Choosing a Surgeon | Choosing an Implant | Choosing the Surgical Incision Site | Choosing the Type of Implant Placement | General Description of Breast Implant Surgery | After the Surgery | Choices in Reconstructive Procedures | Breast Reconstruction with Breast Implants | Immediate reconstruction is one-stage or two-stage reconstruction | Breast Reconstruction with Tissue Flaps | Questions to Ask Your Surgeon about Breast Augmentation | Questions to Ask Your Surgeon about Breast Reconstruction
Breast Implant Surgery
Choosing an Implant
You should consider the following when you and your surgeon are discussing implant options.
Implant Status - Whether or not an implant is PMA-approved or investigational (not PMA-approved) should be something you consider (see the Status/Availability section for details). An implant that is investigational means you will need to be part of a clinical study to get these implants. In addition, the surgeon of your choice may work with only specific breast implants.
Shape and Size - Depending on the desired shape and size you wish to achieve, you and your surgeon may choose a round or contoured implant shape of appropriate size (volume). You should be aware that contoured implants that are placed submuscular (under the pectoralis major muscle) may assume a round shape after implantation. Your surgeon will also evaluate your existing tissue to determine if you have enough to cover the breast implant.
Implant Surface - Textured surface implants were designed to reduce the chance of capsular contracture. Some studies with small numbers of women suggest that surface texturing reduces the chance of severe capsular contracture. However, other studies of a large number of women with saline-filled implants show no difference in the likelihood of developing capsular contracture with textured implants when compared to smooth-surfaced implants.
Implant Palpability/Visibility - The following may cause implants to be more palpable (more easily felt) or more visible: textured implants; larger implants; subglandular placement; and smaller amount of skin/tissue available to cover the implant.
Choosing a Surgeon | Choosing an Implant | Choosing the Surgical Incision Site | Choosing the Type of Implant Placement | General Description of Breast Implant Surgery | After the Surgery | Choices in Reconstructive Procedures | Breast Reconstruction with Breast Implants | Immediate reconstruction is one-stage or two-stage reconstruction | Breast Reconstruction with Tissue Flaps | Questions to Ask Your Surgeon about Breast Augmentation | Questions to Ask Your Surgeon about Breast Reconstruction
FDA Breast Implant Consumer Handbook - 2004
U. S. Food and Drug Administration
http://www.fda.gov/cdrh/breastimplants/handbook2004/glossary.html