Placement Options & Techniques

There are a number of options available in type of implant, placement, and technique in which a board certified cosmetic surgeon can approach a breast augmentation. Every woman is unique and, therefore, Dr. Esmailian and his Orange County staff will discuss and tailor a plan specific to your needs. He will take into account your current and desired volume, width, height, nipple position, areola size, droopiness, asymmetry, and crease position. He will consider the size and curvature of your ribcage and even your skin tone to ensure that you achieve the desired result.

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For the best breast implant placement you must first consider the type of implant. There are two main manufacturers of implants in the United States of America, Allergan and Mentor.

Allergan offers breast implants in over 60 countries and are FDA approved in the United States. Although they added breast implants to their company in 2006, they have been in the medical industry for over 6 decades and boast a 50% company effort in research, furthering human innovation and impacting the lives of woman in a beneficial way.

Mentor, purchased by Johnson and Johnson in 2009, truly does “make life more beautiful” while staying true to the values of a family company. Founded in 1969, they have been producing top quality breast implants for over 20 years under strict FDA guidelines.

Both companies offer outstanding FDA approved silicone implants as well as saline implants.

Silicone implants are by far the most popular implant available to woman today. This is due to the natural look and feel that they provide. Advancements in manufacturing reduce the risk of the cohesive gel implant rupturing or tearing. In the extremely unlikely event that they do tear, the silicone is viscous enough that it will not leak and the breast will not deflate.

Saline based implants are made of the same silicone shell that silicone implants are made of, but it is filled with a salt water solution once the shell has been placed in the desired location. Because the breast implant placement is done while the shell is empty, the incision site is slightly smaller allowing for more options to hide it effectively. Should a saline implant tear, the solution is harmlessly absorbed into the body, but the breast will deflate and you will need further surgery to replace the implant. While less expensive and offering a smaller incision site, they do not offer the natural look and feel that silicone implants offer. They may not also offer the longevity that silicone implants offer.

Apart from the material and size of your implant, you will also be given the option of a round or anatomical shaped implant and a choice to have it textured or smooth. Although an anatomically shaped implant is build to mimic a breasts natural shape, it is more common for a round implant to give a natural, full look. This is due in part to the breast implant placement (such as submuscular, subglandular or dual plane), existing tissue, and function of muscles on the implant. Dr. Esmailian will discuss which option is best for your desired results.

A breast augmentation starts with an incision technique. The most common way is to make an incision along the areola (lower area where the dark skin meets the lighter tissue below the nipple) or under the breast. The areola incision allows for maximum camouflage of the scar. Another common incision site is found along the crease of the breast. Inframammary incisions are concealed by a well defined breast crease, a naturally hidden area of a woman’s breast. Transaxillary or TUBA incisions are smaller and are used mainly for saline-based implants, even though smaller silicone breast implants can be placed via this incision. Transaxillary refers to an incision made in the armpit while TUBA is a naval (belly button) incision. The shell of the saline (made of silicone) is fed through the incision (either the armpit or belly button) and is filled once the breast implant placement is complete.

The actual breast implant placement is limited to three options. Submuscular is the most common for a natural appearance. The chosen implant is placed through the incision site and majority of the implant is placed under the pectoralis muscle. The remaining inferior portion of the implant is placed under the breast tissue. This muscle adds thickness and coverage in key cleavage areas. This placement also has the added benefit of being breast imaging friendly, meaning that it does not interfere with mammogram and cancer screening.

Another option is to place the top two thirds of the implant under the pectoralis muscle and the last third remains under the breast tissue alone. This technique is especially used when rippling or seams may be visible. This breast implant placement is referred to as “dual plane”.

Lastly, some may opt for subglandular placement. Simply put, the implant is placed just under the breast tissue, but on top of the muscle.

With so many factors to consider getting those full, beautiful, natural-looking breasts, ensure that you are in good hands with a renowned double board certified surgeon who can deliver. Read the testimonials and then schedule a consult with Dr. Esmailian at his Orange County location to develop a customized plan for your breast augmentation.