Frequently Asked Questions

Prosthesis

Q: May the prosthesis unleash a breast tumor relapse or other oncological diseases?

A: Absolutely not. All major scientific publications agree that a correlation between tumor relapse, or other neoplastic diseases, and the use of prosthesis cannot be demonstrated. In Europe the controversy about silicone gel implants contributed to the publication of Directive 93/42 EEC, that became effective in all member states in June 15 1998, after a transitory period (from 1995 to 1998). According to this Directive prostheses fell within risk category 2. On February 4 2003 the European Commission adopted the Directive 2003/12 that reclassified breast prostheses to risk category 3, with a more complex process to obtain the declaration of conformity.

 

Q: Could the prosthesis get damaged?

A: It is quite impossible for a breast prosthesis to get damaged without a traumatic event. However, even in case of a direct trauma to the breast, the damage of the implant is a rare instance. Although, when undergoing follow-up examinations such as mammography, it is important to refer to specialized centers, also because the instrumental examination of a breast reconstructed with implant must be carried out by experienced and specifically trained physicians.

 

Q: Is prosthesis compatible with chemotherapy and radiotherapy?

A: Breast implants have no effects on chemotherapy, and vice-versa. Instead, wheter to perform radiotherapy or not on a breast reconstructed with prosthesis, has to be closely evaluated because it could lead to a rejection phenomenon. Thus it is suggested to undergo radiotherapy before breast reconstruction.

 

Q: Will I need to undergo prosthesis replacement in the future?

A: Technically prostheses are made to last up to thirty years. Their replacement depends on external factors, as the above-mentioned complications. Defects or dislocation of the prosthesis are quite common and may arise over time. Many women may comply with it and cohabit with an unfavourable situation, while in other cases is the patient herself to ask for a replacement.

 

Q: I have deeply considered all reconstruction possibilities and, even though I might be a good candidate for reconstruction with autologous tissues, I do not want to undergo this kind of procedure. I prefer to use a prosthesis. 

A: Plastic surgeons can indicate what their experience suggests to be the optimal reconstructive option, considering, among other things, long-term results. However, what you desire for yourself and what you feel like doing to your own body is, first of all, your own choice. Therefore, our commitment to you is to determine the best reconstructive technique among those that require the use of proshtesis, in order to meet your demands as best as we can.

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Redazione Barbara Fabiani