There are three main types of breast implants:
Saline implants – filled with a sterile saline solution ,which is held within an elastomer silicone shell. These implants can be filled with different amounts of saline solution, which may affect the feel, firmness and shape of the breast.
If this type of implant leaks, the solution will be absorbed and expelled by the body naturally.
Silicone implants – filled with a viscous silicone gel which is held within an elastomer silicone shell.
If a silicone-filled implant leaks, the gel will either stay in the shell or escape into the breast implant pocket. A leaking silicone-filled implant might not collapse. Patients choosing this type of implant should carry out more regular checks with their doctor compared to those on saline solution implants. The condition of the implants can be determined with an MRI or ultrasound scan.
Alternative composite implants – these may be filled with polypropylene string, soy oil or some other material.
Which Breast Implants Are Safer ?
Saline are still the most common in the World. But are they the best choice? The only positive aspect is that they require a much smaller incision for placement.
As for silicone, we find them to feel the most natural. Silicone implants are much different than the ones which were taken off the market in the earlier. The shells are much thicker and the silicone gel is much thicker (cohesive). Cohesive is a term for all silicone and is confusing because there are varying degrees of cohesiveness. The old implants were cohesive but in such a state that they would leak. There is never a reason to put an implant above the muscle (subglandular) position. It is a setup for problems.
Selection of Implant
Breast implants come in more than one shape, depending on the patient’s goals and Dr.’s suggestion. Each patient considering breast augmentation should be individually evaluated regarding which implant shape is best for them – round or anatomic.
Anatomic breast implants, which are also known as “teardrop” breast implants, are fuller in the lower half. They are designed to look as natural as possible. Yet while this shape may work well for a select group of patients undergoing breast augmentation surgery, the anatomic implant is used sparingly. Because this design has a distinct vertical orientation, should the implant rotate, the appearance may become distorted.
Round breast implants are the leading style used for breast enhancement today. They are known to create a fuller look throughout the breast. An advantage of this design as compared to anatomic breast implants is that there is generally no adverse consequence should the implant rotates. Because it is round, there is no vertical or horizontal orientation. Due to gravity alone, the bottom portion of the breast will look fuller once the filler settles in. This creates contour similar to that of the anatomic breast implant, but avoids the risk of possible distortion.
Determining the appropriate implant size is one of the critically important steps in breast augmentation. An implant that is too small or too large produces an unsatisfactory result. That the best and most natural results are achieved by selecting an implant that is proportional to a woman’s anatomic features.
The best way to determine what size you want and need is to bring your plastic surgeon a nude photo, preferably a straight on shot and side profile. Also bring pictures of what is too small and what is too large. Don’t forget to discuss cleavage. If you find a good plastic surgeon they should be able to help you obtain your desired result.
In order to accomplish the appearance you see in a bra add 15-20% to get the same look after surgery, especially if you are going under the muscle. For example, if you like 300cc, you’ll need 345 to 350cc implants. Also, projection after surgery is less than what you see in the bra. Implants tend to be rounder and fuller. This is particularly true with sub muscular placement. However, anatomicals do have more projection than rounds.
Don’t get too set on an cc size. The exact same size implants will look different on different women. Factors to considers when picking a size:
- Chest shape
- Rib size
- Breast shape
- Breast base dimension
- Breast volume
- Breast Width
- Tissue stretch characteristics
- Sternal depth
- Pregnancy history
Location of Incision
There are several places where an incision can be placed for breast augmentation: in the axilla (armpit), under the areolas, or under the breasts. during your consultation you can decide what works best for you.
Location of Implant Placement
Breast implants can be placed either under the breast tissue and over the pectoralis muscle, or under both the breast tissue and the pectoralis muscle. The vast majority of patients who undergo breast augmentation today have implants placed under the muscle. The reasons for this include a more natural result by having more tissue cover the implant and a lower rate of complications.
Recovering from breast augmentation, as with any surgery, is a gradual process. Some patients recover more quickly while others may be a bit slower. In general, the recovery following these procedures is not difficult. The typical patient will experience some pain and discomfort and use pain medication for 2 to 3 days following surgery. Depending upon the patient’s occupation, most patients will return to work 4 to 5 days after surgery. After 1 to 2 weeks patients can resume non-impact lower body exercise. Four weeks after surgery they can resume impact exercises and 6 weeks following surgery they can resume upper body exercise. Visit our Before Surgery Care for more information on pre and post operative care.
While patients will of course see results immediately after surgery, there is always swelling that develops. During the first week after surgery, the breasts and surrounding area are swollen, the implants appear high and your nipples point downwards, (this is all very normal). Over the course of several weeks the swelling subsides and the tissues stretch to accommodate the implant creating a more natural appearance. Also it is very common for the areola to stretch along with the rest of the breast so your areolas will be bigger after surgery.