Breast Implants Scottsdale Phoenix

Breast Implants

Women interested in breast enhancement surgery have a wide variety of implant shapes, sizes, styles and surface textures to choose from. When selecting the right breast implants, it is important to be mindful that the decision should not be based solely on which option can increase the volume and/or improve the symmetry of the breasts, but also on which implants can achieve the overall desired outcome for one’s unique body structure and physique. With years of experience and an exceptional eye for aesthetics, Glendale plastic surgeon Steven H. Turkeltaub, MD possesses the knowledge and skills necessary to consider all variables and help you choose the most appropriate breast implants for your individual needs and goals.

Silicone or Saline Breast Implants

Saline and Traditional Silicone Breast Implants

Traditional round silicone breast implants are FDA approved for breast augmentation patients who are at least 22 years old and for breast reconstruction patients of any age. Though they can be used in younger women, such usage is considered to be “off label” which means that it isn’t officially approved by the FDA. This “restriction” is more of political one rather than one based on any untoward clinical findings in that age group. Saline breast implants are approved by the FDA for patients who are 18 years of age and older.

While both implant types have helped millions of women achieve excellent results over the years, silicone implants are widely considered the “gold standard” in terms of aesthetic outcome – they tend to look and feel far more natural and on average last much longer than the saline ones.

In Dr. Turkeltaub’s practice, essentially all his patients choose silicone breast implants. It is exceedingly rare that anyone selects the saline implants anymore. Furthermore, every one of his patients who have had both types of implants at one time or another say that they preferred the superior look and feel of silicone as opposed to saline.

Natrelle® 410 Silicone Breast Implants (“Gummy Bear”)

FDA approved Natrelle® 410 breast implants, also called “gummy bear” implants, are form-stable and anatomically designed in a teardrop shape to help simulate more “natural” curves. Being constructed with a highly-cohesive silicone gel, even more so than the traditional round silicone implants, they maintain their wedge shape under virtually all conditions. They have been shown to have reduced rates of rippling, wrinkling, and rupture but do feel more firm and less natural than round implants, can rotate over time creating appearance issues and are more expensive.

Anatomic implant 1

It has been my experience that, for a variety of reasons, only a small minority of my Arizona breast augmentation patients find that these Natrelle® 410 breast implants will meet their needs and goals. They do, however, have far greater utility in breast reconstruction.

These implants are FDA approved for patients 22 years or older and can be utilized for breast augmentation, mastopexy with breast enlargement, breast revision and breast reconstruction surgeries.

For more information about silicone implants please visit Dr. Turkeltaub’s Blog.

Breast Implant Size

When people think of breast augmentation, this often is the number one topic of discussion. Size really does matter though it isn’t the only important factor. Patients will need to determine the overall look that they want to achieve as relates to size, proportionality, projection and shape as well as the impact that their new breast size may have on other aspects of their life and lifestyle.

In my experience, most women would rather be somewhat proportional and then slightly bigger than that. Unfortunately, “proportional” is an ambiguous term and what is proportional to one person may be too small or too large (rarely) for someone else. There is also general confusion as to what appearance different cup sizes represent which is compounded by the lack of any real standards. Because of this, bras made by different companies, one a “C” and the other a “D”, may fit identically. Photographs and imaging may help but even these have limitations.

If you want to learn more about implant size issues visit Dr. Turkeltaub’s Blog entry “Size Does Matter.”

Breast Implant Projection Style

For a given breast implant size, it can be wide with some projection or more narrow with greater projection. Depending on the manufacturer, you may see the implants labeled as ultra-high, high, moderate or low profile. The style that would be most appropriate for you would depend on many factors such as the ultimate desired size, projection, shape, cleavage, initial breast size and projection, chest wall configuration and overall appearance.

Side View Front View

Above are two similar sized silicone implants. The one on the left is a high profile implant while the one on the right is a moderate profile. Note the greater projection and narrower width of the high profile implant.

Breast Implant Shape

Breast implants are either round or tear-dropped shaped (also called “anatomic”). The vast majority of breast implants used in the United States today are round in shape though there are situations where the tear-dropped shaped ones are preferred by the patient or may provide some advantages based on the particular anatomic conditions.


Implant Surface Type

Breast implants can have a smooth or textured outer envelope. There are many conflicting studies regarding whether or not there are any advantages of textured versus smooth surfaced implants. With the more recent innovations made in implant technology, much of the earlier research may not be relevant. In certain situations, one type may offer an advantage over the other.

Smooth Surface Silicone Implant Textured Surface Silicone Implant

Back to Top


Contact Our Practice

If you are interested in breast enhancement surgery with implants, please contact the Arizona Center for Aesthetic Plastic Surgery today. Dr. Turkeltaub looks forward to helping you achieve your cosmetic goals.

Visit Our Breast Specialty Site

Join Our Online Network

Scottsdale Office
10290 N. 92nd St.
Suite 207
Scottsdale, Arizona 85258

Click for Directions

Glendale Office
18275 N. 59th Ave.
Bldg. E Suite 126
Glendale, Arizona 85308

Click for Directions

(tel) 480-451-3000
(fax) 480-451-3059