What are the different types of breast implants?

Breast implants are medical devices with a solid silicone shell. The implant shell may be filled with either silicone gel or saline solutions (sterile salt water). Both silicone and saline breast implants are approved by the U.S. Food and Drug Administration (FDA).  

A major difference between silicone and saline implants is the feel of the implants.  Silicone implants feel more natural and are less likely to show rippling (surface irregularities that can be seen through the skin). Therefore, silicone implants are the most commonly used for breast reconstruction and breast augmentation.  There are several different types of silicone gels that are utilized. Old silicone had the consistency of honey, whereas the newer generation breast implants have a consistency more similar to jello. You may have heard of these by the term “gummy bear,” cohesive gel or form-stable implants.  This is because if they are cut or break they will hold their shape. On the other hand, if a saline implant ruptures, the fluid inside will be absorbed by your body and therefore the breast will look deflated.  

I specialize in breast reconstruction and breast augmentation surgery and want to help you achieve your aesthetic goals.  If you are having a breast augmentation, I will use our Vectra 3-D imaging system that allows you to visualize how the different implants look on your body at your initial consultation.  This allows you to make an informed decision on the style and size of implant you would like. Call today to schedule your consultation at my office located in Troy, Michigan 248-524-0620

Sarah Elswick, MD

Plastic, Reconstructive and Aesthetic Surgery

How is fat grafting used in Breast Reconstruction Surgery? 

 

Fat grafting is a way to transfer fat cells from one part of the body to another part of the body, in this case to the breasts.  The fat is collected via liposuction, processed, and then injected into the desired location. The fat can be harvested from any area with excess or undesirable fat.  Typical locations include the abdomen, flanks or love handles, and inner thighs and knees.

 

The fat can be utilized in multiple different ways.  First and foremost it is used to smooth out any contour irregularities or asymmetries in the breasts.  Similarly, it can be used to camouflage the edges of the implant or improve the appearance of rippling from the implant.  Fat grafting can also be used to enhance the volume of the breast, either by itself or in combination with an implant. If a large volume of fat is required, multiple fat grafting surgeries may be required.  It is possible to create a breast entirely with fat grafting depending on the amount of fat you have available and the size of breast you desire. Fat grafting can also be utilized to improve contour irregularities associated with lumpectomies.

 

Fat grafting is done at second stage or revisional procedures, not at the time of mastectomy. Usually fat grafting is performed in conjunction with other procedures so the length of the procedure depends upon what other procedures are being done.  In general, fat grafting takes anywhere from 45 minutes to 1.5 hours.

 

Dr. Elswick performs fat grafting in breast reconstruction cases as well as cosmetic surgeries. It provides beautiful natural results and is appealing to the individual who wishes to use their own body tissues to rebuild and restore their body. Call today to schedule your consultation.  248-524-0620

 

Dr. Sarah Elswick

Plastic, Reconstruction and Aesthetic Surgery :