Breast Implants Los Angeles Breast Implants Surgeon Dr Younai


Los Angeles Breast Implants


What Types of Breast Implants Are Available for Breast Augmentation?

There have been varying viewpoints throughout the years about the best kind of implant to use for Breast Augmentation, and health controversies about one kind of implant that dominated news reports in the 1990's. Many women who were interested in having fuller breasts were fearful to do so because of these reports. The following describes the different kinds of implants that are available, and addresses some of the concerns regarding differences between breast implant fill material, shape, surface texture, size, manufacture, and use of implants.


Breast Implant Fill Material:
Although all breast implants do have a solid silicone shell (bag), they are filled with different substances such as:

Saline Breast Implant
While there are a number of implants available for Breast Augmentation, currently the most commonly used is the saline breast implant.

The saline implant has an exterior sack made of solid silicone, which is filled with a sterile saline solution — like the salt-water solution that is administered for intravenous fluids. One of the advantages of this solution is its safety. Should the implant for some reason leak, the saline just gets absorbed by your body, as would the intravenous fluids used during, and after surgery. Yet another advantage of the saline implants is a very low infection rate, which is usually less than one to two percent


There are two main disadvantages of saline breast implants, when compared to those filled with silicone. Because of the liquid nature of saline, saline filled implants tend to have a higher incidence of rippling, or the ability to be felt. Although rippling occurs in all saline implants, filling them according to the manufacturer’s recommendations, submuscular placement of implants, and the existence of thicker breast skin and tissue minimizes a person’s ability to see or feel rippling of saline implants. Because silicone gel has a thicker consistency, it tends to ripple much less, but sometimes happens nonetheless.

Silicone Breast Implants
These are implants that are filled with a silicone gel. More than 1.5 million American women currently have silicone breast implants. Some people feel that the silicone implant results in a more natural appearing breast. However, about 15 years ago, the safety of these implants was questioned in numerous media reports, and through the filing of numerous lawsuits again the implant manufacturers. Numerous afflictions, including autoimmune diseases and hardening of the breasts, were attributed to the leakage of silicone into the bodies of women who had these implants.

The main disadvantage of silicone breast implants is that their rupture is less easily detected than with the rupture of saline implants. When a saline implant ruptures, the saline gets absorbed by the body, making the breast go flat, which can be easily recognized by a woman. On the other hand, because silicone gel mostly stays within the breast tissue and does not get absorbed, there is usually no noted reduction in breast size after rupture of silicone implants. Tools to detect rupture of silicone implants include Mammograms and Magnetic Resonance Imaging (MRI). Also, the clean up and complete removal of the leaked silicone gel is difficult. Finally, although there are several studies that attest to the safety of silicone, the controversy about the safety of silicone implants remains.


Where Are the Implants Placed with Respect to the Breast?

Placement of breast implants, either under or over the Pectoralis Major or chest muscle has important consequences.

Subpectoral: "Under the Muscle"
In Subpectoral placement, the breast implant is positioned under the Pectoralis Major muscle and directly over the rib cage. In this circumstance, the lower part of the implant is not covered by any muscle. This is preferred by many surgeons because it creates a more tear drop breast shape. On the other hand, some surgeons prefer submuscular implant placement, where the implant is entirely covered by the chest muscles. Another disadvantage of submuscular placement is that flexing of chest muscles during exercise can contract the implants or push them in and out of place.

Subglandular: "Over the Muscle"
Through this method, the implant is placed above the chest muscle, but below the mammary gland. This is a less complex surgery, with less pain and a somewhat shorter recovery. Some surgeons prefer this method because of its ease and speed of implant placement as well as a shorter period of time that it takes for the implants to settle.

How Does the Surgeon Enter the Breast to Place the Implant?

There are four ways to make the incision into the breast for the placement of the implant.

Your cosmetic surgeon will discuss what kind of incision is best for you, depending on your body type, and concerns about scarring and other risks.

Do Implants Come in Different Shapes?

Yes. There are various shapes to implants – including Round, Teardrop — or "Anatomic" as well as a variety of Implant Profiles.

As a general rule, Round implants are wider, provide greater cleavage, and fill in the upper portion of the breast. However, the Teardrop or "Anatomic" implants might be best for women who are seeking fullness mostly in the lower breast. Although Teardrop, or Anatomical implants, were previously more popular, several studies have demonstrated that when a woman is standing, a Round implant takes on a Teardrop shape. The main disadvantage of Teardrop implants is that they do not emphasize the cleavage; and because they have a long shape, if they rotate and tilt onto their side, they can appear odd, or unattractive.

Recently, several manufacturers have introduced a variety of implant profiles from low to high profile. While round profile implants are usually wider and flatter, high profile implants are narrower and taller, resulting in a more pronounced looking breast.

Do Implants Have Different Surface Consistencies?

Yes. A woman can choose between Textured implants, or Smooth implants. Textured implants have a rougher surface. The textured implant’s primary advantage is that it has a much lower incidence of Capsular Contracture, or hardening of the breast capsule. When implants are placed over the muscle, the incidence of Capsular Contracture with smooth implants is approximately thirty percent compared to seven percent for textured. The incidence of Capsular Contracture becomes the same (seven percent) when either implant is placed under the muscle. Some surgeons feel that textured implants are more palpable and do ripple more, but the differences are not documented in large clinical studies. Considering this information, Smooth Implants are preferable, unless the patient has had Capsular Contracture in the past.

Mentor Corporation offers the same implant replacement policy and 5 years warranty for replacement cost. Mentor does offer an extended ten-year warranty for an additional fee.

Implant size
Both implant manufacturers have implants from 125cc to 850cc volume. Larger implants are not currently being manufactured by either company. The specific volume or size of the implant does not guarantee a bra size; as final breast size also depends on the original size and shape of the breast.

Implant use
Although the implants that we have discussed are usually for cosmetic Breast Augmentation, they are also used for breast reconstruction after the post-mastectomy chest wall skin has been stretched out to several sizes larger that the intended breast sizes, with a breast implant tissue expander.


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