The Most Important Factors to Consider in Breast Augmentation


What to Discuss

During consultation for breast augmentation there are essentially three decisions that the doctor and the patient have to make:

The type of implant: saline or silicone
The size of the implant
And whether to place the implant above the muscle or below the muscle

Decision Process

The decision process can be made starting with any of those issues. It is important to understand that any decision we make will affect one or both remaining issues. A decision in one affects the choices in the other; therefore, they cannot be made independently of one another.

Saline or a Silicone Implant

For example, starting with decision one: saline or a silicone implant.
We know from a previous blog that a silicone implant before it is inserted in a patient is softer than a saline implant. The saline implant has more projection per volume than a silicone implant. Which is why the companies are coming up with firmer types of silicone implants to increase the projection similar to a saline implant.

Let us assume you decided to use a saline implant. The next question will be: Is there adequate cover for the implant? Adequate coverage is defined by having enough breast tissue to avoid the result from being an unnatural round ball on the chest, and hiding any rippling of the implant. If coverage is deemed insufficient particularly in this superior pole of the breast then one will have to resort to a sub muscular placement. Here, a decision in issue number one has affected issue number three.

On the other hand, if a silicone implant is chosen and you want projection, then a larger implant needs to be selected.
Here we see that the type of implant is impacting on the size of the implant.

Implant Size

Let us take another example: Looking at the implant size, the goal of using a large implant is to enhance projection. However when a large implant is chosen, your doctor needs to assess whether there is enough tissue to provide adequate coverage for the implant. If that is not possible then one might recommend a saline implant to obtain a better projection with a smaller volume (issue number1). So in this example the size of the implant has an impact on the type of implant.
Now on the other hand, if you insist on a large implant and the type is saline implant, it will have to be placed in a sub-muscular position to improve coverage. (issue number 3).
Again here making choices in one and two has affected the choice we have in issue three.

Because of the complexities of the decisions, it is important to have an experienced surgeon and one who takes the time in the consultation to make the right choice for you. It should not be relegated to a staff member other than your surgeon. In Dr Makhlouf’s office the decision is shared between the doctor and the patient and the thought process explained.