The 4 breast implant types

  • 2 years ago

You're interested in breast implants but don't know what to choose? Here's a list of the 4 main types of implants available (with gummy bear implants still in clinical trial stages).
SalineĀ Saline-filled implants have a silicone shell and are filled to the desired size by the surgeon. They are generally less expensive and firmer than silicone, but can cause more rippling in the skin. If the implants leak, the saline is absorbed into your body.
Silicone Silicone implants are preferred by most surgeons and women. They are more expensive, but are softer and many people think they feel more natural than saline. Incisions made to place silicone implants are usually larger and women have to be at least 22-years-old to get silicone filled implants. If silicone implants rupture or leak, they require more surgery to remove. Though they were re-approved by the FDA in 2006, there is still some controversy surrounding their safety.
MemoryGel MemoryGel is a brand name silicone implant made by Mentor. MemoryGel implants come round or contoured (anatomically shaped). They are a proprietary cohesive gel that, according to the Mentor website, "acts as a unit rather than a liquid, and holds together uniformly."
Gummy Bear Gummy bear implants have recently been approved by the FDA. They are made of firmer silicone formula similar in texture to gummy bears. Gummy bear implants seem to retain their shape well and can be formed into a teardrop that conforms more naturally to a woman's body.

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I had silicone implants for 35 years. 1979-I had Dow (the one with the law suit) for about 11 years . 1990- Revision due to capsular contracture. The Dow shell had totally disappeared and the only thing holding the silicone was the capsule scar tissue. The mammogram didn't show any abnormalities or ruptures before the surgery. I had no adverse side effects. I had capsular contracture and replaced with Replicon (silicone covered with polyurethane foam). The theory was the polyurethane became part of the pocket as it heals to prevent capsular contracture. Some studies said the polyurethane is broken down to form become formaldehyde, leaving a smooth round implant. The stuff they store the frogs in for science lab. They were pulled off the market a month after I got them and they were never approved by the FDA again. They are still available in Europe. I had them for 22-23 years and suffered no adverse side effects. 2014- Revison due to capsular contracture. I went to 2 PS before I got my surgery. When I said silicone, they both automatically explained Mentor MemoryGel to me. I got MemoryGel smooth round high profile 2/20/14 over the muscle. I didn't know until I found this posting that regular silicone was available or I would have probably gotten it. The Mentor sales rep must be doing a good job. This is day 25 post-op and the MemoryGel seems fine. I hope they last 23 years. I'm 63, this could be my last set. I don't want any more surgeries. I'm sure they will find something equally as bad as the other implants during my autopsy. I have no adverse side effects from silicone implants except capsular contracture. I assume I will get it again with the MemoryGel. I'm glad you provided this information. I wish I had seen it before my surgery. I would have taken a harder look at the MemoryGel.
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I have silicone and I'm very satisfied with them :D
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Any real life stories or testimonials from someone who has gone in for a revision or BA with the Sientra oval shape in mind? My PS suggested the oval shape to give me a "fuller cleavage", but I would like to research this more, as my chest is very small and I have a large gap between my saline implants I have now, with very little breast tissue.
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Hi, did you ever get the sientra oval ones? I have my BA in May and am going with textured sientra but do not know what shape yet. Thanks
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Hi Britt! I got the sientra textured ovals and I absolutely love, love, love them!!! I'm a year po and couldn't be happier with the outcome. My biggest concern was whether I'd experience any capsular contraction like I did w/my old round salines. So far, so good. My breasts look & feel so much more soft, supple and most importantly NATURAL looking although do experience a little dimpling on the right from time to time but I had to go rather large (450E) on that side & have a very small frame with very little breast tissue but overall the look & feel is absolutely outstanding compared to my old implants!
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Veronica, see below post & note I have the similar problem. Have the Sientra silicone ovals and I must admit my they indeed provide a fuller, more natural look given the bottom is both wider& fuller and fills out the gap/chest cavity. They look and feel extremely natural compared to my old saline rounds. Definitely have the "tear drop" look I'd hoped to achieve! Highly recommend :)
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Thanks. I'm going to ask my Dr about the ovals. Didn't know they came in that shape!
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I live in England and we mainly tend to use silicone implants for procedures. I have myself just undergone a BA and am now 7 days po. I have to say I couldn't be happier. The smile hasn't left my face. Except maybe when my drains came out the day after the op. they are pretty swollen still and are sitting very high which makes sleeping a little uncomfortable but overall after about day 3 I didn't really have any pain just discomfort. I work in plastic surgery too so I have seem many women before me come and go and have different size implants. There are so many options out there for what to have so I would say just look around, it's like buying a new dress for a night out you have to try on so many before you find that one that fits perfect and makes you feel a million dollars. I went from just about filling a 34b to 34d by having a 325cc silicone implant and I just love them!
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I suggest that you feel them your self before you take someones word that they are "hard to the touch". I have never had a single complaint from a woman that the Gummy Bear implants are too hard. Further the capsular contracture rate is lower than the other silicone implants and the reoperation rate is lower. Give them all a feel. I think you will be surprised.............
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I have to agree with u Dr. Stevens. Although I'm only 10 days post op, I already love the look and feel of my new textured teardrop Sientra Gummy implants. I had saline prior, and they were actually a lot firmer (and high sitting) if u ask me. I'm still swollen, but my Gummy Bears are quite natural feeling and far more natural looking than my old round moderate salines. I pray they stay that way and I pray my right breast doesn't develop CC again!
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Do you have before and after photos?
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My friend got Silcone done for her. She said, this process of implanting was very simple and good without any side effects.
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The cost is similar. In our practice it is the same for all implants. I prefer to go under the muscle in most cases but it is actually a dual plane approach. Sometimes I do sub facial or even sub glandular. Your surgeon will make suggestions and explain them to you . You can be a D cup with any of these approaches. All the best. Dr Grant Stevens
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Here is a study I published on the Silimed- Sientra Highly Cohesive Gummy Bear Implants. http://aes.sagepub.com/content/30/5/693 They performed well and I have now implanted over 900 of them. They have the lowest complication rates I have ever seen in the 30 years that I have done breast augmentation. They are soft, can be put through the nipple of the fold easily. Check them out! Oh yea, only Real Plastic Surgeons can buy them and use them. About time a company protect the patients!
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Are they more expensive then the other three implant types and around how much would cost for a person wanting to go from a 36B to a 36D? Is recovery time less due to how it is being inserted and is there any issues after regarding sensation in or around the nipples?
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Is it better to go under the breast muscle or on top of the breast muscle? I hear that under the breast muscle you wound up losing a percentage of cc that you wouldn't have lost if going on top of the muscle, is that true?
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Thanks Dr. Stevens. My sister just had Silimeds put in and she LOVES them. It's been about 5 months and they are still a little bit firm, but looks fab. What do you think of the Allergan Naturelles in comparison?
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Do you have any testimonials or "real life" scenarios of women whom went in for a revision or BA with the Sientra oval base shape in hopes of getting a fuller cleavage? My PS has suggested this for the look I want, but I would like to research this more...ie. the oval shape for a fuller cleavage.
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I just got silicone, and feel really confident about my decision. My doctor worked with the FDA during their re-approval and continual monitoring and trials. But, some women are just more comfortable with the saline and I can completely understand why. I had a hard time deciding for a while... but the silicone just felt so much better!

I've heard gummy bears are pretty hard to the touch...

I am personally looking forward to the "Ideal Implant"!

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