Are You Considering Breast Implants?
Well, you are not alone. Breast Augmentation with breast implants is the most common surgical cosmetic procedure performed. Last year, nearly 300,000 women underwent breast enlargement with implants. Breast enhancement remains one of the most popular procedures at Galumbeck Plastic Surgery.
Many women are concerned that their breasts are too small for their body. As a result, they have difficulty finding clothes that fit properly. Many say that they are self conscious because their breast size is not proportional to the rest of their body.
Of the many cosmetic breast surgery procedures, Breast augmentation increases the fullness of the breast and is an integral component of breast augmentation with breast lift, mommy makeovers as well as cosmetic breast surgery after weight loss. Breast Augmentation Surgery with Breast Implants is a wonderful way to look your best, boost confidence and feel great about your body.
Performing breast augmentation surgery in Virginia Beach, Dr. Galumbeck offers a variety of options that will give you a natural appearance without an operated look.
Breast Implant Options
Breast augmentation with implants was approved in the United States in 1962. In 1992 silicone implants were removed from the United states market by the FDA for health concerns. From then until 2006 only saline breast implants were available. Silicone implants were reformulated by the implant manufacturers and approved for use in the United States by the FDA. Currently, women 22 years of age or older may select either silicone or saline breast implants for cosmetic breast augmentation.
With recent advances over the past few years, breast implants have a variety of options. As a result, your breast augmentation procedure can be customized so that you can achieve the look, shape, and feel that you desire. Your breast implant choices include
- Fill Material
Breast Implant Construction
Both saline and silicone implants are manufactured with a silicone elastomer shell. Saline implants are filled with sterile salt water after the empty implant shell has been placed into the breast pocket. Silicone implants are pre-filled with a cohesive silicone gel when they are produced.
Currently two forms of silicone fill for breast implants are approved in the United States. One is cohesive silicone gel. The other is form stable cross linked silicone gel, also known as gummy bear implants. Both forms of silicone do not free leak like old silicone implants did. The gummy bear implant is utilized for sloping or tear drop shaped implants. Gummy Bear implants are firmer than the round gel implants. Therefore these implants maintain their sloping shape. The silicone gel has a consistency similar to human fat tissue and, thus, has a more natural feel than saline implants.
Recently the FDA has approved a third type of implant. The Ideal Breast Implant is a structured breast implant, filled with saline. A series of implant shells are nested together with two separate chambers, which hold the saline filler. The internal structure controls movement of the saline, and is designed to reduce folding and wrinkling, thought to be the main cause of implant rupture and deflation. On the outside, the edges have been lowered for better contouring to the chest wall. As a result, this unique design allows this implant to have the look and feel of silicone, as well as the peace of mind of a saline filled implant.
Breast Implant Fill
When deciding on breast implant fill, you should consider the differences between saline and silicone. Silicone implants are pre-filled while saline implants are filled after being inserted into the breast pocket.
Therefore, the surgical incision is smaller than the incision needed when using a gel filled implant. Additionally, since filling of the saline implant is performed during the procedure, the size can be adjusted to correct breast asymmetry. Since the Ideal Implant is all saline, a smaller incision can be made and the implant is adjustable.
Silicone has the same density as fat, giving your breasts a more natural feel. Since saline is less dense, saline implants can have visible rippling, while this is rare with silicone implants. The Ideal Implant is a structured implant, thus, feels more natural and has minimal rippling.
All breast implants can rupture. If the saline implants rupture, the salt water is absorbed by the body. If silicone implants rupture, the gel stays in the breast tissue. This is known as a silent rupture. As a result the FDA recommends that women with silicone implants get an MRI every three years to look for rupture.
Finally, capsular contracture, or hardening of the implant, can result from breast augmentation surgery. Recent studies have shown that capsular contracture occurs more often with silicone gel implants.
Comparing Breast Implants
Breast Implant Consideration
Saline Breast Implant
Silicone Breast Implant
Ideal Breast Implant
Silent Rupture – MRI needed
Saline Breast Implant
Silicone Breast Implant
Ideal Breast Implant
Breast Implant Size
One of the most exciting, yet nerve racking choices in breast augmentation is selecting the size of the implant. Like all of plastic surgery, breast implant sizing combines both art and science. As a result, selecting an implant size is a very personal decision.
Breast implant size is measured based on volume (often referred to as cc’s). Breast implants range in size from 100cc to 1000cc. As a result, a larger implant has a larger diameter and more projection. In addition, each bra company calculates bra sizes differently, so it is important to consider factors, other than cup size.
Frequently a patient will select a size because her friend has that size implant and looks great. Remember, the same breast implant size may look too small for a woman of bigger build. One size implant may give a small framed woman a “C” cup. However, the same implant on a woman with a larger frame would result in a significantly smaller cup size.
Selecting the right implant size is all about the breast size and overall proportion you want. As a result, during your sizing appointment at Galumbeck Plastic Surgery, we recommend that you bring in several tight fitting tops. We supply the various bra sizes and implants. You can try on the implants to determine which one gives you the look and proportion you want. While it is somewhat time consuming, Dr. Galumbeck believes it offers you the best idea of what you will look like after the surgery.
Breast Implant Shape
Implants for breast augmentation can be either round or tear drop shaped. Tear drop, also known as anatomic, have more fill at the bottom than at the top of the implant. Round breast implants are, of course, round.
The tear drop shaped implants were introduced originally for women as a reconstruction option after mastectomy. these anatomic implants are textured so they will not rotate in the breast pocket.
While both options of breast implant shape are available today, the tear drop shaped implants have a few drawbacks. Most women have some breast tissue, usually at the bottom of the breast and want more fill on top.
Because anatomic implants have more fill at the bottom, they will not give as much breast fullness above the nipple. Since anatomic breast implants have a textured surface, they tend to ripple more. Also textured implants can shift or rotate leading to a distorted breast shape.
Comparison of Round and Anatomic Breast Implants
- More Projection At Center
- Textured Or Smooth Surface
- Less Likely To Ripple
- Unlikely To Ripple
Anatomic Breast Implant
- More Projection At Bottom
- Textured Surface
- More Likely to Ripple
- Can Shift Altering Breast Shape
Breast Implant Projection
Implants for breast augmentation have a variety of profiles. Breast implant profile is determined by the ratio of the breast implant base to its projection. Offering a range of options, breast implant profiles can be moderate, moderate plus, high, and ultra high, and are available for each size of breast implant.
Moderate Profile – These breast implants have the widest base and least projection of the three types.
Moderate Plus Profile – These breast implants are in between.
High Profile – These implants have the smallest base and the most projection projection.
So, selecting an implant profile depends upon your chest wall anatomy. A moderate profile implant will give more fullness on the side of the breast and works well for women who have a wide chest. On the other extreme, a high profile or ultra high profile breast implant has more projection but a very narrow width. In many instances, these implants can give a pointy appearance. A moderate plus profile implant is not as wide as the moderate profile, but has more projection, offering a nicely proportioned natural appearing breast.
View the Cosmetic Breast Surgery Gallery
Note: Pages devoted to procedures contain photographs of patients, before and after some of the procedures offered. These photographs may be appropriate for adult viewers only.
Breast Implant Cost
The average cost for breast implants is $3700, according to the American Society of Plastic Surgeons. Breast implant cost can vary widely. The average fee referenced above is for surgeon’s fees and does not include anesthesia, operating room facilities or other related expenses. Make sure that your breast implant procedure includes:
- Anesthesia fees
- Hospital or surgical facility costs
- Medical tests
- Post-surgery garments
- Surgeon’s fee
When choosing a board-certified plastic surgeon for a breast enlargement, remember that the surgeon’s experience and your comfort with him or her are just as important as the final cost of the surgery.