Breast Implant Options & Choices – Implants, Placement and Incision

Breast Implants Choices: Options for Implant Fill, Size, Texture, Shape, Projection, Placement & Incision

One of the BIGGEST decisions you’ll make about Breast Augmentation or Breast Implant Surgery is the type of breast implant you want to use.

  • In Australia, the most popular breast implants used by specialist plastic surgeons are the respected brands MENTOR Implants and MOTIVA implants.
  • The most popular breast implant choice for patients and surgeons is high-grade SILICONE implants.
  • Most surgeons are using round, smooth or micro-textured implants. Furthermore, the most popular breast implant sizes are around 300ml to 400ml

Top Melbourne Plastic Surgeon Dr Craig Rubinstein will help you understand which factors are important to consider when making the best choices for your breast implant surgery.

If you are undergoing breast augmentation or a breast lift with implants, then you will likely be wondering about your breast implant options.

There is a wide variety of high-quality breast implant choices in Australia allowing your specialist plastic surgeon to customise your surgery to achieve your desired results.

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Your Breast Implant and Surgery Options

1. Breast Implant Brands in Australia

There are a few high-quality brands used by leading specialist plastic surgeons in Australia. Most Surgeons use Allergan, Mentor or Motiva.  This is due to the fact they are all highly reputable and consistent brands.

Dr Rubinstein mostly uses Motiva implants since they offer patients long-lasting, natural feeling results.

Furthermore, during the procedure, these implants are inserted using a Kellar Funnel. As this minimising handling or damage, and helps prevent future implant rupture

breast implant types
A Breast Implant being Inserted using a Kellar Funnel

2. Breast Implant Types – Saline and Silicone

There are two breast implant types available in Australia: Saline and silicone. Dr Rubinstein prefers using silicone implants as they produce a better, natural look and feel than saline. Saline can also suffer from a “waterbed” rippling look.

Further, saline implants can be more difficult to insert and can even create a “sloshing” noise during exercise. While some patients might be nervous about silicone implants, they produ7ce a better result and have the same silicone shell as saline.

3. Breast Implant Shapes – Round or Teardrop (Anatomical)

Implants come in a few different shapes. Currently, these are round and teardrop or anatomical. The choice of shape depends on what you require top get the results you need. Round implants can move in the breast pocket, generally without affecting the shape of the breast. Anatomical implants, however, while giving you a more natural shape, will deform the shape of the breast if they move in the pocket.

4. Breast Implant Textures – Smooth to highly Textured

Implants can also come in a variety of different textures from smooth to highly textured. Smooth surface implants have a softer feel and are generally easier to place in the breast pocket. The much less popular, textured implants, however, reduce the risk of implant movement and allows the breast tissue to better adhere to the implant surface.

5. Breast Implant Sizes – From small to large implants and beyond

A small sized implant might be around 150 to 200 cc while a large implant is considered to be anything above 400 CC.

How large or small an implant is on your body, however, is determined by your physique and torso dimensions. A 400 cc implant might be far too large on a smaller patient, but look perfectly natural on a taller one. As a result, it is essential that you work with your surgeon to find the correct implant size for your surgical aims. Dr Craig is known for conservatively sized, natural-looking breasts that avoid future problems associated with very large implants.

6. Breast Implant Placement Options: The Placement Pocket

There are three common approaches for Breast Implant placement.

  • placing the implant in front of the pectoral muscle
  • behind the pectoral muscle
  • or partially behind the muscle (dual plane).

Each of these methods offers a different type of result, and Dr Craig will be able to suggest the best-practice Breast Implant approach for your goals, depending on your skin, body composition, existing breast tissues, lifestyle and desired outcomes.

Remember, getting good results depends on a variety of aspects of your surgery. It’s important to plan the surgery carefully but also to follow pre-surgery and post-surgery instructions, not to smoke, but to eat well, rest, not exercise or do too much too early, and to understand the healing and recovery processes and time frames.  These can ALL vary and all surgery has risks.

breast-implant-placement-under-muscle

A. Submuscular (Implant Placement)

  • Placing the implant underneath the pectoral muscle allows the soft tissue to cover the implant and disguise it, therefore achieving a more natural result.
  • More often a surgeon will recommend placing the implant behind the pectoral muscle.
  • Recovery in the first couple of days is a little more uncomfortable when the implant is placed/located behind your pectoral muscle, but the results over the long term mean you’ll usually get a more natural-looking outcome.
  • This can vary from patient to patient, however, and may depend on what you’re starting with.

B. Subglandular (Implant Placement in FRONT of the muscle)

  • If there is already a good volume of breast tissue present (as determined by pinching up a fold of breast tissue) to hide the defined implant edges, your surgeon may recommend placing the implant in front of the pectoral muscle.
  • This procedure often affords a more comfortable recovery period, and faster procedure time as the muscles are not disturbed during surgery.

C. Dual Plane Breast Augmentation placement options

  • Partially behind the muscle, is another breast implant placement option you may be discussing with your Surgeon.
  • Ask Dr Rubinstein what he recommends during a confidential consultation in Hawthorn.

7. Breast Augmentation Incisions and Scars:

There are 3 types of breast Implant Incisions, but in modern times, typically only 2 will be used – armpit or IMF – and the inframammary (IMF) incision approach is by far the most common.

A. Periareolar Incision (around the nipple) – is simply not used as much today because of higher risks to breast functions.

  • When it comes to the areola method, the incision is made around the outline of the areola.
  •  The goal is to make the incision in between the dark area of the areola and its surrounding skin, which helps to minimise scar visibility.
  • A disadvantage of the periareolar incision is a higher risk of complications such as lost nipple sensation.
  • Or, being unable to breastfeed (compared to other incision methods).

B. Transaxillary Incision – Armpit Incision or “Indian – Asian Breast Augmentation procedure” to reduce Keloid Scarring

  • This type of incision is made in the armpit fold.
  • It creates a channel from the armpit to the breast so the implant can be placed behind the nipple.
  • The benefit of a Transaxillary Incision is its placement, making the scar virtually invisible as it rests within skin-folds in the armpit area (there WILL be a scar, however, and it may be seen especially in certain positions – it’s just less obvious in the armpit for SOME patients, especially when their arms are by their sides).
  • Women with darker skin that is prone to keloid scarring, or who are wanting to have children and breastfeed after breast augmentation, may be good candidates for this incision type, but it can only be used ONCE for primary surgery (or sometimes it can be used for removal of an implant, by some Surgeons, but not for removal and replacement).
  • There are some added risks to this approach – ask your Surgeon about the PROS and CONS of armpit-area incisions for breast implant placement.
  • Secondary Breast Augmentation or size changes will require an inframammary fold incision.

C. Inframammary Incision – in the breast crease under the breast (inframammary fold or IMF)

  • The most common incision site location for breast augmentation is the crease beneath the breast (inframammary).
  • This provides the most direct access to the implant pocket site. As well as the most reliable approach for achieving a symmetrical result.
  • The scar is usually quite short here, from approximately 2.5-3.5 cm (a short scar) to 4cms or more in length, sometimes longer.
  • Motiva and Mentor brand implants may impact the potential length of your scar, as will existing tissues, prior surgery and insertion preferences/implant sizes.

A periareolar approach can be used If there are concerns about a scar in the inframammary fold or if the fold isn’t developed and the scar is likely to be visible.

  • All incisions will leave a scar. In patients who experience normal scarring and recovery, they fade over time and are usually inconspicuous when wearing clothing
  • Dr Craig Rubinstein will be able to explain the level of scarring visibility for each approach.
  • He will also recommend which approach is best for your procedure.
  • Read the breast augmentation scar treatment page for information if scars after breast surgery are a concern.

Your Breast Implant Consultation with Dr Rubinstein

During your personal consultation, Dr Rubinstein will assess your existing anatomy and physique. This includes:

  • Are you short or long-waisted?
  • Is your chest narrow or broad?
  • How much space is there between the breasts or nipples?
  • Do you have a concave chest?

breast implant types

Further, during your consultation, Dr Rubinstein uses a range of size selection and planning tools, including Vectra 3D imaging and bra cup sizers to assess your needs. He also takes extensive measurements of each patient’s torso and chest area to help him anticipate what the end result of your procedure will be.

Dr Rubinstein uses these tools to keep results natural-looking while improving size, fullness, proportions, and cleavage.  He also uses a “laser level” to help identify the level of existing asymmetry of the breasts and/or nipples as well as other factors that may impact your surgical results.

Further Reading

Recommended Breast Augmentation Measurements: Customising Your Cleavage

The World’s Best Plastic Surgeons Use Motiva Implants

Vectra 3D Imaging for Breast Surgery