Breast Implant Options
Learn about your different breast implant options – from saline to (silicone) cohesive gel implants – with our experienced plastic surgeon, Dr. Jon Paul Trevisani.
Choosing breast augmentation surgery is a step in self-improvement, not only taking charge of your body’s aesthetics, but also doing what will help you feel better and increase your confidence. Once you have made your choice to move forward, Dr. Jon and his team of plastic surgery professionals, will work with you to make additional decisions, including what type of breast implants are best for you.
The Aesthetic Surgery Centre always provides the highest quality in customer service, surgical techniques and procedures. Part of what sets The Aesthetic Surgery Centre apart is our consistent attention to detail, including staying current with advancing technology and materials used in the implants themselves. There are two primary types of breast implants, saline-filled and silicone-gel-filled implants:
Saline implants are currently the most common type used in breast enhancement surgery. They have a silicone elastomer shell filled with a sterile saline (salt water) liquid. These popular implants are not pre-filled. Instead, they are filled with a valve after being placed in the breast pocket. Since the implants are empty when they are surgically inserted, the incision size needed can be smaller than is usually necessary for silicone gel implants, which are filled with silicone before the surgery is performed.
In some rare instances, breast implants can rupture and deflate. When saline implants rupture, they hold an advantage over other types of implants in that the results are typically immediately noticeable and the salt-water solution is harmlessly absorbed in the body. The implant can then be removed or replaced. Saline implants can also be very beneficial for patients who have asymmetrical breasts because fluid can also be added or reduced during implantation to ensure a balanced appearance.
Saline implants are approved for breast augmentation in women 18 years or older and for breast reconstruction in women of all ages.
Silicone Gel Implants
Silicone gel implants have a silicone shell, which is pre-filled with a viscous silicone gel. In November of 2006, the FDA approved the new and improved cohesive silicone gel-filled breast implants for both breast reconstruction and augmentation. Cosmetic use of these implants is available to women 22 years or older. Over a million women around the world have already received these innovative silicone implants. Cohesive gel implants are available in varying degrees of firmness accommodating the different needs of patients. The word “cohesive” is a new term being used to describe the nature of the fill. However, this is not new science or new technology. Cohesive is simply a word being used to help describe the “sticking together” nature of the gel. The gel filler acts as a solid unit rather than a liquid, holding together uniformly, while retaining the natural “give” that resembles actual breast tissue. Because of his expertise, Dr. Jon Paul Trevisani has the distinction of being part of the first group of surgeons in the United States able to perform primary breast augmentations using silicone implants.
The incisions that need to be created to place silicone breast implants can now be made much smaller with The Keller Funnel™ technique. Traditionally, silicone implant incisions are larger compared with those necessary for saline implant procedures. The Keller Funnel™ technique allows Dr. Jon to insert the implants through a smaller incision while minimizing trauma to the implant or surrounding tissue during the procedure. It also reduces stress on the implant shell during placement and often lessens bruising following surgery. Dr. Jon is certified in this innovative technique and has performed it on many patients with successful results.
Although saline breast implants are more noticeable in cases of implant rupture when compared with silicone implants, current silicone implants are very advanced and have been designed with thicker, more durable outer shells that are more resistant to rupture and leakage. However, the FDA recommends that patients with silicone breast implants undergo regular MRI screenings every two years, and routinely examine their breasts for any signs of irregularities.
Contour Profile Gel (CPG) Implants
CPG implants are only allowed to be utilized in procedures performed by a select group of surgeons, and Dr. Jon is one of them. These new, state-of-the-art breast implants are designed to be very long-lasting, and to minimize the chances of rippling and folds. The silicone gel inside CPG breast implants is even firmer than traditional implants, and is remarkably adept at retaining its shape in any position.
Dr. Jon is currently involved in a clinical trial study of these types of implants. The study requires you to cooperate with a full ten-years of follow-up examinations to determine the effects of the implants. Monetary reimbursements are provided for patients who decide to take part.
PIP (Poly Implant Prothése) Breast Implants
PIP implants, made by the French company Poly Implant Prothése, were recently found to be composed of industrial-grade silicone rather than medical-grade silicone. As a result, the implants were suspended from distribution, exportation, and marketing. These implants were never approved for use in the U.S.; however, more than 300,000 women in 65 countries were provided with PIP implants. While the health risks of industrial-grade silicone are still not clear, there is some speculation that the material may increase instances of inflammation, cancer, and toxic exposure.
Dr. Jon can perform breast revision surgery and implant exchange/removal procedures for patients who have PIP breast implants. Also, Mentor® – one of the leading manufacturers of breast implants – has set up a Compassionate Care Program for patients with PIP breast implants who are considering replacing them. The program provides patients who have saline or silicone PIP implants with Mentor® breast implant replacements for either of those types. The program is available from January 1, 2012 to December 31st, 2012. Some limitations apply. Please call our office at 407-901-4894 for more information.
Please note that breast implants manufactured and/or approved for use in the United States are subject to rigorous testing and strict requirements to provide the best possible strength and safety, and the U.S. FDA sets very high standards for breast implants in America.
Breast Augmentation Surgery
The surgical procedure for breast augmentation takes approximately one to two hours. Although initial soreness is to be expected, most patients are up and around within 24 to 48 hours. For more information about breast implants or other breast surgery options, contact The Aesthetic Surgery Centre.