Breast implant Types for Breast Surgery in Melbourne with Dr Carmen
Breast Implants are used for Breast Implant Surgery including Breast Augmentation, Breast lift with implants and Breast implant replacement or exchange. A wide range of Breast Implant types are available for consideration.
There are at least 8 different options and surgery choices for Breast Implant Surgery. Breast Implants come in a wide variety of brands, sizes, profiles, fillings and shapes.
Breast Implant Surgery has many options including incision site, implant placement position and whether fat transfer will be used for additional shaping and a better aesthetic outcome.
Breast Implant Brands
Motiva and Mentor Implants are the two most popular quality breast implant brands used in Australia. Dr Carmen prefers to use Motiva Implants which are the next generation.
Breast Implant Size
Breast Implants are available in a wide range of sizes from 100cc to 800+cc. The most common breast implant size used by Dr Carmen is around 300-350ml.
Implants of two different sizes may be used for asymmetric breasts.
Breast Implant Profile
Breast Implants come in a range of profiles or heights to allow for different desired breast projection. Profiles from low to very high are available in different brands. The Mid Profiles are the most popular.
Breast Implant Filling
Saline implants contain sterile salt water. Some women feel more comfortable knowing that the saline implants are filled with a natural solution which is safely and easily absorbed and then expelled by the body should the implant shell leak and collapse. Any rupture can be easily detected and therefore addressed immediately. The implant is placed into the breast pocket as an empty shell and then filled to the desired size. For this reason, the saline implant requires a smaller incision for placement. Dr Carmen Munteanu can also perform minimal adjustments to closely achieve the pre-determined breast size.
Saline implants provide a uniform feel, shape and firmness.
Silicone implants are filled with silicone gel, a material which most closely replicates the feel of your natural breast tissue. Should a silicone implant leak, the gel may either remain within the implant shell, or escape into the breast implant pocket, but the implant will not collapse. Should you choose to have a silicone implant, you may need to regularly attend check-ups to ensure the implants are functioning correctly. The condition of the implants can be determined through an MRI or an ultrasound.
Form-stable implants are sometimes also referred to as “gummy bear implants” as they are able to maintain their form, even if they break. They are filled with a thicker silicone gel than traditional silicone implants and are also considered to be less likely to break. Form-stable implants have a distinct teardrop shape to closely mimic the natural drape and contour of your breast, however, if they rotate, they can result in an unusual appearance. The placement of form-stable implants requires a longer incision as they are pre-filled.
Regardless of which implant filling you receive, it is important to monitor the implants and attend appropriate follow-up consultations and check-ups.
Breast Implant Shapes
Round implants deliver more upper breast fullness. This shape is commonly preferred to restore upper breast volume which can be lost through breastfeeding or weight loss. There is less concern for round implants to ‘rotate’ out of place.
Teardrop implants, which are also known as anatomical implants, achieve more fullness in the lower half of the breast, and tapers off towards the top. This shape produces a subtle straight-line drape for an attractive and natural-looking result.
Breast Implant Surface texture
Smooth breast implants provide the softest feel. These implants can move with the breast implant pocket, which may give more natural movement. These implants may, however, cause some palpable or visible rippling.
Textured breast implants develop scar tissue to stick to the implant, making them less likely to move around inside of the breast and reposition themselves. Textured breast implants offer some advantages in diminishing the risk of a tight scar capsule.
Breast Augmentation Surgery options
Implant positioning choices
Sub-muscular placement positions the breast implant under the pectoralis muscle on the chest wall. This placement tends to produce a more natural look as the implants are covered by both the breast tissue and the pectoral muscle. It also lowers the chances of hardening (capsular contracture), and makes it easier for you to undergo a mammogram.
The muscle supports the placement of the implant, reducing both the wear to the skin and visible rippling. This placement is somewhat more invasive and requires further recovery time as an incision has been made into the muscle.
Sub-glandular placement positions the implant between the chest muscle and the breast tissue. This surgical procedure is considered less invasive than sub-muscular placement and results in less postoperative discomfort as the muscle remains intact. With this form of placement, the implant does not become distorted when the pectoral muscles are flexed. However, as there is less tissue covering the implant, the breasts are more susceptible to visible rippling and can generally result in a less natural appearance.
Dual plane placement is a combination of sub-glandular and sub-muscular. The dual plane provides a slight breast lift and a natural breast appearance with adequate soft-tissue coverage over the breast implant. This placement technique optimises the dynamics of the implant and the soft tissue, increasing aesthetics and reducing complications.
Implant Incision choices
There is a choice in the positioning of the incision to place the breast implant; in the crease under the breast, under the areola, or in the armpit. In each and every case we aim to achieve the best results possible while minimising scarring.
Fat Transfer to Breasts
Fat alone or Hybrid Breast Surgery – Breast Implants and Fat
A fat transfer breast augmentation utilises fat taken from other parts of your body through liposuction and then injected it into your breasts during surgery to create a better shape and better-looking result.
Fat Transfer can be used on its own – Fat Transfer Breast Enlargement – without an implant or as a Composite or Hybrid Breast Augmentation – fat grafting with breast implants.
The fat grafting option without implants is suitable for any patient who is looking to achieve a small increase in the size of their breasts and prefer natural-looking results. Typically an additional half to one cup bra size. Large volume fat transfer is riskier and not recommended.
The risks in this fat transfer procedure include infection, cysts, microcalcification, death of the fat cells, and even the possibility that the deposited cells will migrate out of the breast area. It may be necessary to undergo “touch-up” injections to maintain the shape of your breasts if you chose this option.
Further Reading – Medical References
- Motiva – (Breast Implant Types)
- ABCS- Guide to types of breast implants Available
- WebMD page on breast implants
- FDA- Types of Breast Implants
Risks and Complications of Breast Implant Removal Surgery
Every surgery has some risks and possible complications.
Dr Carmen will cover the potential risks and complications during your consultation as part of your informed consent. She will also explain the measures she will take in order to reduce your risks as much as possible.
Possible complications of surgery include the following:
- Complications related to general anaesthetic or side effects of drugs used in hospital
- Bleeding – reduced by preoperative testing of possible blood anomalies, accurate technique, use of drains, particular dressings, compressive garments
- Infection – prevented/reduced by judicious use of antibiotics, good surgical technique, modern sealing dressings, appropriate care, advice
- Abnormal or asymmetrical scarring– Many scars can be improved if approached in the right time frame in the right way.
- Fluid build-up or seroma
- Other risks include – Numbness and Pain, Wound breakdown and delayed healing, unsightly or keloid Scarring,
- Serious complications such as possible Heart attack, Deep Vein Thrombosis, Pulmonary Embolism
For more information about risks of surgery and possible complications
Specific possible complications of breast surgery can include the following:
- Changes to nipple sensation majority transient in nature,
- Potential breast asymmetries– “breasts are sisters not twins”
- Risk of BIA-ALCL– Generally associated only with textured implants
- Risk of BII– Breast implant illness
Inflammation, Infection, Pain, Seroma, Scar presence, Asymmetry, Necrosis
Things you can do to minimise your risks and complications of surgery
- Read all your surgical documents and follow instructions of your surgeon precisely – rest & Allow time to heal, wear your compression garments as instructed, avoid removing your own bandages or touching at the incision site until it has healed properly.
- Do NOT Smoke at all during the surgical journey – especially critical in the periods before and after surgery
- Be accurate and upfront about ALL your medications, supplements and vitamins that you are currently taking – Tell both Dr Carmen and your anaesthetist
- When providing your medical history give specific details about ANY past difficulties you have had with surgery, anaesthesia, hospital visits or healing
- Thorough pre-washing of your own body prior to surgery can reduce skin bacteria and risk of infection.
- Successful surgical outcomes are the result of a number of considerations – realistic surgical goals, realistic patient expectations, and a good knowledge and understanding of possible risks and complications.
Dr Carmen Munteanu – Specialist Plastic Surgeon
Dr Carmen Munteanu MD. FRACS (Plas) is a very skilled and compassionate Specialist Plastic Surgeon based in Melbourne’s eastern suburbs.
She is one of Melbourne’s most experienced and sought-after female Plastic Surgeons specialising in aesthetic breast surgery and body contouring. That includes Breast Reduction, Breast Lift, Breast Implant Surgery and Body Surgery.
With over 25 years of surgical experience in Plastic Surgery, Dr Carmen firmly believes that a good surgeon is first a good doctor. She will always take into consideration all the health aspects and personal circumstances of each patient.
A dedicated Specialist Plastic and Cosmetic Surgeon, Dr Carmen is renowned for providing exceptional care, support and helping achieve realistic goals for her patients.
Always Do Your Research
- Download our Procedure Guides to find out more about your surgery
- Please read our website to learn more about your intended procedure
Do you need a Medical Referral to see Dr Carmen?
- A medical referral is helpful but NOT essential for purely cosmetic consultations.
- Please obtain a referral from your GP or Specialist if you want a consultation for an MBS item number surgery.
- Please note that your Medicare Rebates will NOT be claimable without a valid recent Referral
Making The Most Of Your Consultation
- Please arrive slightly early for your in-person consultation with Dr Carmen – Carparking is available on site in Mitcham
- You are welcome to bring a friend or relative to help consider the information and discuss your options
- Please be aware you may need to undress for a physical exam so wear simple clothes
- Ensure you also take a lot of notes during the consultation and thoroughly examine all the documents provided
Want more information before scheduling your consultation?
- Find out more about pricing, medical payment plans and paying for your surgery
- Request more information about the procedure – call or contact us
How to Book Your Consultation with Dr Carmen
- You can book your initial consultation with Dr Carmen Munteanu by paying the $275 cosmetic consultation fee in advance – when you make your appointment.
Email us for more information: firstname.lastname@example.org