Breast Augmentation Tacoma WA – Saline or Silicone Implants

Breast Augmentation General Considerations

When a woman wishing to enhance the appearance of her breasts seeks  breast augmentation, the operation can successfully accomplish these goals in most cases. In some cases, a mastopexy, or a breast lift combined with a breast augmentation, may be necessary. Depending on the amount of excess or loose skin and the degree of descent of the nipple below the level of its normal anatomic location, implants by themselves may not be enough to recreate a youthful-appearing breast. During your consultation with Tacoma area board certified plastic surgeon Dr. Cohen, he will perform a physical exam with careful measurements in order to determine exactly which procedure is right for you.

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Silicone vs Saline Breast Implant Type

There are two broad categories available on the market: silicone and saline implants. It is important to note that these terms refer to the material that fills the inside of the device, because the outer shells of both  are universally made of silicone. Thus, a silicone device has a silicone outer shell and is filled with silicone gel; while a saline implant has a silicone outer shell and is filled with saline, which is a sterile solution of salt in water. Silicone is a highly inert material that is used for making many different implantable medical devices, including insulin pumps and prosthetic joints, because of its safety and its relative lack of reactivity with the body’s immune system. Within each category, there are two sub-categories based on the outer surface of the shell: textured-surface and smooth-surface. When an implant is made in a teardrop shape in order to resemble the natural shapes of a breast, it is not allowed to rotate inside the body, since a rotated teardrop implant will distort the shape. In order to prevent such rotation, these are made with a textured surface so that they will “velcro” themselves to the tissue from the inside. By contrast, a round (i.e. spherical) device does not require a textured surface, since if a spherical implant rotates inside the body, it will not distort the shape. For this reason, most round medical devices have a smooth surface, although round implants with textured surfaces do exist as well, because at one time textured surfaces were believed to decrease the long-term risk of capsular contracture, a finding that has not stood the test of time. Due to mounting evidence pointing at decreased safety of textured implants, Dr. Cohen currently recommends using smooth-surface implants over textured to all his patients. It is important to know that, while the first “gummy” or cohesive gel introduced in the United States were all textured, this is no longer the case, and “gummy” implants now come with smooth surfaces as well. If a woman insists on having textured teardrop-shape, Dr. Cohen can still accommodate her desires after counseling her on all the current data available regarding their safety. For more information about this, please refer to the link for the FDA website:

Saline and Silicone Devices – Breast Augmentation Options

Concerns regarding safety of silicone and saline have been a recurring issue over the years, with new concerns emerging all the time. Some of these concerns have been legitimate, while others have not. The discussion on the history of the implant and their safety can occupy hundreds of pages and therefore cannot be fully addressed on this website. It is important to distinguish between concerns that are based on rigorous scientific data (such as ones listed on FDA website), as opposed to concerns that are driven by anecdotal evidence, media hype, and litigation. Not everything that is being said about implants on the internet, television, and social media, is based on good scientific studies, and it is important to know the source of the information when evaluating various statements about implant safety. It is perhaps most important to bring these concerns to a board-certified plastic surgeon and to ultimately ask the question, “would you place this implant in your family member?”


What Size is Best – Schedule a Consultation

Most doctors will acknowledge that the two most important considerations in looking for the right size of the implant are the woman’s desires (“how big do you want to go?”) and her anatomy. The implant diameter needs to fit within the patient’s chest diameter, because women universally dislike having implants that are too wide for their body. The projection (sometimes referred to as “profile”) needs to fit within the skin in a way that is safe, proportionate, and congruent with the patient’s desires for her ultimate size. Implant projection ranges from implants that are nearly flat to almost round. During your consultation with Dr. Cohen, you will have an opportunity to “try on” multiple sizes of implants that would fit your desires and your anatomy in order to help you determine what size you would like to have. No two women have identical breasts, and therefore the size of the device that worked well for one woman will not necessarily be ideal for another one.

Enhancement / Enlargement – Incision Location

Traditionally there have been four possible incisions used to place these medical devices: under the chest, around the areola, in the armpit, and around the belly button. The belly button approach became very popular during the time period when only saline devices were available. The armpit approach, while appealing in terms of keeping the scar off the breast, has a higher potential for bacterial contamination which can lead to a higher incidence of certain complications. Different surgeons prefer different incisions, and there is no absolute right or wrong choice when it comes to incision choice. A vast majority of doctors today use either the inframammary crease incision (under the chest) or the periareolar incision (around the nipple). Dr. Cohen’s preference is to use the incision in the crease under the breast, unless the patient requires a mastopexy in addition to the breast augmentation procedure, in which case the periareolar incision used for the lift is also used for placement.

What Are Gummy Bear Implants

Gummy bear breast implants are one of the solutions – procedures available. The term “gummy bear” refers to the teardrop-shaped, gel-based device. They’re known for retaining their shape better than saline and silicone-based implants. They feel like a gummy bear.

Can this be covered by Insurance

Cosmetic surgery is typically not covered by Medicare, and it is also not covered by private health insurance. Discuss any charges with your treating doctor and, if necessary, your private health insurance provider before considering cosmetic surgery.

How Long do Saline / Silicone Devices Last

How long do they last? Today’s medical devices are designed to endure more than a decade on average, with the risk of rupture increasing by 1% per year. As a result, the older your implants are, the more likely they are to rupture or cause other issues. They can last up to 20 years in most situations.

Can you still breastfeed

Breastfeeding is possible for the majority of women who have implants. Discuss your concerns with your doctor or a lactation specialist. Remember that any amount of milk you can produce will help your baby, and supplementing with formula is an option if necessary.

How Much Does breast augmentation Cost? – Price

To establish the cost, please contact the office. The cost of enhancement surgery is determined by the surgeon’s experience, the treatment performed, and the location of the clinic. Ask your Tacoma plastic surgeon about patient financing options for enhancement. The following items may be included in the costt: Fees for anesthesia, Costs of a hospital or surgical institution, Medical examinations, Garments to wear after surgery, Medication prescriptions, and surgeons fee.

For questions about breast issue, recovery, results, reduction, removal, shapes, tissue, pain, candidate, chest size, recovery, fullness, scarring, weight loss, swelling, sutures, position and others contact Dr Michael Cohen today.

If you are considering saline or silicone, there are a few important questions you should ask before making a decision.

What are the different types of devices?

There are two main types of implants: saline and silicone. Saline devices are filled with sterile salt water and are typically less expensive than silicone implants. Silicone devices are filled with a silicone gel and are considered to be more natural-looking.

What is the recovery time for enhancement surgery?

Recovery time for varies depending on the individual, but most women can expect to return to work and normal activities within one to two weeks. However, full recovery can take up to six weeks or more.

Are there any risks associated with surgical procedure?

As with any surgery, there are risks associated with enhancement. These include infection, bleeding, and complications. Additionally, these do not last forever, and may need to be replaced or removed at some point.

Can enlargement surgery be done in combination with other procedures

Yes, the surgery can be done in combination with other procedures, such as a liposuction or tummy tuck.

Can surgery change my breast cancer risk

There is no evidence to suggest that implants increases or decreases the risk of cancer. However, it is important to note that these medical devices can make it more difficult to detect breast cancer during mammograms, so it is important to inform your doctor if you have implants before getting a mammogram.

This enhancement procedure is a popular cosmetic surgery procedure that can help women achieve their desired size and shape. Before deciding to undergo the procedure, it is important to consider the different types of medical devices available, the recovery time, and the potential risks.

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For surgery in Tacoma and Federal Way area contact Bayview Plastic Surgery and call (253) 313-0443.

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