Title: BreastHow-Saline Breast Implants
1How to choose the right breast implant
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2- Choosing the right breast implants is not easy.
Make sure that you understand the risks and
benefits of breast implant surgery, and discuss
with your doctor your expectations. We have
created a list to help you make sure that all
your questions are answered.
3ANATOMY OF THE BREAST
- Anatomy of the breast - it is important that you
understand the limitations that may exist due to
characteristics of your own breast tissue. No
woman has two breasts that match exactly, and
therefore there will still be some asymmetry
following augmentation surgery. The right
implant is the one that will balance your goals
with what your tissues will safely allow.
4SILICONE X SALINE
- Implants Silicone x Saline both silicone and
saline implants are FDA-approved for cosmetic
use. Each type of implant has its own unique
benefits and trade-offs - Silicone
- contains a safe, cohesive silicone gel
- feels more like natural breast tissue
- requires a slightly larger incision
- more expensive than saline implants
- Saline
- contains a salt-water solution
- feels firmer than silicone
- higher risk of visible wrinkling and rippling
- can use a smaller incision
- lower price than silicone implants
5LOCATION
- Location Subglandular vs. Submuscular breast
implants can be placed either partially under the
pectoralis muscle (submuscular or dual-plane) or
over the muscle and under the breast tissue
(subglandular). - Subglandular
- not recommended for thin tissues
- more visible and palpable implants
- higher risk of capsular contracture
- more difficult mammograms
- Submuscular
- appropriate for thin tissues
- less visible and palpable implants
- lower risk of capsular contracture
- easier mammograms
6IMPLANT SIZE
- Implant Size the best size for a given patient
is determined primarily by the patients
measurements and tissue characteristics. While
your goals and desires are very important, its
also important you understand that an implant
which is too large for your tissues can create
additional complications, including excessive
skin stretch. A specific cup size cannot be
guaranteed, as bra cup sizes are not standardized
across manufacturers.
7IMPLANT SHAPE AND TEXTURE
- Implant Shape both silicone and saline implants
are made in round and teardrop shapes. - Round implants - most often used in cosmetic
breast surgeries. - Teardrop implants - provide additional fill to
the upper portion of the breast and are most
often used in reconstruction surgeries. -
- Implant Texture the implants surface can be
smooth or textured. - Smooth implants - move easily and feel soft.
- Textured implants - have a slightly bumpy feel on
the surface. Textured implants do not move as
much within the breast pocket, but they are
associated with a higher risk of visible
wrinkling.
8INCISIONS LOCATIONS
- Incision Locations there are three commonly
used incision locations within the breast fold
(infra-mammary), around the nipple - (peri-areolar) and under the arm (transaxillary).
- Infra-mammary affords the best visualization of
your tissues and is well-concealed lower risk of
difficulty breast feeding. - Peri-areolar also well-concealed, but it may be
associated with a higher risk of infection and of
difficulty breast feeding. - Transaxillary- incision is within the armpit may
be visible in some types of clothing there is a
risk of injuring important nerves and vessels in
the arm very difficult to place larger silicone
implants through this incision.
9RISKS AND ADDITIONAL PROCEDURES
- Risks - as with any other surgery, breast
augmentation carries risks and benefits. Some of
the risks associated with breast augmentation
include - Rupture
- Capsular contracture
- Scarring
- Asymmetry
- Wrinkling
- Implant displacement
- Change in nipple and breast sensation
- Infection
- Possible breastfeeding difficulty
- Additional Procedures - in some cases implants
alone may not be sufficient to address all
of your concerns, such as sagging or extra skin.
A breast lift is sometimes recommended at the
time of breast augmentation.
10BOARD CERTIFICATION
- Board Certification make sure your doctor is
board certified by the American Board of Plastic
Surgery board certified plastic surgeons
complete a minimum of 5 years of surgical
training following medical school, including a
plastic surgery residency. State laws permit any
licensed physician to call him- or herself a
plastic or cosmetic surgeon, even if he or
she has not been trained as a plastic surgeon or
has had no surgical training at all be sure to
select your doctor carefully.
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