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00:02:13Hello, it's great to coincide, I'm Aisa García and I
00:02:17welcome you to Sanamente, Telesur's
00:02:20Telesur dedicado su salud, su bienestar,
00:02:24Today we are going to talk, pay attention, about
00:02:27breast implants, a bold topic. but
00:02:30interesting and I ask you, what do you think,
00:02:34is it only about an aesthetic
00:02:37procedure, is it a
00:02:41implica cuidados médicos a largo
00:02:43There are women who resort to breast
00:02:47influence the safety of health breasts,
00:02:50need them as part of a
00:02:53a
00:02:56mastectomy, and some
00:03:00from a previous surgery. We are going to talk about this topic with
00:03:05video game consoles, the
00:03:07cons, but unlike who knows a lot about the topic, a young talented one, he
00:03:09el doctor Eric Márquez, especialista en cirugía
00:03:12plástica y reconstructiva,
00:03:15Take note that not all specialists, plastic
00:03:19do with reconstruction.
00:03:23Welcome, thank you very much, again, thank you for the invitation, it's
00:03:26a pleasure, it's a pleasure to have you here because this topic of breast implants
00:03:30arouses a lot of curiosity and it's a topic that our viewers
00:03:34have requested through social media, so let's start with
00:03:37the most basic, what is a breast implant? A
00:03:41breast implant is a medical device eh, it's not something that anyone can
00:03:45buy, it's a medical
00:03:48evolving eh over the years, currently we are already in the
00:03:52implants that are called fifth generation, practically
00:03:55more sophisticated, of course, the first generation was from the 1960s. So
00:04:00they are medical devices that not everyone can
00:04:04acquire, of different brands, of different eh
00:04:07characteristics, of different
00:04:10life, if the valve fails, dimensions that we use to increase
00:04:12the volume of the breast
00:04:15very high, that's right, one of or to reconstruct a breast that has been removed, right? So practically
00:04:18it has been removed due to illness, that's right, mainly due to illness, cancer now
00:04:22that we are in cancer month, how are breast implants placed? There are
00:04:26multiple entry routes, practically one of eh the
00:04:29access routes is the axillary route, another
00:04:32around the areola called periareolar, another is
00:04:36under the fold or inframammary
00:04:39technique and the last one is through the navel,
00:04:43evidently the navel one is more complex, rather they
00:04:47are eh devices or saline
00:04:50solution implants, they are the only ones because the tunnel is made
00:04:54through there, they are introduced into the breasts and are inflated
00:04:57by means of special devices that are... these are the
00:05:01only ones that go through the umbilical route. When
00:05:04do you decide which one to put, what type to put, what
00:05:07does it depend on? The vast majority of
00:05:11world are made of silicone. In the United States,
00:05:14saline solutions were widely used
00:05:18because they were ultimately the ones who
00:05:23el transcurso de los años y de la evolución se ha visto
00:05:26seen that silicone
00:05:30in the United States, a greater
00:05:34silicón que de solución salina, pero prácticamente son estos
00:05:37reasons why a
00:05:41woman goes and says: Dr. Eric, I want
00:05:45implant. I think the
00:05:48main cause is eh to regain
00:05:51self-confidence, regardless of whether she will
00:05:55regain confidence
00:05:57after a mastectomy
00:06:01example, simply to regain
00:06:03confidence because she is not happy with the volume she
00:06:07has, so practically
00:06:09the main indication is to go to
00:06:13regain confidence to be able to have the
00:06:16volume that the patient has always
00:06:19desired. And what is the difference between an
00:06:22implant after a mastectomy or an
00:06:25implant for aesthetic
00:06:28reality, there is no difference in terms of the
00:06:32implant device, exactly the same ones are used,
00:06:35but it does differ a lot in the
00:06:38patient, for example, there
00:06:41are an infinite # of implant
00:06:45projection, which is what goes forward, moderate,
00:06:48eh slight,
00:06:51extra-high or high, for example, there are four projections,
00:06:55within those there are also different models, whether they are round, whether they are
00:06:58anatomical. Who decides that, the doctor or the patient? In
00:07:01reality, the ideal
00:07:05decide what type of implants to use is the
00:07:08doctor, but according to the
00:07:11patient's
00:07:14come and tell us: Eric, I want implants that look
00:07:17round, I don't care if they look
00:07:21type of implants we have to place, unlike when
00:07:25a patient comes and tells me: I want
00:07:29not only that it looks, but that it
00:07:32feels as natural as possible, that's when
00:07:36we play with
00:07:39of prostheses based
00:07:43on that. Now, is there any difference from the point of
00:07:46view of risks between those that have saline solution, those that
00:07:50decías que se ponían desde el ombligo y los
00:07:53implantes que son de silicón, en realidad ya no
00:07:56difference in risks, why? Because
00:08:00now the the the silicone
00:08:02implants are already highly cohesive, what does that mean? That they can
00:08:06break and the silicone no longer leaks. That's excellent news,
00:08:10that's excellent news, however, it leads us to... they are slightly harder, therefore they
00:08:14feel different from a normal breast, but these are pros and
00:08:19saline solution, if it broke, it's a solution and
00:08:23the body simply absorbs it. In reality,
00:08:26those do not have as much risk as the old
00:08:30silicone implants that were very liquid that would break
00:08:33and would leak, so before there were
00:08:36greater risks of reactions of
00:08:39diseases related to ruptured implants. Not anymore, this
00:08:43fifth generation of implants, practically not anymore, because they don't
00:08:46leak, but what is also a
00:08:49drawback of silicone
00:08:52important, we have to remember that it's a bag full of
00:08:56water, so it might sound, silicone is equivalent to
00:08:59water, exactly, but silicone
00:09:03make noise, water
00:09:07like sexual relations or exercise
00:09:11not only that, the valves would fail according to the
00:09:15pressures, you have to keep changing the valves, eh, no, once
00:09:18an implant is placed it stays there for
00:09:22what has to be changed is the whole implant, that's why currently in the world
00:09:26the main ones that are placed are silicone. Are all
00:09:30of us candidates to
00:09:33very eh, to a certain
00:09:36extent I think philosophical,
00:09:40because every woman is designed to receive an
00:09:44implant, probably yes, but that
00:09:47all are candidates for breast implants definitely
00:09:51no, the indication for this type of surgery, as I told you, is
00:09:55to regain confidence. There are people who look
00:09:58beautiful without breasts and not only that,
00:10:01they also feel beautiful,
00:10:05definitively they are not
00:10:07how they are perfect, no?
00:10:11People come and tell me: no, I want large breasts, I'm sorry, but that doesn't
00:10:15suit you, being small, so that
00:10:18always and we always have it, you know
00:10:21when Isa, when they decide the volume of the breasts. I
00:10:25always tell them, they are always given some试wear
00:10:28so that they know or simply express
00:10:32what the ideal volume is for them. Once they
00:10:35tell me what the ideal volume is, then I always tell them and
00:10:39if you want my opinion then now yes, and if you want my opinion,
00:10:43exactly there it goes,
00:10:47but thank God I haven't yet had anyone ask me for breasts so
00:10:50big that I have to tell them I'm not going to place them. It seems
00:10:54wonderful 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
00:11:01account on social media and it says: Having breast
00:11:05implants prevents
00:11:08having a mammogram? What should a woman know to properly
00:11:11This question
00:11:14seems very important to me, exactly,
00:11:17definitely placing an implant
00:11:21does not contraindicate any
00:11:24diagnostic study for cancer, but not only
00:11:27mammography, from palpation, a
00:11:30woman, whether she has implants or not, has
00:11:34to self-examine every month, but is it easy
00:11:37to do it with an implant? Yes, because she has to do it,
00:11:41she knows her her her breast, the
00:11:45implant is placed under the mammary
00:11:48gland, always, sometimes it is placed under the muscle, but
00:11:52when it is under the muscle then it has... the implant, the
00:11:55muscle and the mammary gland above, therefore,
00:11:59she will always be able to touch her breast to see if
00:12:03she has lumps, which is the detection of cancer, check her
00:12:07armpits, perform ultrasounds,
00:12:10perform mammograms, she always has to continue with
00:12:14breast cancer screening, that is very important, whether
00:12:18she has implants or not, and once you get an
00:12:22implant, that
00:12:25year after year is more necessary, no, it's
00:12:28equally important, equally important, cancer
00:12:32the same with implants and without
00:12:36break and we'll be
00:12:39back shortly with Dr. Eric Márquez to continue talking
00:12:43about breast implants, so
00:12:46stay tuned.
00:14:50We are back on Sanamente, I'm Aísa García and today I'm talking
00:14:54with... plastic and reconstructive
00:14:57Eric Márquez.
00:15:00We are going to talk about the risks of breast implants, warning signs
00:15:04follow-up.
00:15:08What are the risks of getting a breast
00:15:11implant, whether to
00:15:14achieve what we want of that aesthetic beauty
00:15:18that we aspire to at some point, if we don't feel we
00:15:21have it, whether due to mastectomy, all
00:15:25surgery involves eh risks
00:15:28and complications, in fact during surgery, that's right, during
00:15:31surgery evidently after surgery, some of the
00:15:35risks that patients should know
00:15:39and should authorize eh
00:15:41related to breast implants can be some very simple
00:15:45ones like a capsular contracture which is this
00:15:48capsule that the body makes to isolate the
00:15:52implant from the body, so to speak, to cover it, another
00:15:56can be the loss of sensitivity
00:15:59where in the areola nipple complex,
00:16:02pay attention, it's the same percentage of losing
00:16:05sensitivity as of becoming
00:16:07hypersensitive as well, just as it can be lost,
00:16:11sensitivity can increase, that's another risk, but
00:16:15these are risks that are actually less than 3%, some other
00:16:19risks are that after surgery blood collects in
00:16:22the site where we operate, water, for
00:16:26example, and that must immediately go to the doctor to
00:16:30fix it, yes, there are two approaches, generally
00:16:34personally I do leave drains that can warn me
00:16:37if this is happening, water or blood, water or blood, these are drains
00:16:41that will warn me if water or blood is
00:16:45coming out, there are doctors eh who do not leave this type of
00:16:49drains, these are approaches, they close the surgery,
00:16:52exactly, and what is the problem I think, leaving drains
00:16:56is uncomfortable for the patient, but if there is any complication it will be solved
00:17:00immediately, because it will warn me that blood is coming out or that
00:17:03water is coming out, and the risk for the patient, exactly, is
00:17:06lower, exact, because if I don't leave drains and water
00:17:10or blood starts to collect after surgery, when will I
00:17:14realize it? When one breast is much larger than
00:17:17the other, then I have to go back to the operating room
00:17:21to remove that water and that blood, something that with the
00:17:24drains is coming out and all I do is press harder to
00:17:28contain that. How does a person, a woman who wants
00:17:32to get a breast implant, who wants to get an
00:17:35She says: how does she know
00:17:39if the doctor she is going to is a
00:17:42properly certified doctor and if the
00:17:45clinic meets all the requirements? I mean, she shouldn't
00:17:48go to an inappropriate place. That question is
00:17:52super important, the patient always has to ask for the license and
00:17:55degree of plastic, aesthetic and reconstructive surgeon.
00:17:58Also always ask where will I be operated and who is your surgical
00:18:01team, right? Because it's not the same to be operated
00:18:04in authorized hospitals as in dubious
00:18:08clinics. We get another question to the @sanamentetls account and
00:18:11they want to know how some medications that the
00:18:15patient is taking, persistent
00:18:18and
00:18:21smoking can
00:18:24the surgery also in recovery, of course,
00:18:28we have to take into account that this surgery is elective, what does
00:18:32elective mean? That it is planned, if you have a
00:18:35disease that is uncontrolled. For
00:18:37example, diabetes
00:18:39mellitus,
00:18:41predisposes us to not heal, to get
00:18:45infected, some other diseases like
00:18:47hypertension, if it is not controlled it will make us bleed
00:18:51more, some bad habits like smoking,
00:18:55smoking is very important because smoking will always
00:18:57affect the irrigation or how blood reaches
00:19:01everything, gosh, tissue
00:19:05die just by being. The areola-nipple
00:19:08complex can die, which is one of the
00:19:12someone goes for a breast augmentation, tells us that
00:19:15she smokes and ends up with or that her
00:19:18boyfriend, that is also and we are
00:19:21many passive smokers and also they tell you no, I don't smoke, but you
00:19:25detect them when they arrive smelling of cigarettes, no, of course, all these
00:19:29conditions should contraindicate this type of
00:19:32procedures, if any disease is not controlled, if
00:19:36you don't have good habits, for example, not smoking, we can
00:19:40say, don't have surgery until
00:19:44and and not only that, not during surgery, but it is also ideal to quit smoking
00:19:48risk is
00:19:53the complications that is most talked about
00:19:57contracture, what is
00:19:59this? It is the body's own reaction to
00:20:02naturally
00:20:06everyone does it, that is, the body even does it with all the
00:20:10implants that are introduced, a wise
00:20:13body, right? Exactly, and I'm not only referring to breast
00:20:16implants, we have implants of all types,
00:20:20but this capsule in certain
00:20:22thicker than in
00:20:26so when there are
00:20:29different degrees of capsular contracture, there are four degrees, the fourth is
00:20:33when this same capsule is deforming
00:20:36the breast even and can cause
00:20:39pain, that's when you have to proceed to remove this capsular
00:20:42contracture, but there are capsules
00:20:46that form
00:20:48naturally, which is in the vast majority and absolutely
00:20:51nothing happens, but capsular contracture is
00:20:54this, this part of the body that covers it and
00:20:58it can be exaggerated and when it is this way it is a capsular
00:21:02contracture. Another question arrives at the @sanamentetl account
00:21:05and they want to know if a woman with
00:21:08breast implants, Dr. Eric Márquez
00:21:11Yes, any woman who has had
00:21:15breast implants can breastfeed. Now, there are
00:21:18some people, some... women who have had an
00:21:21implant and then report that they are very
00:21:24tired or that they have joint pain or even
00:21:28difficulties concentrating, focusing
00:21:31even in a conversation, why does this happen? Since
00:21:35about 10, 15 years ago, these
00:21:38investigations of this
00:21:41it or categorize
00:21:44it as Asia syndrome or
00:21:47also... it receives another name
00:21:51such as breast implant illness which is an inflammatory
00:21:54disease. For years, as I mentioned, it has been tried
00:21:58to investigate if this type of medical devices such as
00:22:02implants develop this
00:22:04disease. The conclusions
00:22:07currently say that no, that it is not
00:22:11related to eh with this type of
00:22:14diseases. Now, how did they arrive at this
00:22:18investigation? It is not that they did not gather a
00:22:22database of these articles that said that implants
00:22:25were related to Asia syndrome or breast
00:22:29implant illness. We have to take into account something very important Aïsa,
00:22:33what are the symptoms of
00:22:36these syndromes of this disease? They are very
00:22:40non-specific symptoms, depression,
00:22:42weakness, arthralgias and
00:22:46symptoms that in a big city like this, the vast
00:22:50majority can have them, so of course, without having a breast implant exactly
00:22:53no, depression was another of them, of course,
00:22:57so practically it was a syndrome
00:23:01or it was a disease of exclusion,
00:23:04they said, since you don't have hypertension, you don't have this
00:23:07disease, this disease, calm down, nothing happens, it's related to your implants,
00:23:10of course, so what happened? They started to
00:23:13gather the information and realized that
00:23:17even in patients who said no, I feel this way because I have the
00:23:21implants, and they removed the implant,
00:23:25a certain percentage,
00:23:28a large majority, one, the symptoms did not go away,
00:23:31number two,
00:23:34eh, once they were removed,
00:23:37they improved, but they called it
00:23:40euphoria of removing the implants, after a few months
00:23:44it returned, oh my god, to make a long story short, of
00:23:47500 studies they reviewed, only 11
00:23:51were valid, because in addition all
00:23:54of them followed up only for 6 months, so within
00:23:58these 11 serious
00:24:01articles they said no,
00:24:05that it was not related to implants, therefore this
00:24:08inflammatory disease or Asia
00:24:11syndrome is not sine qua non
00:24:15that if you have implants you will get it, so
00:24:19that's not where this situation is going,
00:24:22definitively, men also get implants, of course, there are some pectoral
00:24:25definitively do not have the same
00:24:28shape as breast implants, but
00:24:31they serve to give a better silhouette to the pectoral
00:24:34muscle, mmm, interesting and I imagine they also
00:24:37have the risks you told us about, definitively they are exactly
00:24:41silicone, exactly, these are silicone yes or
00:24:45yes, there is no saline solution for pectoral
00:24:47implants, now a... woman who has already had the
00:24:51implant and 10 or
00:24:55does she have to do for a check-up, how often
00:24:59signs?
00:25:02This question is also very
00:25:06important, why? Because generally the vast majority of those who
00:25:10produce implants regardless of the
00:25:13brands, after 10 years
00:25:16certain guarantees expire, such
00:25:19as capsular contracture that we were talking about, but because there the
00:25:22body is what reacts against the implant, seroma which is this
00:25:26collection of water, generally also expires after 10 years, manufacturing
00:25:30defects, you know, no, generally when an implant
00:25:33breaks, the vast majority of implant manufacturers
00:25:37cover you with a lifetime warranty, but well, after 10
00:25:41years, that's why there is information to a certain extent
00:25:44relatively a little false that you have to change them after 10 years,
00:25:47no, if after 10 years your implants have not given you any
00:25:51breast cancer
00:25:54screening, ultrasounds, palpation,
00:25:57mammography, in reality you don't need any special
00:26:00study or any extra
00:26:04to monitor the
00:26:07implants, no, and this is an annual
00:26:10screening, depending on the ages, if
00:26:14they are under 40 years old, for example, ultrasounds are every 5
00:26:17years, but it is not really the screening for an implant, it is for the
00:26:21screening for breast cancer, after 40
00:26:25years many things change, ultrasounds can be done
00:26:29annually, mammograms can be done annually... it is recommended
00:26:33that they be annual, so as long as they are with the screening for
00:26:36breast cancer, let's say they will kill two birds with one
00:26:40stone, they will see if the breast implant is in adequate conditions
00:26:44as well, so there is hope that
00:26:48now implants are not so risky
00:26:52that they will not break, etcetera,
00:26:54etcetera, a final message for women who are
00:26:58deciding at this moment, should I get an implant or not?
00:27:02Uh, uh, a very important one would be not to be too influenced
00:27:06by social media,
00:27:09that what is ideal for certain people is not
00:27:13ideal for oneself, so if they are going to
00:27:16undergo surgery it should be because
00:27:19they want it, not even because their husband
00:27:23wants it, it should be by their own
00:27:26decision, that the volumes do not always
00:27:29look good on certain types of people. And very
00:27:33important, that they always go to qualified
00:27:36and certified people to perform this type of procedure,
00:27:40I always tell them, cheap comes out expensive,
00:27:43I definitely totally agree with you, Dr. Eric
00:27:46Márquez, thank you for being with us and giving us so many
00:27:50tips that we need at certain
00:27:53moments in life, thank you, Isa again and thank you to your audience for
00:27:56listening to us, well today we learned that breast
00:28:00implants can fulfill an aesthetic or
00:28:04reconstructive function, both are viable, are possible
00:28:07and valid, but they also involve risks,
00:28:11medical follow-up with the appropriate doctor, as Dr.
00:28:14Eric Márquez said, and decisions also imply
00:28:18that they must be made with sufficient information, the doctor
00:28:22said, beware of social media, that is, the ideal
00:28:25is to go to a specialist,
00:28:29talking about, because these are not easy decisions, he
00:28:32said, this is a surgery that is scheduled,
00:28:35planned, it is elective, it is not an emergency.
00:28:39Let's remember that before any change,
00:28:43before any decision, it is better to consult an excellent
00:28:48professional. I am Aisa García, thank you for
00:28:52sharing this space of healthy mind with us,
00:28:55may your day continue to be wonderful. We will
00:28:59meet very soon.
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