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My Breast Implant choices

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Breast Aesthetics

Breast augmentation, revision and reconstructive surgery is unique.

This individuality demands a broad range of breast implants with different shapes, projections, heights & textures to achieve a desired aesthetic appearance.


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Company Summary

 Allergan Inc., a U.S. based company manufacture a range of health and beauty products including breast implants; they are also well known for their botulinum toxin brand Botox and dermal filler range Juvéderm Ultra. Allergan's collection of breast implants, The Natrelle Collection, is available in over 600 different variations, providing surgeons and patients with a vast range of implant and augmentation options in a range of shapes, sizes, heights and projections. Natrelle implants are also approved by the U.S. FDA.

INTRASHIEL™ Barrier Technology

Natrelle's implants are also manufactured with a unique barrier technology design that offers an extra layer of protection, minimizing the chance of rupture and gel diffusion. The patented INTRASHIEL™ Barrier Technology is an additional barrier layer that sits underneath several layers of high performance elastomer, designed to improve shell integrity.

BIOCELL™ Texturisation

Natrelle implants can be manufactured with a smooth outer shell or a textured outer shell. BIOCELL™, Natrelle's patented textured shell, was designed to give superior tissue adherence. In turn, this ensures that the implant maintains the proper position in the breast. In addition, clinical trials have also shown that the BIOCELL texturisation is effective in reducing the incidence of capsular contraction and implant rotation.

To learn more about this product visit www.natrelle.com


 mentor-option

Company Summary

Mentor is a leading American global medical device company involved in the manufacture of a number of products that have applications ranging from the treatment of stress incontinence in women, to erectile dysfunction in men and facial aesthetic dermal filler and botulinum toxin products.

Mentor are also one of two market leading, global manufacturers of silicone and saline breast implants and have been manufacturing and distributing them worldwide for over 30 years.

Implant Types and Sizes

Implants are available from Mentor with both smooth and Siltex® textured outer shells and in a variety of different profiles and sizes, as well as in round or anatomical contoured styles.

Contoured or 'tear drop' implants and round implants are available in a variety of shapes according to two differing parameters, known as implant height and implant profile or projection. The height refers to the size and shape of the implant footprint, i.e. the section that sits against the chest itself once implanted. This choice will vary according to how wide or narrow your chest is. The profile or projection refers to how far outwards the 'drop' on the tear comes away from the chest, as a natural breast would or how far forward the round implant projects. The actual cup size or volume can then be decided on once the anatomical shape has been established.

To learn more about this product visit www.mentorwwllc.com 

Useful links:

Breast Augmentation Word-Pool

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  • Areola: Pigmented skin surroundingthe nipple.
  • Augmentation mammaplasty: Breastenlargement or breastenhancement by surgery.
  • Breast Implants: Medical devices placed in your body to enhance an existing breast size or to reconstruct your breast. Breast implants fall into two categories: saline breast implants and silicone breast implants.
  • Capsular contracture: A complication of breast implant surgery which occurs when scar tissue that normally forms around the implant tightens and squeezes the implant and becomes firm.
  • General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.
  • Hematoma: Blood pooling beneath the skin.
  • Inframammary incision: An incision made in the fold under the breast.
  • Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
  • Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
  • Mammogram: An x-ray image of the breast.
  • Mastectomy: The removal of breast tissue, typically to rid the body of cancer.
  • MRI: Magnetic Resonance Imaging; a painless test to view tissue similar to an xray.
  • Periareolar incision: An incision made at the edge of the areola.
  • Saline implants: Breast implants filled with salt water.
  • Silicone implants: Breast implants filled with an elastic gel.
  • Submammary or subglandular placement: Breast implants placed directly behind the breast tissue, over the pectoral muscle.
  • Submuscular or subpectoral placement: Breast implants placed under the pectoral muscle, which is located between the breast tissue and chest wall.
  • Sutures: Stitches used by surgeons to hold skin and tissue together.
  • Transaxillary incision: An incision made in the underarm area.

Breast Implant Placement Options

What are my options for breast implant placement?

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In fact, there are two choices for breast implant placement: sub-glandular (under your breast tissue & over your chest muscle) or sub-muscular (under or partially under your chest muscle).

Each placement type has benefits that may be right for you.

Sub-Glandular Breast Implant Placement:

With sub-glandular placement the implant location is between your chest muscle and your breast tissue (under the glands). This placement may help reduce your surgery and recovery time. It may be less painful than submuscular placement and may make your breast implants easier to access if reoperation is necessary. Implants that are sub-glandular may be easier to see and feel through your skin.

Sub-Muscular Breast Implant Placement:

Sub-muscular placement means that your breast implants are placed partially or completely under the pectoralis major chest muscle. Sub-muscular implants may result in a longer, more painful recovery than sub-glandular implants. Sub-muscular placement may result in less palpable implants and may reduce the risk of developing capsular contracture , as well as offer easier mammographic imaging of the breast.

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Types of breast implants:

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Saline breast implants

  • Saline breast implants are filled with sterile salt water. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body.
  • Saline breast implants provide a uniform shape, firmness and feel, and are FDA-approved for augmentation in women age 18 or older.

Silicone breast implants

  • Silicone breast implants are filled with silicone gel. The gel feels a bit more like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket. A leaking implant filled with silicone gel will not collapse.
  • If you choose silicone implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly. 
  • An ultrasound or MRI screening can assess the condition of breast implants.
  • Silicone breast implants are FDA-approved for augmentation in women age 22 or older.
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What are my breast augmentation incision site options?

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Periareolar Incision

This incision site is typically the most concealed. It is associated with a higher likelihood of breast feeding difficulties than the other incision options because periareolar incision involves cutting through the breast tissue. This may also increase the chance that there will be a change in nipple sensation.

Inframammary Incision

This is the most commonly used incision at the present time and is made below the breast fold. This incision is generally less concealed and may cause fewer breastfeeding difficulties than the peri-areolar incision option.

Transaxillary Incision

This incision is made under the arm. A lighted camera (endoscope) is used to help tunnel through the subcutaneous fat to create a pocket behind the breast. This incision site is used primarily to place unfilled saline breast implants.

Transumbilical Incision

The trans-umbilical incision is made in the belly button or umbilical channel. This incision site has not been studied and is not recommended.