What type of breast implants are used?
MATERIAL
Many breast implants used in modern day plastic surgery are silicone-filled. Compared to other fill materials such as saline, the latest silicone implants offer a more natural feel, last longer and are less prone to silicone gel bleed. Breast implants also come in different sizes, shapes, and surface linings.
Many breast implants used in modern day plastic surgery are silicone-filled. Compared to other fill materials such as saline, the latest silicone implants offer a more natural feel, last longer and are less prone to silicone gel bleed. Breast implants also come in different sizes, shapes, and surface linings.
SIZE
A common query is how breast implant size relates to cup size. In general, about 150cc is required for each cup size increase. However, the eventual outcome is dependent on other factors as well including existing body shape and how much the breast and chest tissue can stretch. There is a natural limit to which the native skin can expand comfortably, and an overly large implant can appear unnatural.
SHAPE
In terms of shape, there are round- versus teardrop-shaped implants. Round implants have the advantage of not being subjected to malrotation, but does lead to a slightly more downward pointing nipple. Teardrop-shaped implants are also called anatomical implants, and help to simulate the natural breast shape with 45% of breast volume in the upper half and 55% of breast volume in the lower half. The leads to a less convex upper pole compared to the round implant, and a more forward or upward pointing nipple.
However, teardrop-shaped implants are susceptible to malrotation, and in most cases have a textured coating, which could increase the risk of breast implant associated anaplastic large cell lymphoma (BIA-ALCL).
EXTERNAL LINING
This brings us to the next big difference in breast implants, which is the external lining. Implants can be either smooth or textured. Smooth-surfaced implants have in the past been associated with higher rates of capsular contracture than textured implants, mainly in the subglandular plane. However, with better techniques, subfascial implant placement and increased understanding of the contributing factors to capsular contracture, this has become less of an issue.
Textured implants have rough surfaces created during the manufacturing process, which besides the afore-mentioned reduction in capsular contracture, are also purported to prevent implant malrotation. However, a recent development has been the discovery of BIA-ALCL, a form of lymphoma which has been primarily associated with textured implants. See our FAQ for information on BIA-ALCL.
In recent years, there has been the development of nano-textured implants, which is meant to bring the benefits of smooth and textured implants together in one package, whilst minimizing the risks of each. Our doctors are fully certified in the use of MotivaTM breast implants, which are nano-textured implants leading the way in terms of advanced design, natural feel and improved outcomes.
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What can I expect after a breast augmentation?
After the procedure, you will be monitored for a short period before being discharged. You will have dressings at the incision sites, and will be placed on a support garment. Drains are rarely required, and removal of stitches is seldom needed.
You may experience pain, swelling, and bruising for the first week, which is usually well controlled with medication. You will be reviewed in the clinic within the first 2 weeks, during which time you should take good care of your incisions and avoid any strenuous activity. As you progress, you can begin light exercise, and can usually resume full activity at 4 to 6 weeks after the procedure. Subsequently, you can wear a normal bra, and it would be best to avoid any heavy impact on the chest as it may lead to implant rupture.
