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Breast Implants

Model - Breast Implant Choices

Today, women considering breast augmentation have more choices than ever when it comes to breast implants. At our practice, with offices in Houston, Webster, and Pearland, TX, board-certified plastic surgeon Dr. Clayton Moliver takes the time to help his patients understand all of their options. He makes choosing breast implants an enjoyable, collaborative process between patient and doctor.

At Houston Plastic & Reconstructive Surgery, we offer the latest breast implants in a wide selection of options for women from Pasadena, League City, and surrounding communities. To get started, request a consultation to meet with Dr. Moliver using our online form. Or call us at (281) 282-9555 and a member of our staff will help schedule an appointment.

Choosing Saline or Silicone

Dr. Moliver offers most breast augmentation patients a choice of saline or silicone implants. Both types of implant have a silicone elastomer outer covering, called the shell. Advantages of each type are described below.

Saline Implants

Saline breast implants are surgically implanted under the breasts and then filled with a sterile saltwater solution through a valve. Advantages of saline implants include:

  • Smaller incisions: Because the implant shell is filled after being inserted, a smaller incision is needed. Often, an incision of less than 1 inch is made just along the edge of the areola, where it is usually completely inconspicuous.
  • Adjustable size: The volume of saline implants may be adjusted after the implant is placed, enabling your surgeon to fine-tune your new breast size by adding or letting out saline.
  • Approved for younger patients: While silicone gel implants have minimum age requirement for the patient (at least age 22 for breast augmentation, or women of any age for breast reconstruction), saline breast implants can be used in qualifying patients as young as 18.
  • Lighter: Saline implants are also known for being lighter than silicone implants of the same size.
  • More affordable: Saline breast implants can cost up to $1,000 less than silicone implants

Silicone Implants

Silicone breast implants have the same type of silicone shell as saline breast implants but are pre-filled with cohesive silicone gel instead of being filled with saltwater after placement. Today's cohesive silicone gel is very different from the old-style silicone liquid that was used in silicone breast implants for approximately 30 years up to 1992. Today's gel is thick and will not run the way saline or old-style liquid silicone would run. The U.S. FDA approved the use of cohesive silicone gel implants in November 2006 because it determined through a series of studies that the implants were safe. The primary advantages of silicone breast implants, according to most women and plastic surgeons, include:

  • Have a significantly reduced possibility of rippling over saline implants.
  • Feel much more like natural breast tissue than saline implants.

Is Silicone the Best Choice?

There is no doubt that if you feel a silicone breast implant and a saline breast implant at the same time, you will agree that silicone feels more like natural breast tissue. For this reason, many women want silicone breast implants. However, not all women are at risk for noticeable rippling, and not all saline implants will feel unnatural once they are in place on the chest wall. Many factors influence rippling and feel, including:

  • Placement of the actual implant (above or below the muscle)
  • Amount of natural breast tissue covering the breast implant
  • Implant size

Dr. Moliver can help you understand how these issues will impact your specific results. He primarily uses breast implants made by Mentor®, including Mentor Saline® and Mentor MemoryGel®. He also uses Mentor MemoryShape® implants, which are filled with highly cohesive silicone and have a teardrop shape. All these options help you to customize your results. Your surgeon will consult with you to ensure your breast implant choice is the best fit for your goals.

Choosing Breast Implant Size

Many women find that choosing a new breast size is the most exciting part of preparing for breast augmentation. Making this choice can be stressful, as well, because it may involve more thought than you anticipated. With the help and guidance of your experienced surgeon, you can confidently choose the size that will provide the results you want. At your consultation, Dr. Moliver will evaluate your body type and aesthetic goals in order to recommend the breast implant size that is best for you.

Keep an Open Mind

We recommend not having a specific breast implant size in mind when you come in for your consultation. That's because breast implants are measured in cubic centimeters (cc) instead of bra cup sizes, which aren't standardized from one brand to another. The same size breast implants often don't provide the same results between women. It's better to bring in photos showing the results you'd like or show your surgeon cases from our online photo gallery.

Know What You Want

Most women say that they want to look natural because they don't want anyone to know they've had surgery. Their choice of breast implant size may be conservative because of concerns over how they will be perceived by family, friends, or co-workers. But, not all breast augmentation patients are concerned about people knowing they've had surgery. Some women are not conservative; they know what they want and if it is a larger look, they know that is what they will have. After all, breast augmentation should be for your own happiness and satisfaction.

The Rice Test

The rice test is valuable as a fast and easy way to approximate your appearance with various breast implant sizes. Just remember that it is only a general guide for sizing and should be considered mainly as a way to begin educating yourself and prepare for your breast implant consultation.

Try a Rice Test Now!

By giving yourself time to adjust to the potential new image and being realistic with your expectations, you are likely to be happy after surgery and not have regrets about your choice of size.

Other Choices

Once you have decided on your implant material and size, you have other choices to make, including:

Shape

Implants come in 2 shapes:

  • Round optimizes fullness in the upper breast and cleavage. Round implants can have smooth or textured covering and do not need any particular position.
  • Teardrop, also called "anatomically shaped" or simply "shaped," are fuller at the bottom than the top to mimic a natural sloping breast shape. Shaped implants are always textured on the outside to help keep them oriented properly, with the more narrow end higher than the wider end.

Profile

An implant's profile refers to how much it projects from the chest wall. The most common profile options are moderate, moderate plus, and high. It's important to choose a profile that produces results that look natural on your body.

Surface

The surface of the implant shell can be either smooth or textured. A textured shell is required for shaped implants because it keeps them from rotating within the implant pocket.

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Meet Our Surgeons

With Dr. Clayton Moliver, Dr. Fred Aguilar, and Dr. Soumo Banerji, our practice is the proud home of 3 of the top plastic surgeons in the Houston area. Their combined expertise has brought beautiful results to thousands of patients — all with a genuine, 1-on-1 approach.

Meet Dr. Clayton Moliver Meet Dr. Fred Aguilar Meet Dr. Soumo Banerji

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