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Breast Augmentation: Patient 14

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This is a young lady who wanted implants to make her feel more proportional. Whenever a patient with a very thin frame comes in it is important to explain not only the differences between saline and silicone implants, but also amongst the different silicone implants available. Not all silicone breast implants are the same and while all are a cohesive gel, some are thicker than others leading to the name gummy bear breast implant. The true gummy bears are a highly cohesive gel more cohesive than regular cohesive gels. On the market in the United States at this time are the Sientra Gummy and more recently released is the Allergan Gummy breast implant. The advantage of the gummy implant is that it will ripple less and actively give more shape to the breast. The disadvantage is that it is a bit more firm to the touch, not much more firm but certainly a bit. On a very thin lady like this I feel the thicker gel is an advantage. On a lady with a little bit more body fat or a little bit more natural starting breast tissue coverage there is little difference between the result. A downside of the thicker cohesive gels is that they are more expensive. This lady is shown before and after placement of Sientra's style 107 highly cohesive gummy breast implant 300cc high profile. She has a very nice result.

Technique: Breast Augmentation