Breast Implants
Types of implants
At the Weinstein Plastic Surgery Center in New Jersey there are over 100 breast implants used as sizes to determine the best proportional breast enhancement. Please bring a tight sports bra to your breast implant consultation to try on different sized and shaped implants.
A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline. Breast implants come in many shapes and sizes. The most common implant used for breast augmentation is a smooth saline filled implant. This breast implant is natural and has a long, trouble free life.
is a certified investigator of silicone breast implants by the FDA. To help determine the safety and efficacy of silicone implants. To date, no significant adverse sequela has been attributed to silicone implants. New gel-filled implants, at the present time, are available only to women participating in approved studies. Some women requiring replacement of the implants may also be eligible to participate in the study.
Saline-filled implants continue to be available to breast augmentation patients on an unrestricted basis. You might ask more about the specifics of the FDA decisions.
The surgery
The method of inserting and positioning your implant will depend on your anatomy. Dr. Weinstein of Weinstein Plastic Surgery Center in New Jersey most commonly performs the procedure through a less than one inch tiny incision in the crease where the breast meets the chest. In patients with no crease he prefers the incision around the areola (the dark skin surrounding the nipple).Alternative incisions include the armpit, the umbilicus or through a low abdominal incision when performing the tummy tuck. Every effort will be made to insure that the incision is placed so resulting scars will be as inconspicuous as possible.
Incisions are made to keep scars as inconspicuous as possible, in the breast crease, around the nipple, or in the armpit. Breast tissue and skin is lifted to create a pocket for each implant.
Working through the incision, Dr. Weinstein will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples.
Some surgeons believe that putting the breast implants behind your chest muscle may reduce the potential for capsular contracture. Drainage tubes may be used for several days following the surgery. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.
The breast implant may be inserted directly under the breast tissue or beneath the chest wall muscle.
You'll want to discuss the pros and cons of these alternatives with your doctor before surgery to make sure you fully understand the implications of the procedure he recommends for you.
The surgery usually takes one to two hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.
After surgery, breasts appear fuller and more natural in tone and contour. Scars will fade with time.
Shape of Implant
Depending on the desired shape you wish to achieve, you and your breast implant surgeon may choose a round or contoured implant shape. Generally, the larger you want your cup size, the larger the breast implant the surgeon will consider (measured in cubic centimeters, or cc's). You should be aware that contoured implants that are placed sub muscularly may assume a round shape after implantation.
Rounded
Round Breast Implants are round in design. They enhance breast size are made in low profile, moderate profile and high profile shape. Each profile is used on an individual basis to enhance an individual woman's profile.
Shaped
Shaped implant is designed to reflect the slope of a breast. With its upper area gently sloping downward and outward. Shaped implant is more likely to shape the upper part of your breast with a gentle slope. They have a higher incidence of malposition, hardness and possibly rupture.
Natural Tissue
By the time a female is 16 to 18 years of age, her breasts are completely formed. Over time, with weight gain or loss, pregnancy or the use of oral contraceptives, breast size will change.
While it is possible to move areas of body tissue, the use of body tissue is rarely an appropriate solution for breast enlargement. This is a long and complicated operation which is seldom used for cosmetic purposes and is commonly used in breast reconstruction. Additionally, the injection of fat does not result in a satisfactory increase in breast volume. The fat can also calcify and cause problems with mammography.
For more information regarding our breast implant procedures please feel free to contact our New Jersey facility.
