What is there in your mind if you hear the word implant? Certainly some of you answer, that implants are objects related to plastic surgery. According to the Indonesian Dictionary (KBBI) implants are materials or material that are artificially affixed to a creature. It can also be interpreted that implants are objects that can be ‘inserted’ into the human body.
In this case it is of course related to plastic surgery. For plastic surgery, the use of implants is divided into two, namely silicone and collagen implants. Both uses for plastic surgery are very limited. Liquid silicone has long been abandoned by its users since the 1970 because it caused many problems and adverse side effects.
Silicon implants are still widely used, especially in the form of solid silicon and gel form, because of their safety factors. While the use of collagen is largely avoided because of hypersensitivity and less comparable results.
Did you know that there are several terms related to silicon, including silicon, silica and silicone. Silicon is a forming element of the earth’s crust which is certainly found in the wild. Whereas Silica is a 3-dimensional form of silicon-dioxyd in the form of grains of sand, heat resistant and hydroscopic.
As with silicone, silicone are not found in nature, but are produced because human works (manufacturing in factories), are a polymer of dimethyl siloxanes that have stable bonds, so they are resistant to high temperatures. These silicone are hereinafter referred to as silicon for the understanding of implants used in the field of plastic surgery. Silicone forms vary, some are liquid, gel and solid. But on solid silicon is divided into three types, namely solid silicon is divided into three types, namely hard, medium and soft silicon. Its use is not only medical and beauty, but silicon is also often used in industrial fields such as coatings in machinery and lubricants, household appliances to the manufacture of baby pacifiers.
Based on its purity, there are two types of liquid silicon which are often used for medical grades, including those that can be injected into the body (injectable) or which cannot be injected into the body (non-injectable). Non-injectable silicones are used for syringe coatings, infusion bottle coatings, draining hoses, catheters and so on. Whereas injectable silicon is popularly used as an implant or aesthetic purpose. Furthermore, there is a silicone gel which is a mixture of solid silicon and liquid form, used as a filler for breast implants. Silicon gel is used by wrapping using a sheet of silicon (silicon sheet) in the form of a bag (silicones bag). While solid silicone consists of silicone sheets for breast implant wrapping, block shapes or finished implant forms (factory-made) for certain medical uses, such as heart valve prosthesis, artificial testes, nose implants, cheeks and so on. Its consistency also varies, some are dense, soft as rubber and there is also a combination of both (medium). In addition to silicon, there are other objects that can be used to do plastic surgery. Another object is collagen. Collagen is a form of protein product which is a connective tissue fiber between cells that gives tension / elasticity to tissues or organs. The reduced composition of collagen under certain conditions (eg in the aging process, scarring due to wounds) causes changes in tissue contours (wrinkles, hollows, etc.). In such conditions the use of collagen implants is considered.
Collagen implants used are from cow skin tissue (bovine collagen, zyderm); which is injected into the dermis layer (skin). The injected implant will then stimulate the formation of new collagen fibers by the surrounding tissue which will “restore” skin elasticity.
The use of collagen implants will provide good results on fine wrinkles on the face due to the aging process. Deeper wrinkles are sought with preparations with a stronger concentration. This implant will run out and require repetition within three months. Based on the nature and how it works, the use of collagen implants is a means of skin rejuvenation (overcoming skin wrinkles due to the aging process), not for augmentation purposes (plastic surgery with the aim of changing the shape of organs such as enhancing certain organs such as sharpening the nose etc.) Having silicone and collagen implants certainly has certain side effects. One of the effects of silicone implants is the emergence of siliconoma or tissue damage due to the accumulation of particles of liquid silicon in the tissue where it is injected. And these conditions cause a chronic inflammatory reaction.
While the impact that will be received by patients post collagen implants is a hypersensitivity reaction, either fast or slow type from the mildest to the most severe level. Therefore, before using collagen, a skin test that consists of several stages should be carried out. The first test was given several ml injections and monitored for 48 hours. The second skin test is done two weeks later, in the same way. Further observation was carried out two weeks after the second skin test. But you don’t need to worry, this risk can be overcome by doing a personal consultation first. This needs to be done before you decide to undergo an surgical procedure relating to silicon and collagen as implant material. So that you can minimize the risks that will occur later.