Breast Implant Options
There are several things to consider when looking into Breast augmentation. Below are some of the many breast implant options.
Most breast implants will have a silicone outer shell that is filled with either saline or a silicone gel, each with its strengths and weaknesses. For example, saline breast implants will tend to ripple, have the potential to leak, and can have a different feel to both the patient wearing them and the person touching them.
Silicone breast implants, on the other hand, are usually softer to the touch and tend to have a more natural feel. While all implants have the potential to ripple, silicone breast implants will ripple less. Silicone implants can also last longer since the new silicone gel filler is semi-solid, making the danger of breast implant rupture or leakage pretty much non-existent. There are also gummy bear breast implants which are silicone-based but are thicker so they can maintain the shape and offer additional firmness.
Fat transfer can also be used to create a natural breast tissue look using your fat cells to enhance your appearance.
Breast implants have two types of coverings, textured and smooth. Textured implants can lead to significant rippling on the skin and can become very hard, whereas smooth implants will settle quicker and drop a little more, giving a more natural appearance of breast symmetry.
More and more plastic surgeons are moving away from textured implants as they have a higher chance of capsular contracture. This will be a part of your discussion with your plastic surgeon during your breast augmentation consultation.
The two shapes that modern breast implants have are teardrop and round. Teardrop implants (also called anatomic) tend to rotate and have a textured covering, which leads to certain complications mentioned above.
Round implants can achieve the teardrop shape when partially placed under the pectoral muscle. As the muscle pushes on the upper 2/3s of the implant, with the lower third of the saline implant not affected by muscle bulges, eventually creates a teardrop profile.
There are five different options when choosing the place of entry for your breast implants:
- Below the nipple
- Around the inferior aspect of the areola
- Below the breast
- Through the armpit
- Through the belly button (uncommon)
As with any surgical option, each technique will have pros and cons, but the armpit is often the most popular, as it gives the surgeon a better ability to create a natural resting position for the implant and provide the least visible scarring.
Positioning is very important when trying to achieve a certain breast implant profile. Implants can be placed above or below the pectoral muscle, with some being placed partly above chest muscles AND partly below.
Every patient will have different requirements, but having the implants below the chest muscle helps the silicone gel breast implants to stay softer and produce better mammogram results. Your plastic surgeon will help you choose the best option for you and your body type.
Selecting the cup size is widely considered to be the most enjoyable part for cosmetic surgery patients, but it is also a more difficult category to discuss because, unfortunately, there’s no solidarity in the cup-size community.
For example, a B could be a standard B at one store, but when you go to a neighboring store or order online, it could be an A or a C. This is one of the many reasons why we encourage our patients to focus more on the visual appearance of an implant size, rather than which letter is associated with it.