Breast augmentations are one of the most popular cosmetic surgery procedures in the US. This procedure is so popular because it is safe, effective and customizable to the individual. There are many choices to consider when thinking about breast augmentation and we have broken down the most important ones for you below! If you would like to get more details about this procedure, schedule a consultation or contact us here!
When it comes to breast augmentation, there are a lot of decisions you need to make beyond size, including:
Material: Silicone or Saline
Shape: Round or Teardrop
Placement: Under or Above Muscle
Incision: Under the Breast or Around the Nipple
Surgeon: Should always be Board-Certified & Experienced
A big decision in planning for breast enhancement surgery is to choose between silicone or saline breast implants. There are benefits to both, and you should decide on the implant which will work best for you. The purpose of this information provided is to help you choose the best implant design for your unique lifestyle and body.
Saline Breast Implants
Saline implants consist of a silicone shell which is inserted empty then inflated with a saline solution after proper placement. The position can be either above or below the pectoralis muscle. Saline is a salt water solution which is similar to a natural fluid found in the body.
The surface of the saline implant is either textured or smooth with the implant itself varying in shape, profile, shell thickness, and volume. One advantage of the saline implant is the amount of fluid can be calibrated easily to ensure the best volume and firmness possible after placement.
Advantages of Saline Implants
Ability to increase or decrease volume after placement
Silicone shell filled with a salt-water solution which is very close a natural body fluid found in your body
Ruptures are easier to detect
Smaller incision required than with silicone
Cost is less than Silicone Implants
Disadvantages of Saline Implants
Rippling is more common than with Silicone implants
Firmer feel than natural breast
Does not have the natural look or feel of a Silicone implant
Most patients who choose saline implants do so because they believe it is safer, in the rare event of a rupture, because of the harmless saline solution and their ability to provide early detection. The main drawback, however, is they lack the natural feel and look of normal breasts. Also, for patients with little breast tissue, rippling is a concern.
The FDA recommends patients be 18 years or older for Saline Implants.
Silicone Breast Implants
Silicone implants consist of a durable silicone shell filled with a cohesive silicone gel which has the feel of natural breast tissue. These implants are available in round and anatomic (teardrop) shape with textured or smooth surfaces. Most silicone implants are not adjustable, so, the incision used to insert the breast implant is larger than what is necessary for saline implants. Unlike saline implants, the size is permanent and not adjustable.
Some surgeons recommend silicone implants for women with little breast tissue to hide the implant. If the patient has enough breast tissue to cover the implant, the outcome will be comparable with saline or silicone implants. When the patient has little body fat and a small amount of breast tissue, the silicone implants can provide a more natural result. A recommendation will come during a breast augmentation consultation.
Silicone Breast Implant advantages:
Suitable for any body type
Less chance of rippling
Will not leak if ruptured
Predictable outcome with a set volume amount
Patients with little breast tissue can still have a natural breast feel and appearance
Feels much like the natural breast
A skilled surgeon can place breast implant with Areolar (nipple incision), inframammary (under the breast fold) or trans-axillary (under the armpit)
Rupture hard to detect without MRI
Larger incisions necessary
Larger implant may eliminate some incision techniques
Many patients choose silicone because it has a more natural feel and look than its saline alternative. MRIs are recommended three years after surgery and every two years afterward to find any possible leaks or ruptures.
The FDA recommends patients should be 22 years or older for Silicone Implants.
Silicone Versus Saline Implants
A major concern with many breast augmentation patients is the risk of rupture. An advantage the saline implant has is it will deflate immediately making the rupture obvious to the patient. Also, with the saline solution very close to a natural body fluid, there is no issue other than aesthetic.
Implants may rupture because of capsular contracture or physical trauma. Capsular contracture is a response of the body’s immune system to foreign objects like breast implants. Because silicone implants are filled with a gel type filling, it is harder to determine when or if a rupture occurs. Therefore, we recommend a periodic MRI to make sure everything is OK with the silicone implant.
Making the Decision
There is a lot to process when deciding on the optimal breast implant for your surgery. The right choice is available when you consider your body type, desired outcome, and who will perform the surgery. At Dreyfuss Plastic Surgery, we take the time to listen to what you want and hear all your concerns. Dr. Dreyfuss will provide his professional recommendation based on his training and vast experience with breast surgery.
To learn more about choosing the right breast implant, contact us to schedule a breast augmentation consultation.
Breast enhancement is all about being bigger—but there’s more to it than that. You also want to find the perfect size for you, and that requires a little bit more work than finding the biggest implant you can get. If want help with finding the right size of implants, check out our handy guide on breast implant sizes.
How to Size Breast Implants
You might think it’s as easy as picking a cup size, but picking the right size is much more complicated. Since cup sizes are actually different across different bra manufacturers, it’s a pretty bad way to convey your desired implant size to your surgeon. Breast implants are actually measured in three ways: diameter, volume, and profile. The diameter is how wide the implant is, the volume is how much filling is inside of it, and the profile is how far the implant will project from the chest. Each measurement will affect each other, so finding the right combination of measurements is the key to finding the perfect size. So for a certain volume, a narrow diameter will result in a higher profile, or projection from the chest.
Perfect for Your Figure
A breast implant of a certain size will not look the same on every woman, which is why it’s important to size the breast implant perfectly to a woman’s anatomy. That means the implant should be adequately covered by the woman’s natural breast tissue, have a width that’s slightly smaller than the width of the natural breasts, and looks natural and proportional to a woman’s body. For instance, if a woman with a very small frame wanted very large implants, it’s important that she get implants that didn’t look too crowded on her narrow chest. That can be solved by getting an implant with a narrow diameter and a high profile, which can give her a dramatic look while looking perfectly balanced and natural.
Your Personality and Your Lifestyle
Your implants shouldn’t just reflect your body type; they should also reflect who you are. Big personalities tend to want bigger implants, but what if you’re not as outgoing? If you have an athletic lifestyle or a more subdued personality, you might not want the biggest breasts you can get. Your new breasts should not be at a size that could impede strenuous activity, and if you’re worried about attracting too much attention, you might want a more subtle increase in size than a dramatic one. Now that you know more about the process, it might be time for you to start your breast augmentation journey. To work with a caring, talented plastic surgeon for your breast enhancement, contact the offices of Dr. Dreyfuss for a consultation.
Springtime is coming fast, and like a flower in springtime, it’s your time to blossom. If you’ve ever felt unfeminine or self-conscious because of small breasts, then this is your chance to finally feel pride and confidence about your body. Spring is a time of growth and renewal, which is why the perfect season to embrace a new, more feminine you. Let’s take a look at how breast augmentation can let your beauty, and your inner self, bloom.
What Can Breast Augmentation Do?
Breast augmentation is your ticket to fuller, more shapely breasts and an enhanced cleavage. Using implants that move and feel like real breast tissue, breast augmentation can increase the volume of the breasts and in some instances, reshape them. With a more feminine figure, you’ll be able to fit better in your beautiful spring sundresses and feel more confident during trips to the beach and the pool. You can restore breasts flattened by breast feeding and aging and transform them to their fuller, firmer selves. Once your breast augmentation results have fully emerged, you can enjoy the remaining springtime by showing off your new silhouette and newfound sense of confidence. In the warm, radiant, glowing springtime, you can finally look as good as your feel.
The Power of Choice
Along with being the most popular plastic surgery procedure of all time, breast augmentation is also one of the most customizable procedures available. Many surgeons emphasize that your breast augmentation should reflect your lifestyle, aesthetic goals, and personality. With the help of your surgeon, you’ll be able to choose between the types of incisions used, the kind of implant chosen for the procedure, and the placement of the implant. Every single choice you make will directly affect your results, so you’ll be able to find the right combination for you, and only you.
What’s Right for You?
Enhancement means different things for everyone. To one person, enhancement might mean dramatic change. To another person, enhancement might mean a more natural, subtle improvement. Whatever your goals are or whatever you plan to accomplish with breast augmentation, Dr. Dreyfuss will be there help you achieve them.
It takes a kind, compassionate surgeon to understand your goals and help personalize your procedure just for you. For the chance to work with a surgeon like Dr. Dreyfuss for your procedure, contactDreyfuss Plastic Surgery now for a consultation.
Interested in getting a breast augmentation, but not sure whether saline or silicone implants are right for you? Dr. Dreyfuss has put together this helpful infographic on facts about both saline and silicone breast implants. During your consultation, Dr. Dreyfuss will discuss your goals and help you decide which implant is best for you. To learn more about saline or silicone breast implants, please contact Dreyfuss Plastic Surgery to schedule your consultation.
Saline implants are available for patients over 18 years old.
It is made of a silicone-based soft shell and filled with a saltwater solution.
They come in a variety of shapes and sizes with choices about the amount of projection and slope.
They can sometimes feel more firm than natural breast tissue.
They are sized specifically for your body, filled during the surgery.
Silicone implants are available for patients over 22 years old.
They have a flexible silicone outer shell and are pre-filled with a thick gel.
They come in a wide range of sizes and shapes to accommodate different body types.
They are growing in popularity, because they look and feel like natural breast tissue.
They require a slightly larger incision since they are pre-filled.
A study published in Plastic and Reconstructive Surgery, based on patient input, revealed 6 aspects of breast surgery that made a profound impact on satisfaction and quality of life.
1. Breast Characteristics Clearly the main goal of cosmetic breast surgery – participants of the study commented about improvements in breast shape and the clothing options that were now available to them as a result. One patient with breast implants reports, “Some things are much more fun to put on, and the stuff that I used to wear looks way better–I am sure they looked good before, too–but I just fill in a bit more, look a bit more busty in them.”
2. Physical Well-Being Breast reduction patients can get relief from back and neck pain, which often allows increased activity and better health.
3. Psychosocial Well-Being Patients in the study shared the positive changes in self perception and experiences in social settings. Increased confidence and feeling as if you fit the perceived “norm” of the female body are said to be a common benefits of breast surgery.
4. Sexual Well Being When people feel more attractive, they generally experience more sexual pleasure. If breast implants or another surgery improve a woman’s perception of her self and her body, sexual well being can consequently improve.
5. Surgeon-Patient Relationship Women who experienced a good surgeon-patient relationship – with open, honest communication – expressed more satisfaction with breast surgery. Patients who had an adverse relationship with the surgeon or staff reported being fearful, uncomfortable, and less satisfied. 6. Overall Satisfaction Researchers also included the simple category of general satisfaction. Would you undergo the surgery again? One breast augmentation patient responds, “there is not one day that goes by that I am not so pleased that I did it.”
You can access a similar article by the same researchers for free at BioMed Central.
Here’s the third installment in the breast augmentation video series brought to us by the American Society for Aesthetic Plastic Surgery. In this segment, a patient discusses her satisfaction with breast implants and the reaction she got from friends and family. See our post last week for the previous episode.
Mentor, the largest breast implant manufacturer in the world, will be acquired by Johnson and Johnson.
According to Marketwatch, the medical giant J&J announced the deal on December 1st at a reported 1.12 billion dollar total value.
Dr. David Dreyfuss of Plastic Surgery Experts was recently interviewed about the possible consequences of this deal.
What shortcomings at Mentor do you believe J&J can or should address?
Dr. Dreyfuss: Certainly the marketing strategies of the Mentor/Inform group will get the most needed updating. This is an area that started to take off significantly about 2-3 years ago and promptly fell into disarray. J&J should provide the necessary technology upgrades to the system and solidify their workforce to allow the product to regain
How do you think the acquisition will affect breast augmentation patient product choices?
Dr. Dreyfuss: The J&J acquisition of Mentor should speed up the process for cohesive gel products being available to the US market. Not unlike the Allergan acquisition of Inamed, it changed the FDA focus away from a breast implant company to a pharmaceutical company. This provides an “inside track” for approval of new products. This should allow Mentor to compete on a level playing field with Allergan/Natrelle.
What companies will feel new competitive pressure from this acquisition, and how?
Dr. Dreyfuss: Clearly the most impact will be upon Allergan from this acquisition. It will put significant pressure on Allergan’s sales staff from a new influx of cash and marketing strength from J&J. The other facial implant and liposuction equipment manufacturers will feel excessive pressure. This has been an area somewhat neglected by Mentor, which will change in the future.
Orlando plastic surgeon, Richard Bosshardt recently wrote about the status of modern breast cancer treatments and the efforts of the medical community to minimize negative effects of the disease.
Most women know how to focus on prevention and are aware of the statistics – that “about 1 in 8 women will have to face breast cancer in their lifetime.” However, many aren’t informed about the positive developments of recent years. Family ‘genetic markers’ have become excellent risk indicators, narrowing the search for a definite cause. Also, as Bosshardt says, breast implants, bras and high-fat diets have never been shown to have any correlation with increased breast cancer risk.
There are new reasons to be optimistic: Doctors have begun practicing “breast conservation” rather than outright removal, chemotherapy is more advanced and reconstruction has become more sophisticated than ever, with patients often looking better as an end result. Read the original article here at the Orlando Sentinel.