Interested in breast augmentation? Here is some information you should know!

Breast augmentation continues to be the top cosmetic surgical procedure since 2006. In 2018, silicone implants were used in 88% of all breast augmentation, and saline implants in 12% of all breast augmentations. In 2018 most patients were between the ages of 30-39 making up for 37% of all breast augmentation procedures.

Why choose a Board Certified Plastic Surgeon vs Cosmetic Surgeon?

Because each patient is different, each procedure’s outcome is quite different. Each patient must research all surgeons they are considering for a procedure. Choose a board certified plastic surgeon with experience for your proceudre.  Plastic surgeons will finish medical school and then complete a residency followed by fellowship a in plastic surgery and become board-certified by the American Board of Plastic and Reconstructive Surgeons. Choose your surgeon carefully.

Which Breast Implant Type to choose?

Breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Pregnancy, weight loss or gain and menopause may influence the appearance of augmented breasts over the course of a patient’s lifetime. Breast augmentation requires regular examinations of your breasts' health and to evaluate the condition of a patient’s breast implants. Breast implants are measured in cubic centimeters or cc’s not in cup sizes. The size and shape of an implant used will depend on the size and shape of a patient’s anatomy and their goals.

Saline breast implants are filled with sterile salt water solution. Saline implants have a flexible fill volume that allows a surgeon to adjust the volume during surgery. If the implant shell were to rupture, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body. Saline implants have different projection options including Moderate, Moderate Plus, and High Profile.

Silicone breast implants are filled with silicone gel. The gel feels more like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket. A leaking implant filled with silicone gel will not collapse. Silicone implants have four projection options including Moderate Classic, Moderate Plus, High, and Ultra High Profiles.

If you choose silicone implants, an ultrasound or MRI screening should be done on a regular basis to assess if the implants are intact.

Which Implant Profile will be best for me?

The profile of a breast implant refers to how much an implant projects forward from the chest wall when standing. Implants of the same size (cc volume) that have different widths will produce different levels of projection. Implants with a smaller base width provide greater projection as compared to implants with a wider base width.  Dr. Pousti will use his expertise to choose the best size/ profile breast implant to achieve your goals.

Low Profile Implants: Implants that are lower in profile are flatter in appearance and minimally project the chest. This type of implant is ideal for women with wider chests.

Moderate Profile Implants: Implants with a moderate profile tend give the most natural-looking results. They provide more projection compared to low profile implants but not as much as high profile implants. Moderate implants are typically ideal for women with smaller or narrower chests.

High Profile Implants: This type of implant is extremely narrow at the base to provide maximum projection. High profile implants yield the fullest and most rounded results, which may give a more “augmented” look on patients. However, high profile implants are often ideal for petite women who have a narrow chest wall.

Risks/ Complications

No matter how skilled a plastic surgeon is, complications can happen during or after surgery. Having a surgeon who can get you through the complication is important.

Visit with well experienced, board-certified plastic surgeons for examination and discussion of your situation and goals.

Tom Pousti MD

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