breast impants, difference between breast implants, polyurethane breast implants, smooth breast implants, dr mayson, breast excellence, australia

Which type of breast implant is right for you?

So you are interested in getting a breast enlargement? Which breast implants should you choose? This is an important decision and no doubt you are feeling a mix of excitement and anxiety about it. In this article we provide you with some easy-to-understand information so you can feel empowered to make a well-informed decision.

There are several choices to consider when deciding which breast implants are right for you. These include:
• Silicone or saline inner filler material
• Smooth, Textured (‘Rough’) or Polyurethane Foam-Covered Surfaces
• Round or Tear-Drop shapes
• Size

We won’t go into size in this article because that is really a choice that you should make with the assistance of your breast surgeon. But we will expand on the other choices for you.

Silicone or saline inner filler material

All breast Implants consist of an outer casing (called the ‘shell’ or ‘wall’) plus an inner filler material, which is either saline or silicone. Silicone and saline implants have very different characteristics. The main advantages of saline implants are that they can be inflated and deflated (see the image below).

fillable saline and silicone implant

However there are several disadvantages that are reasons why our patients very rarely choose them:

• Less natural feel (more like a “waterbed” feel)

• There is the risk of spontaneous deflation (which could be a very embarrassing situation)

• If a Saline implant wall ruptures, the implant will simply deflate, whereas Silicone implants have a shape retaining    memory, so breast fullness is not lost

• The chance of surface wrinkling or rippling is greater for Saline implants than Silicone implants

• The risk of Capsular Contracture (firming of the breasts or ‘stuck-on’ boob look) is higher than with our preferred        Polyurethane Foam-Covered Silicone Implants (“Furry Brazilians”)

See these comparisons in table form on our website page: Silicone versus Saline Implants

Smooth, Textured or Polyurethane Foam-Covered Implant Surfaces

Until 2009, the only choice in Australia was between Smooth and Textured (also called ‘Rough’) implants. We refer to these as ‘traditional implants’. However,  Australian women now have an additional choice in the form of Polyurethane Foam-Covered Implants. These still have silicone gel as their filler material but the implant shell is coated with a fine 1-2mm layer of polyurethane foam. Manufactured by Polytech in Germany for more than 25 years and used in over 60 countries worldwide, the foam coating gives them a ‘furry-feel’ – hence their colloquial name “Furries”!

smooth textured polyurethane

Polyurethane Foam-Covered Implants have the following reported advantages:

• The risk of Capsular Contracture – the commonest reason for repeat surgery – is dramatically less  compared to Smooth and Textured implants.
• By  adhering to the implant pocket walls like ‘velcro’, they virtually eliminate the risk of the implant rotating, descending or moving away from its original position – another common reason for repeat surgery with Smooth & Textured Implants.

Smooth And Textured Implants: Not All Are The Same!

There are many brands out there with greatly differing levels of quality. If a patient specifically wants a Smooth or Textured Implant, we only  recommend the highest quality brands.

You can read more details about implant surfaces on our website.

Round or ‘Tear-Drop’ Implant Shapes

Round Implant Shapes:

• Deliver more upper breast fullness
• Sometimes are the preferred shape to restore upper breast volume lost through breast-feeding or weight loss.
• Can be inserted through any incision location.
• Being perfectly round, rotation cannot produce any deformity of breast shape.

frontal side

‘Tear-Drop’ Implant Shapes:

• Have more fullness in the mid and lower sections that tapers off towards the top
• Produces an attractive and natural straight-line drape of skin from collar-bone down to nipple
• Can only be inserted through an incision under the breast

teardrop frontal side

Making Your Choice

A good place to start when considering what type of breast implant is best for you is to decide what shape you would prefer. You’re going to be attached to these ‘babies’ for a long-time so you really want to choose only the best quality implant that can deliver the ‘look’ you’re after.

If you prefer the Tear-Drop shape, then Polyurethane Foam-Covered Silicone Implants are really the stand-out choice because with textured ‘tear-drops’ you  still have the risk of implant rotation or displacement than the negligible risk with “Furries”!

Some of our patients are restricted by budget and because the “Furries” cost more, they turn to Smooth or Textured Implants instead. However, this is not always a wise decision because they could end requiring repeat surgery at considerable additional cost for a complication that may have been avoided by using the “Furries”!

So, if you wish to reduce your risks of repeat surgery, consider Polyurethane Foam-Covered Silicone Implants which come in both Round and Tear-Drop shapes depending on the ‘look’ you’re after.

Everyone’s situation is different and making the right decision is all important, so make sure you meet with your surgeon for a consultation and get personalised advice prior to making any decision.

Call us on 1300 73 63 53 and have an obligation-free chat with one of our friendly Clinical Advisors!

Why Don’t All Surgeons Offer Polyurethane Foam-Covered Silicone Implants?

Unfortunately for patients, not all breast augmentation surgeons offer polyurethane foam-covered silicone implants because:
• Polyurethane Foam-Covered Silicone Implants are more difficult to use, there is a long learning curve and many surgeons are either unwilling or unable to master the different techniques these implants require.
• Polyurethane Foam-Covered Silicone Implants cost more and with the current era of discounted breast implant surgery, these implants are not being offered by clinics seeking to contain their costs and look more attractive on price.

How would you feel?

…….. if your Smooth or Textured Implants developed Capsular Contracture or moved out of position – requiring further surgery at considerable additional cost – and your surgeon HAD NOT EVEN OFFERED YOU THE CHOICE of Polyurethane Foam-Covered Implants which may have prevented the complication? Not very happy I’m sure!

So, if you find that your surgeon:

• doesn’t offer you Polyurethane Foam-Covered Implants at all; or
• tries to talk you out of  them; or
• has limited experience in their use…..

…..then you owe it to yourself to seek a second opinion from a surgeon that does!

Dr George Mayson is one of Australia’s largest, longest and more experienced users of Polyurethane Foam-Covered Implants, so we have the experience to answer all your questions regarding these  quality  implants.

Call us on 1300 73 63 53 and have an obligation-free chat with one of our friendly Clinical Advisors!

About the Author

Breast Excellence

Our Clinic Manager says: “It’s not the quantity you do, but the quality you deliver!” Since 1999 and over 2,000 Breast Augmentations, our Certified Cosmetic Surgeon at Breast Excellence, Dr George Mayson, has a 100% Safety Record with not a single adverse event during surgery. As further testimony to our high standards of surgery and patient care is the fact that Dr Mayson has never had a single case of litigation, or even threatened litigation, over his entire professional career.

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