IDEAL Implants vs. regular saline?

I've been to few consultations in the GTA. However, the doctor's I've seen do not offer the new IDEAL implants and cannot answer my questions. Can I get the ideal implant done through a transaxillary incision and under the pectoral muscle? In consultation I was told to go for moderate profile, 420-450cc. I'm afraid that this is too large for my frame, I am 5'4" weighing 110lbs. I'm also afraid if I go for "gummy bear silicone" it will be more than my budget after tax, which is $12K.

Doctor Answers 4

IDEAL Implants vs. regular saline?

Thank you for your question regarding the IDEAL breast implant.  You can get the IDEAL implant through a transaxillary incision and under the muscle.  In my practice I offer saline, silicone and IDEAL implants. The patients who have opted for the IDEAL implant thus far have been very happy with their results.  They offer a very natural look and feel without concerns about undetected rupture. At this time, not all plastic surgeons offer the IDEAL implant, but that number will probably grow as women begin to ask their doctors about the IDEAL option. Not all plastic surgeons are familiar with or experienced using a transaxillary approach for breast implants regardless of the implant type.  Be sure to check with your plastic surgeon prior to surgery about what approach they would use prior to your surgery. 

In terms of size, many plastic surgeons offer 3D imaging and sizers to help give you a much better idea of the best implant size for you.  They will also measure your frame so together you can figure out the best size implant for your body.  It is worth seeing several board certified plastic surgeons until you find one that you feel most comfortable with and who is able to help you achieve your goals.  

Best of luck to you.  


IDEAL Implants vs. regular saline?

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Thank you for your question regarding the IDEAL breast implant.  You can get the IDEAL implant through a transaxillary incision and under the muscle.  In my practice I offer saline, silicone and IDEAL implants. The patients who have opted for the IDEAL implant thus far have been very happy with their results.  They offer a very natural look and feel without concerns about undetected rupture. At this time, not all plastic surgeons offer the IDEAL implant, but that number will probably grow as women begin to ask their doctors about the IDEAL option. Not all plastic surgeons are familiar with or experienced using a transaxillary approach for breast implants regardless of the implant type.  Be sure to check with your plastic surgeon prior to surgery about what approach they would use prior to your surgery. 

In terms of size, many plastic surgeons offer 3D imaging and sizers to help give you a much better idea of the best implant size for you.  They will also measure your frame so together you can figure out the best size implant for your body.  It is worth seeing several board certified plastic surgeons until you find one that you feel most comfortable with and who is able to help you achieve your goals.  

Best of luck to you.  


Ideal Implants: The Peace of Mind of Saline and Natural Results of Silicone

Ideal Implants can be placed through incisions in the armpit (transaxillary), areola, and the inframammary crease.  Transumbilical Breast Augmentation (TUBA) is suspected as a cause for implant deflation, and is therefore not recommended with Ideal Implants. 

Recent studies have shown transaxillary placement of breast implants to be associated with a higher rate of infection when compared to the inframammary approach.  Additionally, transaxillary breast augmentation has a higher rate of reoperation for implant asymmetry, as well as malpositioned and high-riding implant.

“Gummy Bear” implants tend to be quite firm in consistency and can fracture if placed through too small of an incision.  Although there are some surgeons who will place these types of implants through an armpit incision, I have no experience with that surgery and therefore cannot comment on its effectiveness. 

As far as implant size goes, it is difficult to say which implant size would be best for you without knowing the diameter of your breast and what proportions you are wishing for.  When I size my implants, I have the patient show me photos of what they want to look like to provide me with a better idea of which implant to recommend.

I hope that I have answered your questions satisfactorily.  Good Luck!

Ideal Implants: The Peace of Mind of Saline and Natural Results of Silicone

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Ideal Implants can be placed through incisions in the armpit (transaxillary), areola, and the inframammary crease.  Transumbilical Breast Augmentation (TUBA) is suspected as a cause for implant deflation, and is therefore not recommended with Ideal Implants. 

Recent studies have shown transaxillary placement of breast implants to be associated with a higher rate of infection when compared to the inframammary approach.  Additionally, transaxillary breast augmentation has a higher rate of reoperation for implant asymmetry, as well as malpositioned and high-riding implant.

“Gummy Bear” implants tend to be quite firm in consistency and can fracture if placed through too small of an incision.  Although there are some surgeons who will place these types of implants through an armpit incision, I have no experience with that surgery and therefore cannot comment on its effectiveness. 

As far as implant size goes, it is difficult to say which implant size would be best for you without knowing the diameter of your breast and what proportions you are wishing for.  When I size my implants, I have the patient show me photos of what they want to look like to provide me with a better idea of which implant to recommend.

I hope that I have answered your questions satisfactorily.  Good Luck!

IDEAL IMPLANT® can only be provided by a select network of plastic surgeons.

As the technology used in IDEAL IMPLANT® is new and quite recently FDA-approved, only a small number of board-certified plastic surgeons can provide this type of implant. As the results achieved through any type of breast augmentation will vary from person to person, you would need an in-person consultation with one of these plastic surgeons to ascertain how a certain sized implant would be likely to fit with your frame. If you are set on the IDEAL IMPLANT®, you may find you need to travel to work with a plastic surgeon who offers the procedure.

Alexander G. Nein, MD, MS, FACS
Nashville Plastic Surgeon
4.5 out of 5 stars 30 reviews

IDEAL IMPLANT® can only be provided by a select network of plastic surgeons.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

As the technology used in IDEAL IMPLANT® is new and quite recently FDA-approved, only a small number of board-certified plastic surgeons can provide this type of implant. As the results achieved through any type of breast augmentation will vary from person to person, you would need an in-person consultation with one of these plastic surgeons to ascertain how a certain sized implant would be likely to fit with your frame. If you are set on the IDEAL IMPLANT®, you may find you need to travel to work with a plastic surgeon who offers the procedure.

Alexander G. Nein, MD, MS, FACS
Nashville Plastic Surgeon

Transaxillary Ideal Implants

I do not perform transaxillary augmentation but I do not understand why the Ideal Implant could couldn't be placed that way. They collapse the same way traditional saline implants do. In my opinion the Ideal Implants have a more natural feel than traditional.

Transaxillary Ideal Implants

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I do not perform transaxillary augmentation but I do not understand why the Ideal Implant could couldn't be placed that way. They collapse the same way traditional saline implants do. In my opinion the Ideal Implants have a more natural feel than traditional.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.