Choosing the right breast implants is one of the most important factors in achieving beautiful, natural-looking results from breast augmentation or implant breast reconstruction. At 740 Park Plastic Surgery, our board-certified plastic surgeons—Dr. Daniel Y. Maman and Dr. Stafford R. Broumand—offer a wide range breast implant varieties, including saline and traditional silicone styles. Additionally, our practice offers “gummy bear” cohesive gel implants, which is an innovative option that can provide a remarkably natural look and feel for many women. At the time of your consultation, one of doctors will present every implant option available, discussing the advantages and disadvantages of each size, shape, type, and surface texture in great detail to help ensure you make the most educated decision based on your specific anatomical needs and cosmetic desires.
Choosing Your Breast Implants
When selecting your breast implants, it is important to keep in mind that the decision should ultimately be based on your aesthetic goals, as well as what may be best for your unique body type. During your consultation, Dr. Broumand or Dr. Maman will meet with you to cover all aspects of your implant surgery and demonstrate the variety of implant options you have to choose from—including saline, silicone, and cohesive gel compositions; round or teardrop-shaped styles; smooth or textured surfaces; and an inclusive span of available sizes. In addition, they will assess numerous physical qualities (such as cleavage, breast sagging, asymmetries, and desired post-operative breast size), as well as utilize advanced VECTRA 3D imaging to show you how various implants may look on your own body following the procedure. Ultimately, our doctors will make certain you have all the information you need to make the most informed decision possible.
Breast Implant Types
The three types of breast implants offered at 740 Park Plastic Surgery include saline, traditional silicone, and cohesive silicone gel. To help ensure optimal device quality and excellent aesthetic results, our doctors use implants manufactured by Allergan, Mentor®, and Sientra®—each of which is considered a leader in the design and development of breast implants available in the United States.
Saline Breast Implants
Approved by the FDA for patients 18 and above, saline breast implants have been utilized in breast augmentation procedures for numerous years and are still a popular choice today. Composed of a sterile saline (saltwater) solution enclosed in an outer silicone shell, this implant option has helped millions of women enhance the size and shape of their breasts with beautiful results. In the event a saline implant shell leaks and/or ruptures, the implant will deflate and the saline solution will be absorbed—and eventually expelled—harmlessly by the body. Despite the fact that a leak or rupture is often evidenced immediately, saline implants should still be monitored on a regular basis, and appropriate check-up visits with your plastic surgeon should be attended.
Traditional Silicone Breast Implants
Traditional silicone breast implants are FDA-approved for women aged 22 and over, as well as for breast reconstruction patients of any age. Composed of a thick silicone gel encased by an outer silicone shell, this implant option is noted for its natural look and feel. In addition, silicone implants are generally less susceptible to rippling in comparison to their saline counterparts, and they can be particularly beneficial for individuals who have a thin body frame. Should a leak occur, the silicone gel may either remain inside the shell of the implant or move into the breast pocket, but the implant will not appear deflated. For this reason, it is important to schedule regular visits during which your plastic surgeon can conduct a physical assessment (and/or perform an ultrasound or MRI screening, if necessary) to ensure the implants are fully intact and in good overall condition as they age.
Cohesive Gel (Gummy Bear) Breast Implants
Also referred to as “gummy bear” implants, cohesive gel breast implants are the newest type of implants to be FDA-approved for use by board-certified plastic surgeons in the United States. This advanced implant option is composed of a highly durable, form-stable silicone gel that creates an exceptionally natural shape and feel. Key benefits of gummy bear implants include their ability to achieve ideal breast proportions in addition to increasing breast size, their diminished rate of rippling, and their resistance to leaks in the rare event of a rupture. Furthermore, certain types of cohesive gel implants can create a more natural-appearing blend between the chest wall and the breasts. Just like traditional silicone implants, gummy bear implants also require routine examinations to assess their condition over time.
Breast Implant Shapes
Breast implants come in two different shapes: round and teardrop. The most appropriate shape will depend on the specific look and breast projection each patient is hoping to attain.
Round breast implants can be a great option for individuals seeking to achieve increased volume and fullness all throughout the breasts, including the upper pole. There are also higher profile options that can create added projection in certain patients. Since they have a uniform shape all over, the risk of round implants rotating out of place is significantly reduced.
Anatomically Contoured Implants
Anatomically contoured or anatomically shaped implants are generally recommended for patients who desire more volume in the lower portion of the breasts without much added fullness in the upper region (similar to how breasts are naturally shaped). They can also be an excellent choice for individuals who have minimal or thin breast tissue and need implants to create most, if not all, of their breast contour.
Due to their fuller bottom and tapered top, anatomically shaped implants may result in an abnormal appearance in the event they rotate. Additionally, a slightly larger incision is required to insert teardrop-shaped implants versus most round implants.
Breast Implant Surfaces
Patients at our practice have a choice between smooth and textured implant surfaces. Both options have unique benefits, and the final decision will depend on the individual’s preference and/or the particular type/shape of her desired implants.
Smooth breast implants typically produce the softest feel, and they tend create the most natural movement since they are able to shift freely within breast pocket. One disadvantage, however, is that some degree of rippling—although still relatively rare—may become visible on the surface of the skin.
Textured breast implants are designed to remain securely in place inside the breast pocket, reducing implant rotation—a key benefit for teardrop-shaped implants. This implant option has also shown a reduced risk of capsular contracture.
Ultimately, each implant type, shape, and texture has its advantages and disadvantages, all of which can be reviewed in comprehensive detail during a consultation with one of our board-certified plastic surgeons. Once every aspect has been considered, the most appropriate implants for one’s unique needs and goals can be selected.
Interested in Breast Augmentation or Reconstruction Without Implants?
As an alternative to breast augmentation and breast reconstruction with implants, our plastic surgeons can enhance or reconstruct your breasts via fat transfer. This innovative technique involves the use of fat tissues taken from your own body to augment, reshape, or reconstruct the breasts with exceptional results. To learn more about this advanced surgical option, please visit our page on natural breast enhancement.