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Breast Implant Choices

At Alabama Plastic Surgery, Dr. Gene Moor makes use of the newest and best of several different types of breast implants. You and he will decide which implants are best for you, depending on your body type, your goals,  and affordability.

The two main categories of implants are saline and silicone.

The standard, round saline implants are filled up with sterile saline water at the time of surgery. These implants are deflated and therefor smaller and inconspicuous incisions can be made. The implants can be inflated with saline water to the desired amount and can be adjusted at surgery to have a better chance of achieving symmetry. The implant has been very popular but needs adequate amounts of breast tissue for coverage. Dr. Moor prefers to put these implants under the pectoralis muscles, thereby providing as much soft tissue coverage as possible. With the larger implants and thinner patients the implant edges may be palpable or seen. The saline implant is a little firmer to touch, rippling is more noticeable, and it is less expensive compared to gel. There is a very low incidence of implant leakage, and the leaked sterile saline will cause no health problems. The three projection options for both silicone and saline implants are moderate, moderate plus and high profile. The high profile implants provide the greatest forward projection for a more prominent silhouette and designed for a narrow chest. Alabama Plastic Surgery uses both Mentor and Allergan Natrelle smooth round saline breast implants.  Both companies offer warranties that we suggest our patients obtain.

The silicone implants are now made with a cohesive gel. Dr. Moor uses the Round Memory gel implant or a highly cohesive gel implant (sometimes called the “gummy bear” implant) which is the Memory Shaped gel implant which has a tapered appearance.

The gel implant maintains the natural give that resembles breast tissue, has more of a natural feel, and is not as firm as the saline implant. Memory gel implants have less rippling and are lighter than saline. A larger incision is necessary for the silicone implant and usually is in the infra-mammary fold. The gel implants are more expensive than saline implants and harder to detect a rupture.

The FDA now feels that using silicone cohesive implants is safe. The new cohesive implants are far superior to the old liquid silicone implants. Today’s silicone implants can be placed above or below the pectoralis muscle. Placement of silicone implants above the muscle is possible because less tissue coverage is necessary for this softer implant.

Some cases of minimal saggy breasts, (grade 1 ptosis) can be treated with a silicone implant above the muscle. Women who are competitive body builders or fitness instructors, or who go to the gym frequently typically do not like the distortion of the breast that sometimes develops with implants under the muscle with muscle flexion.

The Memory Shaped  implant, also known as “gummy bear”, is a highly cohesive gel implant, tear dropped shaped which has been used in Europe for many years and is now FDA approved. The memory shaped implant is thinner at the top, with a projection point near the bottom and has a youthful firmness, natural silhouette shape and less rippling. The implant is textured to maintain the implants position and shape and to reduce capsule formation.

The enhancement of your breast is very personal and depends upon your aesthetic goals. The choice of implants can be either smooth or textured, round of tear dropped, silicone or saline and come in various projection options (profiles). After taking into account your goals, lifestyle and breast size, Dr. Moor will help you choose what implant is best for you.