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Implant Types

Round or Teardrop? Saline, Silicone or Form Stable (Gummy) Implants? What’s the Difference? Which one is best for me?

Dr. Brzowski uses some of the most advanced surgical procedures and has an artistic method to recommend a custom-selected size and shape of the latest generation of breast implants in Utah for a perfect balance with your build.

Form Stable (Gummy Bear) Implants

Form Stable Implants are relatively new to the US market. However, these implants have been used in Europe and Canada for several years. These implants consist of an outer shell of several layers of silicone rubber that is thicker than the cohesive gel silicone implants.

Form Stable implants are available in round and various “tear drop” shapes. The inside of the Form Stable implant is silicone but a much firmer consistency. Kind of like the consistency of the candy (gummy bears). Firmer and Natural!

Cost: These implants tend to be the more expensive implants and the reason is…They are the best implants available!

Feel: These implants are a firm cohesive gel with a similar feel to the gummy bear candy we all love.

Volume (Size): Ranges from 125 cc’s to 670 cc’s.

Shapes: 12 different shapes are available varying in height, width and projection.

Wrinkling: Less than 1% chance of rippling.

Ruptures: What if my Form Stable (gummy) implant ruptures? Studies have shown that the risk of rupture has been reduced with these implants due to the increased thickness and the texturing of the outer shell. When a silicone implant ruptures, the silicone usually stays in the capsule/cavity that the implant is put in. With the gel being cohesive and not “runny” (like the old silicone implants) it is rare that the silicone leaks outside the capsule should a rupture occur. Contact your surgeon if you think a rupture has occurred.

Silicone Implants (Cohesive Gel)

Silicone Implants are constructed using an outer shell of silicone rubber and they are available in a smooth or textured surface. The inside of a cohesive silicone implant is silicone and the consistency is similar to that of firm “Jello”.

Here are some facts about silicone implants:

Cost: Silicone implants are the mid-range priced implants. More than saline but less than Form Stable (Gummy).

Feel: Silicone (cohesive gel) implants feel softer therefore more natural than saline implants.

Volume (Size): Silicone implants are pre-filled but come in a wide range of volumes and sizes.

Wrinkling: In general, silicone implants don’t develop the edge wrinkling that is common with saline implants. If a capsule formation does occur, silicone gel implants can develop wrinkling.

Ruptures: What if my silicone implant ruputures? When a silicone implant ruptures, the silicone usually stays in the capsule/cavity that the implant is in. With the gel being cohesive (and not runny like the old silicone implants) it is rare that the silicone leaks outside the capsule if a rupture occurs. Contact your surgeon if you think a rupture has occured.

Saline Implants

Saline Implants are constructed of an outer shell of several layers of silicone rubber that includes a valve. Saline implants are usually filled to their final size after the shell is place inside the breast pocket. A disposable tube is used that runs from a bag of saline to the implant within the breast cavity. When the tube is withdrawn, the valve seals automatically, and a small additional sealing tip attached to the implant is inserted into the top of the valve.

Here are some facts about silicone implants:

Cost: Saline implants are the least expensive of all implants.

Feel: Saline implants can be somewhat less soft and feel less natural than silicone gel implants. Some patients say they feel heavier than other implants.

Volume (Size): Saline implants enable surgeons to adjust the volume in each implant. When the initial breast size isn’t the same on each side, the surgeon can adjust the volume to balance the two sides.

Wrinkling: In many augmented breasts, saline implants can be felt at the bottom or along the lower sides as an edge or as slight wrinkles. This effect is normal.

Ruptures: What if My Saline Implant Ruptures or Leaks? If your implant ruptures, deflation happens within a few minutes hours or days. If a saline implant ruptures or leaks, your body will absorb the saline solution and eventually you will have what we sometimes refer to as a “flat tire”.

Allergan textured implants recall

At the end of July of 2019, Allergan issued a voluntary recall for their BIOCELL textured implants. The FDA requested a recall after a link had been established between BIOCELL textured implants and the development of a rare form of breast cancer known as BIA-ALCL, or breast implant-associated anaplastic large cell lymphoma. BIA-ALCL is an immune system cancer developing in the scar tissue around the implant, not a cancer of the breast tissue.


What are textured implants?

Textured implants are silicone and saline implants that have a textured or rough exterior, developed so that the implant will better adhere to the surrounding tissue. Textured implants were developed help women avoid implants moving out of place, and to avoid the development of capsular contracture.

The recalled BIOCELL implants are a type of textured implant referred to as macro-textured, due to a more extensively textured surface. Textured implants are not common in the United States, making up only 10 percent of the implants placed in breast augmentation surgery. Macro-textured implants are even less common in the United States, with only 5 percent of women undergoing augmentation having this variety.


Which Allergan implants were recalled?

The recalled implants include Allergan’s BIOCELL textured implants in both saline and silicone as well as the tissue expanders, used to stretch the surrounding skin to prepare for implants to be placed. The following is a list of all recalled BIOCELL implants and tissue expanders sold under the brand name Natrelle:

  • Natrelle textured Saline-Filled breast implants
  • Natrelle textured Silicone-Filled breast implants
  • Natrelle textured Inspira Silicone-Filled breast implants
  • Natrelle 410 Highly Cohesive Anatomically Shaped Silicone-Filled breast implants
  • Natrelle 133 Plus Tissue Expander
  • Natrelle 133 Tissue Expander with Suture Tabs

Why were Allergan textured implants recalled?

Allergan’s macro-textured BIOCELL saline and silicone implants have been recalled, as a link was found between these implants and the risk of developing BIA-ALCL. While the risk of developing BIA-ALCL is very low, the FDA requested a voluntary recall by the manufacturer. All BIOCELL Natrelle implants and tissue expanders are recalled worldwide.


What is BIA-ALCL?

BIA-ALCL develops between 3 to 14 years after the implants have been placed. BIA-ALCL is very uncommon and grows very slowly, making it easier to catch and treat. Most cases of BIA-ALCL are resolved by the surgical removal of the breast implant and the affected scar tissue, and patients may immediately reinsert a smooth breast implant.

BIA-ALCL symptoms to watch for include fluid buildup around the implants, leading to swelling and pain, or lumps in breast or armpit. While the FDA and all major medical organizations have not recommended the removal of macro-textured implants for women with no symptoms, they do advise that women stay vigilant and watch for these symptoms, and to discuss implant removal or replacement with your doctor.


What should I do if I have Allergan textured breast implants?

If your breast size was enhanced with the recalled Allergan textured implants, the FDA recommends reaching out to your doctor to discuss your options. If you are not experiencing any breast changes or symptoms of BIA-ALCL, it is not recommended that you remove or replace your implants. However, if you do decide to replace your recalled implants, there is a replacement warranty program established by Allergan.


What is the Allergan replacement warranty program?

For women with recalled implants, Allergan will provide smooth replacement breasts in either silicone or saline, based upon which type you had implanted. The replacement implants will be matched as closely as possible in shape and size.

As the replacement of recalled breast implants is elective and not advised by the FDA, Allergan will not cover the cost of the surgery, but will only supply the replacement implant. To learn more about the Allergan replacement warranty program, please visit www.allergan.com. If you are interested in discussing your options for replacement or removal surgery, please contact us to schedule a consultation with Dr. Brzoswki.

To learn more about some of the best breast implants Salt Lake City has to offer, schedule a consultation with Dr. Brzowski today.

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