Skinny (5'8"; 130lbs; AA)...4th generation versus 5th generation silicone implant?

Depending on your goals and physical exam, you will most likely not see that much difference between the two types of breast implants.  The traditional round implants may feel softer but you will not know that because you will have the same type of implants in both breasts. You have many other options today including the Inpspira and HSC+ gel breast implants that I would see a plastic surgeon who will help you select the best implant to achieve your goals.Best Wishes,Nana Mizuguchi

Thank you for your question.   For someone like yourself that does not have a lot of breast tissue, in my practice my favorite implant to use would be the Sientra, highly cohesive, textured implant.   Because you have little breast tissue your risk of rippling and "implant show" is increased.   By using the Sientra implant you are getting a high implant fill ratio which lowers the risk of rippling.   They make the most highly cohesive gels in the market in a round implant with texture.   They will give you a soft, natural look and feel and have a decreased rate of capsular contracture and rippling.   You should find a board certified surgeon in your area who uses Sientra and take a look at the differences.  Good luck to you.

This question is best answered during an in person consultation with your surgeon after an examination. Choosing an implant is complex and individually based. In general, the new generation silicone implants will have a softer feel and it sounds like you have some very educated questions about which implant to choose. Your surgeon will be able to help guide you through this process to give you the results that you are trying to achieve. #PlasticSurgery #BreastAug #Implants #BreastImplants #choosingimplants #surgeryprep

I appreciate your question.

The size of implant is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.



The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.



best of luck!



Dr Schwartz

Thank you for your question.  I have used both Allergan and Mentor shaped implants and I can not tell a huge difference in the patients post-operatively between the two companies.  Most importantly is to have a consultation with a plastic surgeon to review your anatomy and the available implants based off your desired look.  Good Luck!

Thanks for your question. It really has several components. Each manufacturer has slightly different densities to their cohesive gels so a denser implant with little breast coverage will feel a little firmer than a softer gel. Most patients if they have some native breast shape may do fine with a round smooth or textured device. Patients with very little breast may need to think harder about using a shaped textured device to create the breast shape. Your individual breast tissue thickness and natural tissue laxity plays significantly in that determination. This is why you need to see a couple board certified Plastic Surgeons and look at results to get a handle on what to expect. Each of the manufactures make great implants, much of your result will relate to your breast tissue.  Best of luck going forward. 

You are going to get a number of different opinions from different surgeons regarding the optimal breast implant for each patient.As the cohesive minutes of silicone increases the firmness increases and they become less likely to ripple.  You therefore are left in the position of deciding between a softer feel or less rippling.Be sure to at least one or 2 consultations with board certified plastic surgeons with a large experience with breast surgery to help make a decision.

Thank you for your question.There are several options for breast implants these days. To address your first concern that you have about implant rippling, the most import thing to prevent that would be to have a submuscular breast augmentation. By having a submuscular breast augmentation you will be less likely to see the edge of the implant as it will be camouflaged under the muscle. The shape of the implant will influence the result. If you go with a shaped implant you will have more of a natural slope while if you go with a round implant you will have more upper pole fullness.  I hope that helps. Best of luck.

Great question.  In general, the thinner a person is the better a shaped silicone implant (aka tear drop or anatomic) will be to provide a natural result.  There are three main categories of implants:salineround siliconeshaped siliconeThe best result will depend on what you are trying to achieve.  If you are trying to achieve a natural result then the shaped will be the best option.  You and your plastics surgeon can discuss size, width, projection, and placement of the shaped implant to help you achieve the result that you want.All the best,Dr. Remus Repta

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, do not over study the numbers or implant data. There is more to it than just
looking at the numbers, your frame, skin quality, tissue coverage, breast
history, etc are all important when considering breast augmentation. Do not try
to over think your PS. They have the experience.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon