details of the procedure itself.  It is possible that your doctor (depending on your measurements and desires) may have to custom fit an implant.  Sometimes the surgeon will have to custom fit you by carving the inner portion of the implant to fit an individuals pectoral muscle area.  That way there will be more comfort for the patient.

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5. How is a Pectoral Implants procedure performed?

The procedure is usually performed under Light Sleep Sedation with local anesthetic or general anesthetic.  An incision is made either under the pectoral mound or on the side in the underarm area.  A pocket is made under the muscle (pectoralis majora) separating it from the pectoralis minora (chest wall) and the implant is placed between these two muscles.  The implant is situated and then the pocket is sutured as well as the incision area.

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6. Does augmentation with Pectoral Implants look fake?

Augmentation with Pectoral Implants resembles the appearance of a tone and worked out muscle.  They may feel a little firm to the touch.  But no firmer than when a person flexes his/her muscle.  Especially since the muscle covers the implant -- there is less of a chance of palpability.

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7. What should I expect post-operatively?

You can expect to be pretty sore due to the pectoralis muscle trauma.  You are not allowed to lift heavy objects or even light objects over your head for several weeks.  Pain medications should alleviate most of the pain or discomfort you may feel.  You must be careful not to strain the muscles in that area.  Doing so could pop the sutures or disrupt the pocket holding the implant leading to additional surgery or possible infection.  Your sutures on the exterior may be of the dissolving or non-dissolving type.  Of they are non-dissolving they will be removed in approximately 10 days. No exercising for several weeks either!

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8. Is there much pain associated with getting Pectoral implants?

Most patients attribute the pain associated with Pectoral implants comparable with a hard workout at the gym -- too many bench presses or butterfly curls.  The prescribed pain medication should alleviate the pain, although if you feel as if the pain you are experiencing is severe, do not hesitate to contact your surgeon or the staff member on call.  You must realize that there is trauma to the surrounding tissues involved with Pectoral implants and a moderate amount of pain should be expected.

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9. What scars are involved with Pectoral implants? 

For Pectoral Implants the incisions are  made in the natural crease/mound underneath the Pectoral area.   The scars should should flatten and fade with time although they may be red and raised for months.  You could incorporate silicone sheeting after the incisions are removed to help fade the resulting scars.  Or your doctor may also use Steri-Strips to help flatten and heal the incisions.

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10. Is there a lot of swelling involved with a Pectoral implants?

The swelling for Pectoral Implants is minor although some individuals may have edema (fluid retention) in the tissues more than others.  There is considerable trauma to the surrounding tissues and normal swelling and discoloration is normal.  If you feel that your swelling is severe do not hesitate to call your surgeon or the staff member on call.

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11. When can I return to work?

You should at least wait 4 days if you have a very low key job like an desk job.  If you have a labor-intensive job then you should wait up to 10 days.  No heavy lifting or bending over regardless of your type of employment.  Just be careful not to raise your  blood pressure or pulse in the first 3 weeks.

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12. When will I be able to see the results?

The results are immediate with either type of implant although you must wait for the swelling to subside to fully appreciate the end result.  Whomever said patience is a virtue never had a cosmetic surgery procedure.

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13. What are the risks of getting Pectoral implants?

Although extremely rare, it is possible to bleed post-operatively resulting in another surgery to control and drain the collected blood.  You could develop a post-operative infection and need to have the implant removed, the infection dealt with and still have to wait for several months before an additional surgery can be performed to re-implant.  Loss of sensitivity is common, although temporary.  Permanent sensation loss in general, can and may happen.  There is also the possibility of developing a Seroma which is a mass caused by the accumulation of serum fluid within a tissue or organ.  Or a Hematoma which is a localized mass of blood that is typically confined within an organ, tissue, space, or potential space and may be a result from a broken blood vessel.  There is the possibility of shifting of the implant, leading to additional surgeries or pain.  There is also the possibility of a negative reaction to the anesthetic.

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14. What is Arnica montana, I have heard that it reduces swelling and bruising? Which is the best kind to take?

also known as: Mountain Tobacco, Mountain Arnica, Common Arnica, Leopard's Bane and Sneezewort
plant family:
Asteraceae 
type:
Herbaceous perennial

parts used:
Roots and flowers
description:
Arnica montana or Leopard's Bane is a perennial herb, growing close to the ground. The leaves form a flat rosette, from the center of which rises a flower stalk, 1 to 2 feet high, bearing orange-yellow flowers. The rhizome is dark brown, cylindrical, usually curved, and bears brittle wiry rootlets on the under surface.
habitat: Indigenous to Central Europe, in woods and mountain pastures, although it has been found in England and Southern Scotland. 
warning: This herb should NEVER be taken in raw form. This plant, like many medicinal plants if ingested, can cause intestinal bleeding, abdominal cramping and sickness. Homeopathy is the medicinal use of tinctures and suspensions using herbs and other plants and should never be consumed without proper preparation. Only respectable homeopathic remedies and tinctures should be consumed. 

Other products or supplements that you may heard of or have been recommended may be Bromelain, Vitamin A, Vitamin K or Vitamin C - please discuss these with your surgeon if you are interested or have questions.

ALWAYS ASK YOUR SURGEON FIRST BEFORE TAKING ANY MEDICATION.

Read more on Arnica Montana?

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15. How long do Pectoral implants last?

Pectoral Implants are supposed to last your lifetime, but sometimes infection rears its ugly head and your implants must be removed, your infection dealt with and then and only then can discussions be made about re-implantation.  The implant itself should last indefinitely without degradation.  Although, that can not be said for sure as the pectoral implant is not at least 80 years old.  But, in theory and in tests involving silicone -- the material will last a very long time for its indication.

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This page was last updated: 03/31/2006