What Type of Breast Implant Should I Choose?
In addition to breast width, projection, and volume, the following options are also available and must be chosen accordingly for your Breast Augmentation in order to meet your personal goals and give you the best possible result.
- Implant surface: Smooth or Textured
- Implant shape: Round or Shaped
- Implant content or composition: Silicone (Cohesive gel or Gummy Bear) or Saline
- Implant manufacturer: Allergan or Mentor
During your consultation with Dr. Jugenburg, you will be able to look at and feel the various types of breast implants to allow you to make a decision based on the feel of the implants. Dr. Jugenburg will guide you through every step of this process and ensure that you are fully informed on all of the options that are available to you, and the disadvantages and advantages of each.
Smooth or Textured?
The surface of a breast implant (implant shell) can be smooth or textured (rough, Velcro-like). First generation implants were first manufactured using a smooth shell; a textured shell was later developed in an effort to decrease the likelihood of Capsular Contracture (implant hardening).
Textured implants have a thicker shell to compensate for their intentionally rough surface, which has the disadvantage of more visible implant rippling/wrinkling and a harder feel. In order to achieve a better aesthetic result and natural feel, Dr. Jugenburg therefore prefers to use Smooth implants whenever possible
Round or Shaped?
Breast implants can be Round or Shaped (also known as Teardrop or Anatomic implants). Round implants are symmetric, while Shaped implants have more volume and projection on the lower half, therefore creating a teardrop shape. A teardrop shape gives a more natural look; however, in our experience, most women prefer the fullness of a Round implant.
Dr. Jugenburg uses Shaped implants only for Breast Reconstruction in cancer patients when the recreation of a natural breast shape is important. For women who have Breast Augmentation for purely cosmetic reasons and already have a natural looking breast, exaggerating the teardrop effect with a Shaped implant does not create a sexy, full breast look.
Silicone or Saline?
Saline and silicone implants both have advantages, and both types of implants can produce excellent Breast Augmentation results.
Saline breast implants are comprised of a silicone shell that is filled at the time of surgery with saline (salt water). Since the silicone shell can be inserted into the breast area and then filled with saline once inside, saline implants require a smaller incision than silicone gel implants and can be customized. Virtually any volume of saline can be added to moderate the required implant profile and size, and the right and left breast implants can be filled differently to adjust for any mild asymmetry in existing breast volume.
The main disadvantage of saline implants, however, is that they feel less like natural breast tissue and are more prone to rippling/wrinkling than silicone (silicone implants also ripple, but not as prominently as saline implants). Over-filled saline implants have less rippling, but feel more firm.
Silicone breast implants feel and look more natural than saline implants and are available in pre-existing sizes (it is not possible to adjust their size during surgery). They have a solid silicone shell and a cohesive silicone gel filling. The density or thickness of the silicone fill, although more similar to that of natural breast tissue than saline, can be varied to give softer (more prone to rippling) to harder (less prone to rippling) implants (such as Cohesive gel implants as compared to Gummy Bear implants).