Some women are unhappy with what nature gave them, and want to increase the size of their bust through surgery. Breast implants are made of two different materials, and provide slightly different results. Each choice has benefits and risks.

Silicone inserts are made of a solid silicone shell and are filled with silicone gel. Because of the possible risks that this gel poses if it enters the body, the gel is semi-solid and the shell is fairly thick. These are the best choice for realism, however, as the gel and entire device more greatly resemble the natural shape and texture of the breasts.

Because silicone implants arrive at the doctor\’s office filled and ready for use, they require larger incisions than saline ones, which are inflated after insertion into the body. Larger incisions can mean more scars, which some people are not willing to have. It can also mean longer healing, and a slightly higher amount of discomfort after the procedure.

The other option is saline. These resemble sturdy plastic bags, and are folded and small when they are placed into the body. This enables them to be inserted through smaller openings, and makes the TUBA (transumbilical) approach possible. After being positioned correctly, they are inflated with sterile saline. This does not provide quite the same natural appearance as silicone, but is harmless if it leaks.

As well as the type of implant, the placement is important in the final outcome. This can be behind the muscle and the natural tissues, between layers of muscle or fascia, or in front of the muscle but behind the natural glands. Each option has good and bad qualities, and the decision made depends on the patient and the surgeon.

Placing an implant behind only the breast tissue gives the most natural appearance in terms of position. However, with saline implants, this can allow ripples or wrinkles to show through the skin in thin-skinned patients. Placement behind the muscle smooths out this potential problem, but results in a slightly less natural positioning. Depending on the patient, one of these approaches may give significantly better results than the others.

Incisions for the placement of breast implants can be in a number of locations. They can be under the breasts, in what is called the infra-mammary fold, which allows scars to be hidden when the patient is standing, or in the underarm, which provides similar concealment. Saline implants can be placed with a procedure referred to as TUBA, where the incision is actually made inside the navel, and the devices are positioned through tunnels under the skin, before being inflated.

If you are a woman considering breast implants, consult with a surgeon about your likely results and options. The best choice for someone else is not necessarily the best choice for you, and tailoring the procedure to fit your needs is the surgeon\’s job. Like any surgery, this one comes with risks as well as rewards, so be sure to think about it carefully before going ahead with the process.

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