What types of Breast Augmentation are there?

Are there any implants that work for everybody? I only know that I have to choose between saline or silicone and round or teardrop shaped. I am 5'4" and 103 pounds, going from AA-cups to CC-cups. Does my frame determine the type of implant that’s best for me? I’m interested in a softer look and I want my breasts to look as natural as possible. I don’t want to draw a lot of attention. I just need to feel better in my own skin. Sharing your experience with implants would be greatly appreciated. 

fiascoiggy

F, 32, Virginia

Excellent question. As for the difference between silicone and saline, the FDA has stated that these medical devices are safe. If you are still concerned about the silicone despite the assurance from the FDA, saline would be a very good choice, you just might have visible rippling. The major benefits of silicone are that the implants are lighter than saline, less rippling, more natural feel. 

The shaped implants are indicated if there is minimal ptosis (or droop) and the patient is looking for a more controlled upper pole presentation of her breasts. 

In terms of the size, consider a plastic surgeon who can provide you with a simulated breast augmentation. Crisalix has a very good 3-D option. 

What types of Breast Augmentation are there, submitted image.What types of Breast Augmentation are there, submitted image.

Dr. R. Brannon Claytor has 4 Breast augmentation (Silicone breast implants) before & afters:

Breast augmentation (Silicone breast implants) before image performed by Dr. R. Brannon ClaytorBreast augmentation (Silicone breast implants) after image performed by Dr. R. Brannon ClaytorBreast augmentation (Silicone breast implants) before image performed by Dr. R. Brannon ClaytorBreast augmentation (Silicone breast implants) after image performed by Dr. R. Brannon ClaytorBreast augmentation (Silicone breast implants) before image performed by Dr. R. Brannon ClaytorBreast augmentation (Silicone breast implants) after image performed by Dr. R. Brannon ClaytorBreast augmentation (Silicone breast implants) before image performed by Dr. R. Brannon ClaytorBreast augmentation (Silicone breast implants) after image performed by Dr. R. Brannon Claytor

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Thank you doctor. 

You are welcome. There are many highly qualified Board Certified Plastic Surgeons in Virginia. Best Wishes 

Your best option is to visit a surgeon for a consultation and try implants on, get a feel for them and learn which your doctor recommends for you. Everyone's body is slightly different but here is a breakdown of the various types of breast implant augmentation:

Saline implants contain sterile salt water. This implant will be safely reabsorbed into the body and naturally expelled if there is a leak or collapse. Saline breast implants give a uniform shape and feel firm to the touch. These implants are FDA-approved for women over the age of 18.

Silicone implants contain silicone gel that feels like natural breast tissue. A leaking implant will not collapse, but it may leak into the tissue. You would need to check the implants to ensure they are functioning properly regularly. An ultrasound or MRI screening can assess a secret leak.

Form-stable gel implants are sometimes referred to as gummy bear implants because they consistently maintain their firm shape and are filled with a silicone gel. These implants are less likely to leak because they contain a thick gel. 

• The gummy bear implants are shaped not round. If a shaped implant rotates, it can produce an odd form. The placement of the gummy bear implants also requires a longer incision.

Round breast implants cause the breasts to appear fuller than form-stable gel implants. More projection is achievable with some round implant options. There is less concern of rotation with the circular design.

Smooth breast implants offer the softest feel and move more naturally along with the implant breast socket. Smooth implants may have some rippling.

Textured breast implants utilize the develop of scar tissue that sticks to the implant and holds it in position. This scar tissue will restrict the rotate or reposition of the implant in the breast tissue. The texture also diminishes the risk of a tight scar capsule.

There may be additional options available, and your surgeon can share photos and let you feel an implant replica to give you a better understanding of the shape, texture and feel of the implant that he recommends. Monitor all breast implants by scheduling regular checkups.

I am not a doctor, of course, but I did a lot of research before I had my breast augmentation. It looks like you have already done some research, too! Cosmetic surgeons do take many personal factors in account when helping a woman decide on the right implant type, shape, and placement for them. When I had my breast augmentation, I was about a B cup and went to a full C. I am a bit taller and heavier than you (about 5'6'' and 130 lbs). I am pretty happy with their size and glad I didn't go any bigger. 

Your frame is taken into account by your doctor, but they typically let you decide just how large you would like to go, because it really is a personal preference. While I have saline implants that look and feel natural, I think that is mostly because I have so much natural breast tissue on top of the implant. I have heard that silicone implants give the most natural look (and feel the most natural to the touch) when a woman has less natural breast tissue, such as your cup size. 

My doctor told me that that he never used teardrop implants due to the very small chance that, down the line, they can rotate a little and create an asymmetrical breast appearance. However, I have read that some doctors just "shy away" from them due to inexperience using them. 

I hope I helped a little! Once you schedule a consultation with a cosmetic surgeon, you can ask all of the questions you have and even "try on" implants of different sizes. During my consultation, my doctor had me put on a bra that was much larger than my current bra size, then he had me place implants of various sizes in the bra for me to try. That helped me get a good idea of what each size would look and feel like.