There is no “perfect” breast implant, as all breast devices have their advantages and disadvantages. There are essentially two breast implants used today: saline-filled and silicone-filled. Both have a pliable outer shell made of silicone. The contents within the cover are either saline (saltwater) or silicone gel. For saline implants, the silicone shell is filled with saline at the time of surgery.
The breast implant companies now offer various shapes and sizes to customize the fit for each woman’s body. Based on a woman’s anatomical dimensions, Dr. Delgado will advise an appropriate range of implant size and shape options.
Learn more about saline and silicone implants below:
Silicone implants have been approved for general usage since 2006. The restriction is that a woman must be at least 22 years of age. Also, it is suggested by the FDA that Magnetic Resonance Imaging (MRI) be done at the three-year mark after augmentation, and every two years after that, to rule out potential leakage. Dr. Delgado feels the patient should return for an exam at the three-year mark to determine if an MRI is warranted. If there are no complaints, and with a routine exam, then no test is needed. An individual approach should be customized for each patient.
Silicone breast implants have evolved into a safer product as a result of two significant improvements. Today’s silicone breast implants have a much thicker outer shell, and they contain a much more cohesive gel than earlier versions. The latter means that the silicone contents are more substantial or dense than the more liquid versions of their predecessors. For example, if a modern silicone implant is cut with a pair of scissors and squeezed, the silicone material will go out and then retract back inward into the silicone shell.
ADVANTAGES OF SILICONE BREAST IMPLANTS:
- They have a softer, more natural feel (the most significant advantage).
- There are no wrinkles or “scalloping” of the edges; therefore, they can easily be used on top of the muscle.
- As a general statement, women with saline breast implants, who then change over to silicone, prefer silicone breast implants for their more natural feel.
DISADVANTAGES OF SILICONE BREAST IMPLANTS:
- A leak or rupture may occur unknowingly.
- Silicone implants are prefilled, and, therefore, the size cannot be adjusted.
- An MRI may be required in the future.
- They are more expensive than saline implants.
- A longer incision may be required.
FORM-STABLE GUMMY BEAR BREAST IMPLANTS
The new product on the market is the “Gummy Bear Implants.” The FDA has approved the three United States companies—Mentor, Allergan, and Sientra—to distribute these breast implants.
These implants’ goal is to replicate a natural breast in making them form-stable, heavier at the bottom, and shaped like a teardrop. The implant is firmer, and this is what holds the shape. If the breast implant is cut in half, it will keep the exact shape without spilling out of the implant shell. These reasons are why this type of breast implant is commonly called a “gummy bear implant.”
As with all breast implants, they have advantages and disadvantages. The obvious benefit is that it mimics the natural breast’s shape, giving more volume at the breast’s bottom. Because of the firmer silicone composition of this implant, it results in less wrinkling. Some women want to have a firmer breast. There are textured implants to hold the orientation.
The disadvantage is the potential for implant rotation, which will cause the breast shape to distort. The incision needs to be larger to accommodate a firmer breast implant. Some women do not like the firmer consistency.
The bottom line is the form-stable breast implants give plastic surgeons and their patients another option when considering breast augmentation.
The first few hours after your breast augmentation in San Francisco are spent in the recovery room. When the patient is fully alert, she will be able to go home with a friend’s or family member’s assistance. It is essential to sleep with the head and back elevated to reduce the swelling in the chest. Two days after surgery, the patient may remove the bra and any dressings to take a shower. The bra—and, if used, the compression band—should be put back on immediately after showering. There will be instructions given for suture care.
The discomfort after surgery is mild to moderate. The pain and discomfort are more noticeable if the patient has had the breast implants placed underneath the muscle. These patients will notice more tenderness and fullness around the chest region until the muscles stretch and adjust to the breast implants’ presence. This process takes a few days, and the prescription muscle relaxant is very helpful for this.
The recovery period is approximately two weeks in length. Once the bruising and tenderness are gone, the patient can return to normal activities.
It is strongly recommended that patients avoid lifting anything of significant weight for at least two weeks following surgery.
Most patients can drive a car and return to work and social activities within a week. However, strenuous exercise should be avoided for four to six weeks following surgery, as it can increase swelling and discomfort.
During this early post-operative period, the patient is ideally seen three days after her surgery. The patient will be instructed in breast massage techniques to soften and relax the breast implant pocket at this visit. Ultimately, this massage regimen’s conscientious practice daily can reduce the risk of encapsulation in the future.
About seven days after surgery, the sutures are removed. Subsequent appointments will be scheduled at two weeks, six weeks, and three months. For any of these post-operative appointments, the patient can be seen at either Dr. Delgado’s San Francisco office or his Marin County office.
WILL I HAVE NOTICEABLE BREAST AUGMENTATION SCARS?
All surgery will require an incision, which results in a scar. The final breast augmentation scar is impacted by the surgical technique, the patients’ genetics, and the body’s natural ability to heal.
Dr. Delgado prefers an inframammary incision for many reasons:
- There is a reduced risk of capsular contraction.
- The areola and breast tissue remain in their natural state.
- This infra-mammary incision can be used for all future surgeries.
- The incision can be hidden in the breast fold in many cases.
Dr. Delgado uses meticulous wound closure and has a customized incision care program for an optimal outcome. The incision is generally easily concealed by a bra or bathing suit, and Dr. Delgado has very few, if any, issues with the final scar outcome.
Like New York City, San Francisco is home to one of the largest and most famous urban parks in the country. Golden Gate Park is a natural landmark of San Francisco with features like botanical gardens, lakes, waterfalls, and embellished sites like statues, museums, and windmills. It’s also home to a variety of events and exhibitions hosted by local art museums and institutions. Golden Gate Park is located only three and a half miles from Dr. Miguel Delgado’s practice in downtown San Francisco and 26 miles from Dr. Delgado’s practice in Novato, Marin County.
Are breast implants under warranty?
Each type of breast implant comes with its own coverage plan and benefits. However, patients will generally find that warranty for breast implants will provide you with a replacement implant if leakage occurs, plus another implant if needed for the other breast.
Can breast implants cause pain years later?
Pain can occur years after breast implants if capsular contracture occurs.nSome individuals without capsular contracture with pain may say the cause of this discomfort is breast implant illness.
Can breast implants last 30 years?
On average, breast implants should be replaced every 10-20 years. Implants that are not replaced may rupture or deflate, or capsular contracture may occur.
Can fat be transferred to breasts?
Yes, fat can be transferred to the breasts to enhance their size and shape. This is a more natural alternative than breast augmentation with implants.
Do you have to replace breast implants every 10 years?
It is generally recommended that you replace your implants every 10-20 years.
Does getting breast implants make you gain weight?
The only weight you should gain following breast implant surgery is the extra weight of the implants.
Does insurance cover breast implants?
Because breast implant surgery is usually a cosmetic procedure, it is not often covered by insurance. However, in cases where breast implants are being placed due to reconstruction, insurance may cover the costs.
How dangerous is breast augmentation surgery?
As with any surgery, breast augmentation does have its own risks. However, when performed by a board-certified plastic surgeon, these risks will decrease.
How long do breast implants last?
Most breast implants can last for 10-20 years.
how much does breast augmentation cost?
The cost of breast augmentation can vary depending on multiple factors. To learn more about breast augmentation pricing, please contact our office today.
How painful is breast augmentation recovery?
Most patients are sore for about 2 to 3 weeks following breast augmentation surgery. However, you will feel better each day, and pain medication can help with discomfort.
Is breast enlargement possible without surgery?
Breast augmentation surgery is the best and most effective way to enlarge the beasts long-term.
What are Natrelle breast implants?
Natrelle breast implants are a brand of breast implant available in both saline and silicone options. The most common implant they offer is their Inspira silicone implant, also called a gummy bear implant. These implants are available in varying levels of gel cohesiveness which helps them to feel more natural.
What can go wrong with breast implants?
Breast implant surgery comes with its own risks, including scar tissue (capsular contracture), breast pain, and infection.
What is the average cost of a breast augmentation?
The average cost of breast augmentation can vary depending on a number of factors. To learn more about pricing, please contact our office today.
What is the difference between a breast augmentation and breast implants?
Breast augmentation is the procedure necessary to enhance the breasts, while breast implants are the mechanism used to enhance the breasts.
Will Cigna cover breast augmentation?
Insurance will not cover breast augmentation surgery if it is done for cosmetic reasons alone.
Whats the safest breast implant?
There is no one breast implant type that is safest. Both saline and silicone breast implants are considered safe for breast augmentation.
What is the most common breast implant size?
The most common breast implant size is between 350 to 400 cc. However, every individual will require a different size to enhance their personal body contours.
What are gummy bear implant?
Gummy bear implants are a unique kind of silicone breast implant that forms with your breast, giving you natural-looking results.
What are cohesive breast implants?
Cohesive gel breast implants are created to maintain their shape for long periods of time for natural-looking results.
Is there an alternative to breast implants?
Breast augmentation with fat transfer is a more natural alternative to enhancing the breasts without breast implants.
Is getting a breast augmentation worth it?
Undergoing breast augmentation surgery is a personal decision that you must make for yourself. Many women who do choose to undergo breast augmentation find that they have improved body image and self-esteem following the surgery.
How long are breast augmentation incisions sore?
Most patients will be sore for 2-3 following surgery, and swelling will occur. Pain medication can help with discomfort.
How do you know if you have capsular contracture?
Common signs of capsular contracture include misshapen breasts, breasts that feel tight or painful, rippling, and a round, ball-like shape of the breasts.
How do I prepare for breast implants?
Our team will provide you with instructions on how to best prepare for your breast implants. This may include leading a healthy lifestyle and quitting smoking.
How do I know if my breast implant is leaking?
An imaging test such as an MRI or ultrasound can help to determine a leak in a breast implant.
Do breasts sag after breast augmentation?
Following breast augmentation surgery, the breasts can sag a bit due to the new weight of the breast implants.
Do breast implants cause autoimmune disease?
Breast implant illness is a term that some patients and doctors use to refer to a range of symptoms that may develop after receiving breast implants. There is no official medical diagnosis for breast implant illness, though some patients say they have experienced symptoms associated with autoimmune diseases.
Can you breast feed after breast augmentation
It is safe to breastfeed with saline or silicone breast implants.
Can I move my arms after breast augmentation?
It is advised that patients avoid lifting for at least 2 weeks after breast augmentation.