Silicone implants are a popular choice for individuals seeking breast augmentation or reconstructive surgery. With various types of silicone implants available in the market, it can be overwhelming to determine the best option for your specific needs. In this article, we will delve into the different aspects of silicone implants to help you make an informed decision.
1. Cohesiveness of Silicone Gel
The cohesiveness of silicone gel is a crucial factor to consider when choosing the best type of silicone implant. Cohesiveness refers to how well the gel holds together, minimizing the risk of leakage. The three main types of cohesive silicone gel implants are:
1.1 Low Cohesive Silicone Gel Implants
Low cohesive gel implants have a more fluid-like consistency, providing a natural feel and movement. They are an excellent option for individuals looking for a soft and natural appearance.
However, low cohesive implants may be more prone to rippling or wrinkling, especially in patients with thin breast tissue.
1.2 Medium Cohesive Silicone Gel Implants
Medium cohesive gel implants strike a balance between natural feel and reduced rippling. They provide a more structured shape and are suitable for patients with moderate breast tissue thickness.
The medium cohesive implants are a popular choice for many individuals as they offer a combination of natural appearance and reduced risk of complications.
1.3 High Cohesive Silicone Gel Implants (Also Known as "Gummy Bear" Implants)
High cohesive gel implants have a firmer consistency, retaining their shape even when cut or ruptured. They offer the most structure and are less likely to ripple or leak. These implants are suitable for patients with thicker breast tissue or those looking for a more defined shape.
It's important to note that high cohesive silicone gel implants have a slightly firmer feel than the other options. Some individuals may prefer this firmer feel, while others may find it less natural.
2. Textured vs. Smooth Surface
Another crucial consideration when choosing silicone implants is the surface texture. Both textured and smooth silicone implants have their advantages:
2.1 Textured Surface Implants
Textured implants have a slightly rough surface, which aids in preventing implant rotation and maintaining their position. They also have a lower risk of capsular contracture compared to smooth implants.
However, textured implants may be associated with a slightly higher risk of implant-associated anaplastic large cell lymphoma (BIA-ALCL). It is crucial to discuss this risk with your surgeon before making a decision.
2.2 Smooth Surface Implants
Smooth implants, as the name suggests, have a smooth surface and offer a more natural feel. They also have a lower risk of visible rippling and are easier to position during surgery.
However, smooth implants have a higher risk of capsular contracture compared to textured implants. Capsular contracture is a complication where scar tissue forms around the implant, causing it to harden or shift position.
3. Size and Shape Options
Silicone implants are available in various sizes and shapes, allowing patients to achieve their desired aesthetic outcome. The two main shape options are:
3.1 Round Implants
Round implants provide fullness in both the upper and lower portions of the breast. They often result in a more augmented appearance and are suitable for patients looking for a substantial increase in breast size.
3.2 Teardrop Implants
Teardrop implants, also known as anatomical implants, have a more gradual slope and provide a natural-looking contour. They are a suitable option for patients looking for a moderate increase in breast size and a more subtle result.
4. Incision Placement
The incision placement for silicone implant surgery plays a role in the final outcome and scarring. The most common incision options are:
4.1 Inframammary Incision
The inframammary incision is made in the fold beneath the breast. This incision offers excellent access for precise implant placement and allows for potential future adjustments. It generally results in a concealed scar that is easily hidden by undergarments or swimwear.
4.2 Periareolar Incision
The periareolar incision is made along the lower border of the areola. This incision offers direct access for implant placement and allows for simultaneous breast lift if desired. The scar typically blends well with the natural transition between the areola and the breast skin.
4.3 Transaxillary Incision
The transaxillary incision is made in the armpit, and the implant is inserted through a tunnel to the breast. This incision avoids any scarring on the breast itself but may result in visible scarring in the armpit area. It's important to discuss the potential scarring and recovery process with your surgeon.
5. Recovery and Postoperative Care
Recovery time and postoperative care are essential aspects of any surgery. Here are a few considerations for silicone implant procedures:
5.1 Recovery Time
The recovery time following silicone implant surgery varies for each individual. Most patients can resume their normal activities within a week or two, depending on the extent of the procedure. However, it is essential to follow your surgeon's postoperative instructions and avoid any strenuous activities that may impact the healing process.
5.2 Pain Management
Pain after silicone implant surgery is typically managed with prescribed pain medication. Your surgeon may also recommend the use of ice packs, compression garments, and specific massage techniques to aid in pain relief and reduce swelling.
5.3 Long-Term Care
Long-term care for silicone implants includes routine breast examinations, monitoring for any changes or complications, and regular follow-up visits with your surgeon. It is crucial to maintain open communication with your surgeon and seek medical advice if you experience any concerns or unusual symptoms.
Now, let's address some common questions related to silicone implants:
Frequently Asked Questions (FAQs)
Q: How long do silicone implants last?
A: Silicone implants have a long lifespan, but they are not considered lifetime devices. While individual experiences may vary, many women go on to enjoy their implants for 10-20 years or longer. Regular check-ups with your surgeon can help monitor your implants' condition over time.
Q: Are silicone implants safe?
A: Silicone implants approved by regulatory agencies, such as the FDA, have been extensively studied and deemed safe for use. However, like any surgical procedure, there are potential risks and complications associated with silicone implants. It's essential to discuss these risks with your surgeon and make an informed decision.
Q: Can I breastfeed with silicone implants?
A: Silicone implants do not typically interfere with breastfeeding. Most women can successfully breastfeed after undergoing breast augmentation. However, it's important to mention your desire to breastfeed to your surgeon during the consultation, as certain surgical techniques may impact breastfeeding ability.
References:
1. Maxwell GP. Textured Breast Implants. Clin Plast Surg. 2019;46(4):567-571. doi:10.1016/j.cps.2019.06.005
2. American Society of Plastic Surgeons (ASPS). Breast Augmentation. Accessed November 10, 2021.
3. U.S. Food and Drug Administration (FDA). Silicone Gel-Filled Breast Implants: Updated Safety Information. Accessed November 10, 2021.
4. Hammond DC, Migliori MM, Caplin DA. Mentor Contour Profile Gel Implants: Clinical Outcomes at 10 Years. Plast Reconstr Surg. 2017;140(6):1142-1150. doi:10.1097/PRS.0000000000003833
5. Wong RK, Sewell R, M?rk A, Crantford C, Edmunds C, Peters W. Breast Implant Surface Influences Intraoperative Contamination. Aesthetic Plast Surg. 2021;45(1):5-12. doi:10.1007/s00266-020-01813-4
