Breast Implants: Q&A
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FAT Transfer OR Breast Implants That FEEL Like the Real Thing???
ok,i think i've given up on my hope and quest to enlarge my breasts by fat grafting (unless any of you know a board certified plastic surgeon who can perform this procedure for me and make me 1 n 1/2-2 cup sizes larger) I am going to research breast implants...... heres the big question. how do i get my implants to FEEL soft and bouncy like real breasts i have? I want them larger but not if they are going to be too firm or totally different from real breast feel. (I dont care if they LOOK fake, as long as they FEEL nice and like the real thing). Ive heard about silicone being the better choice, but is it really?? and...im starting to get scared. What is the deal with all these websites with women who say they got sick from the implants???
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10 Doctor Answers |
Asked by
barbiebionda16
in usa
+3
Think Cohesive Gel
Hi there,
With regard to your first question, I would say that in my opinion (I do a great deal of breast surgery and have experience with all of the currently available implant types and fillers), the modern cohesive silicone gel implants feel extremely natural (because the silicone is so uniform in texture, I often point out that they might even feel more like the "ideal" breast than the patient's existing breast, which might have small cysts or fibrous tissue in it).
With...
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+2
You need silicone implants, which haven't made ANYBODY sick
To barbiebionda16,
Hi! I am relieved that you are not going with fat injections. Smart choice.
Now there are no guarantees, but Mentor, round, smooth walled, moderate PLUS profile silicone implants will usually give you a soft, natural feel. Don't use regular "moderate profile" implants, because these are really low profile, and can cause rippling. Also, don't go too big if you want to feel natural.
I was one of the investigators for silicone implants, and I can tell you that...
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+1
Fat transfer to the breasts - The Real Thing
Using natural fat, we published a 250 cc increase in breast size or a doubling of breast size by MRI last June in the Journal, Plastic and Reconstructive Surgery. It is possible!
Dr Del Vecchio
bostonbreastcenter
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Capsular contracture is about the only thing problematic with breast implants.
Breast implants don't make women sick. Period. Silicone gel implants on balance feel a little more natural than saline. The only thing that stands between you and soft breasts is capsular contracture. There is no way to absolutely prevent it from happening so you take your chances with the operation. In my practice, about 1 in 25 patients develop enough of a contracture that we would elect to do something about it.
+1
Breast Implant types
Silicone gel implants feel very soft and natural in the majority of patients. For now these are really the gold standard for implants. However, some patients prefer saline because of the ease of identifying a leak.
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Breast Implants vs. Fat Injections
Most surgeons agree that silicone gel breast implants, in general, tend to feel more natural than saline breast implants. However, the degree to which this difference is significant varies a great deal with regard to two issues: the amount of breast tissue that exists prior to augmentation, and the size of the implant that is used.
The more natural feel of a silicone gel implant will be much more important to patients who are slender and fit in an A cup bra preoperatively, as they have less...
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Implants are safe, fat injections are not
Do not do fat injections into your breasts. You will regret it for the rest of your life. Silicone and saline implants are safe. There is no evidence that they cause any systemic diseases. The biggest problem with them is the development of a capsule contracture where the breasts feel firm - but the implants are still soft. Talk to a board certified plastic surgeon and get the information y ou need to make an informed decision. Also you can get information from the manufacturers' web sites....
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Gel filled implants may be your best option
The newer generation gel filled implants typically feel a bit more natural than the same type of saline filled implants. That being said, the more soft tissue you have over the implants the better the shape and feel of your result. For more information on the safety of gel filled implants, go to the plastic surgery web site www.plasticsurgery.com and www.breastimplantsafety.org
+1
Submuscular silicone implants are likely the best choice for you
Barbiebionda16,
Submuscular silicone implants are likely the best choice for you. You also have to make sure that you do not choose implants that are so large that they stretch your skin. Go for a moderate size and they should feel nice and natural - and look natural as well.
If you go to your doctor have have them let you squeeze a saline and then a silicone implant you will see the tremendous advantage that a silicone implant offers.
+1
Breast implants favored over fat injections
I would definitely recommend a moderately sized smooth, round silicone responsive gel for you. I place implants in a partial submuscular location, and in women who are starting with a fair bit of breast tissue, these implants can often feel very much like normal surrounding breast tissue. Sometimes my patients tell me that they cannot even distinguish between the implant and ther covering tissues, and that is a good thing to hear from a breast implant patient!
There is a lack of...
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