How to Choose the Best Implant Size

People come in all different shapes and sizes – it’s one of the things that make us all unique and special. Similarly, breasts come in all shapes and sizes. Because each woman has her own unique shape and size, breast implants come in many shapes and sizes. Not every woman will desire the same shape of size breasts after breast augmentation surgery.

There are four important decisions to make concerning the look of breast implants. The first is the shape; the second is the size; the third is the surface; the fourth is the profile.

Breast Implant Shape

The two principle breast implant shapes ate round and teardrop. Some factors to consider when selecting the shape are body type, placement of the implant, the amount of breast tissue that currently exists, and the incision site (armpit, navel, edge of the areola, fold at bottom of breast).

The most common implant shape is round. A round implant looks like a compressed sphere, and provide the most lift, fullness, and cleavage. Certain types of round breast implants enhance the forward projection of the breasts – this allows women to have larger looking breasts without getting larger implants.

The one drawback to round breast implants is that some women feel that the look is more artificial – they feel they look more fake than real. The cost of round breast implants is generally less than that of teardrop implants.

A teardrop implant is also called a contoured breast implant. It has a sloped contour that fills out more near the bottom than at the top. This shape mimics the shape of natural breast and some women prefer this look when getting breast augmentation surgery. The teardrop implant requires a textured surface to prevent the implant from rotating and distorting the shape of the breast.

Breast Implant Size

Breast implant size is measured in cubic centimeters (cc’s). Larger implants require larger amounts of cc’s. Selecting the right size implant may be the most important decision a woman and her surgeon can make. Too big looks…too big. The plastic surgeon will evaluate existing breast tissue to determine if there is enough tissue to accommodate a desired size.

Carefully consider the size you have always dreamed about before you actually choose the size of your implant. One way to visualize this is to place measured amounts of rice into a plastic bag and then insert into your bra (you may need to purchase a bigger bra to get the right look). This can then be used as a reference with your surgeon.

Breast Implant Surface

After you have determined the shape and size, you need to select between two surface options – smooth and textured. Smooth surfaces are used in the vast majority of breast augmentation surgeries. Textured breast implants are designed to prevent implants from shifting in position and to reduce the chances of capsular contracture. Textured surfaces are required for teardrop-shaped implants.

Breast Implant Profile

The profile of a breast implant refers to the level of forward projection out from the chest wall as it relates to the base width of the implant. A higher profile will create a more prominent silhouette than implants with lower profiles. A low profile shell is wider and flatter than a high profile shell. High profile breast implants have a smaller base diameter than moderate or low profile implants with the same amount of cc’s. The development of high profile breast implants have allowed women to achieved a more pronounced silhouette with a more natural shape.

Shape, size, surface, and profile are all important factors to consider when thinking about breast augmentation surgery. Knowing all your choices will ensure you get the look you have always wanted.

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Fat Transfer Breast Augmentation

simply-beautiful-0For women considering breast enlargement, there is another option besides saline or silicon breast implants. Autologous fat transfer is a unique method used for bot breast augmentation and reconstruction. With fat transfer, a patient’s fat is harvested from one area of the body and then used to augment or reconstruct the breasts.

Autologous fat transfer is not a new procedure, but it is just beginning to gain popularity after years on the sidelines. The concept of injecting fat into the breasts has been around for years, but the procedure was frowned upon because of the possibility that the fat would not survive and would undergo a process called fat necrosis, which would leave lumps of calcified scar tissue that could interfere with mammograms. In 1987, the American Society of Plastic Surgeons (ASPS) issued a statement that fat grafting was not recommended due to minimal and unpredictable results, and the inability of radiologists to distinguish cancer from the fat modules.

A Natural Alternative to Traditional Breast Implants

Autologous fat transfer is now being offered a a natural alternative to saline or silicon breast implants. However, before you make any decisions regarding breast augmentation, it is crucial to have all the facts, and understand that every type of surgery has its pros and cons; fat transfer for breast enlargement is no exception. Yes – it is more natural. However, it does come with some considerations and concerns.

The Advantages of Fat Transfer for Breast Augmentation

  • Provides another option for women seeking breast enlargement or reconstruction after a mastectomy, and can improve the appearance of the breasts naturally.
  • Because it involves minimal incisions, there is less scarring that traditional breast implant surgery.
  • Because it involves the patient’s own fat cells, there are no allergic reactions or rejections.
  • The is no risk of implant failure and removal.
  • Fat harvesting has improved dramatically over the years and is gentler and less traumatic than it was in the past.
  • Allows for shaping and sculpting of the breasts.
  • Breast enlargement with fat transfer can be performed with other body contouring procedures, and can result in the loss of fat from other areas of the body.

The Disadvantages of Fat Transfer for Breast Enlargement

  • the surgery can take longer than traditional breast implant surgery, which increases the cost and potential complications.
  • Fat transfer is still not as predictable as surgery using breast implants.
  • Large breast augmentations cannot be done with this method. Going from an A cup to a B cup is possible, but is you want to go from an A cup to a C or D cup, breast implants are the preferred methods.
  • Some women who desire breast enlargement surgery are just too skinny to get the results they seek with fat transfer. They don’t have enough “donor” fat.
  • The possibility for the failure of fat transportation and the future possibility of fat absorption.

The survival of the fat and the permanency of the procedure depends on the surgeon’s skills, the the process by which the fat was harvested, and how and where it was injected. Because this is a fairly new procedure, it is imperative that women seeking autologous fat transfer breast augmentation seek out surgeons with highly developed skills based on experience and knowledge.

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Breast Augmentation – What is the Keller Funnel?

The Keller Funnel sounds as if it is straight out of a science-fiction movie, some time travel machine or new type of weapon in Star Trek. Though the Keller Funnel comes from the world of science, it is definitely not fiction.

What is the Keller Funnel?

If you or a loved one is considering breast augmentation surgery, this small device may be important to the success of your operation and the speed of recovery.

The Keller Funnel (Keller Medical, Stuart, FL) is a tool used by plastic surgeons when performing breast augmentation procedures. The funnel is used by surgeons to inject silicone gel directly into the breast pocket during breast enlargement surgery. This innovative product allows surgeons to make smaller incisions and allows for faster healing and less scarring. The device also allows the surgeon to employ “no touch” methods during surgery, which reduces the risk of infection.

The Keller Funnel was first approved for single-use in the United States by the Food & Drug Administration (FDA) in August of 2009. In 2011, it was approved by countries in the European Union (EU) and other nations worldwide. Currently, 20 percent of breast augmentation surgeries in the United States employ this device while most of the surgeries in the EU use the Kellel Funnel to make the surgery easier and safer.

Why Use the Keller Funnel?

There are many reasons surgeons are looking to the Keller Funnel as a breakthrough surgical aid when performing breast augmentation operations. The device itself is cone-shaped, and looks like a baker’s bag, the device used for decorating and applying icing on cakes and pastries. It is made from soft, sterile nylon and is lined with a low-friction hydrophilic coating that helps prevent contamination.

The Keller Funnel is gaining popularity among plastic surgeons due to its many benefits:

  • Shorter incision lengths
  • No touch techniques to reduce chance of infection
  • Less trauma to tissues
  • Less force on the implant
  • More choices for incision placement
  • Faster healing and more post-surgical comfort
  • Can be used for all types of silicone implants as well as all transaxial, periaeolar, and mammary fold insertions

The Keller Funnel is a single-use device, which means that it is not to be resterilized or reused. This ensures safety of use and significantly reduces the risk of infection during surgery.

Because every woman is different and every surgery is unique to the individual patient, it is important to speak with your surgeon about this device. Find out if your doctor uses the device, how much experience they have, and their thoughts on its benefits and use.

Most doctors who use the Keller Funnel are satisfied with the results. Patients are obviously happy to heal faster, receive less tissue trauma during surgery, and deal with reduced scarring. Breast augmentation will never become completely non-invasive, but every device that makes incisions smaller will lead to safer surgeries, faster recoveries, and happier patients.

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8 Reasons Women are Happy With Breast Augmentation

goirlBreast augmentation, or breast enlargement, is one of the most popular cosmetic surgeries. Though the number of breast lift surgeries is growing faster, breast augmentation is still by far the most popular surgery performed on women. According to the American Society of Plastic Surgeons, over 300,000 women received breast enlargement surgery in 2011, and the number grows each year. This number shows that women want to feel confident about their breasts and their bodies.

Women get breast augmentation surgery for many reasons. Every woman has their reasons for spending the money and getting on the surgical table. Here are the Top 8 reasons women are happy with their breast augmentation surgery.

Top 8 Reasons Women Get Breast Augmentation Surgery

1. Having fuller, larger breasts will make the waist and hips look smaller. Bigger breasts means a few extra pounds won’t show as easily. Getting breast augmentation surgery doesn’t mean you can chow down on chocolate and fast food every day, but a larger bosom does well to hide a few diet mistakes.

2. Clothes often look better with bigger breasts. Sweaters show more curves, low-cut tops reveal more ample cleavage, and women look more feminine even when dressed in casual attire.

3. What woman doesn’t look better in a bathing suit when her breasts are fuller and larger? Women are more confident going to the beach in a two-piece or a sexy one-piece when she feels good about the size and contour of her breasts.

4. Self confidence is increased in all aspects of a woman’s life. Breasts don’t make the woman and size shouldn’t matter that much. But, size certainly does matter to some women and how they feel about themselves. Bigger is better for many women.

5. You can throw out those padded bras. It’s certainly much better without all that padding beneath your blouse. After breast augmentation surgery, there will be no need for any extra inside your bra – there won’t be room!

6. A woman will look and feel more youthful after breast enlargement surgery. Saggy, deflated breasts are often a sign of aging. Breast augmentation will take years off a woman’s appearance.

7. Breast augmentation surgery can help a woman claim the beautiful breasts she may have had before pregnancy, but nursing can cause breast to flatten and sag. Surgery will give her the breasts she once had and make her feel sexy and attractive again.

8. Men like bigger breasts. It’s not the only thing that matters in the world, but most women enjoy it when a man turns his head to look as she passes by. Bigger breasts make woman more attractive and desirable to the opposite sex. Besides, if you are with that special someone, you will feel more confident if the clothes come off!

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5 Myths About Breast Augmentation Surgery

Breast augmentation surgery is one of the most popular elective surgeries in the world. Though advertisements are everywhere and everyone knows someone who has had the procedure done, there are still persistent myths about the procedure. To help clear up any misconceptions about breast enlargement procedures, here are the Top 5 Myths about breast augmentation surgery.

Top 5 Myths About Breast Augmentation Surgery

1. Everyone will know that I have “fake breasts.” Remember that old Seinfeld episode where Jerry and Elaine disagree about a woman’s breasts – real or fake? It is not so easy to tell anymore. The newest procedures and highly trained surgeons can give the patient a natural appearing result. It is important to select a surgeon who will carefully consider your height, weight, and natural breast shape and size when deciding on the type of procedure and the size of the implant. Selecting the right implant and positioning it correctly are the keys to naturally appearing breast implants.

2. My breast implants can be easily ruptured. This is one of the most persistent myths. Breast implants do rupture, but it happens quite infrequently. However, those stories quickly make the rounds and give the impression that ruptures are far more common than they really are. Saline implants are generally more prone to rupture than silicone implants, but the odds for either one rupturing is very low. Rupture rates do increase with the age of the implants.

3. My implants will need to be replaced every five or ten years. Though breast implants are not lifetime devices, they last longer than five or ten years. Most experts believe that breast implants will need to be replaced at some point in time; modern breast implants are likely to last 20 to 25 years. Ten year warranties are common, with some are even covered by a lifetime warranty. However, warranties often cover just the implant and not the procedure.

4. I won’t be able to breastfeed. Many women who have had breast implant surgery are surprised to find out that they will be able to breastfeed. Though there are some exceptions, the overwhelming majority of women who have had breast augmentation surgery will be able to breastfeed when the need arises.

5. My implants will feel unnaturally firm and stiff. Though implants might never feel exactly like the real thing, they should be fairly close. The key to getting that natural feel is to prevent the buildup of scar tissue around the implant. Placing the implant under the chest muscles, getting an implant that matches body size, doing post-surgical exercises as directed by your doctor, and taking Vitamin-E supplements are all potential ways to decrease the build up of scar tissue. Always talk to your doctor before and after the surgery about ways to help your breast implants feel more natural, and follow any directions carefully.

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Gynecomastia – Getting Rid of Male Breasts with Breast Reduction Surgery

When someone mentions breast reduction surgery, images of overly-endowed women immediately come to mind. However, breast reduction surgery is not just for women. Some men need it, too!

Enlarged breasts on men happen for various reasons. It can occur because of hormonal disturbances, excessive weight gain,or other health issues. It is often triggered by the decrease in the amount of testosterone compared with estrogen. This hormonal change can happen because of aging, medications, weight gain, or excessive drug or alcohol use.

Though men are rather fond of breasts, they certainly don’t want them on their own bodies. Many cases of gynecomastia regress if given time, however, if significant breast enlargement is still evident after following a physician’s advice (lose weight, stop taking certain medications, etc.), then your doctor may recommend breast reduction surgery. The surgery takes about sixty to ninety minutes and is performed under a general anesthesia. Most patients are discharged from the hospital with a day, though it is usually at least two weeks before a return to work is recommended.

There are two basic options available when undergoing breast reduction surgery:

  • Liposuction. This type of surgery removes the breast fat, but not the breast gland.
  • Mastectomy. This procedure removes the breast gland tissue. This type of surgery is usually performed endoscopically, which means only small incisions are used to remove the tissue.

After the surgery is complete, it takes about four weeks to heal completely, though recovery times may vary. As with any surgery, the scars may never completely disappear. The results of this surgery last for a long period of time. It is likely you will never have an issue with enlarged breasts.

If you think you have excess breast tissue, you can take steps to try and reduce it yourself. Begin by eating healthy, reducing any excess alcohol intake. If you take any illegal drugs (including steroids), stop taking them immediately. You should also find out if any medications you are taking could cause gynecomastia. Starting an exercise program is another way to reduce excess breast tissue, lose weight, and build muscle.

If none of these lifestyle changes work, you should have a consultation with a physician. You doctor can advise you on the best course of action, and inform you if breast reduction surgery is the best course of action. Enlarged breast tissue is a very sensitive and uncomfortable problem for men. If needed, get some counseling, reach out to friends and family, talk to others with gynecomastia, and definitely consult with your physician.




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How Long Will it take For Breast Implants to Drop?

Real breasts droop and it is something that all women dread. However, breast implants drop, and it is something that all women who have had breasts implant surgery wait with eager anticipation for it to happen. Women who have had breast augmentation surgery are eager to look in the mirror at their new assets, however, breast implants are not perfect the moment you leave the hospital. It takes a little time for them to heal properly and settle in to position.

When Will Your Breasts Drop?

Immediately subsequent to surgery, your breasts will be sitting high on your chest. They will appear and feel very unnatural. However, before you get frustrated and run back to the surgeon to complain, it is important to remember that it normal and takes time for your breasts to drop into place.

How long will it take for your breasts to drop? It usually takes a few weeks, but the time can vary depending on several factors.

  • The size of the breast implant makes a difference. Bigger implants will generally take longer to settle.
  • The size of you body can also make a difference. For women with smaller frames, it will take longer for her breasts to drop into the perfect position.
  • The placement of the breasts is another factor. If the breast implants are placed over the muscle, the time it takes for them to settle is less than if they are placed under the muscle.

Another issue that scares some women is that one breast may drop before the other one. This is perfectly natural, and though it may appear awkward and unsightly for a short time, the other one will soon drop and then you will look perfectly normal.

One way to get the breast implants to drop faster is to use massage. There are different ways to massage your chest, but most methods involve squeezing the pocket beneath the breast to make it wider and easier for the breast drop into position. Ask your doctor about proper massage techniques as this is a good way to speed up the process.

The most important thing to worry about in the first few weeks after surgery is not the placement of the implants on your chest, but the scars. It is very important to follow your doctor’s advice concerning exercise, heavy lifting, rest, and keeping your skin moisturized. Following your doctor’s advice will ensure minimal scarring and proper healing.

Taking care of your breast implants immediately after surgery and following your doctor’s advice will ensure the best possible results. Have patience and you will soon be able to look in the mirror and say “Wow!”

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Managing Depression After Breast Augmentation Surgery

It seems reasonable to think that everyone who has plastic surgery, especially breast augmentation surgery, would be happy. However, that is not always the case. Plastic surgery often comes with plenty of stress. The stress of rushing around before the surgery, getting everything done with family and work, preparing for your recovery, can be overwhelming.

Expectations are often high and people are very excited about how they will look. However, it takes time to recover from the surgery and people don’t always look their best for several weeks after the operation. Those beautiful new breasts you were expecting are most likely sore and bruised and sitting unnaturally high on your body.

In addition to post-surgery blues about the look and feel of your new breasts, you have most likely been on a variety of medications for the pain. These medications and painkillers can certainly have an effect on your mental state. 

Because surgery is a traumatic event to your body, many patients suffer from depression, or to put it in medical terms – the post-operative blues!

For most people, this depression begins to disappear as they heal and their breasts begin to look like the breasts of their dreams. However, for some people, depression lingers longer than it should; for these people, it is important to consult your doctor and tell him how you feel.

Here are a few strategies for dealing with depression potential after surgery:

  • Realize that some feelings of depression are normal immediately following surgery. It can happen to individuals who have undergone many different types of surgery, including elective plastic surgery. Try to limit the amount of painkillers you take, and drink plenty of fluids to help speed up the process of eliminating any anesthesia and medication still in your system from the surgery.
  • Don’t hide and become a recluse. Sure, you may not want to go out in busy social situations for some time, but spending time with family and close friends is a sure-fire moral booster. 
  • Do something active. Even though you may not be able to head to the gym for a heavy round of weight lifting, you can most likely go outside for a short walk. Don’t stay inside all day watching soap operas and talk shows.
  • Express yourself and share your feelings. Talk with your spouse, a family member, a friend, a therapist, or your doctor. Just talk and let your feelings out. You will be surprised how common those feelings are.

Depression after surgery, even a surgery as wonderful as breast augmentation surgery, is common. Take steps to manage this depression and it will most likely disappear quickly. If it lingers, make sure to talk with your doctor as soon as possible. 

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Nipple and Areola Reconstruction After a Mastectomy

A mastectomy is often a necessary component of cancer treatment. Though mastectomy often prevents the disease from spreading, contributes to the cure, and greatly increases survival rates, it can leave some women emotionally upset. However, with advances in technology and surgical procedures, breast reconstruction has become a popular option for women who have undergone a mastectomy. Some studies have shown that the full positive effects of breast reconstruction are realized unless reconstruction of the nipple and areola areas are also performed.

Nipple and areola reconstruction often combine both surgical and non-surgical procedures. The patient’s anatomy and goals are assessed, and then the surgeon and the patient develop a plan for reconstruction. This can include the non-surgical use of permanent tattoos for pigmentation in areola reconstruction, and surgical flap techniques for nipple reconstruction.

Should Nipple and Areola Reconstruction be Immediate or Delayed?

Some surgeons feel that it is best to delay nipple and areola reconstruction until some time after breast reconstruction. This allows for the breasts to settle and may ensure better placement of the areola and nipple. However, many women who are told to wait to begin nipple and areola reconstruction, will never return to have it done. Many women don’t want to go back under the knife and may just live with their nipples and areolas they way they are. This is a strong argument for undergoing nipple and areola reconstruction immediately instead of waiting. 

Areola Reconstruction

  • Skin grafts from other parts of the body can be used
  • Tattoos have become a popular option because they can be used to create definition and pigmentation. It is important to not with tattoos, pigmentation can change over time; touch-up procedures can fix this issue.

Nipple Reconstruction

  • Flaps of local tissue are used to develop a three-dimensional projecting nipple.
  • Donor tissue and injectable fillers can be used to create a nipple.
  • Excess tissue during a breast reconstruction procedure can be used to create the nipple

Creating a nipple and an areola that are aesthetically similar and balanced can be a challenge for any surgeon. Creating a nipple and an areola that remains balanced and symmetrical over time is an even greater challenge. There are several tools that a highly skilled and trained surgeon can use to create symmetry and balance; the most important tools are experience and training. Using a board-certified plastic surgeon with years of experience in nipple and areola reconstruction will ensure you achieve the  best possible results after a mastectomy. 

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Breast Augmentation – Implants or Fat Transfer?

Which is the best choice for breast augmentation – breast implants or fat transfer, also known as autologous fat grafting? Fat transfer is the newer procedure and has been getting plenty of attention lately because women are seeking more natural alternatives to enhance their appearance. Implants have ranked as the number one plastic surgical procedure since 2006, but will fat grafting become the next big thing in plastic surgery?

Fat grafting is a fairly new procedure. The procedure involves taking fat from one or several parts of the body and places in the breasts area to increase the size and fullness of the breasts. Sounds good – right? Most women would be happy to take some fat from here, and a little from there, to increase the size of the breasts. But, it’s not quite as simple as that!

However, as good as this may sound, the results may differ from a traditional implant procedure. Because the body naturally reabsorbs fat, the newly placed fat may provide great initial results, but has the potential to lose some of that volume over time. According to a recent study, the fat survival rate (or the amount that will remain in your breasts) is anywhere from 25 to 80 percent. Most women would be pleased with 80 percent, but not with 25 percent.

With improvement in breast implant technology, they have become stronger and more resistant to problems such as leakage and rupture. The new breast implants are nothing like the old ones – they have become virtually maintenance and worry-free. One reason women are beginning to consider breast augmentation with fat grafting is because they believe the results will be more natural looking. While this might be true, newer breast implants, such as the new memory shape and teardrop silicone gel implant, have a more natural and realistic looking shape.

If you are considering breast augmentation, it is best to explore all options. Breast augmentation with fat transfer is a great option to more naturally enlarging the breasts.

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