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Breast Implants: How to Choose the Right One? | Marin Aesthetics

Today, there are more choices than ever when choosing breast implants. Although it can be overwhelming to a patient, this is one reason it’s okay to go for breast augmentation.

Don’t worry! A board-certified plastic surgeon can help educate and direct you on what breast implant to choose.

Saline-Filled Implants

The outer shell of a saline-filled implant is silicone, but it is filled with saltwater. It is very safe and there are no known problems caused by it.

However, the implant has many physical limitations when it comes to the shape of the breast.

The implant tends to look and feel more “fake” compared to silicone. It is also notorious for rippling, which can be visible through the skin. In fact, rippling is the most common complaint from women who choose saline implants.

Most patients will see a deflation of one of the breast when an implant ruptures. This makes the detection of a leak very simple.

Silicone Gel-Filled Implants

The most common implants are the silicone gel-filled implant. They share the same outer shell as the saline implants but are much softer and more cohesive.

This “stickiness” helps to limit some of the irregularities usually seen with saline-filled implants. These implants tend to be much more natural in their appearance. They blend into the natural breast tissue, making them almost imperceptible.

Due to low incidence, silicone implants are usually chosen in breast augmentation surgeries.

Fifth Generation Gummy Bear Implants

Gummy bear implants are the fifth generation implants and the most modern available today. However, being the newest does not always mean that they are the best.

These implants are even more cohesive than the fourth-generation implants discussed above. As a result, they ripple even less and are the best at reducing this phenomenon especially in thin women.

They are a bit firmer to touch and have a bit more dense feel to them. Thus, they are considerably softer and more natural than any saline alternative.

Check out our interview on FOX 5 San Diego Morning News to learn more about breast implants:

The “Ideal Implant”

Finally, there is a new implant called the “ideal implant.”

This implant is a combination of both saline and silicone. It allows for volume adjustments for individualization of the size. The combination of silicone implants and the flexibility of saline makes it softer than the traditional ones.

Different Shapes of Breast Implants

Implants also come in different shapes. The vast majority of these implants are round, but some are in an anatomic or “teardrop” shape.

Anatomic or Teardrop-Shaped Implants

These implants are all cohesive, gummy bear style implants that have a textured outer surface.

The reason for the texturing is that anatomic implants cannot move within the breast pocket. This will lead to “malposition,” where the implant is not sitting in its proper location or orientation. This can result in a misshapen breast appearance.

This implant is useful in certain anatomic scenarios. Say, when a patient is deficient in volume or needs a subtle lifting of the nipple.

This implant was first designed to be more natural in its appearance. However, scientific studies have shown this not to be the case. Most patients desiring a natural outcome can achieve this with either round or anatomic implants.

Certain physicians prefer this implant, although there are significant limitations when it comes to the mobility and feel of the breast. Thus, teardrop-shaped implants are only chosen in certain, very specific anatomic situations.

Round Implants

Round implants also come with a textured surface option. This was first designed to reduce the incidence of capsular contracture.

Scientific research has not found this to be conclusive. As a result, this kind of implant is not usually recommended. Yet, the texturing acts as a “velcro” to the underlying tissues which helps hold the implant in place.

This is ideal for patients with odd-shaped chests, where there is a tendency for the implant to drift over time. The textured surface allows for the maintenance of the position of the implant over time.

Got more questions about breast implants? Let us know in the comments!

*The content in this blog is developed to spread the awareness towards plastic surgery. Our blog is not intended to serve as a replacement for an actual in-office consultation with Dr. Marin. As such, the information within this blog reflects the unique cases of our individual patients.

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In light of the state wide restrictions on non-essential businesses to help reduce the spread of COVID-19, we are rescheduling all of our elective appointments until the global circumstances improve. Our necessary post-operative appointments will be made, as needed, to address immediate surgical concerns such as suture removal and acute postoperative issues. All non-acute follow up appointments, fillers and Botox will need to be postponed until after the quarantine period mid April. Our office will reach out to all patients who need to be rescheduled.

We will be offering new patient virtual consultations online and via Skype that can be scheduled through our website or by emailing Also, we will offer follow-up appointments in the same manner to help manage our patients’ concerns while still respecting the need for social distancing.

We appreciate all of your understanding during these difficult times for all of us.

Stay safe,

Dr. Main and the Marin Aesthetics Team