Breast Augmentation HOW WILL THE PROCEDURE BE PERFORMED?

The breast implant can be placed either partially under the pectoralis major muscle (submuscular) or on top of the muscle and under the breast glands (subglandular), depending on the thickness of your breast tissue and its ability to adequately cover the breast implant. You should discuss with your surgeon the pros and cons of the implant placement selected for you. Subglandular Submuscular implantation implantation INCISION SITES Incisions can be placed either in the armpit , around the nipple or areolae, which usually enlarge in proportion to the increased breast size, or in the lower breast crease. The space is madding exactly in the right place and position to correspond to the exact type of implant. IMPLANTS SIZE The surgeon will start by measuring your breast base width. Implants come in a variety of widths. You and your surgeon will also want to discuss cup size. Implants come in a variety of volumes and, generally, the larger you want your cup size, the larger the breast implant the surgeon will consider. Your surgeon will also evaluate your existing tissue to determine if you have enough tissue to cover the breast implant. A breast implant that is too large for your tissue can result in excessive stretching of the skin and result in the need for future corrective surgeries. In addition, the implant edges may be apparent or visible postoperatively. Also, excessively large breast implants may speed up the effects of gravity and result in earlier droop or sag. IMPLANTS SHAPE In addition to size, you will also be able to determine if you want to re-shape your breast. Some implants give the breast a more rounded appearance, while others create a breast shaped like a teardrop.

TYPE OF IMPLANTS Silicone gel, which have a silicone shell filled with a viscous silicone gel. In the 80 countries where silicone implants are available, they are used in approximately 90-95% of implant operations. The silicone gel used in breast implants has been shown to be biocompatible and reliable, making it an appropriate choice for an implantable medical device.

The choice of implant filler, implant size, shape and other features will be determined based on your breast anatomy, body type and your desired increase in size. Your lifestyle, goals and personal preferences, as well your plastic surgeon's recommendations and sound surgical judgment are also determining factors. As our patients come from all over the world, we give you the possibility to choose the brand and type of implant according to your preference and the implants used in your own country. You will be able to choose: US implants (brands: Mentor and Inamed) French implants (brand: Eurosilicone) From the many options available, you will select with your surgeon the appropriate implant based upon your goals of surgery and your unique physical characteristics. This preoperative planning process is critically important in achieving the best surgical result because it helps you and your surgeon to know exactly which implant size, shape, filler and profile fits both your goals and body type.

Eurosilicone Implants Company summary These implants are made in France by a specialist manufacturer called Eurosilicone who have been making implants since 1987.

Implant profiles and types Crystalline paragel silicone implants are available in the U.K. in sizes ranging from 60cc to 300cc. These implants incorporate a low permeability barrier layer within the shell structure in order to suppress any gel bleeding (please see diagram of the Paragel envelope below).

The micro-texturation of the implants` surface offers excellent biocompatability and reduced capsular contraction incidence. The silicone-gel is also cohesive enough so that it does not migrate in the case of an implants` rupture. Both anatomically shaped and the more usual round implants in low and high profile like the one pictured above are distributed. Specialist implants can be made to order.

Mentor Implants Company Summary Mentor is a leading American global medical device company involved in the manufacture of a number of products that have applications ranging from the treatment of stress incontinence in women, to erectile dysfuntion in men and facial aesthetic dermal filler and botulinum toxin products. Mentor are also one of two market leading, global manufacturers of silicone and saline breast implants and have been manufacturing and distributing them worldwide for over 30 years.

Implant Types and Sizes Implants are available from Mentor with both smooth and Siltex textured outer shells and in a variety of different profiles and sizes, as well as in round or anatomical contoured styles. Contoured or tear drop implants and round implants are available in a variety of shapes according to two differing parameters, known as implant height and implant profile or projection. The height refers to the size and shape of the implant footprint, i.e. the section that sits against the chest itself once implanted. This choice will vary according to how wide or narrow your chest is. The profile or projection refers to how far outwards the drop on the tear comes away from the chest, as a natural breast would or how far forward the round implant projects. The actual cup size or volume can then be decided on once the anatomical shape has been established. Silicone Breast Implants All of Mentors silicone gel implants are made from an outer silicone shell and an inner cohesive silicone gel filling (know as their proprietary MemoryGel), which means that the gel filler acts as a solid, rather than a liquid, and cannot leak, whilst still retaining a natural feel that is said to better resemble actual breast tissue. Mentor produces a wide selection of consistencies to its MemoryGel from soft (Cohesive I) to firm (Cohesive III). This advancement in silicone technology has yet further increased the safety rating of silicone implants, compared to earlier more liquid developments.

A Mentor Cohesive Silicone Gel Implant Cut Open In America, such cohesive silicone gel implants have been nicknamed gummy bear implants due to the comparison of the consistency of the implant, if you were to cut one in half, with that of the childrens jelly sweets.

Silicone Round Breast Implants Smooth Round Ultra High Profile Provides the narrowest base and highest projection with Mentors Memory Gel cohesive silicone gel (available in Cohesive I).

Smooth Round High Profile Provides a narrow base and high projection with Mentors Memory Gel cohesive silicone gel (available in Cohesive I).

Smooth Round Moderate Plus Profile Provides a moderate base and high profile with Mentors Memory Gel cohesive silicone gel (available in Cohesive I).

Smooth Round Moderate Profile Provides the widest base and low profile with Mentors Memory Gel cohesive silicone gel (available in Cohesive I).

Siltex Round Ultra High Profile Provides the narrowest base and highest projection with Mentors Memory Gel cohesive silicone gel (available in Cohesive I) and Siltex textured surface.

Siltex Round High Profile Provides a narrow base and high projection with Mentors Memory Gel cohesive silicone gel (available in Cohesive I & II) and Siltex textured surface.

Siltex Round Moderate Plus Profile Provides a moderate base and high profile with Mentors Memory Gel cohesive silicone gel (available in Cohesive I & II) and Siltex textured surface.

Siltex Round Moderate Profile Provides the widest base and low profile with Mentors Memory Gel cohesive silicone gel (available in Cohesive I & II) and Siltex textured surface.