There are a number of factors to consider when selecting the ideal implants for you. Dr. Perlman has cultivated a reputation as one of Houston's Top Plastic Surgeons. He can guide you through these decisions and make recommendations based on your individual body type and aesthetic preferences.
Saline or silicone implants: Saline is a sterile water solution, and silicone is an elastic gel. Presently in our practice, 60%-70% of patients are choosing silicone gel implants over saline. They have a softer feel and less incidence of rippling.
Implant size: Some women prefer a dramatic and sexy look, but many others opt for subtler enhancement.
Implant profile: High-profile implants are designed to project the breast farther than moderate-profile or moderate-plus implants.
Breast implants differ in shape for a number of reasons. There is no “one-size-fits-all” rule nor is there “one shape fits all” rule in breast augmentation and reconstruction. For an example, Mentor and Inamed, the two leading breast implant manufacturers, offer smooth implants, textured implants, implants with different profiles (projection), volume adjustable implants, saline filled, silicone gel filled, and double-lumen saline/gel implants.
It is important for the patient to let the physician know what her goal is in terms of size and shape, and for the plastic surgeon to assess the patient and determine what implant will help the patient achieve those goals.
As an example, a 350 CC implant inflated to 380-400 cc could give a projection of 3.9, 6.2, or 6.9 cm depending on the type of implant. If the patient’s chest is narrow, a high-profile implant will give more projection with a narrower base than a moderate profile implant.
An anatomic (tear drop) implant gives more projection in the lower portion of the breast as opposed to a high-profile implant which gives more fullness in the superior portion of the breast.
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