TELESUR — broadcast
20261104 080000 UTC
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[00:02:13] Hello, it's great to coincide, I'm Aisa García and I
[00:02:17] welcome you to Sanamente, Telesur's
[00:02:20] Telesur dedicado su salud, su bienestar,
[00:02:24] Today we are going to talk, pay attention, about
[00:02:27] breast implants, a bold topic. but
[00:02:30] interesting and I ask you, what do you think,
[00:02:34] is it only about an aesthetic
[00:02:37] procedure, is it a
[00:02:41] implica cuidados médicos a largo
[00:02:43] There are women who resort to breast
[00:02:47] influence the safety of health breasts,
[00:02:50] need them as part of a
[00:02:53] a
[00:02:56] mastectomy, and some
[00:03:00] from a previous surgery. We are going to talk about this topic with
[00:03:05] video game consoles, the
[00:03:07] cons, but unlike who knows a lot about the topic, a young talented one, he
[00:03:09] el doctor Eric Márquez, especialista en cirugía
[00:03:12] plástica y reconstructiva,
[00:03:15] Take note that not all specialists, plastic
[00:03:19] do with reconstruction.
[00:03:23] Welcome, thank you very much, again, thank you for the invitation, it's
[00:03:26] a pleasure, it's a pleasure to have you here because this topic of breast implants
[00:03:30] arouses a lot of curiosity and it's a topic that our viewers
[00:03:34] have requested through social media, so let's start with
[00:03:37] the most basic, what is a breast implant? A
[00:03:41] breast implant is a medical device eh, it's not something that anyone can
[00:03:45] buy, it's a medical
[00:03:48] evolving eh over the years, currently we are already in the
[00:03:52] implants that are called fifth generation, practically
[00:03:55] more sophisticated, of course, the first generation was from the 1960s. So
[00:04:00] they are medical devices that not everyone can
[00:04:04] acquire, of different brands, of different eh
[00:04:07] characteristics, of different
[00:04:10] life, if the valve fails, dimensions that we use to increase
[00:04:12] the volume of the breast
[00:04:15] very high, that's right, one of or to reconstruct a breast that has been removed, right? So practically
[00:04:18] it has been removed due to illness, that's right, mainly due to illness, cancer now
[00:04:22] that we are in cancer month, how are breast implants placed? There are
[00:04:26] multiple entry routes, practically one of eh the
[00:04:29] access routes is the axillary route, another
[00:04:32] around the areola called periareolar, another is
[00:04:36] under the fold or inframammary
[00:04:39] technique and the last one is through the navel,
[00:04:43] evidently the navel one is more complex, rather they
[00:04:47] are eh devices or saline
[00:04:50] solution implants, they are the only ones because the tunnel is made
[00:04:54] through there, they are introduced into the breasts and are inflated
[00:04:57] by means of special devices that are... these are the
[00:05:01] only ones that go through the umbilical route. When
[00:05:04] do you decide which one to put, what type to put, what
[00:05:07] does it depend on? The vast majority of
[00:05:11] world are made of silicone. In the United States,
[00:05:14] saline solutions were widely used
[00:05:18] because they were ultimately the ones who
[00:05:23] el transcurso de los años y de la evolución se ha visto
[00:05:26] seen that silicone
[00:05:30] in the United States, a greater
[00:05:34] silicón que de solución salina, pero prácticamente son estos
[00:05:37] reasons why a
[00:05:41] woman goes and says: Dr. Eric, I want
[00:05:45] implant. I think the
[00:05:48] main cause is eh to regain
[00:05:51] self-confidence, regardless of whether she will
[00:05:55] regain confidence
[00:05:57] after a mastectomy
[00:06:01] example, simply to regain
[00:06:03] confidence because she is not happy with the volume she
[00:06:07] has, so practically
[00:06:09] the main indication is to go to
[00:06:13] regain confidence to be able to have the
[00:06:16] volume that the patient has always
[00:06:19] desired. And what is the difference between an
[00:06:22] implant after a mastectomy or an
[00:06:25] implant for aesthetic
[00:06:28] reality, there is no difference in terms of the
[00:06:32] implant device, exactly the same ones are used,
[00:06:35] but it does differ a lot in the
[00:06:38] patient, for example, there
[00:06:41] are an infinite # of implant
[00:06:45] projection, which is what goes forward, moderate,
[00:06:48] eh slight,
[00:06:51] extra-high or high, for example, there are four projections,
[00:06:55] within those there are also different models, whether they are round, whether they are
[00:06:58] anatomical. Who decides that, the doctor or the patient? In
[00:07:01] reality, the ideal
[00:07:05] decide what type of implants to use is the
[00:07:08] doctor, but according to the
[00:07:11] patient's
[00:07:14] come and tell us: Eric, I want implants that look
[00:07:17] round, I don't care if they look
[00:07:21] type of implants we have to place, unlike when
[00:07:25] a patient comes and tells me: I want
[00:07:29] not only that it looks, but that it
[00:07:32] feels as natural as possible, that's when
[00:07:36] we play with
[00:07:39] of prostheses based
[00:07:43] on that. Now, is there any difference from the point of
[00:07:46] view of risks between those that have saline solution, those that
[00:07:50] decías que se ponían desde el ombligo y los
[00:07:53] implantes que son de silicón, en realidad ya no
[00:07:56] difference in risks, why? Because
[00:08:00] now the the the silicone
[00:08:02] implants are already highly cohesive, what does that mean? That they can
[00:08:06] break and the silicone no longer leaks. That's excellent news,
[00:08:10] that's excellent news, however, it leads us to... they are slightly harder, therefore they
[00:08:14] feel different from a normal breast, but these are pros and
[00:08:19] saline solution, if it broke, it's a solution and
[00:08:23] the body simply absorbs it. In reality,
[00:08:26] those do not have as much risk as the old
[00:08:30] silicone implants that were very liquid that would break
[00:08:33] and would leak, so before there were
[00:08:36] greater risks of reactions of
[00:08:39] diseases related to ruptured implants. Not anymore, this
[00:08:43] fifth generation of implants, practically not anymore, because they don't
[00:08:46] leak, but what is also a
[00:08:49] drawback of silicone
[00:08:52] important, we have to remember that it's a bag full of
[00:08:56] water, so it might sound, silicone is equivalent to
[00:08:59] water, exactly, but silicone
[00:09:03] make noise, water
[00:09:07] like sexual relations or exercise
[00:09:11] not only that, the valves would fail according to the
[00:09:15] pressures, you have to keep changing the valves, eh, no, once
[00:09:18] an implant is placed it stays there for
[00:09:22] what has to be changed is the whole implant, that's why currently in the world
[00:09:26] the main ones that are placed are silicone. Are all
[00:09:30] of us candidates to
[00:09:33] very eh, to a certain
[00:09:36] extent I think philosophical,
[00:09:40] because every woman is designed to receive an
[00:09:44] implant, probably yes, but that
[00:09:47] all are candidates for breast implants definitely
[00:09:51] no, the indication for this type of surgery, as I told you, is
[00:09:55] to regain confidence. There are people who look
[00:09:58] beautiful without breasts and not only that,
[00:10:01] they also feel beautiful,
[00:10:05] definitively they are not
[00:10:07] how they are perfect, no?
[00:10:11] People come and tell me: no, I want large breasts, I'm sorry, but that doesn't
[00:10:15] suit you, being small, so that
[00:10:18] always and we always have it, you know
[00:10:21] when Isa, when they decide the volume of the breasts. I
[00:10:25] always tell them, they are always given some试wear
[00:10:28] so that they know or simply express
[00:10:32] what the ideal volume is for them. Once they
[00:10:35] tell me what the ideal volume is, then I always tell them and
[00:10:39] if you want my opinion then now yes, and if you want my opinion,
[00:10:43] exactly there it goes,
[00:10:47] but thank God I haven't yet had anyone ask me for breasts so
[00:10:50] big that I have to tell them I'm not going to place them. It seems
[00:10:54] wonderful to me and well, doctor, it leads us to a question to the
[00:10:57] @sanamentetls account, you know that it is our program's
[00:11:01] account on social media and it says: Having breast
[00:11:05] implants prevents
[00:11:08] having a mammogram? What should a woman know to properly
[00:11:11] This question
[00:11:14] seems very important to me, exactly,
[00:11:17] definitely placing an implant
[00:11:21] does not contraindicate any
[00:11:24] diagnostic study for cancer, but not only
[00:11:27] mammography, from palpation, a
[00:11:30] woman, whether she has implants or not, has
[00:11:34] to self-examine every month, but is it easy
[00:11:37] to do it with an implant? Yes, because she has to do it,
[00:11:41] she knows her her her breast, the
[00:11:45] implant is placed under the mammary
[00:11:48] gland, always, sometimes it is placed under the muscle, but
[00:11:52] when it is under the muscle then it has... the implant, the
[00:11:55] muscle and the mammary gland above, therefore,
[00:11:59] she will always be able to touch her breast to see if
[00:12:03] she has lumps, which is the detection of cancer, check her
[00:12:07] armpits, perform ultrasounds,
[00:12:10] perform mammograms, she always has to continue with
[00:12:14] breast cancer screening, that is very important, whether
[00:12:18] she has implants or not, and once you get an
[00:12:22] implant, that
[00:12:25] year after year is more necessary, no, it's
[00:12:28] equally important, equally important, cancer
[00:12:32] the same with implants and without
[00:12:36] break and we'll be
[00:12:39] back shortly with Dr. Eric Márquez to continue talking
[00:12:43] about breast implants, so
[00:12:46] stay tuned.
[00:14:50] We are back on Sanamente, I'm Aísa García and today I'm talking
[00:14:54] with... plastic and reconstructive
[00:14:57] Eric Márquez.
[00:15:00] We are going to talk about the risks of breast implants, warning signs
[00:15:04] follow-up.
[00:15:08] What are the risks of getting a breast
[00:15:11] implant, whether to
[00:15:14] achieve what we want of that aesthetic beauty
[00:15:18] that we aspire to at some point, if we don't feel we
[00:15:21] have it, whether due to mastectomy, all
[00:15:25] surgery involves eh risks
[00:15:28] and complications, in fact during surgery, that's right, during
[00:15:31] surgery evidently after surgery, some of the
[00:15:35] risks that patients should know
[00:15:39] and should authorize eh
[00:15:41] related to breast implants can be some very simple
[00:15:45] ones like a capsular contracture which is this
[00:15:48] capsule that the body makes to isolate the
[00:15:52] implant from the body, so to speak, to cover it, another
[00:15:56] can be the loss of sensitivity
[00:15:59] where in the areola nipple complex,
[00:16:02] pay attention, it's the same percentage of losing
[00:16:05] sensitivity as of becoming
[00:16:07] hypersensitive as well, just as it can be lost,
[00:16:11] sensitivity can increase, that's another risk, but
[00:16:15] these are risks that are actually less than 3%, some other
[00:16:19] risks are that after surgery blood collects in
[00:16:22] the site where we operate, water, for
[00:16:26] example, and that must immediately go to the doctor to
[00:16:30] fix it, yes, there are two approaches, generally
[00:16:34] personally I do leave drains that can warn me
[00:16:37] if this is happening, water or blood, water or blood, these are drains
[00:16:41] that will warn me if water or blood is
[00:16:45] coming out, there are doctors eh who do not leave this type of
[00:16:49] drains, these are approaches, they close the surgery,
[00:16:52] exactly, and what is the problem I think, leaving drains
[00:16:56] is uncomfortable for the patient, but if there is any complication it will be solved
[00:17:00] immediately, because it will warn me that blood is coming out or that
[00:17:03] water is coming out, and the risk for the patient, exactly, is
[00:17:06] lower, exact, because if I don't leave drains and water
[00:17:10] or blood starts to collect after surgery, when will I
[00:17:14] realize it? When one breast is much larger than
[00:17:17] the other, then I have to go back to the operating room
[00:17:21] to remove that water and that blood, something that with the
[00:17:24] drains is coming out and all I do is press harder to
[00:17:28] contain that. How does a person, a woman who wants
[00:17:32] to get a breast implant, who wants to get an
[00:17:35] She says: how does she know
[00:17:39] if the doctor she is going to is a
[00:17:42] properly certified doctor and if the
[00:17:45] clinic meets all the requirements? I mean, she shouldn't
[00:17:48] go to an inappropriate place. That question is
[00:17:52] super important, the patient always has to ask for the license and
[00:17:55] degree of plastic, aesthetic and reconstructive surgeon.
[00:17:58] Also always ask where will I be operated and who is your surgical
[00:18:01] team, right? Because it's not the same to be operated
[00:18:04] in authorized hospitals as in dubious
[00:18:08] clinics. We get another question to the @sanamentetls account and
[00:18:11] they want to know how some medications that the
[00:18:15] patient is taking, persistent
[00:18:18] and
[00:18:21] smoking can
[00:18:24] the surgery also in recovery, of course,
[00:18:28] we have to take into account that this surgery is elective, what does
[00:18:32] elective mean? That it is planned, if you have a
[00:18:35] disease that is uncontrolled. For
[00:18:37] example, diabetes
[00:18:39] mellitus,
[00:18:41] predisposes us to not heal, to get
[00:18:45] infected, some other diseases like
[00:18:47] hypertension, if it is not controlled it will make us bleed
[00:18:51] more, some bad habits like smoking,
[00:18:55] smoking is very important because smoking will always
[00:18:57] affect the irrigation or how blood reaches
[00:19:01] everything, gosh, tissue
[00:19:05] die just by being. The areola-nipple
[00:19:08] complex can die, which is one of the
[00:19:12] someone goes for a breast augmentation, tells us that
[00:19:15] she smokes and ends up with or that her
[00:19:18] boyfriend, that is also and we are
[00:19:21] many passive smokers and also they tell you no, I don't smoke, but you
[00:19:25] detect them when they arrive smelling of cigarettes, no, of course, all these
[00:19:29] conditions should contraindicate this type of
[00:19:32] procedures, if any disease is not controlled, if
[00:19:36] you don't have good habits, for example, not smoking, we can
[00:19:40] say, don't have surgery until
[00:19:44] and and not only that, not during surgery, but it is also ideal to quit smoking
[00:19:48] risk is
[00:19:53] the complications that is most talked about
[00:19:57] contracture, what is
[00:19:59] this? It is the body's own reaction to
[00:20:02] naturally
[00:20:06] everyone does it, that is, the body even does it with all the
[00:20:10] implants that are introduced, a wise
[00:20:13] body, right? Exactly, and I'm not only referring to breast
[00:20:16] implants, we have implants of all types,
[00:20:20] but this capsule in certain
[00:20:22] thicker than in
[00:20:26] so when there are
[00:20:29] different degrees of capsular contracture, there are four degrees, the fourth is
[00:20:33] when this same capsule is deforming
[00:20:36] the breast even and can cause
[00:20:39] pain, that's when you have to proceed to remove this capsular
[00:20:42] contracture, but there are capsules
[00:20:46] that form
[00:20:48] naturally, which is in the vast majority and absolutely
[00:20:51] nothing happens, but capsular contracture is
[00:20:54] this, this part of the body that covers it and
[00:20:58] it can be exaggerated and when it is this way it is a capsular
[00:21:02] contracture. Another question arrives at the @sanamentetl account
[00:21:05] and they want to know if a woman with
[00:21:08] breast implants, Dr. Eric Márquez
[00:21:11] Yes, any woman who has had
[00:21:15] breast implants can breastfeed. Now, there are
[00:21:18] some people, some... women who have had an
[00:21:21] implant and then report that they are very
[00:21:24] tired or that they have joint pain or even
[00:21:28] difficulties concentrating, focusing
[00:21:31] even in a conversation, why does this happen? Since
[00:21:35] about 10, 15 years ago, these
[00:21:38] investigations of this
[00:21:41] it or categorize
[00:21:44] it as Asia syndrome or
[00:21:47] also... it receives another name
[00:21:51] such as breast implant illness which is an inflammatory
[00:21:54] disease. For years, as I mentioned, it has been tried
[00:21:58] to investigate if this type of medical devices such as
[00:22:02] implants develop this
[00:22:04] disease. The conclusions
[00:22:07] currently say that no, that it is not
[00:22:11] related to eh with this type of
[00:22:14] diseases. Now, how did they arrive at this
[00:22:18] investigation? It is not that they did not gather a
[00:22:22] database of these articles that said that implants
[00:22:25] were related to Asia syndrome or breast
[00:22:29] implant illness. We have to take into account something very important Aïsa,
[00:22:33] what are the symptoms of
[00:22:36] these syndromes of this disease? They are very
[00:22:40] non-specific symptoms, depression,
[00:22:42] weakness, arthralgias and
[00:22:46] symptoms that in a big city like this, the vast
[00:22:50] majority can have them, so of course, without having a breast implant exactly
[00:22:53] no, depression was another of them, of course,
[00:22:57] so practically it was a syndrome
[00:23:01] or it was a disease of exclusion,
[00:23:04] they said, since you don't have hypertension, you don't have this
[00:23:07] disease, this disease, calm down, nothing happens, it's related to your implants,
[00:23:10] of course, so what happened? They started to
[00:23:13] gather the information and realized that
[00:23:17] even in patients who said no, I feel this way because I have the
[00:23:21] implants, and they removed the implant,
[00:23:25] a certain percentage,
[00:23:28] a large majority, one, the symptoms did not go away,
[00:23:31] number two,
[00:23:34] eh, once they were removed,
[00:23:37] they improved, but they called it
[00:23:40] euphoria of removing the implants, after a few months
[00:23:44] it returned, oh my god, to make a long story short, of
[00:23:47] 500 studies they reviewed, only 11
[00:23:51] were valid, because in addition all
[00:23:54] of them followed up only for 6 months, so within
[00:23:58] these 11 serious
[00:24:01] articles they said no,
[00:24:05] that it was not related to implants, therefore this
[00:24:08] inflammatory disease or Asia
[00:24:11] syndrome is not sine qua non
[00:24:15] that if you have implants you will get it, so
[00:24:19] that's not where this situation is going,
[00:24:22] definitively, men also get implants, of course, there are some pectoral
[00:24:25] definitively do not have the same
[00:24:28] shape as breast implants, but
[00:24:31] they serve to give a better silhouette to the pectoral
[00:24:34] muscle, mmm, interesting and I imagine they also
[00:24:37] have the risks you told us about, definitively they are exactly
[00:24:41] silicone, exactly, these are silicone yes or
[00:24:45] yes, there is no saline solution for pectoral
[00:24:47] implants, now a... woman who has already had the
[00:24:51] implant and 10 or
[00:24:55] does she have to do for a check-up, how often
[00:24:59] signs?
[00:25:02] This question is also very
[00:25:06] important, why? Because generally the vast majority of those who
[00:25:10] produce implants regardless of the
[00:25:13] brands, after 10 years
[00:25:16] certain guarantees expire, such
[00:25:19] as capsular contracture that we were talking about, but because there the
[00:25:22] body is what reacts against the implant, seroma which is this
[00:25:26] collection of water, generally also expires after 10 years, manufacturing
[00:25:30] defects, you know, no, generally when an implant
[00:25:33] breaks, the vast majority of implant manufacturers
[00:25:37] cover you with a lifetime warranty, but well, after 10
[00:25:41] years, that's why there is information to a certain extent
[00:25:44] relatively a little false that you have to change them after 10 years,
[00:25:47] no, if after 10 years your implants have not given you any
[00:25:51] breast cancer
[00:25:54] screening, ultrasounds, palpation,
[00:25:57] mammography, in reality you don't need any special
[00:26:00] study or any extra
[00:26:04] to monitor the
[00:26:07] implants, no, and this is an annual
[00:26:10] screening, depending on the ages, if
[00:26:14] they are under 40 years old, for example, ultrasounds are every 5
[00:26:17] years, but it is not really the screening for an implant, it is for the
[00:26:21] screening for breast cancer, after 40
[00:26:25] years many things change, ultrasounds can be done
[00:26:29] annually, mammograms can be done annually... it is recommended
[00:26:33] that they be annual, so as long as they are with the screening for
[00:26:36] breast cancer, let's say they will kill two birds with one
[00:26:40] stone, they will see if the breast implant is in adequate conditions
[00:26:44] as well, so there is hope that
[00:26:48] now implants are not so risky
[00:26:52] that they will not break, etcetera,
[00:26:54] etcetera, a final message for women who are
[00:26:58] deciding at this moment, should I get an implant or not?
[00:27:02] Uh, uh, a very important one would be not to be too influenced
[00:27:06] by social media,
[00:27:09] that what is ideal for certain people is not
[00:27:13] ideal for oneself, so if they are going to
[00:27:16] undergo surgery it should be because
[00:27:19] they want it, not even because their husband
[00:27:23] wants it, it should be by their own
[00:27:26] decision, that the volumes do not always
[00:27:29] look good on certain types of people. And very
[00:27:33] important, that they always go to qualified
[00:27:36] and certified people to perform this type of procedure,
[00:27:40] I always tell them, cheap comes out expensive,
[00:27:43] I definitely totally agree with you, Dr. Eric
[00:27:46] Márquez, thank you for being with us and giving us so many
[00:27:50] tips that we need at certain
[00:27:53] moments in life, thank you, Isa again and thank you to your audience for
[00:27:56] listening to us, well today we learned that breast
[00:28:00] implants can fulfill an aesthetic or
[00:28:04] reconstructive function, both are viable, are possible
[00:28:07] and valid, but they also involve risks,
[00:28:11] medical follow-up with the appropriate doctor, as Dr.
[00:28:14] Eric Márquez said, and decisions also imply
[00:28:18] that they must be made with sufficient information, the doctor
[00:28:22] said, beware of social media, that is, the ideal
[00:28:25] is to go to a specialist,
[00:28:29] talking about, because these are not easy decisions, he
[00:28:32] said, this is a surgery that is scheduled,
[00:28:35] planned, it is elective, it is not an emergency.
[00:28:39] Let's remember that before any change,
[00:28:43] before any decision, it is better to consult an excellent
[00:28:48] professional. I am Aisa García, thank you for
[00:28:52] sharing this space of healthy mind with us,
[00:28:55] may your day continue to be wonderful. We will
[00:28:59] meet very soon.
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[00:30:04] Resists Freedom and Sovereignty microsite. This portal
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