Breast Augmentation: So Many Choices

You could be considering breast augmentation for a multitude of reasons. Ultimately, your personal goals, along with input from experienced plastic surgeon Dr. Tom Pousti, should guide your decision-making through the process. There are several choices you need to make before you undergo the actual procedure — with defining your goals being the first step.

The implant size

One of the first decisions you need to make is what size implant you want. Breast implant size is measured in cubic centimeters (cc), and the usual range is between 200cc and 600cc.

Your anatomy likely plays some role in what size implant will work best for you. Implants change your physique, and Dr. Pousti has years of expertise and helpful tools to help you understand how different sized implants will look.

You can try out implant sizers, and we also use the VECTRA®️ 3D imaging system to help you visualize the result. Dr. Pousti can show you before-and-after photos of previous patients with similar builds to you. All of these ensure you get exactly the look you want and know exactly what to expect.

The type of implant

The next decision you need to consider is the type of implant. All implants are shells filled with one of two types of material: saline and silicone. There are a couple of different silicone options.


Saline is sterile salt water, and saline implants have several benefits. Saline implants are approved by the FDA for women age 18 and older.

These implants are placed while the shells are empty, which means they require a smaller incision. It also means Dr. Pousti can place and fill them exactly. Additionally, if the shell holding the saline ruptures, the implant will collapse and your body simply absorbs the saline.


Two different types of silicone are commonly used for breast augmentation. You may find that silicone gel has a more natural look and feel than saline.

The first type is a soft silicone gel that feels a bit more like natural breast tissue. These implants require a slightly larger incision because they’re filled before being placed. However, you’ll be in the hands of a skilled surgeon, so any scarring will be minimal. If your silicone gel-filled implant ruptures, the gel may or may not leak, but the implant won’t collapse.

The second type of silicone implants are called form-stable or gummy bear implants, because the silicone has a similar feel to that candy. Form-stable silicone retains its shape and is firmer than traditional implants.

Form-stable implants are designed to look as much like a natural breast as possible. The material won’t leak if the implant ruptures; however, it’s possible that the implant could rotate. One other potential drawback is that form-stable implants require a substantially larger incision.

If you’re ready to learn more about breast augmentation choices and discuss your goals, book an appointment for a consultation. Dr. Pousti is happy to answer your questions and make suggestions based on your unique body and desired outcome. Scheduling is easy — you can book online, or give us a call.

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