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Breast Implants: What you need to know! 

Breast Augmentation

Breast implants - Dr. Beverly Fischer - Baltimore, MD

Types of breast implants

There are three types of breast implants.
  • Saline Implants
  • Silicone Gel- Filled Implants
  • Alternative Composite Implants
Saline Implants

These are implants filled with a sterile saline solution, for instance, salt waters. The solution is held within an elastomer silicone shell. The saline implants can be filled with various amount of saline solution. This will affect the touch, firmness, and shape of your breast. Just in case the saline breast implants leaks, the solution will be absorbed and ejected by your body naturally.

Silicone gel-filled implants

Silicone gel filled implants consist of a silicone gel-filled outer shell. If a silicone gel filled implant leaks, the gel will either stay in the shell or seep into the breast implant pocket. A leaking silicone gel filled implant may collapse or may not.

If you choose to have this type of implant, you should carry out more regular checks ups with your doctor. Your doctor can either use MRI or Ultrasound to check the state of the silicone gel-filled breast implants. 

Alternative composite breast implants

This type of breast implant may be filled with polypropylene thread, soy oil or several other materials.

The choice of breast implant that is best for you will depend on several factors. 

What to expect

Breast augmentation is a kind of a surgical procedure. Therefore, it is important for you to think wisely before deciding on the method. Before the surgery, the surgeon should assist you in selecting the size of the breast implant required. The doctor will put various sizes of implants into a bra to see how you feel.

A general anesthetic will be used to keep you asleep during the surgery. A local anesthetic also known as area numbing can be utilized if you want to be awake and see what is done.

Incision options

It is important that you discuss these incision options with your surgeon.

  • Transaxillary incision in the armpit
  • Inframammary incision is done in the fold under the breast
  • Periareolar incision around the nipple

The incision choice will depend on your anatomy, how much enlargement is involved, the type of breast implant and your preference.

Placing and inserting the breast implants

The breast implants are usually placed in pockets.

Types of placements
  • A submammary or sub glandular placement goes behind the breast tissue over the pectoral muscle.
  • A submuscular placement is the one that goes under the pectoral muscle. Recovery may be long, and there may be more pain after the surgery.
Closing the incisions

The incisions are closed with layers closures or stitches in the breast tissues. Skin adhesives or glues, sutures, and surgical tapes are used to close the skin and to keep it closed. The incision lines will be noticeable after the surgery, but the lines will disappear with time.


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Evaluating the outcomes

The surgery will leave some inflammation. However, that should resolve in two weeks whereby the incision lines will also disappear. You should be able to decide whether the process meets your anticipation.

Releated: Need more choices? We have more about breast augmentations. 

After the surgery, our team will give you information on:
  • When to go to the follow-up visit
  • When to call a doctor
  • How to use the recommended medicines
  • How to take care of the breast

We enjoy being with you every step of the way. Contact us to scheudle your consultaiton.