Breast Augmentation with Implants: A Comprehensive Guide

Board Certified Cosmetic Surgeon located in Nashville and Brentwood, TN

By Dr. Alton Ingram

Dr. Ingram Gummy Bear Implants
Dr. Alton Ingram in Nashville, TN dives into the differences and advantages of gummy bear implants.

When considering breast augmentation with implants, it’s essential to understand the various options and advancements in this field. This comprehensive guide will provide an in-depth look at the history of breast implants, including early designs and the evolution that led to today’s cohesive gel implants approved by the FDA.

We’ll discuss the advantages of cohesive gel implants, such as reduced risk factors and improved aesthetic outcomes. Additionally, we’ll cover potential risks and concerns surrounding textured breast implant-associated ALCL warnings from the FDA, ensuring you’re well-informed before deciding on surgery.

Furthermore, our discussion will delve into choosing your ideal implant type between anatomical (shaped) prosthesis vs round ones or even exploring autologous fat transfer as an alternative option for breast augmentation with implants. Lastly, we’ll address mammography readings post-surgery from both surgeon perspectives and how to ensure accurate diagnostics with implants in place while also examining surgical techniques for implant placement like inframammary incision technique and other possible methods.

Table of Contents:

History of Breast Implants

The history of breast augmentation with implants dates back to 1895, undergoing numerous design changes over the years. Today, it remains the most frequently performed cosmetic surgery worldwide. In 1992, the FDA issued a moratorium on gel implants due to safety concerns, leading to the introduction of cohesive gel implants.

Early Designs and Evolution of Breast Implants

In their early stages, breast implant materials ranged from glass balls and ivory to ox cartilage and even paraffin injections. However, these methods were not successful in providing satisfactory results or ensuring patient safety. The first silicone gel-filled implant was introduced in 1961 by plastic surgeons Thomas Cronin and Frank Gerow. This marked a significant milestone in breast augmentation history as silicone became widely used for its natural feel compared to saline solutions.

In response to growing concerns about leakage risks associated with traditional silicone implants, saline-filled options gained popularity during the late ’80s and early ’90s. Saline offered an alternative that could be absorbed safely by the body if ruptured; however, they often lacked desired shape retention properties when compared with their silicone counterparts.

Introduction and Approval of Cohesive Gel Implants by FDA

In light of increasing demand for safer alternatives without compromising aesthetic outcomes, cohesive gel (gummy bear) implants emerged as a promising solution during this time period – offering improved consistency while reducing risk factors such as rupture or leakage potential significantly more than traditional silicone or saline options. The FDA approved the first cohesive gel implant in 2006, marking another turning point for breast augmentation surgery.

These new-generation implants are composed of a highly cross-linked silicone gel that maintains its shape and integrity even when cut or punctured. This innovation has led to increased patient satisfaction rates due to their ability to mimic natural breast tissue more closely while providing enhanced safety measures against complications such as capsular contracture – a condition where scar tissue forms around an implant causing it to harden and become misshapen over time.

The history of breast implants is a fascinating journey, from the early designs to the modern cohesive gel implants approved by the FDA. With their improved safety profile and aesthetic outcomes, it’s no wonder why many women are choosing cohesive gel implants for their augmentation procedure.

 
Key Takeaway: 

Breast augmentation with implants has a long history, dating back to 1895. Silicone gel-filled implants were introduced in the 1960s and gained popularity due to their natural feel, but safety concerns led to the introduction of cohesive gel (gummy bear) implants in 2006 which provide improved consistency and reduced risk factors for complications such as capsular contracture.

Cohesive Gel Implants Advantages

As women aged 25-45 consider breast implant surgery, it’s essential to understand the benefits of cohesive gel implants compared to traditional silicone or saline-filled options. These modern implants offer several advantages that can lead to improved outcomes and reduced risks for patients.

Reduced Risk Factors Associated with Cohesive Gel Implants

Cohesive gel implants, also known as “gummy bear” implants, are made from a thicker, more stable silicone material than their predecessors. This increased stability results in a lower risk of rupture and leakage over time. In the rare event that a cohesive gel implant does rupture, its contents tend to stay within the shell rather than leaking into surrounding tissue – making them easier and safer to remove.

Improved Aesthetic Outcomes Using Cohesive Gels

  • Natural feel: Due to their consistency, cohesive gel implants closely mimic natural breast tissue in terms of softness and texture.
  • Better shape retention: The firmer nature of these implants allows them to maintain their shape better over time without significant distortion or sagging often seen with other types.
  • Fewer visible complications: As they hold their form well under pressure, there is less chance for rippling or wrinkling on the skin surface – common issues associated with saline-filled alternatives.
  • Versatile sizing options: Patients have access to various shapes (round or anatomical) and sizes when choosing cohesive gel implants, allowing them greater control over desired appearance outcomes.

While cohesive gel implants offer numerous benefits, it’s crucial to remember that individual results may vary. The end result of a breast augmentation operation is contingent on numerous aspects, including the anatomy of the patient, tissue thickness, and proficiency of the surgeon. It is essential to consult with a qualified plastic surgeon who can help determine which implant type will best suit your unique needs and goals.

Anatomical (Shaped) Prosthesis vs Round Ones

In addition to material differences between implant types, patients must also consider shape options when selecting their ideal prosthesis. Anatomical or “shaped” implants are designed to mimic the natural teardrop contour of breasts more closely than round ones – providing an enhanced appearance for those seeking subtle enhancement rather than dramatic volume increase.

Autologous Fat Transfer Alternative Option

If you’re hesitant about using synthetic materials in your body but still desire breast augmentation, another option worth considering is autologous fat transfer. This procedure involves harvesting excess fat from other areas of your body and injecting it into the breasts – offering a more natural alternative without introducing foreign substances.

Cohesive gel implants provide a variety of advantages, such as reduced risk factors and improved aesthetic outcomes. Nevertheless, it is important to bear in mind any potential issues or worries before opting for an operation.

 
Key Takeaway: 

Cohesive gel implants, also known as “gummy bear” implants, offer reduced risks of rupture and leakage over time. They provide improved aesthetic outcomes with a natural feel, better shape retention, fewer visible complications and versatile sizing options. Patients must consult with a qualified plastic surgeon to determine which implant type will best suit their unique needs and goals.

Potential Risks and Concerns

Women considering breast augmentation with implants should be aware of the potential risks, including a possible link to ALCL as highlighted by the FDA in its Textured Breast Implant-associated ALCL Warnings. One such concern that has been raised by the FDA involves textured breast implants and their possible link to anaplastic large cell lymphoma (ALCL).

Textured Breast Implant-associated ALCL Warnings from FDA

In March 2017, the FDA issued a warning about a rare form of cancer called anaplastic large cell lymphoma (ALCL), which may be associated with certain types of textured breast implants. Although no definitive evidence directly links these two factors, there have been reported cases where patients developed ALCL after receiving textured implant surgery.

  • Rare occurrence: It’s important to note that this type of cancer is very rare, affecting only one in every 30,000 women who undergo breast implant surgery.
  • Symptoms: Symptoms can include swelling or pain around the implant site several years after surgery.
  • Treatment options: If diagnosed early enough, treatment typically involves removing the affected implant along with any surrounding tissue. In some cases, chemotherapy or radiation therapy may also be necessary.

Evaluating Risks before Deciding on Surgery

Before undergoing breast augmentation surgery, it is crucial for patients to weigh the potential risks and benefits of their chosen implant type. To make an informed decision, consider discussing your concerns with a qualified plastic surgeon who can provide expert guidance based on your individual needs and goals.

  1. Research: Begin by researching various types of implants available in the market today, including cohesive gel implants that offer reduced risk factors compared to traditional silicone or saline-filled options.
  2. Consultation: Schedule a consultation with a board-certified plastic surgeon specializing in breast augmentation procedures. Schedule a consultation with an experienced board-certified plastic surgeon who specializes in breast augmentation to address any queries or apprehensions about the potential risks associated with different implant types.
  3. Risk assessment: Work closely with your surgeon to assess which implant type best suits your unique anatomy and desired aesthetic outcomes while minimizing potential complications.

In addition to considering these factors when choosing an appropriate breast implant type, also take into account the expertise and experience of your chosen surgeon as they play a significant role in ensuring optimal results post-surgery.

Before making any decisions regarding breast augmentation surgery, it is essential to be aware of the associated risks and concerns. It is vital to be acquainted with the various kinds of implants obtainable in order to pick one that fits your requirements.

 
Key Takeaway: 

Women considering breast augmentation with implants should be aware of the potential risks, including a possible link to ALCL as highlighted by the FDA in its Textured Breast Implant-associated ALCL Warnings. Before deciding on surgery, patients should evaluate the risks and benefits of their chosen implant type and consult with an experienced board-certified plastic surgeon who specializes in breast augmentation procedures.

Choosing Your Ideal Implant Type

When selecting suitable breast implants for augmentation surgery, patients must consider multiple variables such as anatomy, tissue thickness, personal desires for size or shape enhancement outcomes, while also taking into account surgeon preferences based on experience and expertise with different types available today. In this section, we will discuss the differences between anatomical (shaped) prosthesis vs round ones and explore autologous fat transfer as an alternative option.

Anatomical (Shaped) Prosthesis vs Round Ones

Anatomical breast implants, also known as teardrop-shaped implants, are designed to mimic the natural slope of a woman’s breasts. They have more volume at the bottom and taper towards the top. This type of implant is ideal for women who desire a subtle enhancement that looks natural.

  • Pros: More natural appearance; less risk of visible rippling; lower chance of rotation within the pocket.
  • Cons: May require a larger incision; higher cost compared to round implants; potential for implant rotation leading to an unnatural look.

In contrast, round breast implants provide equal fullness in all areas around their circumference. These can be either smooth or textured and come in various sizes and profiles depending on desired results.

  • Pros: Lower cost than shaped implants; smaller incisions possible due to flexibility during insertion; no concern about rotation.
  • Cons: May appear less natural, especially in women with thin breast tissue; higher risk of visible rippling.

Autologous Fat Transfer Alternative Option

An alternative to traditional breast implants is autologous fat transfer, which involves using a patient’s own body fat to enhance the size and shape of their breasts. This procedure has gained popularity due to its more natural appearance and feel compared to synthetic implants.

  • Pros: Natural look and feel; no foreign materials introduced into the body; reduced risk of complications such as rupture or capsular contracture.
  • Cons: Limited enhancement size compared to implants; multiple sessions may be required for desired results; higher cost due to additional liposuction procedure needed for harvesting fat cells.

Ultimately, it is critical for those considering breast augmentation surgery in the upcoming three months to thoroughly consider their choices based on personal preferences, anatomy and desired results. Consulting with an experienced plastic surgeon like Dr. Ingram at ingramcosmeticsurgery.com can help guide you towards making an informed decision about your ideal implant type. Breast augmentation, breast augmentation surgery, breast implants, silicone implants, saline implants, silicone gel implants, breast tissue, breast milk, plastic surgeons, and capsular contracture are all important factors to consider when making this decision.

It is important to carefully consider the type of implant that best suits your body shape and desired outcome when undergoing a breast augmentation. Furthermore, it is equally as important to be aware of mammography readings post-surgery in order to ensure accurate diagnostics with implants in place.

 
Key Takeaway: 

When choosing breast implants for augmentation surgery, patients must consider multiple variables such as anatomy and personal desires. Anatomical (shaped) prosthesis mimics the natural slope of a woman’s breasts while round ones provide equal fullness in all areas around their circumference. Autologous fat transfer is an alternative option that uses a patient’s own body fat to enhance the size and shape of their breasts with reduced risk of complications but limited enhancement size compared to implants.

Mammography Readings Post-Surgery

A common concern among women considering breast augmentation is whether mammography readings will be negatively affected by the presence of implants. According to survey data collected from surgeons, the majority believe there are no significant impacts upon diagnostic imaging quality when proper protocols are followed during exams post-operatively.

Surgeon Perspectives on Mammograms After Breast Augmentation

Many studies and surveys have been conducted to understand surgeon perspectives on mammograms following breast implant surgery. The general consensus is that while implants may slightly change the appearance of a mammogram, they do not hinder accurate diagnostics if performed correctly. In fact, some studies suggest that radiologists who regularly perform these screenings on patients with implants develop expertise in identifying potential issues despite their presence.

Ensuring Accurate Diagnostics with Implants in Place

To ensure optimal results for patients with breast implants, it’s essential to follow specific guidelines during mammographic examinations:

  • Eklund Displacement Technique: Also known as “implant displacement” or “pushback technique,” this method involves moving the implant out of the way so that more breast tissue can be visualized during a screening. Radiologic technologists performing this technique should receive specialized training for best results.
  • Informed Technologist and Radiologist: Informing your healthcare provider about your breast augmentation prior to scheduling a mammogram allows them to prepare adequately and ensures they’re aware of any special considerations needed for an accurate reading.
  • Digital Mammography: Digital technology has improved image quality significantly compared to traditional film-based methods, making it easier for radiologists to detect abnormalities in patients with breast implants. The American College of Radiology recommends digital mammography for women with implants.
  • Additional Imaging: In some cases, additional imaging such as ultrasound or magnetic resonance imaging (MRI) may be recommended by your healthcare provider to ensure a thorough examination of the breast tissue surrounding the implant.

In conclusion, while it’s essential to consider potential impacts on mammography readings when deciding on breast augmentation surgery, following proper guidelines and working closely with experienced medical professionals can help minimize any risks associated with diagnostic accuracy post-surgery.

Comprehending the consequences of mammography examinations following an operation is critical, as it can supply invaluable information into a patient’s future well-being. To ensure optimal results for breast augmentation with implants, surgeons must be knowledgeable about various surgical techniques for implant placement.

 
Key Takeaway: 

Breast implants do not significantly impact mammography readings if proper protocols are followed during exams post-surgery. Radiologists who regularly perform screenings on patients with implants develop expertise in identifying potential issues despite their presence. To ensure accurate diagnostics, follow specific guidelines during mammographic examinations such as the Eklund Displacement Technique and informing healthcare providers about breast augmentation prior to scheduling a mammogram.

Surgical Techniques for Implant Placement

When it comes to breast augmentation surgery, there are several surgical techniques available for implant placement. Comprehending the diverse techniques can assist you in forming a well-educated decision regarding which technique best aligns with your wishes and requirements. In this section, we will discuss the popular inframammary incision technique as well as other possible methods for implant placement.

Inframammary Incision Technique

The inframammary incision technique is the most common approach used by surgeons when placing breast implants. This method involves making a small incision along the natural crease beneath the breast (the inframammary fold), through which the implant is inserted and positioned either above or below the chest muscle (pectoralis major). The main advantages of this technique include:

  • Minimal visible scarring: Since the incision is made in a discreet location, any resulting scar tends to be hidden within the natural contours of your body.
  • Easier access: The surgeon has direct access to create an accurate pocket for precise implant positioning.
  • Fewer complications: Studies have shown that using an inframammary approach may result in lower rates of complications such as capsular contracture compared to other techniques.

Other Possible Methods for Implant Placement

Besides inframammary incisions, there are alternative methods that some surgeons might recommend depending on individual factors like anatomy and desired outcomes:

  1. Periareolar Incision: This technique involves making an incision around the areola, the darker skin surrounding the nipple. The implant is then inserted through this opening and positioned in a similar manner as with inframammary incisions. While this approach may result in less visible scarring for some patients, it carries a higher risk of complications such as loss of nipple sensation or difficulty breastfeeding.
  2. Transaxillary Incision: With a transaxillary incision, the surgeon makes an incision within the natural crease of your armpit and creates a tunnel to place the implant behind your breast tissue. This method leaves no scars on your breasts but can be more technically challenging for surgeons due to limited visibility during surgery.
  3. TUBA (Transumbilical Breast Augmentation): In TUBA procedures, an incision is made near the navel (belly button) through which implants are inserted using specialized instruments. Although this technique results in minimal scarring, it’s not widely practiced by most plastic surgeons because it requires specific expertise and has limitations regarding implant types that can be used.

For the best individualized approach to breast augmentation, consult a board-certified plastic surgeon like Dr. Ingram at Ingram Cosmetic Surgery. Ingram at Ingram Cosmetic Surgery. They will evaluate your individual needs and preferences before recommending an appropriate approach tailored specifically to you.

 
Key Takeaway: 

Breast augmentation surgery offers several surgical techniques for implant placement, including the popular inframammary incision technique. This method involves making a small incision along the natural crease beneath the breast and has advantages such as minimal visible scarring, easier access, and fewer complications. Other possible methods include periareolar incisions, transaxillary incisions, and TUBA procedures that require specific expertise and have limitations regarding implant types that can be used.

FAQs in Relation to Breast Augmentation With Implants

What is the new warning about breast implants?

The new warning about breast implants pertains to a rare form of cancer called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). This condition has been linked specifically to textured breast implants. The FDA recommends that individuals considering breast augmentation be informed of this risk and discuss it with their surgeon. More information on BIA-ALCL can be found here.

What is one of the major concerns about breast implants?

A major concern regarding breast implants is rupture or leakage, which may require additional surgery for implant removal or replacement. Rupture rates vary depending on the type of implant used; cohesive gel silicone implants are known for having lower rupture rates compared to traditional silicone or saline-filled ones. Learn more about safety concerns related to breast augmentation here.

What can’t you do with breast implants?

While most activities can be resumed after full recovery from surgery, some restrictions apply in order to maintain long-term results and minimize complications. High-intensity exercises involving chest muscles should be approached cautiously, and contact sports should generally be avoided due to potential trauma causing displacement or damage to the implant. Find out more about exercising post-surgery here.

What is the life expectancy of breast implants?

Breast implants are not lifetime devices, and their longevity varies depending on factors such as implant type, surgical technique, and individual patient characteristics. On average, they can last 10-20 years before requiring replacement due to rupture or other complications. Discover more about the lifespan of breast implants here.

Conclusion

Breast augmentation with implants has undergone a transformation over the years, becoming more effective in providing pleasing aesthetic outcomes and lowering potential hazards. Cohesive gel implants have become a preferred option due to their advantages, but it’s important to evaluate potential risks before deciding on surgery. Choosing the ideal implant type and surgical technique can also impact the results of the procedure.

For expert advice and guidance on breast augmentation with implants, consider scheduling a consultation with board-certified plastic surgeon Dr. Ingram at Ingram Cosmetic Surgery. Ingram at Ingram Cosmetic Surgery who can help guide you through the process and ensure accurate mammogram readings post-surgery.

Contact us today to schedule your consultation!