How to Choose Breast Implants

Silicone Breast Implants. Saline Breast Implants.  Round Breast Implants.  Shaped Anatomic Breast Implants.  Smooth Implants.  Textured Implants.  Some many choices, but which one is best for you?  Breast augmentation requires proper planning on your part as well as on the surgeon’s part.  Yet most people probably spend more time chosing a microwave than they do on chosing their surgeon and their implant options.

Choosing your Plastic Surgeon.  In the US you need to look for a surgeon who is Board Certified in Plastic Surgery.  Board Certification means that the surgeon has gone through the proper training and at the end of this training the surgeon has passed an oral and written test and has proven that he is a competent and safe surgeon.  Some ‘Cosmetic Surgeons‘ are not surgeons at all, while other are surgeons who advertise themselves as “Board Certified” but they don’t say what specialty they are certified in.  Board-Certified in Internal Medicine is not a qualification for Plastic Surgery.  Board-Certified in Cosmetic Laser Surgery is not a qualification for Plastic Surgery (in fact, Cosmetic Laser Surgery and other “cosmetic” and “Aesthetic” boards are often nothing more than a marketting scheme… there is no specialty in Cosmetic Laser Surgery.  It’s a make-believe specialty).

In addition to Board Certification in Plastic Surgery, ask your surgeon which hospitals he/she work at.  Hospitals require surgeons to provide proof of their competency to perform procedures… thus if a surgeon is not allowed to do cosmetic procedures at a hospital, it’s probably because his peers did not feel he/she had the proper training and skills.  Finally, you want to know how many breast augmentations he/she performs per year.  Is it one of his/her most common procedures?  You cannot expect anyone to be a master of all of Plastic Surgery.  Each surgeon has his or her area of interest and expertise.

In summary, when chosing your Plastic Surgeon, look for:

• Board Certification in Plastic Surgery
• Hospital privileges
• Experience (procedures/year)
• Area of interest

Once you have chosen your Plastic Surgeon, you need to discuss your surgical options and you need to chose your implant.

The surgeon will examine you and tell you what options you have.  When you do not have options (without a logical explanation) it may be because you’re dealing with someone who does not have the proper training to either perform various types Of Breast Augmentation or lacks the understaning to think of the other options.  Surgical options include scar placement and breast implant placement.

Finally, the breast implants.

In the US until recently Silicone Breast Implants were restricted to only breast cancer patients (why?  I never understood that).  In Canada Silicone Breast Implants have been available for some time now, and in the rest of the world they have never been taken off the market.  Silicone Implants do not cause illnesses.  The hoopla around silicone implants is too big to describe in this article, but the bottom line that after years of intense scrutiny, FDA found no links to any illnesses and has once again allowed silicone breast implants to be used for cosmetic purposes.  Silicone has a more rubbery consistency than saline breast implants (which are pretty much nothing more than a water balloon).  They maintain their shape better and thus ripple (wrinkle) less.  This is important in thinner patients where the implant outline can be seen and wrinkling/rippling creates a noticeable irregularity on the breast.  Silicone implants are much better at limiting rippling than saline implants.  Additionally, the new highly cohesive silicone (“gummy bear implants”) has a “form stable” consistency.  What this means is that if you cut the implant in half, it will just sit there, it will not spill out unlike the older more liquid silicone.

Saline implants are nothing more than sophisticated water balloon.  They add volume to the breast and should ideally be limited to patients with existing breast tissue that will cover the implant, thus the water-balloon feel and rippling will be obscured.  Additionally, placing saline implants under the muscle hides the implant so that the rippling and the abnormal feel is once again obscured.

Breast Implant shape is also important to consider.  Round breast implants create more of the ’stripper’ look, with fullness on top.  Young patients tend to like the look of the round implants.  Shaped breast implants have more fullness on the bottom, which is ‘anatomic’ … meaning that the implant better resembles the anatomy of a normal breast.  These implants have a more natural look.  They are also ideal in patients who have some droopiness/sagging to their breast but do not want a breast lift.

Breast Implant placement refers to where the implant sits.  In can be a submuscular breast implant location or a subglandular breast implant location.  Submuscular implant means that the implant is placed under the pectoralis major muscle.  The benefit of putting the implant under the muscle is that it has been shown to decrease the risk of capsular contracture.  Placing the implant under the muscle also adds an additional layer of padding on top of the implant to obscure the implant edges and rippling.  The downside of going under the muscle is that it is much more painful, takes much longer to recover and to see the final result.  Finally, contraction of the muscle will make the implant move and thus breast ‘jiggle’ when you move your arms.

Finally, breast implant surface.  Implants are smooth or textured.  Smooth breast implants are able to move around.  Textured Breast Implants have a rough surface that sticks to the surrounding breast tissue like velcro.  It is thought to lower the risk of capsular contracture.

About the Author

Dr. Jugenburg is a Plastic and Reconstructive Surgeon certified by the Royal College of Physicians and Surgeons of Canada. Dr. Jugenburg practices Plastic Surgery In Toronto, Ontario.

Breast Implant Surgery – Capsulectomy

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Breast Implant Imaging $137.64 New – Breast Implant Imaging is the first definitive reference on the use of MR imaging, ultrasound, and mammography to detect breast implant failure. The book details the capabilities and limitations of each modality, the imaging features of various implant types, the signs of implant rupture and soft-tissue silicone, and the pitfalls and artifacts encountered. Coverage includes a chapter on breast cancer imaging in patients who have had implants or silicone fluid injections. More than 600 illu

Breast Men $5.49 A glory-seeking medical intern takes off on the fast track after inventing the silicone breast implant with the help of his supervising…

Breast Surgery: Breast Reconstruction, Mastectomy, Breast Implant, Mastopexy, Breast Reduction, Needle Aspiration Biopsy, Lumpectomy $16.97 New – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 30. Chapters: Breast reconstruction, Mastectomy, Breast implant, Mastopexy, Breast reduction, Needle aspiration biopsy, Lumpectomy, Radical mastectomy, Mammaplasty. Excerpt: A breast implant is a prosthesis used to correct the size, form, and feel of a woman’s breasts in post-mastectomy breast reconstruction; for correcting congenital defects and deformitie

Breast Surgery: Breast Reconstruction, Mastectomy, Breast Implant, Mastopexy, Breast Reduction, Needle Aspiration Biopsy, Lumpectomy $10.71 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 30. Chapters: Breast reconstruction, Mastectomy, Breast implant, Mastopexy, Breast reduction, Needle aspiration biopsy, Lumpectomy, Radical mastectomy, Mammaplasty. Excerpt: A breast implant is a prosthesis used to correct the size, form, and feel of a woman’s breasts in post-mastectomy breast reconstruction; for correcting congenital defects and deformiti

Breast Surgery: Breast Reconstruction, Mastectomy, Breast Implant, Mastopexy, Breast Reduction, Needle Aspiration Biopsy, Lumpectomy $10.78 New – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 30. Chapters: Breast reconstruction, Mastectomy, Breast implant, Mastopexy, Breast reduction, Needle aspiration biopsy, Lumpectomy, Radical mastectomy, Mammaplasty. Excerpt: A breast implant is a prosthesis used to correct the size, form, and feel of a woman’s breasts in post-mastectomy breast reconstruction; for correcting congenital defects and deformitie

Breast Surgery: Breast Reconstruction, Mastectomy, Breast Implant, Mastopexy, Breast Reduction, Needle Aspiration Biopsy, Lumpectomy $16.97 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 30. Chapters: Breast reconstruction, Mastectomy, Breast implant, Mastopexy, Breast reduction, Needle aspiration biopsy, Lumpectomy, Radical mastectomy, Mammaplasty. Excerpt: A breast implant is a prosthesis used to correct the size, form, and feel of a woman’s breasts in post-mastectomy breast reconstruction; for correcting congenital defects and deformiti

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Augmentation, Brassiere, Breast Implant, Toplessness $16.09 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 114. Chapters: Breast reconstruction, Super Bowl XXXVIII halftime show controversy, Breast augmentation, Brassiere, Breast implant, Toplessness, Human breast milk, Topfreedom, Erotic lactation, Tit torture, Cleavage, Breast reduction, D colletage, Cleavage enhancement, Breast fetishism, Fibroadenoma, Supernumerary nipple, Breast bondage, Capsular contractu

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Augmentation, Brassiere, Breast Implant, Toplessness $24.71 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 114. Chapters: Breast reconstruction, Super Bowl XXXVIII halftime show controversy, Breast augmentation, Brassiere, Breast implant, Toplessness, Human breast milk, Topfreedom, Erotic lactation, Tit torture, Cleavage, Breast reduction, D colletage, Cleavage enhancement, Breast fetishism, Fibroadenoma, Supernumerary nipple, Breast bondage, Capsular contractu

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Augmentation, Brassiere, Breast Implant, Toplessness $16.21 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 114. Chapters: Breast reconstruction, Super Bowl XXXVIII halftime show controversy, Breast augmentation, Brassiere, Breast implant, Toplessness, Human breast milk, Topfreedom, Erotic lactation, Tit torture, Cleavage, Breast reduction, D colletage, Cleavage enhancement, Breast fetishism, Fibroadenoma, Supernumerary nipple, Breast bondage, Capsular contractu

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Augmentation, Brassiere, Breast Implant, Toplessness $24.71 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 114. Chapters: Breast reconstruction, Super Bowl XXXVIII halftime show controversy, Breast augmentation, Brassiere, Breast implant, Toplessness, Human breast milk, Topfreedom, Erotic lactation, Tit torture, Cleavage, Breast reduction, D colletage, Cleavage enhancement, Breast fetishism, Fibroadenoma, Supernumerary nipple, Breast bondage, Capsular contractu

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Augmentation, Brassiere, Breast Implant, Toplessness $24.71 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 114. Chapters: Breast reconstruction, Super Bowl XXXVIII halftime show controversy, Breast augmentation, Brassiere, Breast implant, Toplessness, Human breast milk, Topfreedom, Erotic lactation, Tit torture, Cleavage, Breast reduction, D colletage, Cleavage enhancement, Breast fetishism, Fibroadenoma, Supernumerary nipple, Breast bondage, Capsular contractu

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Augmentation, Brassiere, Breast Implant, Toplessness $24.71 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 114. Chapters: Breast reconstruction, Super Bowl XXXVIII halftime show controversy, Breast augmentation, Brassiere, Breast implant, Toplessness, Human breast milk, Topfreedom, Erotic lactation, Tit torture, Cleavage, Breast reduction, D colletage, Cleavage enhancement, Breast fetishism, Fibroadenoma, Supernumerary nipple, Breast bondage, Capsular contractu

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Augmentation, Brassiere, Breast Implant, Toplessness $24.71 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 114. Chapters: Breast reconstruction, Super Bowl XXXVIII halftime show controversy, Breast augmentation, Brassiere, Breast implant, Toplessness, Human breast milk, Topfreedom, Erotic lactation, Tit torture, Cleavage, Breast reduction, D colletage, Cleavage enhancement, Breast fetishism, Fibroadenoma, Supernumerary nipple, Breast bondage, Capsular contractu

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Augmentation, Brassiere, Breast Implant, Toplessness $16.25 Used – Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Pages: 114. Chapters: Breast reconstruction, Super Bowl XXXVIII halftime show controversy, Breast augmentation, Brassiere, Breast implant, Toplessness, Human breast milk, Topfreedom, Erotic lactation, Tit torture, Cleavage, Breast reduction, D colletage, Cleavage enhancement, Breast fetishism, Fibroadenoma, Supernumerary nipple, Breast bondage, Capsular contractu

Breast: Breast Reconstruction, Super Bowl XXXVIII Halftime Show Controversy, Breast Implant, Brassiere, Toplessness, Breast Milk, Topfreedom $24.71 New – Chapters: Breast Reconstruction, Super Bowl Xxxviii Halftime Show Controversy, Breast Implant, Brassiere, Toplessness, Breast Milk, Topfreedom, Erotic Lactation, Tit Torture, Breast Reduction, Agatha of Sicily, Cleavage, Gynecomastia, Gigantomastia, Cleavage Enhancement, Puerperal Mastitis, Fibroadenoma, Supernumerary Nipple, Breast Bondage, Accessory Breast, Male Lactation, Capsular Contracture, Mark Eden Bust Developer, Mammary Intercourse, Breast Self-Examination, Pearl Necklace, Breast

BreastImplantExercises $0 17+~~Otto Placik MD~~Otto Placik MD~~http://itunes.apple.com/app/breastimplantexercises/id521646590?uo=5~~Otto Placik MD~~1~~7670116~~20581832~~http://www.bodysculptor.com~~http://www.bodysculptor.com

BreastImplantExercisesHD $0 17+~~Otto Placik MD~~Otto Placik MD~~http://itunes.apple.com/app/breastimplantexerciseshd/id522389089?uo=5~~Otto Placik MD~~1~~7714037~~21008791~~http://www.bodysculptor.com~~http://www.bodysculptor.com

Circumareolar Techniques for Breast Surgery $450.49 New – Circumareolar Techniques for Breast Surgery presents the technical innovations that have largely eliminated the complications of the circumareolar approach – limiting the incision to the areolar skin junction, thus avoiding scars – as applied to mastopexy in the large and small breast, reduction of the larger breast, internal breast repair of the augmented breast, for implant removal or replacement, as well as the role of liposuction. Also included are the finer points of technique, suturi

Circumareolar Techniques for Breast Surgery $16.26 Used – Circumareolar Techniques for Breast Surgery presents the technical innovations that have largely eliminated the complications of the circumareolar approach – limiting the incision to the areolar skin junction, thus avoiding scars – as applied to mastopexy in the large and small breast, reduction of the larger breast, internal breast repair of the augmented breast, for implant removal or replacement, as well as the role of liposuction. Also included are the finer points of technique, sutur

Circumareolar Techniques for Breast Surgery $26 Used – Circumareolar Techniques for Breast Surgery presents the technical innovations that have largely eliminated the complications of the circumareolar approach – limiting the incision to the areolar skin junction, thus avoiding scars – as applied to mastopexy in the large and small breast, reduction of the larger breast, internal breast repair of the augmented breast, for implant removal or replacement, as well as the role of liposuction. Also included are the finer points of technique, sutur

Circumareolar Techniques for Breast Surgery $730.3 New – Circumareolar Techniques for Breast Surgery presents the technical innovations that have largely eliminated the complications of the circumareolar approach – limiting the incision to the areolar skin junction, thus avoiding scars – as applied to mastopexy in the large and small breast, reduction of the larger breast, internal breast repair of the augmented breast, for implant removal or replacement, as well as the role of liposuction. Also included are the finer points of technique, suturi

Cleavage: Technology, Controversy, and the Ironies of the Manmade Breast $5.09 Used – Using a sociological perspective that views reality and the “idealized” breast as socially constructed, this text examines the history of breast implant technology from 1895 to 1990, including the controversies that erupted in the early 1990s over the safety of devices.

Cleavage: Technology, Controversy, and the Ironies of the Manmade Breast $0.99 Used – Using a sociological perspective that views reality and the “idealized” breast as socially constructed, this text examines the history of breast implant technology from 1895 to 1990, including the controversies that erupted in the early 1990s over the safety of devices.

Dealing with an Angry Public: The Mutual Gains Approach To Resolving Disputes $10.77 Some portion of the American public will react negatively to almost any new corporate initiative, as Disney discovered when it announced its plans to build an historical theme park in Virginia. Similarly, government efforts to change policy or shift budget priorities are invariably met with stiff resistance. In this enormously practical book, Lawrence Susskind and Patrick Field analyze scores of both private and public-sector cases, as well as crisis scenarios such as the Alaskan oil spill, the silicone breast implant controversy, and nuclear plant malfunction at Three Mile Island. They show how resistance to both public and private initiatives can be overcome by a mutual gains approach involving face-to-face negotiation, a strategy applied successfully by over fifteen hundred executives and officials who have attended Professor Susskind’s MIT-Harvard “Angry Public” seminars. Susskind and Field outline the six key elements of this approach in order to help business and government leaders negotiate, rather than fight, with their critics. In the process, they show how to identify who the public is, whose concerns to address first, which people and organizations must be convinced of the legitimacy of action taken, and how to assess and respond to different types of anger effectively. Acknowledging the crucial role played by the media in shaping public perception and understanding, Susskind and Field suggest a way to develop media interaction which is consistent with the six mutual gains principles, and also discuss the type of leadership that corporate and government managers must provide in order to combine these ideas into a useful whole. We all need to be concerned about a society in which the public’s concerns, fears and anger are not adequately addressed. When corporate and government agencies must spend crucial time and resources on rehashing and defending each decision they make, a frustrated and angry public contributes to the erosion of confidence

FDA Breast Implant Consumer Handbook, 2004 $23.99 New – Original publisher: Rockville, Md.: U.S. Food and Drug Administration, [2004] OCLC Number: (OCoLC)56990489 Subject: Breast implants. Excerpt: …Saline-Filled Breast Implants The three types of saline-filled breast implants are as follows: One type is a single lumen implant that is filled during the operation with a fixed volume of saline through a valve. There are no adjustments of the saline volume after the operation. A second type is a single lumen implant that is filled during the ope

FDA Breast Implant Consumer Handbook, 2004 $23.99 Used – Original publisher: Rockville, Md.: U.S. Food and Drug Administration, [2004] OCLC Number: (OCoLC)56990489 Subject: Breast implants. Excerpt: …Saline-Filled Breast Implants The three types of saline-filled breast implants are as follows: One type is a single lumen implant that is filled during the operation with a fixed volume of saline through a valve. There are no adjustments of the saline volume after the operation. A second type is a single lumen implant that is filled during the op

FDA Breast Implant Consumer Handbook, 2004 $15.74 New – Original publisher: Rockville, Md.: U.S. Food and Drug Administration, [2004] OCLC Number: (OCoLC)56990489 Subject: Breast implants. Excerpt: …Saline-Filled Breast Implants The three types of saline-filled breast implants are as follows: One type is a single lumen implant that is filled during the operation with a fixed volume of saline through a valve. There are no adjustments of the saline volume after the operation. A second type is a single lumen implant that is filled during the ope

FDA Breast Implant Consumer Handbook, 2004 $15.74 Used – Original publisher: Rockville, Md.: U.S. Food and Drug Administration, [2004] OCLC Number: (OCoLC)56990489 Subject: Breast implants. Excerpt: …Saline-Filled Breast Implants The three types of saline-filled breast implants are as follows: One type is a single lumen implant that is filled during the operation with a fixed volume of saline through a valve. There are no adjustments of the saline volume after the operation. A second type is a single lumen implant that is filled during the op

Implant $4.23 Used – Enclosed is a copy of a new novel of a mainstream nature that I am distributing through my press. It is a thriller about the breast-implant industry written by a retired plastic surgeon and past president of the largest aesthetic plastic surgery society in the world (ASAPS). He was an insider working with the FDA and congress on the breast-implant issue. You may order it along with Alamo Square Press Titles.