Breast implants change the shape, size, and contour of your breasts, and they are available in silicone and saline versions. Our breast implants are typically placed for cosmetic reasons, helping women who are dissatisfied with breast size achieve a more alluring figure, or for breast reconstructive surgery to restore a breast after a mastectomy.
What Is Right For Me?
Many women think they only have to decide on the size of their implants and whether they want saline or silicone. Besides the size and type of filling, however, there are decisions to be made about shape, profile, and texture. It can be confusing, but at Denton Plastic Surgery, one of the most celebrated plastic surgery clinics, Dr. Flugstad and Dr. Rivet are here to make your choices easier for breast implants.
After your detailed consultation and examination with your doctor, we will guide you through the decision-making process, providing you with the pros and cons of each option so that you can feel confident that the decisions you make will lead to your desired result.
Textured vs Smooth Breast Implants
Breast implants come in different shapes and textures, and the most important consideration is your preference. How to decide what is right for you?
Smooth: If you have little breast tissue, a smooth implant might be preferable. Smooth implants are the most commonly used and effective type of implant.
Textured: Whether an implant is textured or smooth does not affect the texture of the breast itself; even if you choose a textured implant, your breast will feel the same.
- The texture on the implant’s shell helps it to adhere to the breast tissue so that it is less likely to move, so, for example, teardrop-shaped implants are usually textured so that they adhere well to the tissue of the breast, thereby avoiding rotation.
- Textured implants are slightly more prone to rippling and have an increased risk of developing BIA-ALCL (breast implant-associated anaplastic large cell lymphoma). Textured implants are considered safe by the FDA.
Allergan Announces Recall of Biocell Textured Implants
Allergan has made the decision to recall Allergan implants that have BioCell texturing. Although there is no recommendation to remove the implants in place, Allergan advises patients to contact their plastic surgeons about the risks of their implants. For more information, you will find Allergan’s statement here.
Round vs Teardrop Shaped Implants
Round implants: The most commonly used historically, round implants add more fullness to the upper portion of the breast.
Teardrop-shaped implants: You may also see teardrop-shaped implants referred to as “anatomically-shaped” implants, as the top has less volume than the bottom. This means teardrop-shaped implants are often shaped more like a natural breast.
Teardrop implants are increasing in popularity in the U.S. and are an excellent option for breast enhancement when a more naturally shaped upper breast is desired.
Types of Breast Implants
At Denton Plastic Surgery we have extensive experience with silicone, silicone gel, and what is known as “Gummy Bear” implants from major US manufacturers Sientra, Mentor, and Allergan. The one that is best for you will depend on your anatomy, your personal preferences, and how you wish to look and feel.
Saline implants are implants filled with saline solution after a saline polymer shell has been inserted into the breast. Saline implants are:
- FDA-approved for women 18 and over
- Firm when filled, which some women prefer
- Placed using a smaller incision
- Customized to a precise degree
Potential disadvantages to saline implants are that some women feel that they do not feel “natural,” they are slightly more prone to rippling, and, in the rare instance of a rupture, the implant will deflate. They also sometimes feel heavier when used in larger sizes.
Silicone Gel Implants
For silicone gel implants, shells of the implants are filled with silicone. Silicone gel implants are:
- FDA-approved for women 22 and over
- Softer than saline, and many women believe they feel more natural as a result
- Predetermined in size
- Less prone to rippling than saline implants
- Highly cohesive, so in the unlikely event of a rupture, the silicone gel can be removed, along with the shell
Although silicone was removed from the market two decades ago to determine safety, the new generation of silicone gel implants is durable and safe. Potential disadvantages to silicone gel implants include a slightly larger incision, and the need for regular screening.
“Gummy Bear” Implants
If considering gummy bear implants, particularly the anatomic-shaped gummy bear, it is helpful to keep in mind that it may be necessary to create a longer incision for these implants, there is a slight increase in visible scarring and the need for regular screening.
“Gummy Bear” is a nickname for implants made of highly cohesive silicone gel and a silicone gel filling that leaves breasts with an excellent shape. They are slightly firmer than standard silicone gel implants. Manufactured by Allergan, Sientra, and Mentor, “Gummy Bear” implants are:
- FDA-approved for women 22 and over
- Round or anatomic-shaped
- Reported as some of the best breast shaping implants on the market
- Can retain gel and prevent gel leakage if the silicone shell ruptures
Dr. Flugstad and Dr. Rivet will go over all the implant options with you during your breast augmentation or reconstruction consultation. For more information or to schedule a consultation, contact our office in Denton at (940) 353-5801.