Every woman who chooses breast augmentation does so for her own reasons. Some of the most common reasons include:
- Increasing fullness and projection of the breasts
- Improving the balance of a woman’s figure
- Boosting self-esteem and self-image
- Correcting the appearance of uneven breasts
- Enhancing appearance of the breasts following major life events, such as pregnancy and weight loss
- Restoring the aesthetic appearance of the breast after a mastectomy
- Reconstruction after breast cancer surgery or trauma
- Correcting or improving the results of a previous surgery
- Correcting developmental defects
Dr. Keusch recommends Natrelle implants by Allergan, available in saline and silicone. Saline implants have an outer shell made of silicone but are filled with a salt water solution. The empty silicone shell is inserted through an incision and then filled with saline after being moved into the desired position. Silicone implants feature a silicone case and filling. Silicone is a synthetic material that feels remarkably similar to human fat. Natrelle implants come in five profiles ranging from low to ultra-full projection. Dr. Keusch will guide patients in choosing the best implant based on their body structure and aesthetic goals.
Saline vs silicone
Saline implants may feel firmer than human breast tissue, while silicone implants may look and feel more natural. Because saline implants are inserted empty, the incision line may be smaller than with silicone implants. Saline breast implants pose less of a health risk if they should happen to rupture, as the body can absorb salt solution but cannot absorb silicone.
Other augmentation types
Dr. Keusch does not recommend teardrop shaped implants for several reasons. These implants may require a larger incision. They sometimes rotate or change shape, and It may be more difficult to detect leaks. Teardrop shaped implants have been linked to breast implant associated anaplastic large cell lymphoma.
Dr. Keusch does not perform fat transfer augmentations, which involve injecting fat removed from the patient’s own body via liposuction. Downsides to this type of augmentation include size limitations, possible reabsorption of the fat, and breast calcification issues.
How big are breast implants?
Breast implants typically range in size from about 150cc to 800cc or larger. Many patients have asymmetrical breasts and benefit from a different sized implant for each breast. The size a patient chooses often depends on the size of their existing breast, their personal goals, and the recommendations of their surgeons.
For additional information regarding your breast augmentation decisions, please see our patient discussion aid for breast augmentation.
Natural looking breast augmentation is important to every woman. Dr. Keusch prefers the periareolar technique. An incision will be made near the outer edge of the areola, which is the ring of pigmented skin near the nipple. The natural progression of pigmentation between the areola and the rest of the breast conceals the incision, so there is no visible scarring on the breast. A pocket is created for the implant, which can be positioned above or under the chest muscle.