Which Breast Implants Should I Choose?

One of the most important steps in a breast augmentation or breast implant revision surgery is picking the right type of breast implants. This is not as easy as it sounds, breast implants can have different sizes, shapes, fillings, and textures.  There are so many different breast implant sizes and styles to choose from, it can be overwhelming for patients!

The first thing we like to do is try to hone in on the right size. To do this, we use a sizing system where the patient puts on on a bra, and then we fill it with gel inserts to help simulate the appearance of their breasts with an implant of that size.  For example, we will use a 400cc insert to help show the patient what their breasts will look like with a 400cc implant.  It is also very helpful when patients bring in pictures of breasts that they like, both in terms of size and shape.

Next, we need to pick the shape of the implants.  The first choice is to pick either a round or anatomic shaped implant.  Most of our cosmetic breast augmentation patients will choose a round implant.    For patients who desire a full upper pole of the breast with a more augmented appearance, we recommend either full projecting or extra projecting implants.  Patients who want a more natural appearance usually prefer a moderate to moderate plus style implant.

Most implant manufacturers now have multiple different gels to pick from as well.  In general, the more cohesive the gel is, the firmer it will be.  Firmer gels are good for thin patients with less breast tissue because they have less visible rippling.  Softer gels are better for patients who have more natural breast tissue.  Revision patients or capsular contracture patients may prefer a slightly firmer gel as well.  Most patients will use smooth implants rather than textured implants.

With so many choices, it can be difficult to pick a combination of size, shape, filling and texture!  During your consultation with breast augmentation and revision specialist Dr. Elliot Hirsch, he and his expert staff will help guide you through the maze of choices to a happy, successful result!

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