For many women who are considering breast augmentation, breast size is an important part of feeling feminine, vital, confident, and healthy. Breast augmentation surgery is an exciting way to increase breast fullness, improve breast symmetry, and rejuvenate the appearance of your breasts. Dr. Beber is a recognized expert in the field of cosmetic breast surgery and, more specifically, for breast augmentation, as he is the co-director of the Toronto Breast Symposium, the largest meeting devoted to plastic surgery of the breast in Canada. Dr. Beber has extensive experience with breast augmentation and all breast implant types, including the newest generation of cohesive gel silicone breast implants. His breast augmentation experience and bio dimensional approach allows Dr. Beber to work with you to completely customize your breast augmentation to suit your own personal aesthetic goals.
Dr. Beber`s breast augmentation patients come from a wide age range and choose to have breast augmentation for different reasons. Some breast augmentation patients may choose to increase their breast size to create balance with the rest of their body. Other breast augmentation patients may choose to do so due to changes to their breast from aging, pregnancy and or breastfeeding to regain the fullness and youthful shape their breasts once had. For these women, the combination of breast implants and a breast lift will fully rejuvenate the appearance of the breasts.
With any cosmetic procedure, patient safety and education for breast augmentation is critical. The advantages and disadvantage of breast augmentation along with the different type of implants, incision location and pocket positions will be reviewed during your comprehensive consultation with Dr. Beber.
Saline or Silicone Implants?
You may be one of many women considering breast augmentation surgery and have questions which is breast implant is the best. Breast implants are available in two types of filler material: Saline and Silicone Gel.
Saline implants are made of a silicone elastomer shell that is filled during your operation with the appropriate volume of saline (salt water) solution. This salt water solution is similar to the water we all have in our bodies. Saline implants come out of the package empty and are filled by Dr. Beber during the breast augmentation surgery after they are placed into the breast. Some of the advantages of using saline implants for breast augmentation include:
- Smaller incision than silicone implants
- Ability to fill the saline implants with slightly different amount of saline to accommodate differences in breast volume
- Axillary (armpit) incision can be accommodated leaving no scar on the breast.
- Cost less than silicone gel implants
Silicone implants are made of a silicone elastomer shell, and come filled with silicone gel. These implants are sent pre-filled from the manufacturer and come in a large variety of sizes, as well as round and anatomic shapes. The surface can be smooth or textured. Today’s silicone implants are filled with a more cohesive and thicker silicone gel which gives them a semi-solid consistency similar to a gummy bear. Some of the advantages of choosing cohesive gel implants include:
- More soft and natural feel
- Fuller looking breasts
- Less rippling or waviness than saline filled breast implants
Many of Dr. Beber’s breast augmentation patients prefer silicone implants for the above reasons.
It is important to remember that breast implants, like any medical device or implant, can fail over time and need to be replaced. When a saline implant fails, the saline is absorbed by the body and the implant becomes flat almost immediately. When a silicone implant fails, the silicone is not absorbed by the body, so the breast can often continue to hold its shape. For either silicone or saline implant failure, replacement can be easily performed.
NEW! IDEAL Implant
New and available to Dr. Beber’s patients are the structured IDEAL Implant. This IDEAL implant has recently been made available in Canada to a limited number of Plastic Surgeons. It is FDA and Health Canada approved. IDEAL implants feels natural and feels similar to a silicone cohesive gel implant. It is structured with its inner shell around the inner chamber, which holds saline inside and in the outer shell around the outer chamber, also holds saline. Between the shells are baffle shells. The structure of the implant with its chambers and baffle shells control the movement of the saline hence giving it a natural feel.
Patient who is opposed to silicone implants and does not like the feel of traditional implants may consider IDEAL implants.
Breast implants can be inserted through three types of incisions. During your breast augmentation consultation, Dr. Beber will review the different incision locations along with their relative advantages.
- Inframammary: this scar location for breast augmentation is just above the crease under your breast. This approach helps to hide the scar under the breast, and minimizes potential effects on later breastfeeding. This incision is extremely versatile and can be used for all implant types and sizes. The length of the scar will vary depending on the size and type of implant you chose.
- Periareolar: this scar location for breast augmentation is around the edge of the areola. The length of the scar will depend on the size and type of implant you chose. Some women have areolas that are quite small, and these women may not be able to choose this approach. This incision can also be used to combine a breast augmentation with a breast lift. Because this incision requires dissection through the middle of the breast tissue, it may affect the ability to breastfeed in the future.
- Transaxillary: this incision for breast augmentation is located in the armpit. The main advantage is that there is no scar on the breast itself. This incision is mostly used for saline implants, and is usually used with implant placement under the chest wall muscle (subpectoral).
Over vs. Under the Muscle:
The ideal pocket position for you will depend on several important factors, including your current breast size, breast shape, and breast position. As a breast augmentation expert, Dr. Beber will work with you to help guide you through the decision making process for your exciting breast augmentation procedure.
Subpectoral: This placement is made under the chest wall muscle (called ‘subpectoral’), on top of the muscle (called ‘subglandular’), or a combination of the two (called ‘dual plane’). Below is a review of these positions and their relative advantages. Subpectoral position under the muscle provides the maximum soft tissue coverage over your breast implant. This position works well for women who have very little of their own natural breast tissue. By placing the implant behind the muscle, Dr. Beber is better able to camouflage the edges and surface of the breast implant. This implant position does not work well in women who have developed drooping (called ‘ptosis’) of the breast, unless they are undergoing a breast lift as well. Otherwise the breast tissue will sit lower than the implant, compromising the aesthetic harmony of the breast.
Subglandular: This position on top of the muscle works well for women who already have enough breast tissue to camouflage the implant. In general, a 2cm thickness of natural breast tissue is enough to camouflage an average sized implant. The subglandular position also works well for women who have started to have a small amount of ptosis (drooping) in their breasts. The implant is placed directly behind the natural breast tissue ensuring the breast tissue and implant position are in harmony. This techniques allows for effective filling-out of the lower pole of the breast.
The ‘dual-plane’ position for breast implants is the most common position used by Dr. Beber for breast augmentation surgery. This position allows Dr. Beber to put the upper portion of the breast implant under the muscle to help camouflage the implant. The lower portion of the implant sits directly behind the breast tissue to maximize filling-out of the lower breast to create beautifully natural breast contours and breast harmony.
If you are wondering if breast augmentation is right for you, contact Dr. Beber to set up your personalized consultation to find out more.