Although the type of implant used in your procedure is ultimately your choice, Dr. Freund prefers to use round, smooth-walled silicone implants during the teardrop augmentation mastopexy procedure. Silicone has a more natural appearance and texture than saline implants. By using round implants, the breasts will not take on an asymmetrical appearance if the implants happen to shift or rotate.
Dr. Freund works closely with each of his patients to understand their aesthetic goals and preferences, so he can help you determine which implant is best for you.
Saline Breast Implants
Saline breast implants are approved by the Food and Drug Administration (FDA) for patients over the age of 18. Saline implants are made of a silicone shell filled with saline, or salt water. Saline implants come in a variety of sizes, which are filled after they are placed within the breasts. Because they are filled after they are inserted, Dr. Freund is able to adjust their size slightly by adding or removing saline to create precise symmetry between both of your breasts.
Saline implants can be placed through a variety of incisions because their deflated shells can be folded and moved through a small space. This type of implant can be placed through incisions at the bottom of the breasts where they meet the ribs, around the nipples, or under the armpits.
In the rare case that a silicone implant should rupture, the solution is completely harmless to your body. Saline water is absorbed into your body, and the shell will need to be surgically removed and replaced.
Silicone Breast Implants
Silicone breast implants are FDA-approved for patients 22 years of age and up. They are made from a silicone shell filled with viscous silicone gel. Silicone implants come pre-filled in a wide range of different sizes and projections. Silicone implants can be teardrop-shaped, in addition to round. Many patients find that silicone implants have the most natural look and feel because the material mimics breast tissue. However, you can achieve great, natural-looking results with either type of implant.
Because they come pre-filled, silicone implants must be placed using a larger incision than saline implants. In the case that a silicone implant ruptures, it is more difficult to detect so they require periodic monitoring. While silicone generally stays coagulated, there is a risk that it can spread within the breast tissue and must be surgically removed.