The silicone implant, also called breast augmentation, is a surgical procedure that aims to increase the volume of the breasts and provide a better contour, firmness and symmetry to the breasts through the inclusion of a silicone prosthesis. Surgery is recommended for patients who wish to increase the size of their breasts. Silicone implants are also recommended for cases where the support and firmness of the breasts has been compromised, such as women whose weight loss or pregnancy has changed the shape of their breasts. Women who have asymmetry between their breasts can also benefit from this surgery.

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The surgical technique used depends fundamentally on a careful discussion between doctor and patient.. In addition to the type of silicone prosthesis, the anatomical location must be defined - the place where the prosthesis will be housed in the breasts - and the incision site - the place where the prosthesis will be inserted and the scar will be left. 

 

The silicone prosthesis can be positioned in three different regions: between the breast tissue and the pectoral muscle (submammary or subglandular), between the fascia of the pectoral muscle and the pectoral muscle (subfascial position), which are more superficial regions, or between the pectoral muscle and the chest wall (submuscular position), which positions the prosthesis in a deeper region.

 

The choice of position will depend on the thickness of the skin and the amount of breast tissue available to cover the implant, in addition to the patient's opinion in terms of the benefits and risks of each approach.