Guide to Breast Augmentation: Implant Types and Surgical Considerations

When considering breast augmentation, one of the key decisions you'll make is the type of implant that best suits your needs. Currently, the two main types of implant fills in use are silicone gel and saline. Silicone implants are filled with a highly-cohesive gel, often referred to as “gummy bear” filling, which maintains its shape even if the shell of the implant is compromised. On the other hand, saline implants are filled with a sterile saline solution at the time of surgery.

Silicone vs. Saline: Which is Better?

Silicone Implants:

• Natural Look and Feel: Favored for their realistic appearance and texture.
• Less Rippling: Tend to have fewer rippling issues compared to saline implants.
• Stable Form: The cohesive gel offers a more stable form.

Saline Implants:

• Safety in Rupture: If they rupture, the body naturally absorbs the saline solution.
• Age Requirement: Typically reserved for patients over the age of 22 for cosmetic procedures, with exceptions for corrective surgeries.

Implant Placement Options

Implants can be positioned in various ways to suit individual needs:

• Sub-Glandular Plane: Directly under the breast tissue and on top of the pectoralis muscle.
• Sub-Pectoral Plane: Beneath both the breast tissue and the pectoralis muscle.
• Dual-Plane Pocket: A combination of the above placements, recommended in certain cases.

Surgical Procedure and Recovery

• Duration: The procedure typically lasts around 1.5 hours and is performed under anesthesia for comfort
• Initial Recovery: Most patients experience chest soreness for several weeks, especially if implants are placed beneath the pectoralis muscle.
• Supportive Wear: Wearing a supportive sports bra and a bandeau or strap continuously for the first 3-4 weeks post-surgery is recommended to help implants settle.
• Physical Activity: Heavy lifting, overhead reaching, and push-up-like activities should be avoided for 4-6 weeks. Light activities such as walking or hiking are encouraged.

Potential Risks and Complications

As with any surgical procedure, there are potential risks and complications:

• Bleeding, Infection, and Scarring
• Asymmetry Between Breasts
• Changes in Sensation to the Breast/Nipple
• Breastfeeding Issues
• Implant Longevity: Breast implants may need to be replaced in the future. Regular monitoring, including yearly check-ups with your surgeon and adherence to FDA recommendations for MRI surveillance, is essential

Financial Considerations

Cost: The average cost typically ranges from $7,700 to $8,400, covering surgeon fees, facility expenses, and anesthesia costs. However, costs may vary depending on various factors, so it's essential to discuss pricing details with your healthcare provider.

Final Thoughts

Breast augmentation is a personal decision that requires careful consideration of your goals, preferences, and potential risks. Consulting with a board-certified plastic surgeon can help you navigate this process and determine the best approach for achieving your desired outcome.

By understanding the various aspects of breast augmentation, you can make an informed decision that aligns with your aesthetic goals and ensures a successful outcome.