Beyond the Big Decision, Other Augmentation Choices

The decision to have breast augmentation surgery is a big one and not to be taken lightly. But if you’re a woman who has been dissatisfied with the size, shape, or proportionality of her breasts, breast augmentation can be life changing. That explains why every year more and more women opt to have the procedure.

But once you’ve made the big decision to go ahead with your augmentation, there are still many other smaller decisions you’ll need to make. Together all of it can seem overwhelming, but Dr. Kearney will help you through each one.

Silicone or saline?

Breast Implant First, you’ll choose between silicone or saline implants. Silicone is thought to feel the most like natural breast tissue and is the most popular choice. Of course, if your silicone implants rupture, the silicone will need to be removed from the breast pocket where the implant is placed. But this isn’t really a big deal, because with any type of implant, the ruptured implant will need to be removed, requiring revision surgery.

Saline implants don’t need as large an incision because they are filled once placed into the breast pocket. They also are less worrisome if they rupture, as the body simply absorbs the saline water. Saline implants do have a higher incidence of wrinkling, however.

A few years ago another type of silicone implant, colloquially known as “gummy bear implants” came on the market. These cohesive silicone implants are filled with thicker gel, think gummy bear, and are shaped like a teardrop. If these rupture, the thicker gel usually stays within the shell and doesn’t leak into the surrounding tissue.

Implant size and shape

OK, you decided on the type of implant. Next, you’ll decide the size and shape. Size is measured in cubic centimeters of the filling silicone or saline. You will also decide on the shape, basically teardrop versus round. Projection is the degree your implants project.

Incision location

You may not be aware of this decision, but you will also choose where you want your incisions. Implants can be placed through an incision in the armpit, at the base of the areola, on the under crease of the breast, or through the belly button. You will also decide if you want the implants placed atop or behind the pectoral muscle. Most people think that placement behind the chest muscle creates the most natural looking augmentation, plus it precludes the possibility of wrinkling.

All of these decisions may seem daunting, but Dr. Kearney and his attentive staff will help you with each one, so that you’re very comfortable heading into your augmentation surgery. Call us at (858) 677-9352 to set up your consultation.

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