Choosing the Best Implants for You: Implant Material
There are three main types of breast implants Beverly Hills that patients can choose from.
Saline Breast Implants
Saline implants have a silicone shell. Inside is a sterile saline solution. Patients may prefer saline implants because leaks can be easily detected (the implant simply deflates, and the body absorbs the saline solution).
Incisions may also be smaller as just the shell can be inserted and filled after it is already in the breast pocket. Lastly, once inside the breast pocket, size adjustments can be made as saline can usually be added or taken out as needed.
Silicone Breast Implants
Silicone breast implants are, by far, the most popular implant choice today. Silicone implants look and feel natural and don’t have the issue of wrinkles or ripples (as saline implants sometimes do). Silicone implants have a silicone shell with a softer silicone gel inside.
Gummy Bear Breast Implants
Gummy bear implants share many of the benefits of silicone implants. They have a natural look and feel, and wrinkles and ripples are rare.
Gummy bear implants are also less likely than other implants to have leaks or ruptures.
Selecting Implant Size
The size selection process for Beverly Hills breast implants surgery is more complex than many patients assume. While it may seem as easy as putting in the implant that corresponds with the patient’s desired cup-size, it actually doesn’t work that way.
Let’s take a look at three factors that must be considered when selecting for implant size: profile, volume, and placement.
Selecting the Right Profile for You
Before discussing implant volume, it’s important to talk about profile.
The profile of an implant is basically how far out it projects away from the chest. When an implant is sitting flat on a table, the profile would refer to the height of the implant off the table.
Two implants can have completely different profiles but have the same volume. Implant volume is measured in cubic centimeters, or CCs.
Let’s say, for example, that we have two implants that are both 500 CCs. One implant may have a low profile. This would mean it is shorter, flatter, wider, and has a smaller projection. If the other implant has a high profile, that would mean it is taller, more rounded, narrower, and has a higher projection.
While patients will certainly have some say in the profile they desire for their implants, much of this decision will come down to the base width of the patient’s breasts. At their consultation appointment, the patient will have the base of each breast measured. Those with wider chests will have a wider base width than those with narrow chests and, as such, will require an implant with a wider base as well.
Choosing Implant Volume
When considering volume, we must first look at the breast size the patient is starting with. Going from an A cup to a C cup will require a larger implant than going from a B cup to a C cup. Moreover, implants do not come in cup sizes. Rather, they are measured in CCs. The higher the number of CCs, the bigger the implant.
To determine the right implant size for each patient, it’s best to start with the patient’s goals. How large do you want your breasts to be?
From there, we’ll look at your anatomy. Dr. Lahar will measure the base diameter of your breast. This will determine how wide your implants should be. We’ll also take a look at the distance between your nipple and the fold beneath your breast.
Skin elasticity is also a factor. Tauter skin will not tolerate a large implant.
Deciding on Placement
Finally, the placement of the implant will also have a bearing on how your implants look. There are two main ways that implants can be placed.
Submuscular Breast Implant Placement
Submuscular placement of breast implants means the implants are positioned behind the muscle wall on the chest. This placement often looks the most natural as more of the patient’s own breast tissue can be up front. This method is also associated with a lower risk for capsular contracture as well as a reduced risk for wrinkles and ripples.
Potential drawbacks to this method include a longer surgery time, longer recovery time, and the potential limit of breast implant size (some implant sizes may be too large for this method).
Subglandular Breast Implant Placement
Above-the-muscle and behind-the-breast-tissue placement (subglandular placement) is best for women who have a generous amount of their own breast tissue to begin with. However, it may look more unnatural on women who aren’t starting out with much breast tissue.
Likewise, the appearance of implant wrinkles may be more noticeable with this method. It also tends to be associated with a higher risk for capsular contracture. Other potential benefits include a shorter surgery time, shorter recovery time, and better overall lift.
Breast Implant Incision Options
There are two basic types of incisions that may be used for inserting breast implants. While other options do exist, most surgeons favor one of the following incision patterns.
Peri-areolar incisions are made around the edge of the areolae — the darker colored circles of skin beneath the nipples. This incision type is beneficial because the scars are virtually unnoticeable after they’ve healed. They blend easily into the edge of the darker colored skin.
This first type of incision was highly favored for many years. However, now, it is seen as slightly less desirable. This is largely because several studies have found that going into the breast through the nipple area presented a higher risk of bacterial infection. Normal bacteria reside in the nipple and glands behind the areolae. When pushing the implants past this area, there is some risk that the bacteria may adhere to the implant and cause inflammation in the future.
Today, most plastic surgeons favor inframammary incisions. These incisions are made beneath each breast in the inframammary fold — the crease where the breast meets the chest wall. Inframammary incisions tend to be safer, and they also heal well.
Incision scars will fade and flatten with time. They also tend to be well-concealed in the breast crease itself.