Types of Breast Implants

Patients can choose from different types of breast implants, depending on their desired look, feel, and personal preferences.

1. Silicone Gel Implants

• Most popular choice due to their soft, natural feel.
• Filled with medical-grade silicone gel that mimics the texture of natural breast tissue.
• Available in round or teardrop (anatomical) shapes.
• Lower risk of visible rippling compared to saline implants.

2. Saline Implants

• Filled with sterile saltwater (saline solution).
• Can be adjusted in size during surgery for symmetry.
• Require a smaller incision since they are inserted empty and then filled.
• Less commonly used due to firmer texture and increased risk of visible rippling in thinner patients.

3. Gummy Bear (Form-Stable) Implants

• Highly cohesive silicone gel implants that maintain shape even if cut in half.
• Provide a firm, yet natural feel with less risk of leakage.
• Often shaped like a teardrop for a more natural breast contour.
• Require a slightly larger incision due to their firmness.

Breast Implant Placement Options

The placement of implants affects how the breasts look and feel post-surgery:

• Subglandular (Above the Muscle) – The implant is placed above the chest muscle (pectoralis major) but beneath the breast tissue. This placement:
  • Provides more cleavage and projection.
  • Allows for faster recovery.
  • May be more prone to visible rippling in thin patients.
• Submuscular (Under the Muscle) – The implant is placed partially or fully under the chest muscle. This placement:
  • Creates a more natural breast slope.
  • Reduces the risk of visible implant edges and rippling.
  • Lowers the chance of capsular contracture (scar tissue hardening around the implant).

Incision Options for Breast Augmentation

The incision placement determines where the scar will be located. Options include:

• Inframammary Incision – The incision is placed along the natural breast crease (under the breast), offering:
  • Minimal visible scarring hidden under the breast.
  • Best control over implant placement.
  • Suitable for all implant types.
• Periareolar Incision – A small incision is made around the edge of the areola, offering:
  • Well-hidden scarring within the pigmented area.
  • Direct access for implant placement.
  • Not ideal for women who plan to breastfeed, as it can affect milk ducts.
• Transaxillary Incision – The incision is placed in the armpit, offering:
  • No scars on the breasts.
  • A slightly longer recovery time due to implant placement difficulty.
• Transumbilical Incision (TUBA) – The incision is placed in the belly button, offering:
  • No visible scarring on the breasts.
  • Only available for saline implants.
  • Less common due to limited precision in implant positioning.

What happens before breast implant surgery?

Before surgery, patients will:

• Consult with a board-certified plastic surgeon to discuss their goals.
• Choose the implant size, type, and placement that best suits their anatomy.
• Avoid blood-thinning medications and supplements that increase bleeding risk.
• Quit smoking for several weeks before and after surgery.
• Arrange for post-surgical support and time off work for recovery.

What happens during breast augmentation with implants?

Breast implant surgery is performed under general anesthesia and takes 1–2 hours.

The steps include:

1. Incision Placement – A small incision is made in the predetermined location.
2. Creating the Pocket – The surgeon creates a space above or below the muscle for the implant.
3. Implant Insertion – The silicone or saline implant is placed and adjusted for symmetry.
4. Closing the Incisions – Sutures are placed, and surgical dressings or a supportive bra are applied.