Breast Implants: Models and Features

The idea of having breast augmentation has been in your head for a long time, but it’s only recently that you’ve made the decision to do it? All right, fine.

So, since you want everything to be done perfectly, you’ve pulled yourself up and been proactive. You have weighed the pros and cons and you have investigated the various plastic surgeons. But have you taken the time to think and learn about the different models of breast prostheses available on the market?

Too often relegated to the background, breast prostheses are nevertheless of vital importance in the process of breast augmentation. To help you make an informed decision, here is a short guide that will give you information on the various models of breast prostheses and their specific characteristics.

Composition of implants

Silicone implants

Back on the market since 2006 after being removed in 1992, silicone implants are often the first prostheses women think about. But despite their high popularity, there are some important facts to consider.

First of all, it is important to know that the risks of local complications are higher with silicone implants. In addition, contracture of the fibrous capsule (hardening of the breasts), calcification of the fibrous capsule (bone formation in the scarring envelope), the appearance of long-term seroma and silent rupture are all complications mainly associated with this type of implant.

Although appreciated by clients because these implants give the breasts a natural feel, silicone implants are not without risk. Indeed, in the event of rupture, silicone can spread to the armpits, thorax, liver and by the same token reach several organs, which will undoubtedly require another surgery.

What about implant placement? You should know that to insert this breast prosthesis, a much longer incision is necessary.

Cohesive silicone-gel implants

Newcomers to the market, cohesive silicone-gel implants are firmer than traditional silicone implants. But one question remains. What is cohesive silicone gel? In fact, rather than being in liquid form, silicone is cohesive, i. e. solid and has a texture comparable to that of jujubes or gummy bears.

Offering a cohesive degree ranging from I to III, this type of implant generates a lower rate of fibrous capsule contractures and silicone gel leakage than older silicone implants.

In addition, in the event of rupture, its gelatinous consistency prevents the gel from spreading to other organs. However, the firmness of these implants requires a larger incision than traditional silicone implants, i. e. 4 cm and more.
Long-term scientific studies (>20 years) are currently underway, and we will only be certain of the safety of these implants in the future. There is a palpation increase of folds (waves) compared to older silicone gel implants and regular magnetic resonance monitoring (MRI) is required to monitor for silent silicon-gel leaks.

Physiological saline implants

If you prefer a slightly more “natural” option, saline implants are a good solution. Although the outer shell is the same as that of silicone implants, this type of breast prosthesis is filled with a physiological saline solution. Since physiological saline implants are only inflated after insertion, this reduces the size of the incision (2.3 cm in the armpit or 4 cm in the breast fold).

Form and texture of breast prostheses

In addition to implant composition products, you can also discuss options of your breast prostheses shape with your plastic surgeon. While some women prefer round implants, others have a clear preference for anatomically shaped implants, i. e. drop-shaped implants.

You should also know that breast prostheses can be available either textured or smooth. Concerning textured implants, it has been shown in several medical studies that the rate of fibrous capsular contractures, delayed serum formation, implant adhesion and the formation of double fibrous capsules are definitely higher with these implants.

To make an informed decision…

Although you have an idea of what you want, to be sure to make an informed decision, the best solution is to talk to your plastic surgeon, inform yourself and ask questions. At the Clinique de chirurgie et de médecine esthétique Dr Mario F. Bernier, we take the time to discuss with you the various options available to you. In addition, we carefully analyze your physiognomy in order to recommend breast prostheses that harmonize with your body and with which you’ll be comfortable.