Breast augmentation is a very popular cosmetic procedure in terms of numbers of procedures. But beyond that, it has one of the highest satisfaction ratings of any cosmetic procedure. If a woman has always felt dissatisfied with her breasts, whether that stems from size, asymmetry, or any other reason, augmentation surgery can really change her self-esteem and body image.
Deciding to move forward with breast augmentation is a big decision, but Dr. Frank reminds his patients that there will be other decisions to be made beyond the initial yes or no.
The choices can sometimes feel daunting — How do I know what to choose? — but Dr. Frank will provide information and help you with each decision.
You’ll first choose your implant type: saline, silicone, or cohesive silicone. Each option has its own pluses and minuses.
Saline implants can be placed through a smaller incision, as they are filled once placed into the breast pocket. If they rupture, the body simply absorbs the saline water. Saline implants do have a higher incidence of wrinkling. Plus, if they rupture, you’ll still need replacement surgery to remove and replace the deflated shell.
Silicon implants have become more popular than saline. They are generally thought to feel the most like natural breast tissue. However, if they rupture, the silicone needs to be removed. Most of today’s silicone gels are far more cohesive, however, and stay in or near the implant shell.
Cohesive silicone implants (commonly known as gummy bear implants) are a new addition to the implant options. They are filled with thicker gel, hence the gummy bear name.
Implant size and shape
Beyond the type of implant, you’ll need to decide on the size and the shape of your implants. Some patients believe they will select their implant size based on the same sizing system used with bras. That’s not the case. Implants are sized based on the amount of the substance filling the implant. For instance, implants may be 350 ccs. That is cubic centimeters. The most popular sizes are generally between 330 and 400 ccs.
You’ll also need to choose projection. As an example, these are the five styles available with the Allergan Natrelle Inspira breast implant line:
- Smooth Round Low Profile (widest base/lowest projection)
- Smooth Round Low Plus Profile
- Smooth Round Medium Profile
- Smooth Round Full Profile
- Smooth Round Extra-Full Profile (narrowest base/highest projection)
All manufacturers have similar options. Currently, the two most popular styles with these Allergan implants are Full Profile first and Medium Profile second.
There are other choices you’ll make, such as do you want to place your implants atop or beneath the pectoral muscle? Again, Dr. Frank will help you with all of these so that come the day of your surgery, you’ll be calm and excited for your new figure.