Many of our breast augmentation patients have questions regarding the safety or efficacy of the breast implants procedure. Dr. William Umansky and Dr. Jeffrey Umansky believe that patient education is an important part of any surgery, so we strive to provide as much information as possible throughout the treatment process. Women interested in breast augmentation often feel overwhelmed by the many different decisions they must make regarding the size, shape, type, and placement of their implants. To help patients who are considering breast augmentation, we have compiled a selection of frequently asked questions and answers from our talented doctors.
The Drs. Umansky are also well-known as experts in breast revision surgeries. They have extensive experience repairing less-than-stellar results from previous surgeries, and with other revision procedures like removing and replacing implants. If you are not satisfied with your results from a previous breast augmentation, Dr. William and Dr. Jeffrey Umansky have the expertise to give you the results you deserve and desire.
Breast implants are devices that have a solid silicone outer shell filled with saline solution or silicone gel that are surgically implanted in order to increase the size of the breasts and/or improve the shape of the breasts.
Saline implants are filled with a sterile saltwater solution. Silicone breast implants are filled with silicone gel – a substance derived from the combination of a naturally-occurring element known as “silicon” with oxygen, carbon and hydrogen. Both types of implants can be either smooth or textured, round or contoured, and of different profiles. There is an additional type of breast implant now available called a cohesive gel implant, commonly known as the “gummy bear” implant because of its consistency similar to the candy. Cohesive gel implants are firmer than other gel implants but may have a role for select patients. Saline and silicone implants differ in terms of the way they react to ruptures and their reaction to surrounding breast and scar tissue. A rupture in a saline implant produces a noticeable amount of deflation. Silicone breast implants, meanwhile, tend to rupture silently, meaning that leaks are not readily apparent or easily identifiable. In addition, silicone implants are more likely to cause capsular contracture – a condition where the breast implant becomes distorted as a result of hardened scar tissue. Please contact Umansky Medical Center for Plastic Surgery to speak with a member of our staff about the benefits and risks associated with saline, silicone breast and gummy bear implants.
In November 2006, the Federal Drug Administration reapproved the silicone breast implants for patients 22 years of age and older. They are also approved for use in breast reconstruction patients who are 18 years old and older. Recognized for their excellence in performing breast augmentation procedures, our San Diego breast implants specialists were among a select few doctors chosen to participate in clinical studies to test the silicone implants before their re-release. We are proud to offer Allergan® , Sienta®, and Mentor® silicone implants for breast augmentation surgery. If you would like more information about the safety of silicone, please contact us for a consultation.
Breast implants are offered in several different shapes and textures. Breast implants (including Saline, Silicone, Cohesive Gel and Gummy Bear Implants) can be contoured, round, smooth or textured. Contoured implants, sometimes called teardrop implants because of their shape, were designed to better mimic the natural curve of breasts. Teardrop implants are fuller in size along the bottom and more tapered toward the top. They tend to rotate within the pocket of breast tissue and distort the breast. As a result, teardrop implants have a textured surface. Contoured implants are also more likely to ripple, and are not often used by our surgeons. Textured surfaces on a breast implant are meant to create cohesion between the implant and the surrounding tissue. This was believed to prevent capsular contracture, however, this has not been satisfactorily proven. Some round implants can also be textured, however, approximately 90 percent of breast augmentation patients select smooth round implants. Our breast implant surgeons have extensive experience with a full selection of low, moderate, plus, and high profile breast implants. Whether you are looking for a more pronounced bust line or a subtle enhancement, the team at Umansky Medical Center in La Jolla will customize the breast augmentation procedure to suit your needs. The most important aspect of selecting an appropriate breast implant includes determining the look you wish to achieve after surgery. It is highly recommended that you discuss all your options with one of our breast augmentation surgeons in order to gain a better understanding of the pros and cons of the procedure and to help you make the best possible decision.
Recovery following breast augmentation surgery varies depending upon the patient. Most of our breast augmentation patients are able to operate a motor vehicle within three to five days of the procedure and often can return to other activities such as work within a week. In order to maximize your results and prevent complications from arising, it is crucial that breast augmentation patients strictly adhere to all post-op instructions given by our surgeons and avoid strenuous activities.
As with all types of surgery, breast augmentation procedures do have certain risks. The potential complications that can arise with breast augmentation and breast implants include capsular contracture, rippling, rupture, infection, changes in breast sensation and implant malposition. While risks are associated with breast augmentation, they can be greatly reduced when the surgery is performed by a highly experienced and skilled plastic surgeon. Contact us at Umansky Medical Center in La Jolla to discuss breast augmentation complications with Drs. William or Jeffrey Umansky.