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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, board-certified 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”)

Anatomic implant 1FDA 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.

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, breast lift with augmentation, 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

Here are three similar sized silicone implants. The one on the left is a moderate profile implant, that on the right is high profile implant and the one behind them is an ultra-high profile implant. Note the greater the projection and narrower the width going from moderate to high and then ultra-high profile.


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.

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.

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