Breast Implants

Breast Implants

Many women think they only have to decide on the size of their implants and whether they want saline or silicone. Besides the size and type of filling, however, there are decisions to be made about shape, profile, and texture. It can be confusing, but Dr. Flugstad is here to make your choices easier.

After your detailed consultation and examination, we will guide you through the decision-making process, providing you with the pros and cons of each option so that you can feel confident that the decisions you make will lead to your desired result.

Of course, the most obvious choice you will make is the size of your implant. We offer you the ability to try on different implants to determine the size that feels right. Bear in mind that if you choose a much larger size, you will probably have to replace your wardrobe, not just your bras. Another consideration is whether you exercise a great deal. If so, larger breasts might be uncomfortable. These are the kinds of things to think about when deciding upon the right size for you.

The three major brands of breast implants in the U.S. are Sientra, Mentor, and Allergan. We have extensive experience with implants from all of these manufacturers.

Silicone Gel, Saline, and Gummy Bear Implants

Each type of implant has its own advantages and disadvantages. The one that is best for you will depend on your anatomy, your personal preferences, and how you wish to look and feel.

Saline Implants are FDA-approved for women 18 and over. The implant is filled with saline solution after the silicone polymer shell has been inserted, so a smaller incision can be used. This also allows the surgeon to customize the size to a precise degree.

These implants are firm when filled, so some women believe they do not feel as natural as silicone, while others prefer the firmer feeling.* Saline is slightly more prone to rippling. In the rare instance of a rupture, you will know right away, as the implant will deflate.*

Silicone Gel Implants are FDA-approved for women 22 and over. The shells of the implants are filled with silicone prior to insertion, so the size is predetermined. This also means they require a slightly larger incision. They are softer than saline, and many women believe they feel more natural as a result.*

Rare instances of rupture are not as easily detected with silicone, but these implants are less prone to rippling.*

Silicone was removed from the market 20 years ago, but the new generation of these implants is durable and safe. The newest generation of silicone gel is highly cohesive, thus in the unlikely event of a rupture, the gel stays in one place and is easily removed.* The silicone used in breast implants is one of the most studied materials in medicine today.

“Gummy Bear” is a term that can be confusing to many patients. Gummy Bear Implants are 5th generation cohesive gel implants that are filled with a thicker type of silicone gel. Manufactured by Sientra and Mentor, they represent the latest in implant technology. These implants have many applications, and they have some of the most natural feel on the market.

Before & After Gallery

Be sure to view our Before & After Photo Gallery of Breast Procedures to see real patient results at Flugstad Plastic Surgery.

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Round and Teardrop/Anatomic-Shaped Implants

Implants also come in different shapes, the two main types being anatomic and round. A round implant, the most commonly used historically, adds more fullness to the upper portion of the breast.

A teardrop-shaped implant is considered to be more anatomic, i.e. shaped more like a natural breast, which is why it is referred to as an anatomic-shaped implant. This means that the top has less volume than the bottom. Teardrop-shaped implants are usually textured so that they adhere well to the tissue of the breast, thereby avoiding rotation. Anatomic-shaped implants are increasing in popularity in the U.S. They are an excellent option for breast enhancement when a more naturally shaped upper breast is desired.

We have experience with all shapes of implants, and both styles provide excellent results.* The most important consideration is your preference. With our techniques, you can feel confident in an excellent outcome in either type.

In addition, both shaped and round implants come in different “profiles.” This refers to how the breast projects out from the chest in profile, or side view. We will discuss profile with you as well. The width of your shoulders and the shape of your chest will make a difference in terms of what looks better on your body type.

Textured and Smooth Implants

The shell of a breast implant can be smooth or textured. This does not affect the texture of the breast itself; even if you choose a textured implant, your breast will feel the same. There are different properties, however, of each surface type that allow them to be used in different applications.

The texture on the implant’s shell helps it to adhere to the breast tissue so that it is less likely to move. Textured implants are probably less prone to capsular contracture – a condition in which a scar develops around the implant and causes it to lose its shape – but more prone to rippling.

If you have little breast tissue, a smooth implant might be preferable because rippling is less of a risk.

We will discuss the pros and cons of textured vs. smooth in your particular case so that you can feel confident that you have made a wise and informed decision.

If this information makes you feel overwhelmed, don’t worry. We will walk you through all of these choices. After we have finished explaining your options, you will have a thorough understanding of what type of implant will be best for you.

Contact us today for a Breast Implant consultation in Bellevue, Washington.

* Individual results and patient experience may vary.

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