One of the most commonly performed aesthetic procedures (> 250k / year)
Implant based augmentation can improve breast shape and size, enhance cleavage and provide lift to the breast
Beyond aesthetics: implants are used in breast reconstruction secondary to cancer, trauma or inherent breast deformities
Breast implants come in a variety of shapes, textures and sizes
The two main types of breast implants are saline and silicone
Silicone vs Saline
Silicone implants are often preferred due to a more natural feel
Silicone implants are less associated with a rippling deformity compared to saline implants
Saline implants provide early detection of rupture due to immediate deflation of the breast
Saline implants do not require surveillance imaging for rupture
With newer generations of cohesive gel silicone implants, rupture may be difficult to perceive
The FDA currently recommends an initial MRI or ultrasound 5-6 years after implantation of silicone breast implants and every 2 years thereafter
Implant Selection and Positioning
Choosing the right implant for you requires a careful balance between your goals of augmentation and your breast anatomy
Important measurements to consider when selecting the right implant include base diameter of the breast, implant volume and implant projection
Most common approaches to implant placement include inframammary fold or an incision around the areola
The breast pocket can be created under the gland of the breast, under the pectoralis muscle fascia or under the pectoralis muscle
While in consultation for breast augmentation, be sure to discuss with your surgeon the planned incision placement and implant pocket selection
New FDA Safety Recommendations
The surgeon must provide a patient safety checklist to ensure discussion of the following:
- Situations in which the device should not be used or implant
- Considerations for a successful breast implant candidate
- Risks of undergoing breast implant surgery
- Importance of physician education, training and experience
- Risk of a rare type of lymphoma: BIA-ALCL
- Risk of systemic symptoms
- Discussion of options other than breast implants, as appropriate