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Breast Implant Options

There are many options for breast implants available to Orange County women considering breast augmentation, including those filled with cohesive silicone gel or with saline. You can work with Dr. Andrew Smith to determine the right combination of size, placement, and filling to give you the look and feel that achieves your unique goals.

Women in Orange County considering breast implants can request a FREE surgical consultation with Dr. Smith to learn about their choices. Or you can call his office at (949) 653-7000 to schedule an appointment.

Breast Implant Size

One decision that often seems challenging for women to make is how big they want their breasts to be after the procedure. After women decide to move forward with breast augmentation, many worry about looking too big. Others would like to choose large implants, but fear they might not look natural.

Dr. Smith is very experienced in helping make this decision. During your consultation, he'll evaluate your body and skin type and take those into consideration. He'll have you try on bras with various implants inside and he'll have pictures to show you. In addition, Dr. Smith will use VECTRA® 3-D imaging, which creates 3-D simulations of how you would look with various implant types and sizes.

Implant Placement

Breast implants can be placed either under the chest muscle (submuscular) or above the muscle (subglandular). There are advantages in either case. Submuscular implants tend to create a gentle sloping of the chest wall that some patients believe looks more natural. With subglandular implants the chest muscles tend to recover more quickly from surgery and cause less discomfort.

Again, your individual body characteristics are key to looking and feeling your best following breast enhancement surgery. You and Dr. Smith will discuss implant placement when you meet.

Silicone vs. Saline

Many plastic surgeons around the country greeted the FDA approval of silicone gel breast implants with enthusiasm, believing that the implants are not only safe, but that they offer a superior natural look and feel as well. The cohesive material used in today's silicone implants holds together if the implant shell ruptures and is not likely to migrate outside the breast. If you are interested in silicone gel implants, you should know that the FDA recommends periodic MRI tests to check for these "silent ruptures."

Saline implants have the advantage of being filled with a solution that's completely compatible with the human body. If a saline implant ruptures, the liquid is absorbed and the implant deflates. The chief disadvantages of saline implants are related to look and feel. They are more likely to cause rippling and wrinkling under the skin and some patients aren't content with the way they feel.

Dr. Smith does not use the same type of breast implant for all of his patients. Silicone implants are best for some women; saline implants work well for others. When you visit him for your consultation, he will discuss the pros and cons of both types with you, and you and he will make the choice together.

If You Already Have Breast Implants

If you have saline breast implants and you're unhappy with the results, this is a great time to have breast implant replacement. You may decide to switch to a silicone gel implant, or you may choose to go with a different saline model or a different placement. Some women who have silicone implants are unhappy with placement of older silicone implants above the muscle and many of these older silicone implants are ruptured. Dr. Smith can determine whether you can expect a better result with a revision.

You already know that breasts droop over time for all women; there's no getting around it. It's a natural consequence of gravity and aging. For best results, you may decide to have a breast lift with augmentation or with your revision procedure.

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Dr. Andrew Smith brings experience and a desire to partner with you to create the aesthetic results you want.

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