Breast Implants are commonly used for breast augmentation, breast implant revision surgery and breast lift with implants surgery. This page covers in detail the many different breast implant options you have.
There are many different options for your breast implants including your choice of Brand, Size, Shape, Projection, Surface Texture as well as Incision and Placement Location.
Breast Implant Brands
Prior to your breast augmentation surgery, it’s essential that you have a clear understanding of the procedure and are confident in your decision. To help you choose, you can get hands-on to touch and feel the breast implants, so you have a better idea of what they will be like on your body.
Your Breast Implants Options
Breast implants have advanced significantly since the early days of runny, liquid silicone or saline breast implants. Most surgeons and patients now prefer modern Silicone gel Breast Implants.
Combined with improved surgical techniques, the refinements in the composition of the inner silicone gel with a more resilient outer implant shell have made breast augmentation surgery safer with more reliable results.
Before having a breast augmentation, you’ll need to consider the following factors.
1. SIZE – What’s the Right Breast Implant Size?
Accurate measurements of your breasts, including width, height, volume, nipple position and skin elasticity are recorded. Next, an analysis of your chest wall shape and the breast-torso ratio is performed to determine the dimensions of the breast implant that best suit your body shape.
Breast Implant Sizing System
With our dedicated Implant Sizing System, we can simulate what your augmented breast will look like in clothing. By utilizing a series of unique implant sizers that fit over the natural breast, we can accurately estimate the volume of your ideal breast implant size.
3D Computer Imaging
With the latest VECTRA 3D camera system, we can preview what your breasts may look like after surgery with different sizes and shaped breast implants. Thus, giving you ultimate control and confidence that your breast implant selection is right for you.
One of the most important aspects for women seeking breast augmentation is choosing the correct breast implant volume to achieve their desires. Dr Turner will guide you through this difficult and often confusing process. During your consultation, Dr Turner will help choose a breast implant that suits your breast, rather than making your breast fit an inappropriate implant with the potential long-term complications that result from this. There are a number of tools that Dr Turner utilises to assist with this process.
2. SHAPE – What’s the Right Implant Shape?
Women come in all shapes and sizes and so do their breasts. With this in mind, it only makes sense to have different breast implant shapes. During your consultation with Dr Turner, we will show you both round and anatomical (teardrop) breast implants and make a recommendation on the best options for you.
Round Breast Implants
Round breast implants continue to be the most widely used breast implants worldwide. It is a common misconception that round breast implants are only used to give an augmented or fake cleavage and so women seeking a natural or subtle breast augmentation should choose an anatomical implant. However, with the latest, next-generation round implants placed correctly, they can achieve similar results to anatomical breast implants without the fear of implant rotation.
Some of the benefits of a round breast implant are:
• Can achieve a natural breast shape with softer silicone gel breast implants
• Can achieve fuller cleavage / upper poles with firmer silicone gel breast implants
• Lower revision rate due to a decreased risk of breast implant rotation and avoidance of high-textured surfaces
Anatomical Breast Implants
Anatomical breast implants have been very popular over the last few decades due to their natural-looking teardrop shape. These implants achieve excellent cosmetic results, with a very natural breast shape and subtle breast cleavage.
Some of the benefits of anatomical breast implants are:
• Good correction of mild breast ptosis post breastfeeding
• Good correction of tuberous breast lower pole deficiency
• Achieve natural breast shape with subtle cleavage
3. TEXTURE – What’s the Right Breast Implant Surface Texture?
While breast implants may be either silicone or saline to give the implant volume, they all have an outer shell made of silicone.
• Smooth Breast Implants
• Textured Breast Implants
• Polyurethane Breast Implants
How do we now classify breast implants?
• Surface Roughness
• Surface Area
Dr Turner only uses either nano-textured (Motiva) or micro-textured (Mentor) breast implants with low surface roughness as these are the safest implants available.
4. INCISION – What’s the Right Incision position?
To perform a breast augmentation, a small incision is required to allow the placement of the breast implant. The incisions are made in inconspicuous places to minimize scar visibility and there are 3 common incision locations;
Inframammary Fold (IMF)
This incision is in the breast fold, so while standing and in clothes, the scar is well hidden but may be visible when you are lying down.
This incision takes place around the areolar, allowing scars to often be concealed by the shape and colour of your areola.
This incision will be through the armpit, which means no physical scarring will take place on the breast itself. However, the scar will be visible when your arm is elevated.
It is Dr Turner’s preference to use an inframammary fold incision as it provides optimal exposure to the underlying breast tissue and pectoralis muscle to allow accurate and safe placement of the breast implant for predictable and reproducible results.
To minimise revision surgery from complications such as capsular contraction, it has been shown that the inframammary fold incision is the best option for implants. Contamination of the breast implant with bacteria during surgery has been shown to be one of the major factors in the development of capsular contraction. This contamination is increased with both the periareolar and transaxillary incision locations and so is now not recommended. To further reduce the risk of contamination during surgery, Dr Turner will use IV antibiotics, breast pocket irrigation with betadine, nipple shields and either a skin barrier protection sheet or introduction sleeve for a no-touch technique.
5. PLACEMENT – What’s the Right Breast Implant Location?
The breast implant can be placed either in front of the pectoralis muscle under the breast gland or behind both the breast gland and pectoralis muscle
Subglandular Placement – Subfascial or Over the Muscle Placement
Also known as subfascial, if you have enough soft tissue coverage around your cleavage area, this placement will likely be the best option for an implant. The breast implant will be placed between the breast tissue and the pectoralis muscle.
Some of the benefits of sub-glandular placement are:
• Rapid recovery
• Enhanced breast cleavage
• Reduced lateral malposition (widening of cleavage)
• Improved shape with constricted breast or breast ptosis
Dual Plane Placement – Submuscular or Under the Muscle Placement
Also known as submuscular/subpectoral, this involves the breast implant being placed between the rib cage and the pectoralis muscle. With the customized dual plane technique, it’s only the upper half of the breast implant is behind the pectoralis muscle and the lower half of the implant is directly behind the breast tissue. It is the ideal choice for women who have thin or very little breast tissue, as the muscle enhances coverage of the upper area of the breast implant.
Some of the benefits of dual plane placement are:
• Natural upper pole of the breast
• Reduced dropping (inferior malposition)
• Less interference with breast imaging (mammogram)
• Reduced visibility, palpability and rippling
Safer Implantation Using a Keller Funnel for Breast Implant Surgery
The Keller Funnel 2 is a sterile, cone-shaped device, which is the latest innovation in breast augmentation surgery allowing a ‘No Touch’ technique to place the breast implant into the surgical pocket during the breast augmentation procedure. This is part of the ’14 point plan’ for Breast Implant Surgery adopted by many top plastic surgeons.
Benefits of the Keller Funnel are:
- Reduced risk of bacterial contamination of the breast implant during placement
- Reduced risk of capsular contraction
- Reduced risk of revision procedures
- The hydrophilic coating of the Keller Funnel allows effortless placement of the breast implant into the breast pocket
- Reduces trauma to the implant shell and inner gel core
- Reduces risk of implant rupture with improved longevity
- Smaller incision length – a shorter scar
- Aids accurate orientation of anatomically shaped implants
- Less bruising and discomfort post-operatively
Modern form-stable silicone breast implants, usually require a longer incision and forceful insertion than older soft saline implants.