Choosing the “best” breast augmentation implant depends on individual preferences, body type, and desired outcomes, as there is no one-size-fits-all answer. The most common types of implants are saline, silicone gel, and highly cohesive silicone gel (“gummy bear” implants). Each type has its own set of characteristics, benefits, and drawbacks. Here’s a brief overview to help guide the decision:
Saline Implants
- Pros: Saline implants are filled with sterile salt water. They are inserted empty and then filled once in place, allowing for a smaller incision. If they leak, the saline is safely absorbed by the body.
- Cons: They can feel less natural than silicone implants, especially in women with less breast tissue. There’s also a higher risk of rippling.
Silicone Gel Implants
- Pros: Silicone implants are filled with a silicone gel that feels more like natural breast tissue. They are less likely to ripple than saline implants and are often preferred for their realistic feel.
- Cons: If a silicone implant leaks, the gel may remain within the implant shell or escape into the breast implant pocket, requiring regular monitoring with MRI or ultrasound to detect leaks.
Highly Cohesive Silicone Gel Implants ("Gummy Bear" Implants)
- Pros: These implants maintain their shape even if the implant shell is broken, thanks to the thick, cohesive silicone gel. They are less likely to ripple and can provide a firmer feel.
- Cons: Requires a larger incision for placement, and if they rotate, the breast shape may appear distorted, requiring surgery to correct.
Other Considerations
- Anatomical vs. Round: Implants come in different shapes. Anatomical (teardrop-shaped) implants mimic the natural slope of the breast, while round implants can provide more fullness in the upper breast.
- Texture: Implants can be smooth or textured. Textured implants were designed to reduce the risk of a complication known as capsular contracture, but they have been associated with a rare type of cancer known as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
Making the Choice
The best implant is one that aligns with your aesthetic goals, lifestyle, and the professional advice of your plastic surgeon. During the consultation, your surgeon will consider your body frame, existing breast tissue, and how you want your breasts to look after surgery. It’s important to have a thorough discussion about the pros and cons of each implant type, considering factors like feel, appearance, and long-term maintenance, to make an informed decision that best meets your personal goals and expectations.
