Breast Augmentation is one of the most frequently performed cosmetic surgery procedures in the United States today. Breast implants enhance the size and shape of the breasts adding firmness and fullness while improving body image and self esteem. Breast Augmentation can be performed to make smaller breasts appear larger, balance breasts that are asymmetrical, or restore fullness that has diminished with age or as a result of pregnancy. Breast Implants can also be used for reconstructive purposes.
We use the new FDA approved cohesive gel silicone implants. Most plastic surgeons and patients agree that the new cohesive silicone gel implants have a more natural feel. They are also less likely to produce rippling than saline breast implants.
Breast Implants also come in different shapes and profiles. Anatomic or “teardrop” shaped implants were created with a more natural shape in mind and designed to be fuller at the lower half similar to a natural breast. However, this distinct vertical orientation can result in distortion or breast asymmetry if the implant should rotate. A textured surface allowing tissue in-growth helps reduce the chance of rotation however may result in more visible or palpable rippling. For these reasons, anatomic implants are not commonly used.
Clinic Arroyo Goldstein uses the most common, round implant. Since the breast implant is round, it is free to rotate without any adverse consequences. With gravity alone the saline or cohesive silicone gel will gravitate or fill the bottom portion of the implant when sitting or standing erect or fill the breast more uniformly when lying down supine, more closely imitating a natural breast. Unless otherwise indicated, we will use smooth round implants.