The Surgeon Minute

More Implant Choices = More Satisfied Patients

More Implant Choices = More Satisfied Patients

For many years, patients in this country were limited in their breast implant options while the FDA conducted their due diligence on the safety of the new implants already available in Europe, Asia and South American. This had been frustrating for both patients and surgeons alike. Thankfully in the last few years, the FDA proved that these new implants are indeed safe, giving surgeons in the United States considerably more options for delivering a patient’s desired outcome. According to Dr. Louis Bucky of Philadelphia, PA, “having more choices allows us to customize and individualize which ultimately means better patient satisfaction.”

by Katherine Stuart
and Louis P. Bucky, MD

It’s No Longer Just Saline Versus Silicone

It used to be that a patient’s only choice when it came to implants was saline versus silicone. Then it became smooth versus textured. Then round versus shaped. But now, these new implants have various fill volumes, meaning that the same shell can be filled to a higher or lesser profile. These subtle differences in implant size make it considerably easier for a surgeon to deliver a patient’s desired appearance or look. “Matching the implant to the breast is not so different from finding the ideal shoe,” says Bucky. “You don’t want to have an implant that’s too wide for the breast.”

Basically, these new implants give the surgeon more incremental size options which is like having a shoe in a size 7, 7 1/4 and 7 1/2. There are implants that now allow for a more natural look or a less natural look, those that are better for younger patients and older patients who’ve become deflated. For surgeons, it means that he or she must gain familiarity with all of the different options in order to best determine what’s right for each specific patient.

bucky - breast aug advancements.00_01_10_04.Still002

More Choices Makes It Easier to Treat Asymmetry

One of the greatest things about having all of these new implant options is that it makes it easier for the surgeon to treat a patient’s asymmetry because he or she can put a “fuller” implant on the smaller side without having to adjust the width of the implant. “It used to be that if you had 350cc implant in one breast and a 400cc implant in the other, while the volumes were taken care of, the 400cc implant was a lot wider so it’d have an impact on cleavage,” explains Bucky. Now with the surgeon’s ability to adjust the fill volume within the same size implant shell, the dimensions or the width stays the same. Since cleavage is typically one of the reasons that a patient seeks a breast augmentation, these new implants mean much higher patient satisfaction.

bucky - breast aug advancements.00_00_36_23.Still001

It’s All About the Profile

Before the advent of these new implants, patients only had three profile choices: high, intermediate, and low. Each one looked quite different from patient to patient and implant to implant. Implants now have adjusted fill volumes within the same profile. Classically, implants were filled to about 85% which made them softer, but also meant that thinner patients could feel the edge or ripple of the implant. These same implants can be filled another 5-6%, which eliminates this rippling and can give the patient more upper pole fullness for a slightly sexier look. According to Bucky, these new implants allows surgeons, “to customize the need in a patient who has thin tissues versus thick tissues,” and gives patients, “an appearance that they might want that is relatively more subtle than just low profile versus high profile.”

Click to add a comment

Leave a Reply

Your email address will not be published. Required fields are marked *

The Surgeon Minute

More in The Surgeon Minute

Fake plastic surgery.

The Ugly Truth About Fake Plastic Surgery

Camille Cash, MDFebruary 22, 2017
Selecting the right surgeon.

Selecting the Right Surgeon is Critical

John HammarleyFebruary 21, 2017
Augmenting the lips with lip filler.

Lip Filler or Implant? How to Get the Lips You Want

Anne MeyerFebruary 17, 2017
Post-pregnancy tune-up with an abdominoplasty.

A Post-Pregnancy Tune-Up for the Tummy

Isabel BoltFebruary 16, 2017
Rhinoplasty and 3D imaging.

3D Imaging & Rhinoplasty

Katherine StuartFebruary 14, 2017
Lifting the 70's neck.

That 70’s Neck: Updating a Prior Facelift

Anne MeyerFebruary 9, 2017
Why surgeon credentials matter.

Why Your Surgeon’s Credentials Matter

Anne MeyerFebruary 8, 2017
The ABCs of breast augmentation.

The ABCs of Breast Augmentation

Dustin Reid, MDFebruary 6, 2017
breast lift with implants

A Striking Combo: Breast Lift with Implants

Isabel BoltFebruary 3, 2017