{"id":692,"date":"2022-07-05T11:53:50","date_gmt":"2022-07-05T09:53:50","guid":{"rendered":"http:\/\/docteurvairinho.fr\/?page_id=692"},"modified":"2026-04-04T19:40:54","modified_gmt":"2026-04-04T17:40:54","slug":"protheses-mammaires","status":"publish","type":"page","link":"https:\/\/docteurvairinho.fr\/en\/chirurgie-mammaire\/protheses-mammaires\/","title":{"rendered":"Breast implants"},"content":{"rendered":"
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Breast implants (and implant replacement)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Breast augmentation with implants<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The placement, replacement, or removal of breast implants are procedures that should always be considered as part of a personalized evaluation. During the consultation, my role is to assess your body type, the condition of your breast tissue, your surgical history, and your expectations in order to guide you toward the most appropriate approach. These procedures address a variety of situations\u2014first-time augmentation, natural breast changes, or discomfort related to existing implants\u2014with the consistent goal of achieving a natural, proportionate result that complements your figure, all under optimal safety conditions.<\/div>\n\t\t\t\n\t\t\t\t\t\t
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Dr Alexandre Vairinho<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Overview<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Breast augmentation using breast implants is a cosmetic surgical procedure designed to increase breast size, improve their shape, or correct breast asymmetry. It is intended for patients who wish to achieve a bust that is more in harmony with their figure, while seeking a natural, proportionate, and long-lasting result.<\/span><\/p>

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In Paris, Dr. Alexandre Vairinho offers personalized care based on a thorough clinical examination, an analysis of body shape, and a careful assessment of your expectations. The goal is to develop a comprehensive surgical plan that takes into account the quality of your tissue, the shape of your chest, your lifestyle, and your aesthetic preferences.<\/span><\/p>

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The breast implants used today are medical devices that most often contain cohesive silicone gel, which is valued for its soft feel and long-lasting durability. Comprehensive information is provided before any procedure, so that your decision is based on clear, honest, and understandable facts.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Explanation of the technique<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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The procedure involves inserting a breast implant to increase breast volume. The surgical approach is determined during the consultation, based on your anatomy and the desired outcome.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Choosing implants: volume, shape, and projection<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Choosing an implant is not just a matter of cup size. It depends on several factors:<\/span><\/p>

  • the width of the breast base and the chest<\/span><\/li>
  • existing breast volume<\/span><\/li>
  • the thickness of the tissues (skin, fat, glands)<\/span><\/li>
  • skin quality and elasticity<\/span><\/li>
  • the position of the areola and symmetry<\/span><\/li>
  • your expectations (discretion, shape, projection)<\/span><\/li><\/ul>

    This planning process helps ensure a harmonious result by minimizing the risk of an artificial or disproportionate appearance.<\/span><\/p>

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    All breast implants used by Dr. Vairinho bear the CE mark (European Union) and have been approved by the ANSM (French National Agency for Medicines and Health Products Safety).<\/span><\/p>

    A breast implant is defined by several characteristics:<\/span><\/p>

    • The shell: made of a smooth silicone elastomer. Dr. Vairinho does not use textured implants or polyurethane implants.<\/span><\/li>
    • The material: The implants are pre-filled with silicone gel. The gel is cohesive, meaning that if the implant ruptures, the silicone does not leak out. The implants feel soft to the touch, giving them a natural feel. Implants filled with saline solution are becoming less and less common these days.<\/span><\/li>
    • Shape: The implants Dr. Vairinho uses are round, creating a beautiful cleavage. The implant projection can be low (very useful for reconstructive surgery), moderate (used in most cases), or high (useful when there is associated breast ptosis).<\/span><\/li><\/ul>

      Dr. Vairinho does not use anatomical implants, which carry an increased risk of rotation. Furthermore, these implants require a textured surface. Although the risk of anaplastic large cell lymphoma is rare, this condition is primarily associated with textured implants.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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      Different types of scars<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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      To insert the breast implants, a custom-made pocket will be created. Several surgical approaches are possible for this:<\/span><\/p>

      • Periareolar scar (around the areola): The incision is made in a semicircle around the areola. Because of the difference in color between the areola and the breast skin, this scar is barely visible\u2014or virtually invisible\u2014to someone who is not a surgeon. Breastfeeding remains possible.<\/span><\/li>
      • Inframammary scar: The incision is made along the inframammary fold. This approach is particularly useful for women with small areolas that do not allow the implant to pass through. When the patient is standing, the scar is not visible, as the breast slightly sags over it. It is only visible when the patient is lying down.<\/span><\/li>
      • Scar in the armpit: The incision is made under the arm. This technique has the advantage of leaving no scars on the breast, but the scar may be visible in the armpit when the patient is wearing a swimsuit or a tank top.<\/span><\/li><\/ul>

        Each technique for placing breast implants has its own advantages and disadvantages. Dr. Vairinho will help you choose the option that is best suited to your breasts.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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        Position of breast implants<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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        The pocket that the surgeon will create to fit the implant will depend on several factors specific to each patient: implant size, skin thickness, glandular volume, musculature, and the shape of the breast and chest\u2026<\/span><\/p>

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        There are three types of lodges:<\/span><\/p>

        • Retro-pectoral placement: the implant is placed behind the pectoralis major muscle. The advantages of this technique include placement of the implant behind the muscle, as well as a more natural-looking result (the muscle presses against the implant, giving the breast a pear-shaped appearance, and the implant is less palpable, resulting in a natural feel).<\/span><\/li>
        • Retroglandular or pre-muscular pocket: the implant is placed behind the breast gland and in front of the pectoralis major muscle. This technique is suitable for athletic women and for patients with sufficient breast tissue to soften the edges of the implant.<\/span><\/li>
        • Dual-plane placement: This is the most advanced technique. The upper part of the implant is placed beneath the pectoralis major muscle, while the lower part is placed beneath the breast gland. This results in a natural, teardrop-shaped appearance with less palpable implant contours.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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          Overview of the procedure<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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          The process begins with one or more surgical consultations. These appointments allow us to assess your body type, conduct a comprehensive clinical examination, and take the necessary measurements to determine the most appropriate technique for your situation. This consultation is also an opportunity to discuss your expectations, goals, and the various options available in detail.<\/span><\/p>

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          You will receive detailed medical information to help you understand the benefits, limitations, and potential outcomes of the procedure. A personalized estimate will be provided, and the legally required cooling-off period will be observed. As part of the preoperative evaluation, an anesthesia consultation will be scheduled, and certain tests may be ordered, including a mammogram depending on your age and medical history.<\/span><\/p>

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          Breast augmentation with implants is performed in a clinic, usually under general anesthesia. The procedure typically lasts between 1 hour and 1 hour and 30 minutes, depending on the technique used and the patient\u2019s anatomical characteristics.<\/span><\/p>

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          The incisions are made in inconspicuous areas to minimize scarring. The procedure is typically performed on an outpatient basis or with a brief period of observation. At the end of the procedure, a compression bandage is applied and will be removed the following day during the follow-up visit with Dr. Vairinho.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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          \r\n\t\t\tBefore<\/span>\r\n\t\t\tAfter<\/span>\r\n\"\"\"\"\t\t<\/div>\r\n\t\t