Breast Augmentation - Material and size

Over last ten years plenty of evidence has been collected about the safety of silicon implants. Silicone is the second most common substance on earth after oxygen. The impants were first developed 40 years ago and underwent constant improvements. We are now at CosmeSurge using exclusively the FDA approved fifth generation of implants filled with cohesive gel with no risk of the silicon migrating anywhere in the body.  

The implant is placed in a pocket either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall. 

One of the advantages of a saline-filled implant is that, because it is filled with saltwater after being inserted; only a small incision is needed. Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous. Another possible location for the incision is around the lower edge of the areola. 

A third alternative is to make a small incision within the armpit and place the implant. We have a Brazilian surgeon (Dr Claudia) who is comfortable with this approach. 

However water filled implants leak out and frequently feel un-natural due to the rippling effects of the water inside a plastic bag. Most surgeons prefer a silicone implant as they feel very natural. 

Before the operation, the size of the implant should be agreed upon with the patient by simulating the results and taking her ideals into consideration. The sizes most in demand are between 250 to 375 ml in volume. Individual factors and personal preferences will help you and your plastic surgeon to determine your appropriate breast size, the location of incisions, and whether the implants will be placed on top of or underneath the chest muscle. 

Neither the surgeon nor the patient should choose the size of the implant. The patient's height, shape, shoulder width and rib cavity dictate to a large extent the correct size. Patients who have suffered from undersized breast for a long-time generally demand larger implants than would otherwise be suitable for their figure. The surgeon who bends the rules too much in order to accommodate patients' unreasonable wishes does a disservice to them as their breasts sag later on if they are too big for them.