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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.

When you choose Dr. Smith, you're choosing a breast specialist who

  • Is the Chief of the Subsection of Plastic Surgery at Saddleback Memorial Medical Center
  • Is one of the top surgeons in Orange County for complex breast revisions and reconstructions
  • Has performed thousands of breast surgeries during his 15+ years of surgical experience

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.

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Case 156, Breast Augmentation

51 year old female who is interested in adding breast fullness. She is not happy with her shape and superior or upper breast fullness after having children. She is interested in a conservative breast enhancement to increase her breast size. She is 5'6" and weighes 132 lbs. We did a silicone gel breast augmentation using 371 cc cohesive gel implants in the under the muscle or subpectoral plane. An infra-mammary incision was chosen for implant placement.

Case 161, Breast Augmentation, Breast Lift

51 year old female who was interested in improving the appearance of her abdomen and breasts. She had been working out and was not happy with the sagging of her breasts and their lack of fullness. We discussed a breast augmentation and breast lift (mastopexy) in addition to a tummy tuck and liposuction of the waist. She had pre-existing breast asymmetry and we placed a larger implant on the left side to even out her breast volume. A full anchor mastopexy (breast lift) was done for this Orange County patient to raise her breast position. Implants were used to add fullness to the superior pole of her breasts and allow for better breast shaping. Her results are shown about three months po...

Case 235, Breast Augmentation

21 year old female who was interested in more breast fullness and asymmetry to her breast. A 371 cc implant was placed in the submuscular plane on the left and 457cc implant on the right using an inframammary incision. She achieved the fullness and asymmetry that she was looking for with her silicone gel implants and she is very happy with her results.

Case 154, Breast Augmentation

33 year old female from Riverside County who was interested in a breast augmentation as well as liposuction of her outer thighs. She is 5 foot 1 inches tall and weighs 143 pounds. Her preoperative cup size is 34 B and she wanted to add more breast fullness to a C-D range cup size. She had a breast implant procedure with placement of 339 cc and 371 cc silicone gel implants on the right and left side respectively to correct for her natural asymmetry. The implants were placed in the subpectoral plane using a below the breast or infra-mammary incision. She is very happy with her results from surgery.

Case 30, Breast Augmentation

This 26 year-old woman from Orange County, California was frustrated with the contour of her breasts and decided to schedule a consultation with Dr. Smith to discuss her options. He explained various breast augmentation techniques that would enhance the size and shape of her breasts in accordance with her goals for her appearance. After weighing the benefits of a few different implant types, sizes, and surgical approaches she decided on an Orange County breast enlargement procedure using silicone implants. Before any breast augmentation, or "augmentation mammaplasty," Dr. Smith will work with you to understand your goals so that together you can determine the implant shape and siz...

Case 93, Breast Augmentation

This 39 year old Orange County, California woman had a breast augmentation. She is 5'3" 127 pounds. She started as a 34 B and put in saline implants 400cc under the muscle.

Case 157, Breast Augmentation, Breast Revision

40 year old female who had a previous breast augmentation and was very unhappy with her result. She had a saline subglandular augmentation and her implants have resulted in severe rippling and her implants have ended up under her arms. She has a lack of central fullness and her implants end up on her side when she lays down. We did a breast augmentation revision with a complex surgical approach. A switch to larger silicone gel implants along with a pocket change to subpectoral was done. The pocket change utilized AlloDerm® dermal matrix to define the pocket and reduce rippling postoperatively. This resulted in a dramatic improvement and has almost completely eliminated her rippling....

Case 63, Breast Augmentation

39 year-old Orange County female before and after breast augmentation. She had placement of 350cc moderate profile saline implants in the submuscular position. An inframammary incision was used for access to the pocket. She was interested in a breast augmentation to correct post-partum atrophy after having children and breastfeeding. Her preoperative cup size was a small B, but a significant amount of superior pole volume loss was present. A breast augmentation with saline implants was performed to correct her lack of breast fullness. She chose saline implants for personal reasons, although a similar result would have been achieved with silicone implants. Her postoperative photos are approxi...

Case 159, Breast Augmentation

47 year old female from Orange County who was interested in a very conservative breast augmentation procedure. She did not like the amount of fullness that she had and wanted to add volume mainly in the upper breast. She did not want her result to be "obvious" and wanted to look better in bathing suits and certain clothes. We planned for a breast augmentation using 265 cc midrange profile silicone gel implants which matched her chest width and volume expectations. She is 5'6" and weighs 125 lbs and was an A cup size. Her desired cup size was a full B cup and this is precisely what was achieved with her breast augmentation surgery. She recovered quickly from surgery and is very happy wi...

Case 160, Breast Augmentation, Breast Revision

27 year old female from Riverside County who had a previous breast augmentation procedure and developed a "double bubble" or loosening of the inframammary fold. This also resulted in visible rippling at the top of her breasts even though her implants were under the muscle. She had saline implants in place, and was satisfied with her volume, but wanted her breast folds and rippling to be improved. We did a breast revision in our Orange County surgical center for her to re-establish her inframammary folds. This consisted of a capsulorraphy (pocket sutures) on both sides to elevate the fold of her breasts and correct her breast augmentation. She chose to keep her existing saline implants u...

See More Before & After Photos

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. The latest, highly cohesive gel implants, sometimes called "gummies," retain their shape even when cut in half. If you are interested in silicone gel implants, you should know that the FDA recommends periodic MRI tests to check that the implant is still intact.

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 right away. 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.

Shaped vs. Round

Both saline and silicone gel implants come in the traditional round form or a teardrop shape, called anatomical or simply "shaped." Round implants are used to achieve more fullness in the upper breast, but can still look extremely natural. The shaped implants more closely mimic the shape of a natural breast, with a slope and increased fullness in the lower breast. Dr. Smith can achieve excellent results with both round and shaped implants, and will help you make this selection based on what is best for your body and your goals.

Implant Profiles

Implant profile refers to how far the implant projects from the base. Some implants are wider and somewhat flatter, and these are considered low profile. At the other end of the spectrum are implants with a narrower base and significant projection; these are high or even ultra-high profile. There are numerous different profiles that fall in between the two extremes. Implant profile is one of many options women have for customizing their breast augmentation results. The profile that is right for you will depend on your frame and your goals, and Dr. Smith will help you make an educated decision.

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. The same is true of implant shape and profile – there is no single "best" implant for everyone. When you visit him for your consultation, he will discuss the pros and cons of all options 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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