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Breast Implants

implantsToday there are more breast implant options for breast augmentation than ever before. Implants can be textured or smooth, round or anatomic (shaped), saline filled or silicone gel filled, and are available in all sizes and degrees of projection and width to accommodate each woman’s unique anatomy, needs, and desires for enhancement.

Breast Implant Types

Following a thorough examination and discussion, plastic surgeons Craig Rowin, MD and Ram Kalus, MD will recommend the type of breast implant most appropriate for you. Silicone implants contain an elastic cohesive silicone gel that feels much like a natural soft breast. This gives patients both a more natural look and feel. The FDA has approved the use of silicone implants as safe both for cosmetic augmentation in women 22 years old and older, and in reconstruction. However, they may also be used for younger women whose breasts may have developed with asymmetry or other abnormalities. By far, the most commonly used breast implant is a smooth round implant, either silicone gel-filled or saline-filled and, with proper size selection, will usually result in a very pretty enhancement for most women. The reason this seems to be a popular choice for women is that a smooth round implant will move slightly with a woman’s breast, more accurately resembling the behavior of the natural breast.

Breast Implants

IDEAL® Structured Saline Breast Implants

The IDEAL® Structured Saline Implant is the newest and most technologically advanced breast implant to become available to all women, and Dr. Kalus was the first plastic surgeon in South Carolina to make use of these implants and offer them to his patients.

The Problem with Traditional Saline Implants

Saline implants, according to the FDA guidelines, are the only implants approved for use in patients under 22 years of age. Yet saline implants feel more like a Baggie filled with water, and the vast majority of women—young and older—prefer the feel of silicone gel. Saline implants also have a higher failure rate.

The Solution Provided by the IDEAL IMPLANT®

The IDEAL IMPLANT® is a structured saline implant that is comprised of multiple shells or implants within one, and is essentially indistinguishable in feel from a silicone gel-filled implant. When placing both a silicone gel-filled implant and an IDEAL IMPLANT® in the hands of a patient, she can rarely distinguish one from the other.

Key Advantages of the IDEAL IMPLANT®

There are five obvious advantages of the IDEAL IMPLANT®:

  1. They are filled with saline at the time of surgery, allowing for a smaller incision by your surgeon to insert the implant
  2. The fact that they are filled at the time of surgery makes them adjustable to account for the fact that most women have subtle breast asymmetry. This gives your surgeon the ability to fine-tune your final volume and, therefore, achieve optimal symmetry for you.
  3. The IDEAL IMPLANT is filled with normal saline, which comprises 70% of your total body weight. There is nothing more “natural” than salt water.
  4. Removing or replacing the IDEAL IMPLANT® is generally far easier and requires less extensive surgery than the removal or replacement of a silicone gel implant if future surgery is needed years later.
  5. According to the FDA trials, the long-term performance of the IDEAL IMPLANT® is better than any other implant on the market, gel or saline.

Click to Download the IDEAL Implant Digital Brochure

Implant Updates

Recently, Allergan® was advised by the FDA to recall their BioCell® textured implants, which are a type of implant potentially associated with a rare type of late-development cancer called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Dr. Rowin and Dr. Kalus do not place any type of textured implant at Plastic Surgery of the Carolinas, nor do they regularly use Allergan® implants—when these implants have been utilized, the implants were always smooth-surfaced. Therefore, previous and current patients at our practice are generally not affected by the recall and should not be concerned about BIA-ALCL, which is very rare and estimated to affect only 1 in 20,000 patients with textured implants. At Plastic Surgery of the Carolinas, our plastic surgeons mainly utilize MENTOR® smooth implants. For this reason, patients need not worry about the recent news regarding textured implants and BIA-ALCL.

As always, women who have had breast augmentation should monitor their implants for any pain, swelling, or changes in appearance that may occur over time. Regardless of whether a patient has smooth or textured implants, no action is necessary if there are no symptoms or complications, such as pain, swelling, or tightness. For those who are uncertain which implants they have, this information can be found on one’s patient Identification Card that was provided at the time of breast augmentation surgery. If you would like more information, our office team is available to answer any questions or concerns.

Understanding Implant Sizes

Implants vary in width, projection and volume. This can be very confusing to women, who are used to discussing one number only such as “300 cc’s”. To better understand which implant is best for you, please notice that on the top shelf in the photo below, all the implants have exactly the same width (12.5 cm), yet the less projecting implant with that width is a 275 cc Moderate or Classic, and the most projecting is a 590 cc Ultra High Profile. On the lower shelf, all of the implants are 300 cc implants, yet the less projecting implant has a width or diameter of 12.8 cm, and the most projecting of the 300 cc implants is the Ultra High Profile which has a 9.7 cm diameter.

Once it is determined which implant width or diameter would best fit you, the next step is to decide which what sort of look you are hoping to achieve, i.e. more projection, moderate, or least. This is determined by how much breast tissue you have naturally, and how large you ultimately wish to be. All of this would be discussed during your consultation. And don’t be shy about coming prepared with images which you feel best represent your desired end point. These can be determined by visiting our gallery,, or any other photos you wish to bring. The advantage of using our gallery is that all of the relevant information about patient age, implant size and type, are clearly indicated.

MemoryGel® Breast Implants Video

Contact Plastic Surgery of the Carolinas

For more information on breast implants, or if you would like to schedule a consultation with Dr. Rowin or Dr. Kalus, please contact Plastic Surgery of the Carolinas.

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