"The Top Plastic Surgeons
in America dedicated to
achieving
Flawless Breast
Surgery Results
for the most
discriminating patients"
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MIAMI                              RIVERSIDE, CA                    CHICAGO                       NEW YORK                   DALLAS                               NEW YORK
Examining Your Breast Implant Options

There are many choices to make when undergoing breast augmentation
surgery. During your initial consultation, your plastic surgeon will review all the
available breast implant choices as well as your medical history, distinct body
type and unique aesthetic desires to help you decide on a proper course of
surgical treatment that best meets your needs. In the meantime, however,
here is some general information about the available breast implant options to
get you started.

Size – You should choose a size of breast implants that is appropriate for
your frame. Choosing breast implants that are too large for your body type
can result in an extremely unnatural, disproportionate look. Be sure to wear a
stretchy sports bra to your consultation appointment, so you can try on
different "sizers," or breast prosthetics, to help determine the right size for you.

Type – There are two main types of breast implants available: saline and
silicone. Saline breast implants have a silicone outer shell and are filled with
saline, or sterile saltwater, solution. One of the principal advantages of saline-
filled breast implants is that they can be inserted before being filled, so the
Toronto breast implants surgeon is able to use smaller incisions than she
does with silicone implants. Another benefit of saline breast implants is that
the body is able to absorb the filling material naturally in case the implant
leaks or ruptures. The main disadvantage of saline-filled implants is that they
are more prone to rippling underneath the skin's surface.

Silicone breast implants also have a silicone outer shell, but they are filled with
silicone gel as well. The main advantage of silicone breast implants is that
they more closely resemble the look and feel of natural breasts.

On the other hand, one of the principal drawbacks of silicone-filled implants is
that the manufacturer fills them before surgery, so your plastic surgeon must
use larger incisions to insert the pre-filled silicone breast implants than she
does with saline implants. Another drawback of silicone implants is that when
they rupture, the filling material stays mostly intact inside the implant pocket,
so it is difficult to determine when they have ruptured. Also, the body cannot
naturally absorb silicone, so any leaked material will be present in the body
until it can be surgically removed.

Due to these concerns, your breast augmentation surgeon recommends that
patients with silicone implants undergo a breast imaging exam, such as an MRI
or mammogram, every three years, starting the third year after the initial
augmentation procedure.

Shape and Texture – Breast implants are available in two shapes: round and
teardrop. Round breast implants provide the most fullness and cleavage
throughout the top region of breasts. Teardrop-shaped implants are more
anatomically correct than their round counterparts, so they provide a more
natural look.

In addition to the shape of implants, you must also decide whether to use
smooth implants or those with a rough, textured outer shell. Smooth implants
move freely within the breast implant pocket. Textured implants tend to affix to
the overlying tissue, allowing them to stay higher up on the chest wall over
time.

Placement – The two main implant-placement options are subglandular
placement and submuscular placement. With subglandular placement, your
plastic surgeon positions the breast implants underneath the glandular
(breast) tissue and over the pectoral (chest) muscle. This placement method
is less invasive than submuscular placement, so the recovery period is
generally quicker and easier.

In contrast, submuscular placement involves positioning breast implants
underneath the chest muscle, which inflicts more trauma on the surrounding
muscles and tissue. Thus, this type of positioning typically requires a lengthier
and perhaps more intense recovery period. Nevertheless, submuscular
placement may be a better option for women with thin skin or little body fat. If
there is an insufficient amount of skin, fat or tissue to cover breast implants,
they may be visible beneath the surface of the skin.

Incision Approach – Surgeons offer different incision approaches from which
to choose. The first incision approach involves making the required incision
around the border of the areola, or the more darkly colored skin surrounding
the nipple. The second incision approach involves making the required
incision under the natural breast fold. Your plastic surgeon will help you
decide which incision approach is right for you; the approach taken largely
depends on which type of breast implant and which placement method you
choose.
Do I Need A Breast Lift?

How Much Will The
Procedure Cost?
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