Breast Implant Options

Saline or Silicone?

Breast augmentation patients have a choice between silicone and saline breast implants. A new generation of silicone gel implants, approved by the FDA since 2006, are available to women over the age of 22.  Allergan, Mentor, and Sientra, the three U.S. companies which manufacture silicone implants, have both concluded through long-term clinical trials in cooperation with the FDA that silicone implants are safe and effective.

All 3 company’s implants are FDA approved and offer a similar range of size and shapes of implants.  If you’re interested in learning more about the safety of silicone breast implants, visit breastimplantsafety.org.

  • Saline Implants: Saline implants are comprised of a silicone rubber shell that is filled with saline solution during surgery. Since saline implants are filled after insertion, it is possible to place these implants with slightly smaller incisions. Should a saline breast implant ever rupture, it is perfectly safe for the saline to be absorbed into the body.
  • Silicone: Silicone gel implants are now much more popular than saline. In 2012, 72 percent of the 330,631 breast augmentation procedures in the U.S. used silicone implants, while 28 percent used saline. Silicone gel implants are known to look and feel more natural than saline. Due to the cosmetic advantages, silicone implants are still the most commonly requested implants by far in the US.
  • IDEAL Implants: The latest implant to gain FDA approval is unlike your other options. Available only through a network of board-certified plastic surgeons, the IDEAL IMPLANT was designed with beautiful results and patient safety in mind. These implants are saline filled but have a unique chamber system inside to lessen the chance of wrinkling; which is common a problem with traditional saline implants. Unlike traditional saline and silicone implants, the IDEAL IMPLANT is designed with a series of implant shells nested together. The implant has two separate chambers that hold saline filler. This unique structure controls the movement of the saline filler and reduces the likelihood of wrinkling, folding, and rupture

Implant Shape: Round Or Teardrop

Breast implants also come in different shapes. While round implants have long been a popular option, textured, teardrop-shaped implants are now an option, especially for the reconstructive patient

  • Round Implants: Round implants are available in both saline and silicone. They are circular and have a smooth wall, allowing them to conform to the natural anatomy of your existing breast tissue and chest wall. Since there are many sizes and 4 basic round shapes, a great fit for any patient should be obtainable.
  • Shaped or Teardrop Implants: These implants are anatomically shaped and resemble the teardrop contour of a natural breast. They are available in highly cohesive silicone and are often recommended to patients who want less fullness in the upper part of the breast and more fullness in the lower breast.
  • Find Out More About Your Options: Ready to get started? Get in touch with us today to schedule your complimentary consultation and sizing session! Our surgeons will help you understand all of your options and how they will work together to create the perfect breasts for you.

Who is a Breast Augmentation Candidate?

Candidates for breast augmentation are typically patients that wish to change the shape or size of their natural breasts using breast implants. Candidates should be in good overall health and have a realistic expectation of the outcome. The best way to determine whether breast augmentation is right for you is to work closely with an experienced surgeon to discuss your options that will best suit your needs.

Cost of Breast Augmentation in Washington DC

The price for breast augmentation varies depending on an individual patient’s goals and needs with surgery. At both Center for Plastic Surgery locations in Chevy Chase and Annandale, silicone gel implants cost a little more than saline, and some patients may have requirements which change the cost slightly.

Everyone was so attentive and answered all my questions. I am so happy with my breast augmentation and have suggested Center for Plastic Surgery to others.”

Your Breast Augmentation Procedure in Washington, D.C.

Before you can undergo surgery, we ask that you schedule your breast augmentation consultation at either of our Washington DC area offices in Chevy Chase, Maryland or Annandale, Northern Virginia. If you are over the age of 40 we require you to have a mammogram before your surgery. Once complete, one of our doctors will work with you to find a treatment plan that is best for you. Some options include:

Breast Implant Size and Placement

There are two placement options for breast implants: behind the breast gland or, more commonly, behind the pectoralis muscle under the breast. Your desired result, the amount of natural breast tissue you have, and your body type will all play a role in which placement option will work best for you. Our surgeons and staff can discuss placement recommendations during your consultation.

  • Over the Muscle Placement (Subglandular): If your implants are placed over the pectoralis muscle, you will likely experience a quicker recovery and less implant movement during chest exercise. This placement is a good option for women who have a decent amount of natural breast tissue, as subglandular placement may result in implant visibility in very thin patients.
  • Under the Muscle Placement (Submuscular): When implants are placed under the muscle, they are typically covered better, reducing the risk of implant rippling or palpability (seeing or feeling implant through the skin). This option also helps keep your glandular tissue fully visible during a mammogram. Also, the capsular contracture rate is lower when implants are placed under the muscle.  This option does require a slightly longer recovery, wherein your implants will settle (“dropping & fluffing”) over the course of up to six weeks.

In regards to implant size, implant volume is measured in cc (cubic centimeters), and implants typically range between 100 to 800 cc. During your consultation, we will help you select the size of your implants by placing trial implants (known as “sizers”) in a bra for you to visualize the potential changes in your appearance. Depending on your natural breasts, your implants may be filled to different volumes to create a symmetrical appearance.

Breast Augmentation Incision Options

How your incision is placed is a decision that will be made based on your natural anatomy, where you would like your scars, the other implant options you have selected, and recommendations from your surgeon.

  • Inframammary: this incision is placed along the natural fold beneath your breast, where it is barely visible and is by far the most commonly used incision today.
  • Periareolar: this incision is made around the lower edge of the areola, where it is concealed by the darker pigmentation of the areola.

Your Breast Augmentation Results & Recovery in Washington, D.C.

Immediately after your procedure, a soft compressive dressing will be placed on your chest before you wake from the anesthesia. One or two days later, this dressing will be removed. We will give you a soft, elastic post-operative bra to wear for three weeks, which must be removed for bathing.

Potential Complications

In rare instances, patients may develop a breast “capsular contracture” which can cause unnatural firmness or alter the shape or position of the breast implant. We are very proactive in the prevention of capsular contracture, and quick to remedy it when it occurs.

Breast cancer rates are no higher for people who have had breast augmentation surgery than for the general population.

How Long Will My Implants Last?

At some point in your lifetime, you may need to have your implants replaced. Replacements are not automatically required after a certain time period. In the years following your initial breast augmentation surgery, you should continue to have routine breast exams and mammograms.

Schedule Your Complimentary Consultation

Call Center for Plastic Surgery to schedule your free consult for breast augmentation! CPS has been helping Breast Augmentation patients feel more confident since 1986. We pride ourselves on providing a comfortable, caring environment for our patients. Washington DC area residents are encouraged to discuss their goals and expectations. No question is too large or small, we are here to help you make a great decision.