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Breast Augmentation

Millions of women worldwide have chosen to enhance or reshape their natural breasts through breast augmentation. These procedures have become more popular and widely accepted, and technology has advanced allowing for more natural-looking breasts, implant options and procedures have also expanded and become more advanced. The choices may seem overwhelming at first, but each type of implant and procedure can suit each woman differently. During a consultation with Dr. Richard Nesmith or Dr. Brad Nesmith, patients can discuss openly their expectations so that we can provide the perfect implant, size and placement for your body. Consult one of our Gainesville plastic surgeons to find out if you're a good candidate for quick recovery breast augmentation.

Types Of Breast Implants In Gainesville, FL

There are many types of implants available today. The most popular implants include saline-filled, silicone gel-filled, cohesive gel (gummy bear) and fat grafting. Each type of implant can affect how it is placed and the overall shape of your resulting breast, so it’s important to understand the differences between the implants.

Saline-Filled Implants

Saline-filled breast implants are a silicone plastic outer shell that are filled with sterile salt water. These are some of the oldest and most recognized forms of implants, and when inserted poorly, they can give the “water balloon” impression. These days, it's easy to avoid over-filled, poorly placed implants by choosing the right size for a person’s body, placing the implants below the chest muscle and using fat-grafting techniques to help provide a natural contour.

Silicone Gel-Filled Implants

Silicone gel-filled breast implants are similar in structure to saline-filled implants, but instead of being filled with saline, they are filled with a silicone gel. This gel feels similar to natural fat and tissue found in the breast, and the properties of the gel allow it to act in a similar nature.

Cohesive Gel (Gummy Bear) Implants

A newer and lesser known type of implant is the cohesive gel implant. These implants have been given the name “gummy bear” by the media, patients and other plastic surgery centers due to the way the cohesive gel behaves. If you were to slice a cohesive gel implant in half, the inside gel would not leak out. Both halves retain their shape, much like a gummy bear does when you bite into it. These types of implants have become increasingly popular due to their ability to retain their shape and convenience of the overall shapes available.

Fat Grafting/Transfer

Fat grafting techniques can be used to enhance a patient’s breast or to accommodate a breast augmentation, breast reconstruction or breast revision surgery. Fat grafting is most commonly performed at the time of liposuction so that excess fat can be taken from one part of the body and transferred to the breast. Depending on the availability of fat and tissue on the body and at the breast, this procedure can be used to enhance existing breasts for a natural look and feel. We can also perform fat transfers, along with an implant to help contour the breast and hide any unnatural shaping.

Am I a Candidate For Breast Augmentation?

If you are over the age of 18 and unhappy with the size or shape of your breasts, then augmentation may be right for you. Although breast revision surgery is available to those who are unhappy with their augmentation results, we try our best to minimize the need for multiple surgeries. Not only does it take a toll on your body and well-being, but it can be emotionally and mentally frustrating to undergo several procedures. That’s why both doctors consult with all of their patients to discuss the proper size and placement, as well as expected results.

Implant Shape, Size & Placement

There are a lot of options when it comes to the shape, size and placement of breast implants. Most types of implants are available in round or teardrop shapes, and although it usually depends on the patient’s preference, there may be additional factors to consider.

Implant Shape

Round breast implants are the most well-known because they have been available for the longest amount of time. Due to the half-sphere shape, the top portion of the resulting breast is fuller with a round implant than with a teardrop. The profile of a round implant is an even arc that is most projecting at the middle of the implant. These types of implants are the go-to for deep cleavage and filling out strapless fashion designs.

Teardrop implants mimic the shape of an unsupported natural breast. The profile is slimmer at the top of the implant and slopes outward with the projecting portion in the lower half of the implant. Teardrop implants are most popular with women who want to maintain a more natural breast shape or those who have undergone a mastectomy.

Breast Augmentation in Gainesville, FL

Implant Size

Once you determine the shape you want, then sizing can be discussed. Implant sizing differs from bra sizing or chest measurements. The size of an implant is determined by the amount of gel or fluid used to fill the implant, and it is measured in cc, or cubic centimeters.

Choosing the perfect size might seem daunting, but it’s extremely important in the overall satisfaction of your breast augmentation procedure. As mentioned, breast revision can alter the sizing of an implant, but we prefer to avoid additional surgeries whenever possible. We want you to love your implants the first time around, so we encourage our patients to be honest with the doctor during the consultation process.

Along with wanting a specific bra size, patients most often desire breasts that better suit their body. Larger implants may not seem so large on women with wide-set shoulders, and women who have an abundance of breast tissue may not need large implants to get the desired look. It’s important to take into consideration your body size and shape to ensure you’re happy with your breast augmentation results.

Implant Placement

Many patients don’t realize that breast implants can be placed above (subglandular) or below (submuscular) the chest muscle. Placement is generally determined by body type as there are fewer benefits for the majority of women who have implants placed below their chest muscle. However, for women with very little breast tissue and fat, submuscular placement can help provide a more natural contour. This is most common for women with very little body fat who prefer round or saline-filled implants, but this method can be used in other situations.

Gainesville Plastic Surgeon

At Nesmith Plastic Surgery Center, it is our mission to provide you with the best plastic surgery in Gainesville, FL experience before, during, and after your breast augmentation. Being the best means providing outstanding results in the safest environment while fulfilling your every need. Our goal is to make you look and feel beautiful. Contact us today for a consultation and let Dr. Brad Nesmith and his experienced team help you achieve the look and confidence you have always wanted. 

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