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Why Breast Augmentation?

Breast augmentation surgeries performed throughout the world have helped inspire confidence and a renewed sense of self-esteem for millions of women. In Gainesville, Nesmith Plastic Surgery Center is dedicated to helping patients achieve their desired look through breast implants so that they may be more comfortable with their bodies. The most common types of breast implants in North Central Florida are saline-filled and silicone gel-filled implants. As any plastic surgery procedure should be approached with knowledge and consideration, we want to help you choose the right implant for your breast augmentation procedure. Call us today to schedule a consultation with Dr. Richard Nesmith or Dr. Brad Nesmith to discuss the options and what might best help achieve your desired results.

Saline Implants vs. Silicone Gel Implants

Saline-filled and silicone gel-filled breast implants both have an outer shell made of silicone that may be smooth or textured. And while they both come in similar shapes and sizes, and can be placed in the same areas, the implants look, feel and behave differently.

Difference Between Silicone & Saline Breast Implants

Saline-Filled Breast Implants

Saline implants are filled with sterile salt water called saline. While patients choose their size and shape from pre-filled implants so that they can properly see the dimensions, these types of implants are inserted while empty and are then filled after insertion. It is important to carefully choose a size and shape as these implants should not be under-filled or excessively over-filled. For example, under-filled implants may shift or droop, and overfilled implants have an increased risk for rupture or leaking.

Saline-filled breast implants are measured in cubic centimeters (cc). It is not as simple for a patient to say that she wants a C cup because in many cases the implant is not the only factor that affects the size of the breast. The doctors use sculpting techniques, and sometimes fat grafting, to help create a more realistic breast. For women who have plentiful breast tissue, a smaller sized implant may produce ample breasts, so that is why it is important to consult with Dr. Nesmith about your expectations.

Women with less abundant breast tissue may want to consider placement of the implant under the chest muscle in order to diminish the appearance of the implant. Very thin women may not have enough tissue either in their breasts or in other areas of their body that can be used in a fat transfer procedure to help sculpt the area around the implants and provide adequate support. The doctors may recommend placing the implant under the chest muscles, also known as submuscular placement, so that the layer of skin, tissue and muscle can help provide the appearance of a more natural breast.

Silicone Gel-Filled Breast Implants

Silicone gel-filled implants have a solid outer shell made of silicone with the interior filled with a soft, silicone gel. The gel is a thick fluid that resembles the feel of natural fat and tissue. These implants are most closely associated with natural looking implants as the gel can behave more like tissue than saline.

Some patients prefer silicone gel-filled implants because they do not need ample breast tissue or fat deposits for transfers in order for Dr. Richard Nesmith or Dr. Brad Nesmith to create a natural looking breast. These implants are available in round or teardrop shapes, allowing patients to choose a fuller breast (round) or a more natural silhouette (teardrop).

What Are The Risks Of Breast Implants?

Saline and silicone breast implants share similar risks. 

  • Scar Tissue:Every breast implant procedure carries the risk of scar tissue buildup which can displace the implant and become painful. This is known as capsular contracture, and the scar tissue is tightly formed which can place pressure on the implant.
  • Infection: Infection is a risk for any surgical procedure, and patients who undergo breast augmentation should look for signs of excessive swelling, increased pain, redness of the breasts and fever. Some pain, swelling and discomfort is normal for the recovery stage.
  • Leaking or Ruptures:Both types of implants may leak or rupture, but in the case of either type of implant, it is not a serious or life-threatening risk. Saline can be absorbed by the body, and ruptured silicone gel is usually contained within normal scar tissue. Patients may rarely experience discomfort, however, from the drooping, sagging or shifting implants.

Breast Augmentation Restrictions

Women who are undergoing breast augmentation must be at least 18 years old to receive saline-filled breast implants and 22 years old to receive silicone gel-filled implants. These implants are available to women of any age who are undergoing breast reconstruction surgeries.

In order to prevent breast revision surgeries, the doctor chooses breast augmentation and breast reconstruction candidates based on their health of body and mind. Breast reconstruction patients who are are able to cope well with their diagnosis and treatments have a higher rate of success. A positive outlook with realistic goals can help restore a patient’s confidence and self-image. Realistic goals for size and body contour are also an important part of the consultation process for patients wanting to undergo breast augmentation.

Both Dr. Richard Nesmith and Dr. Brad Nesmith consult with all of their patients to ensure their goals can be realistically met and to help patients become more comfortable with their bodies. It is important that patients are honest and able to articulate their desires so that each breast reconstruction or breast augmentation procedure is a success.

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