Tummy Tuck and Breast Implants

Dr. Shienbaum – Treating Tampa Tummy Tuck and Breast Augmentation Patients

Women who are pursuing tummy tuck surgery may also want to consider undergoing adjunct breast augmentation surgery. Undergoing breast augmentation plastic surgery with either saline or silicone breast implants can offer patients a more complete makeover.

Silicone vs. Saline Breast Implants

image5The newer generation of silicone gel implants is made of a more cohesive, jelly-like filling material than their previous-generation counterparts are, providing a softer, more natural feel. The new generation of cohesive silicone gel implants is designed to maintain shape and consistency even when the patient is lying down.

These breast implants are available with a high, moderate or low profile, allowing the degree of outward projection from the chest as well as the amount of cleavage effected by the implants to be tailored to each patient’s individual aesthetic desires. Together with Dr. Shienbaum, patients choose where to place breast implants: either subglandular placement (i.e., under the breast tissue) or submuscular placement (i.e., under the pectoral, or chest, muscle). There are benefits and drawbacks to either type of implant placement. However, patients who have adequate existing breast tissue may be suitable candidates for subglandular placement, which allows for greater cleavage and outward projection. Because the muscle tissue is not disrupted with subglandular placement, this type of positioning typically also allows for a quicker recovery with less pain and discomfort after surgery. Subglandular placement also helps patients avoid future lateralization and muscular creasing.

Breast Implants Patient Testimonial

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Note that silicone breast implants are filled by the manufacturer before Dr. Shienbaum inserts them during surgery. Therefore, the incisions needed with silicone breast implants are slightly larger than with saline implants that are filled via a valve after they are inserted. However, the natural look and feel of silicone breast implants make them a popular choice among patients.

Patients who currently have saline breast implants and experience palpable, visible rippling of the implants under the surface of the skin may want to consider replacing their saline implants with the cohesive silicone gel implants. Patients often note that saline implants have a less-natural feel than silicone breast implants, as well as more palpable edges and a more discernible outline. Internal movement and propulsion of the less-viscous saline filling material is thought to cause greater thinning and bottoming out of the breast tissues. Also, some patients report that body tissue has grown into the filling valve, a circumstance that has been cited as a potential cause of deflation of these implants.

There are advantages and disadvantages to both types of breast implants. During consultation, Dr. Shienbaum can review these with patients and help them decide which breast implant options are best for them.

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