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Decisions with Breast Augmentation

Breast AugmentationOpting to have breast augmentation is a big decision. It’s not like a Botox session or some like microneedling. Breast augmentation will change your body profile forever more, and that’s usually exactly why a woman opts to have Dr. Malamet perform augmentation. But the big decision to go forward is just one of many decisions you’ll need to make. Of course, Dr. Malamet will walk you through each one, so that you know what to expect and to make the choices that are right for you.

Saline or silicone?

You’ll decide on the implant type. All shells are made of silicone, but what they are filled with is decidedly different. Silicone implants are generally thought to feel more like natural breast tissue. Saline implants require smaller incisions, as they are filled once in place. Silicone implants are filled and inserted full.

Incision location

You’ll decide where you want Dr. Malamet to place your implants. He places implants through incisions made around the areola (periareolar), through the crease on the underside of the breast (inframammary), or through the armpit (transaxillary). There is scarring on the breasts with periareolar and inframammary incisions, but not with transaxillary, as they are made in the armpit.

What size and shape?

Of course, you’ll decide on the size of your implants. This is measured by the amount of filling, denoted in cubic centimeters. You’ll also choose the shape, usually either round or teardrop, and the projection. Projection is how much the upper portion of the implant projects outward.

Above or below the pectoral muscle?

You’ll also decide if you want your implants placed atop the pectoral muscle or beneath it. Generally, it’s felt that implants placed beneath the pectoral muscle look the most natural, but this is all personal preference. This placement also leads to a lower risk of capsular contracture, where scar tissue forms around the implant, tightening over time. Implants placed atop the muscle lead to a somewhat easier recovery, but also can lead to rippling (with saline implants) if there isn’t sufficient tissue between the implant and the surface skin.

All in all, making these decisions is exciting, as they’re all part of your new body shape! If you have any questions about breast augmentation, call Dr. Malamet at 818-380-3130.