Should I choose saline or silicone breast implants?
Both implant types are capable of producing attractive, natural breast augmentation results. You need to weigh the advantages and disadvantages of each, taking into account your personal preferences. For most women, the most significant difference lies in how the implants feel. Visually, both types of implant basically look the same when breast augmentation is performed by a qualified and experienced plastic surgeon like Dr. Rand.
What is the right breast implant size and shape?
The best breast implants for you will have a base diameter that matches your chest wall diameter and a profile that creates a “look” you desire. Final cup sizes cannot be predicted with accuracy. Breast implant sizers are used at your consultation to simulate possible results, but nothing can perfectly predict your outcome. Expect your final size to be visible by 3-4 months following you Bellevue breast surgery.
What is the best breast augmentation incision?
The inframammary fold incision (in the breast crease) is the most versatile choice. With this incision, any breast implant size can be inserted, and all Bellevue breast revisions can be performed through the same incision. The recent scientific discovery that this incision produces the least amount of scar tissue around the implant makes this Dr. Rand’s preferred incision of choice.
Dr. Rand will work with you to discuss your personal goals and develop a procedure plan to fit your needs and provide you with the best results.
- The transaxillary incision (near the armpit) is used less frequently than it was years ago. This method may require the use of an endoscope and it is more difficult to create a perfect implant pocket through the armpit incision. Also, if breast revision surgery becomes necessary, another incision is usually needed, generally using the crease incision approach. Capsular contracture rates are among the highest when implants are done using the armpit incision.
- The areolar incision (around the nipple) used to be a popular choice and the surgery scar will usually blend in nicely with the pigment of the areola. But for some patients, the areolae are not large enough to place a silicone gel breast implant of the desired size. The interior architecture of the breast is injured by using this incision and capsular contracture rates appear to be higher.