Right, so today every man wants a perfect chest, but even if you go to the gym every day,
sometimes it simply doesn't work. So that's why you need some pectoral implants.
So how does that work? It's performed under general anaesthetic. It's a one-hour surgery.
The incisions are 5 centimetres long and they are located, in 90% of the cases, in the armpits.
In 10% of the cases, they are in the inframammary crease and we use them for specific reasons.
The implants that we’re using are specific implants. They are made in cohesive silicone,
they have the shape of the muscle and they come in two or four different sizes.
There are four types of patients that I see in my consultation who require actual implants.
Originally, this operation was only made for people who were born with a difference between
the two sides or had some kind of injuries making a difference between the two sides of their chests.
Then in 1990, an American surgeon started to use pectoral implants on
both sides for bodybuilders, but he was using hard silicone implants. Personally, in my
experience, I started to see a patient who couldn't make a-- couldn't build any muscle
even if they were trying very hard and that's how actually I started using a specific implant
– as you know about three different types and three different sizes.
And the last category of patients is patients who had extensive surgery, may be too aggressive
like liposuction for instance and they have a need for a reconstruction of the chest and
that's why we use the pectoral implants.
So, the increase that you can get with pectoral implants of course depends on what sort of
implants you have, but it started from 2.4 cm to 2.9 cm.
Now, you have to keep in mind that we’re putting an implant under a muscle
which has already a certain thickness and you want a natural result.
You don't want the chest to look too feminine.
And also, you have to keep in mind that this new chest size has to match with the arms.
In other words, you don't want to have the biceps too small compared to the chest.
So that's why we have only three different sizes, but they actually-- they are the good answer to what
all this patient needs.
Pectoral implants have potential risks. Because they are implants, they have a life expectancy,
first of all. We're not really sure about this, but in theory, they have a ten-year
expectancy... life. They are also painful for about three weeks. There's always a risk
of infection, so the patient needs to take antibiotics, and you want to rest for the
first three weeks, otherwise there's always a risk of displacement of your implants and
finally just like with any type of implants on the body, there's a risk of harming of
the tissue around the implant what we call a capsule contracture.
But the risk here is quite small.
Well, if gain weight after having pectoral implants, it is always possible to remove
this excessive fat with a liposuction, but first of all, I would say that people who
want to have this male chest reshaping with pectoral implants, they know that they have
to say, I mean, be careful with what they're eating and go to the gym, at least in a reasonable way.
But I would say that pectoral implants alone used to be what I was doing most of
the time for first 20 years, but recently I decided to combine this operation with a
VASER liposuction to the chest, which actually will be done before inserting the implants
and the purpose of this VASER liposuction will be actually to remove all the different
excess of fat that can be around the pectoral muscle.
So combined together, these two techniques
will give you the perfect shape and I now recommend all my patients to have it.